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Home My WebLink AboutWPO201800073 Application 2018-09-24 Community Development Department Albemarle Counftz 401 McIntire Road Charlottesville,VA22902-4593 ,t• (434)2.9S-5832 Fax:(434)972-4128 Planning Application PARCEL/ OWNER INFORMATION TNT 03200-0D-00-006RO Owner(s): UNIVERSITY OF VIRGINIA FOUNDATION Application# WP0201800073 PROPERTY INFORMATION Legal Description Residue of 32-6A Magisterial Dist,!Rio Land Use Primer/ Unassigned Current AFD Not in AtF District Current Zoning Primary Planned Development Industrial Park APPLICATION INFORMATION Street Address 4419 DICKERSON RD CHARLOTTESVILLE,22911 • Entered By iJennifer Pritcl- Application Type Water Protection Ordinances Project Lewis and Clark Drive Road Extension -VSMP Received Date 09/24/18 Received Date Final Submittal Date 09/24/18 Total Fees 2250 Closing File Date Submittal Date Final Total Paid 2250 Revision Number Comments .0, Legal Ad • SUB APPLICATION(s) Type Sub Applioatio „ Comment Stormwater Management/BMP Plan 09/24/18 Erosion and Sediment Control Plan 09/24/18 APPLICANT /CONTACT INFORMATION ContactType • Name Address CityState Zip , Phone PhoneCell r.ff pli-:zr.t UNIVERSITY:OF.VIRGINIA, FOUNDATION P 0 BOX 400218 ' CHARLOTTESVILL 22904 4349242569 ry C7.4-,t2 tt CRAIG KOTARS la,PE 608 PRESTON AVE,STE 200 CHARLOTTESVILL 22903 43432716B8 Signature of Contractor or Authorized Agent Date ffU Virginia Stormwater Management Program (VSMP) :, Application for Albemarle County �1 "lett Project Name: Lewis and Clark Drive Road Extension (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 11) Is this a revision or resubmission for review? Yes 0 No 1A.CO County File Number: b OCC)-1?-1 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401J. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. l A. Signature of the Property Owner for each parcel: (Required with every submission or revision,NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits will be complied with,and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. �1�� 03200-00-00-006R0 University of Virginia Foundation �"ti/ " c _ 213 Tax Map&Parcel Print Name of Property Owner Signature of Owner Da Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Todd Marshall Address P.O. Box 400218 City Charlottesville State VA Zip 22904 Daytime Phone(434) 924-2569 E-mail tmarsha(I@uvafoundation.com 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of/ El B.' All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 12.5 Acres to be Total Fee Fee Due with this Fee with Transfer or • disturbed Application •modification of permit Less than 1 $290 S 145 $20 1 and less than 5 $2,700 $1,350- $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 S2,250 $300 50 and less than 100 $6,100 $3,050 $450 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150(per request) Mitigation Plan;$150 l C. Registration Statement on the official DEQ form. 0 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. 11 F. Pollution Prevention Plan satisfying the requirements of code section 17-404. 1 G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. El I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide.2 copies of till:plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Craig Kotarski, PE Address 608 Preston Ave, Suite 200 City Charlottesville State VA Zip 22903 Daytime Phone(434) 327-1688 E-mail *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# c901 r—ODO7 3 Q/� Fee Amount$2 ',.0_250__Date Paid q/4/ BY who?_ ,eKly a77�'�� Mteceipt it16-*ICU i 51 !y By: UP calf)(1/ait 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of2 pF A �,• COUNTY OF ALBEMARLE �'- Department of Community Development 401 McIntire Road Charlottesville,Virginia 22902 VSMP Application Completeness Check Project Title: Let4iS a.4Th clouvk Oad c gin File Number: (A)Q0 zrol 00077 Date: 63— 9,14-1s Reviewer: • Your application has been checked for completeness per section 17-409 of the County Code. All items must be received and correct for the application to be deemed complete. ❑ This application is complete and plan review has begun ❑ This application is not complete. Please provide the missing items checked below. Received Correct Y N Y N• N/A ❑ ❑ Completed application 0 0 ❑ ❑ ❑ Signatures of the Property Owners for each parcel affected ❑ ❑ ❑ ❑ ❑ Correct Fees Paid o o ❑ ❑ ❑ Registration Statement on the official DEQ form, with correct LDA ❑ ❑ ❑ ❑ 0 Erosion and'Sediment Control Plan satisfying the requirements of code section 17-402. ❑ ❑ ❑ ❑ o Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ ❑ ❑ ❑ ❑ Pollution Prevention Plan satisfying the requirements of code section 17-404. The EPA template should be used. ❑ ❑ ❑ ❑ ❑ Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. The EPA template should be used. ❑ ❑ ❑ ❑ l< Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ ❑ ❑ ❑ e . Requested Variations or Exceptions as provided in code sections 17-407 and 408, if applicable. (SSF,MMT,etc) ❑ 0 0 ❑ • if Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. ❑ ❑ ❑'' Comments: ■