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HomeMy WebLinkAboutWPO201900010 Application 2019-02-21 t - �l�rttF,li:F !Albemarle (`-un Community Development Department " 401 McIntire Road Charlottesville VA22992-4596 Voice:(434)296-5832 Fax:(434)972-4126 + -= 1 Pia nning Appiicatia11 PARCEL/ OWNER INFORMATION TMP 04500-00-00-O59M0 Own er(s). BELLA SIGNATURE HOMES LLC • Application'# WP02o1"9000l0. . PROPERTY INFORMATION Legal Description IACKEAGE 4 c tiagisterial Dist, Riot °, Land Use Primary Forest CurrentAFD Not'.in•A/F,District c+j Current Zoning Primary Rural Areas , .. APPLICATION INFORMATION Street Address Entered By Application Type Water.Protection Ordinances 2 25 20.19 ith Project EARLYSVILLE SUBDIVISION-VSMP Received Date 02/2.1./19 Received Date Final Submittal Date Total Fees 1700 Closing File Date Submittal Date Final Total Paid 1700 Revision Number • Comments Legal Ad ;:tea SUB APPLICATION(s) Type" .- :Sub Applicatio , " ;.'-rr;.':. : Comment ; Erosion and Sediment Control Plan - 02/21/19 StarMiuuiater..ManagementiBMP Plan. , 02/21/019• ; APPLICANT/CONTACT INFORMATION .CortactType`..,,.:' Name - , .,Address CityState Lip: • Phone " . PhoneCell Oi rar/ppi ant" BELLA SIGNATURE HOPIES.LLC ' 1410 RIALTO ST,' CHARLOTTES\ILL 22902' Primary Contact LUKE KITELINGER 1410 RIALTO ST CHARLOTTESVILL 22902 ...- 4349603085 Signature of ContractororAuthorized Agent Date 41. Virginia Stormwal Management Program (VSMI, � 4r 1, Application for Albemarle County . /Rc1N�' Project Name: Earlysville Subdivision (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes El No Is this a revision or resubmission for review? Yes ❑ No County File Number: al���O l 6 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011 For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. El A. Signature of the 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. 45-59M0 Bella Signature Homes LLC 1.442 •.. /4 Tax Map&Parcel Print Name of Owner Signature of Owner Date Tax Map&Parcel Print Name of Owner Signature of Owner Date Tax Map&Parcel Print Name of Owner Signature of Owner Date Tax Map&Parcel Print Name of Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Luke Kitelinger Address 1410 Rialto Street City Charlottesville State VA Zip 22902 Daytime Phone(434) 960-3085 E-mail kitelingerl @yahoo.com Revised 07/24/18 Page 1 of 2 l B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 6.36 acres„--- Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1350 $200 5 and less than 10 $3,400 01,700 , $250 10 and less than 50 $4,500 $2,250 $300 50 and less than $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances; $150 Mitigation Plan; $150 Registration Statement on the official DEQ form. EY . Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. C9 E. Stormwater Management Plan satisfying the requirements of code section 17-403. 21. Pollution Prevention Plan satisfying the requirements of code section 17-404. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Clint Shifflett Address 608 Preston Ave, Suite 200 City Charlottesville State VA Zip 22903 Daytime Phone(434) 327-1690 E-mail Clint.Shifflett@timmons.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed•withdrawn..Applications without valid•owner's signatures will not be considered valid. , ' ` FOR OFFICE USE ONLY WPO# jO/cn/n/SG7- / ` / J/� Fee Amount$ I 0 D Date Paid 1/ ///i By who?Li/4 t /� t l l.•` "1 '•' Receipt:# /.4*f 1 Ck#I ` By:124.1,./ Revised 07/24/18 Page 2 of 2