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Home My WebLink AboutWPO201700028 Application 2017-03-23 4ftj). AIbernarIe ' CQ t 401 tire Road Charlottesville,VA22902-4596 ,e:(434)296-5832 Fax:(434)972-4126 ;a«a Planning Application 'PARCEL I OWNER INFORMATION TMP 078E0-00-00-000A0 Owner(s): FONTANA.LAND TRUST; A'M'NICHOLSTRUSTEE: • Application# WP0201700028 PROPERTY INFORMATION Legal Description I,FONTANA' r RESTDUEA&B Magisterial Dist.IRivanna • 1Ts Land Use Primary,Forest • CurrentAFD Not,in'A/F District " Current Zoning Primary R4 Residential APPLICATION INFORMATION Street Address Entered By Buck Smith i- Application Type Water Protection,Ordinances c a `3723/2017 Project HYLAND PARK EARLY GRADING'AND WPO PLAN--VWMP •- , Received Date 03/23/17 Received Date Final Submittal Date Total Fees 2250 Closing File Date Submittal Date Final , Total Paid 2250 Revision Number Comments Yh.l Legal Ad • • • SUB APPLICATION(s) Type. . . Sub Applicatio'• Comment ' Erosion'and.Sediment Control Plan ; Stormwater Management/BMP Plan APPLICANT/CONTACT INFORMATION ContactT•ype - Name. \., ,• -- Address,' ;CityStete '. • Zip , '.Phone :•PhoneCell O'uren'.AppL:art,,;, F..ONTPJIA':LAND TRUST.,-,A hl',NICHOLS: P 0BOX;143'';,^ r• MARYSVILLE CA 1 95901 „ Primary Contact COLLINS,SCOTT 200 GARRETT STREET,SUITE CHARLOTTESVILL 22902 4342933719 • Plan Pr_parar COLLINS ENGINEERING • Signature of Contractor or Authorized Agent Date fArpr,4--mVirginia Stormwater Management Program (VSMP) Application for Albemarle County ' . Project Name: Hyland Park Early Grading and WPO Plan (3.tii .l.0 . (The name should be the same as it appears on plans) Is this an amendment.to an approved plan? Yes 0 No V Is this a revision or resubmission for review? Yes❑ No V County File Number: 6/149.6,Z 0/ 000 L if (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. 0 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 theowner,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. 078E0-00-00-000i40 Highland Park LLC 2/21/17. Tax Map&Parcel Print Name of-Property Owner Signature of Owne 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' Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name.Collins Engineering .. . Address 200 Garrett Street, Suite K City Charlottesville. . State VA . Zip 22902 Daytime Phone(434) 293-3719. E-mail scoff@Collins-engineering.com .. . 7/1/14,Revised:7/10/14,1/7/14 Page 1 of 2 ❑B. All Fees [Code section 11-208] For new or*dieted pions; Total acres proposed to be disturbed I I-c'1 AC Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed . . Application modification of permit Lessthan;1 :$290 : $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 ,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;$200per review Variances;$150(per request) Mitigation Plan;$150 ✓ C. Registration Statement on the official DEC?form. O D.. Erosion and Sediment Control'Plan satisfying,.the requirements of code section 17-402. W E. Stormwater Management Plan satisfying the requirements of code section 17-403. N F. Pollution Prevention Plan satisfying the requirements of code section 17-4.04. W G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ll H. Mitigation.Plan satisfying the requirements of code.section 17=4.06 for any proposed disturbance of stream buffers; ❑ I.. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as=builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422:. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparei,consultant or agent) Print Name Collins Engineering Address.200 Garrett Street, Suite K. . . . . . City Charlottesville - State VA: Zip 22902 Daytime Phone(434) 293:-3719 E-mail scott@collins-engineering:com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county:comments,the application will bey deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$.2 jZ5/O Date Paid)z-25 fly who7R wa d Receipt# I - �✓'Ck# By: d5 z lan 9tvi,f. 7/1/14,Revised:;7/10/14, 1/7/14 Page 2 of 2 ALtt Virginia Stormwater Management Program(VSMP) #4�.. Application for Albemarle County. N.30, - Project Name:' HYLAND PARK=EARLY GRADING PERMIT PLAN (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No Is this a revision or resubmission for review? Yes ® No ❑ County File Number: WP02017-28 (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: . . : ®.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 theCounty of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. n 78E-A . HIGHLAND PARK, LLC ` -- 9/21/17 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name HIGHLAND PARK, LLC-ALAN TAYLOR Address:455 2ND STREET SE, SUITE 400 - City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone( ) E-mail alan@riverbenddev.com ; 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 El B. All Fees [Code section 17-208] For:new or:modified plans; Total acres-proposed to be disturbed : . : . 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:lessthan 5 $2,700 $1,350 $200 : : : • 5 and less than 10 $3,400 $1,700: $250 10 and less than 50 $4,500 $2,250 $300 50:and less than n 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;$150. . 0 C. Registration Statement on the official DEQ form. El D. Erosion and Sediment Control_Plan satisfying the requirements of code section 17-402. E. _ Stormwater Management Plan satisfying the requirements of code;section 17-403. F. Pollution Prevention Plan satisfying the requirements of code section 17-404: ® G . Storniwater Pollution Prevention Plan satisfying the requirements:of code section 17-405. El H. Mitigation Plan satisfying the requirements of code section 17-4:06 for any proposed disturbance of stream buffers. El I. Requested Variations or Exceptions as provided in code sections 17-407 and 408: El J. Construction Record Drawings (as=builts)for any existing facilities in the proposal satisfying the requirements.of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. . Additional information f not provided on plans and documents : : Name of a Contact Person for correspondence(usually the plan preparers consultant or agent) Print Name SCOTT COLLINS.-COLLINS ENGINEERING Address 200 GARRETT'STREET, SUITE K City CHARLOTTESVILLE State VA : Zip 22902 . Daytime Phone(434) 293-3719 E-mail scoff@collins-engineering.cohi *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the:application will be deemed withdrawn. Applications without valid owner's . signatures will not be considered valid. FOR OFFICE,USE ONLY WPO# : Fee:Amount$ Date Paid :- - By who?. Receipt# - ad/- By:. 7/1/14,Revised:.7/10/14;1/7/14 Page 2 of 2 • Virginia Stormwater Management Program (VSMP) Application for Albemarle County .t Project Name: HYLAND PARK-EARLY GRADING PERMIT PLAN (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No Is this a revision or resubmission for review? Yes ® No ❑ County File Number: WPO2017-28 (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. ® 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. Ot—f2"--"A—Al 78E-A HIGHLAND PARK, LLC �-- 12/7/17 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name HIGHLAND PARK, LLC-ALAN TAYLOR Address 455 2ND STREET SE, SUITE 400 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone( ) E-mail alan@riverbenddev.com • 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 ❑ B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 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 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $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;$150 ❑ C. Registration Statement on the official DEQ form. 0 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. I I E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scoff@Collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2