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Home My WebLink AboutWPO201500001 Application 2019-11-04 . • Virginia,Stormwater Management Program;`(VSMP) Application:for Albemarle County . .. . . � 6sm Project Name: Northside Material Recovery Facility . (The name should be the same as it appears.on plans) s this an amendment to_an;approved,Plan? Nn Is this a revision or resubmission for;review? Yes El :No O County File Number WPO 201500001 (to be pmovided'by,the'Countyliknewapplications) -. The.. ollowin ,are.re uired elements o new,a- ;�lications roirt code.section 17-401,f g 9 f pp [f J For revisions:or. amendments,please indicate which items ai=e being amended:Signatures must.be provided for any su mtsslon: :A. Signature of the Owner for each parcel: (Required with every submission:or revision;,NOT TO BE • :SIGNED'BY AN AGENT OR'CONSULTANT)` : .Bysigning 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.thesubject : 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. .32-22C3 : Larry Hall : :.: 1 /4/.19 &.P Tax 'MapParcel Print Naive of Owner • :Sigriapa.o Owner Date • 32-7p;.71,72,, 73 Larry Hall . . •11/4/19 :. Tax,Map&Parcel Print;Name,of Owner .. Sig 1 re o;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 Owiler(s)°to receive correspondence; PrintName Larry Hall • • Address 1 49:Northside:Drive City Charlottesville :State VA Zip.22914 Da yti crie Phone;(: ) . . E-mail • • • Revised 07/24/18 Page 1 of 2 0 B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed.to be disturbed 4'98 Acres to:be Total Fee: Fee Due with this Fee.with Transfer or disturbed' Application modi icatron of permit Less than 1 $290 . . ' :$145 ', . . $20 1 and less than 5 ' ' $2,700 . . $1,3.50 . . ... $200 5 and less than 10 $3,400 1 $1,700 • $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;$150 ) V C. :Registration Statement on the official DEQ form. AZI D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402... E. : Stormwater Management Plan satisfying the requirements of code section 17-403.. RI F. Pollution Prevention Plan satisfying the requirements of code section.17-404. 0 G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405: ❑ FL Mitigation Plan satisfying the requirerrients of code section 17-406 for any proposed.disturbance of stream buffers. (j I. Requested Variations.or Exceptions as provided in code sections 17-407 and.408. : 0 J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements'of code section 17-422. . Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. ' .: Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Brent Hall 1949 Northside Drive.: Address City Charlottesville .• State VA Z.' -22911 ip 434 996-5911 brent@greenstonematerial.com . . Daytime Phone( ) .. :: E-mail".. :. *When applications and:plans are reviewed,but not approved,and a response:to comments is not:received within 6 months• from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's :signatures will not.he considered valid.. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck#.. . By: 7/1/14,Revised:7/10/14' Page 2 of 2 orA Virginia Stormwater Management Program:•(VSMP) +h ` Application for Albemarle County ��stiiN�r Project Name: Northside Material Recovery Facility : (The name should be the same as it appears on.plans) Is,this an amendment to an approved plan? 'Yes123 No 0, .Is this a revision or resubmission for;review? Yes ID- No ❑ County File Number: WPO 201500001 (to be p ovided by the:Countyfo,;new applications) The:following are requiredelements of new applications[front code section 17-4011. For revisions or amendments;;please'indicate which items are being amended Signatut'es must be provided for any submission: .. . ® A, Signature:of the rawner 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'iactivities and development on the subject ,property:I hereby grant the Countyyof Albemarle-the right to enter upon the;property as required to:ensure :compliance with-the approved plans and permits. 32-22C3 _ Larry,Hall : 9/30/1.9::(W/eMap C71 .. Tax &.Parcel' Print Naive'of Owner � .S� na ` . .o Owner `Date 32-70,.71,72, 7.3 Larry Hail . . )01 . 9/30/19 Tax,Map.&Parcel Print Name of Owner Sig re o Owner Date Tax-Map&Parcel Print Name of Owner Signature,of Owner Date Tax Map&Parcel Print Name of Owner Signature,of Date Contact Information foe.theOwner(s)-to receive correspondence: Print Name Larry Hall Address 1949 Northside Drive City Charlottesville i :State VA Zip.22911 Daytime Phone L..........) E-mail 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 4.98 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 $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; $150 ® C. Registration Statement on the official DEQ form. • D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. El I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. El J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Brent Hall Address 1949 Northside Drive City Charlottesville State VA Zip 22911 Daytime Phone(434.) 99675911 E-mail brent@greenstonematerial.com *When applications and plans are,reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,;the;application will be deemed withdrawn.Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: Revised 07/24/18 Page 2 of 2 it�Ini .' V.rgi a..Stormwater•Maniagenient Program (VSMP) 4 t% Application for.Albemarle County Project'Naine: Norttiside:Drive Stockpile (The name should be the same as it appears:on.plans) Is this an:amendment to an approved plan? Yes`® No'D Is this a.revision or.resubmission for review? Yes 0 No la County File Number-: (to be.providd bj,the Coloity for new applications) Tk following 000000 elements`of new applications ffronm code section 17=4011:.for revisions or amendments, ilease'indicate which items are being amended Signatures mutt be provided for any submission.. A. Signature-:of the Property_Owner for each parcel: (Required with eve submission or revision,NOT 'TO BE SIGNED BY AN AGENT OR'CONSULTANT) By'signing this application.'as Ate owner;Thereby certify that,all requirements a fthese plans and permits will be: compliedwith,:and I have the authority to.authorize the land disturbing activit es and:developmenton the subject • property: I hereby grant,the County of Albemarle:the right to enter;upon the •roperty-as required in ensure P the,approved.pians•and:permits: 32=70 . Larry:Hall / )0 /;) Tax Map&PParcelp rty ,e g fire of.:Own Date Print Name'of Pro e`, "Owner `Si na • 32=71 Larry.HallI , �..� ! o •Tax Map&Parcel PriritNanie of Property Owner . gna tire I Owne Date 32=72 Larry Hall Tax Map&Parcel Print Name of Proputy.Q wner tgri: ufrh—,Own- ate 32-22.,C3 Larry Hall • ia4/. Tax Map&Parcel Print Name of Property.Owner • Stgtiat •_e:of Ownit ate Contact Information for the O.wner(s)to receive correspondence: • Larry:Hall. Punt Name: .. .. _ _ : 1949 Northsicie Drive City Charlottesville VA- 22911 • State Zip Daytime Phbnc.( .:) E-mail • • • • 7/1/14,Revised:.7/10/14; Page 1 Of 2 • i • • • All Fees tOciad • Foi,:neW:ormodified plans,•tpi'..alacres.propc*0:4,:(0 be-Clist4bett. _ . ActdkIoin Tet'aliF0' Pee* t-..atiS"fet or .• disturbed. ,..„. :Application __ ; modification of permit • ! ,Less than 1 !;$290. ": :1:i . . sl,:andiesS thatk : ! It2 7700 " 5.1g)•' • 5.:04i0g..!Nn 10 . $3400.; S250 • "• 1.6 ancilessAhan50 "$2000 . • 50 and less than $6;10"0' • - S3,050 $450. ' 1#3.6 100 and more •$9;-600r. '$4,800.. 1 !:$700. Por Onitioij'amendmentste ati4p•pteivodiii4t•$ 0,0.p.0 review Variances;$1 . Miti!gitiotiPlan;'Sf!5•0 • . . • Registration$0...tdrrid.Ot.bfrtlieoffi'Cia,,IDEQ form. . • . ,12.1.D. Erosion and Sediment Control Plan satisfying the requirements of code section 17,402. 0 E. .-Sto-fitiVatef Management Plan satisfying the"requirements of code-section:17403. 0.F. .P011iititsitPrevetitibii Plan satisfying thOte4nitements Of Code section 7404. ••StiiiiiiWatetToltp.tiO satisfying the requirements olepde Seetion1.7405: 0 H Mitigatio011ati.SatiSfYing the requirements of code SeetiOn.17406.:fdiatiy;:pititiOsed disturbance of • . •b.I. 'Requested Variations or Exceptions as provided in co49'§qpii_cms'l 7407.4nd 4.08 • • o 1i,• •Construction lecorti'Dyawings(aOntitS):for any existing facilities in the proOOSal.satisfying.the • requirements of of code section 17742,2,". .Pi ovide 2 copies of all piano and any supporting documents. Professional seals 00t . . . Additional not provided:onlik*siod documents: . . .. . . . Name.ofatontact Person for-cgrieSimritienee:(40-my the Piati.:($fetiaret,„•OnSnitant or agent) . . Brent Half " . •• . ..• . : . . . 1p4.9.Northide DriV0- . . Address . _ Charlottesville • • VA - 22911 City, . . . _ • • State - . . .,434 Daytime PhoneE4nail 996-5911 -bi-eht@gteeriettiriematoril.00rn • • • ••. .• 4hen",applieatians'anit plans are roiewed,hti(not-400*04,•04.0 response to commnts is not received within t ttkonihs. from the date of county comments,the application will be deemed*144•00yii# AlippcOcing,wititout,vMtdowner"s signatures will not Considered . . . , FOR OFFICE USE ONLY- WPO# . . Fee Anuithit •bate.OdiCI By . ,116:eip't# : CO- • By. .. _ • . . . . . . . _ . . • • • • . „ •1/t/144,iteviseti:.:7/10/14 Page 2 of 2