HomeMy WebLinkAboutWPO201500001 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
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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
•
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•
•
7/1/14,Revised:.7/10/14; Page 1 Of 2
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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. ..
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