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Home My WebLink AboutWPO201800094 Application 2018-12-10Albemarle Coun,,-- Planning Application Community Development Department 401 rvlcl -+ire Road Charlottesville,VA22902-4596 :(434 29&55832 Fax:(434)572-4126 TMP 05600-00-00-017CO owners ): COUNTY OF ALBEMARLE SCHOOL BOARD WE Application # WP0201-800094 PROPERTY INFORMATION Legal Description ACREAGE WESTER14 ALBEFIARLE HIGH � Magisterial Dist !White Hall + Land Use Primary Commercial I w t Current AFD Not in A/F District Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address CRt7ZET, 22932 � Entered By Application Type Water Protection Ordinances Jennifer Pritch Project Western Albemarle High School - VSMP - Received Date l2/10/1$ Received Date Final � � Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICAT Signature of Contractor or Authorized Agent Date lM Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: Western Albemarle High School (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: (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. 05600-00 00 017CO County of Albemarle School Board �u? 1,— j b. 2cJ I v ax Map &Parcel Print Name of Property Owner Sign Nta' 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 & P—arc el Print Name of Property Owner Signature of bw,ner Date Contact Information for the Owner(s) to receive correspondence: Print Name Joseph P. Letted c/o County of Albemarle School Board Address 401 McIntire Road City Charlottesville State VAZip 22902 Daytime Phone 4( 34) 975-9340 E-mail _ ,• �. Q, } t f l j� j� 1Z ck k 4 e t10.r `2 . u T-`� 7/1/14, Revised: 7/10/14,1/7/14 Page 1 of 2 cm ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 0.32 Acres to be disturbed Less than I Total Fee $290 - Fee Due with this Application $145 Fee with Transferor modification of permit $20 — --_.._ a__� _ 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 100 100 and more $6,100 $9,600 $3,050 $4,800 $450 $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. IE 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. 0 H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. 01. 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 conies 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 Derek Marshall Address 4805 Lake Brook Drive, Suite 200 City Glen Allen State VA Zip 23060 Daytime Phone 8( 04) 205-3337 , E-mail dmarshall@dewberry.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 $ I J Date Paid. .. �QBywhoT j �Q('�Uf��Oil�� Receipt# 1I(V �� Ck# 1_ (l 1 By; t��__ 7/1/14, Revised: 7/10/14,1/7/14 Page 2 of 2