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HomeMy WebLinkAboutWPO201800088 Application 2018-11-30Albemarle Counl-*I, Planning Application *4W Community Development Department 401ft' 'ire Road Chadoftesville."VA22902-4596 ,.4o,,e : f434) 296-6832 Fax:: (4341972-4126 TMP[ 07800-0-0-00-GOSAO_j Ovvner(s): PANTOPS CORNER LC ---- Application #1 WP0201800088 PROPERTY INFORMATION Legal Description AGKEAGE Magisterial DistRivanna Land Use Primary Residential -- Single-family (incl. modular homes Current AFD Not in A/F District Current Zoning Primary; Highway Commercial APPLICATION INFORMATION Street Address Application Type 'Water Protection Ordinances Project I Pantops Corner - VSMP Received Date 11/30/18 Received Date Final Closing File Date Revision Number E� Comments Legal Ad Submittal Date Submittal Date Final Entered By Judy Martin 1-1 Total Fees F 17061 Total Paid 1 ----17700 SUB APPLICATION(s) T Sub licatio Conirrhent Erosion and Sediment Control Plan 11/30/18 ....... - ........... ............... .......... ......... .... . . .......... ............ Stormwater Management/BMP Plan z:11/30/18 .................. INFORMA PANTOPS CORNER LC ... ...... ....... .... .. ... . ..... ..... *** ........... ;�,�Mary Cz,tact JUSTIN SHIMP 12704 CRIMSON COURT SUITE HENRICOVA ----723233- 912 EAST HIGH ST Signature of Contractor or.Authorized Agent I Date ...... ... . C H 2-2,9­0`2 .. ... .......4342g99343. ..... .. . . .. ...... J CM M Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: Pantops Corner (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes [/ No ❑ /Kajor A,Krr►a1rKeW-_;il( Pee, A-4f Is this a revision or resubmission for review? Yes ❑ No 6Jl' County File Number: 6/51MI A ZOIk-DODzB, ffOL.d(4eW WAd kC, tWpa (to be provided by the County for new applications) The following are required elements of new applications jfrom code section 17-401 J. 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 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. Tax Map & Parcel Pantops Corner LC Print Name of Property Owner 07800-00-00-005BO Pantops Corner LC Tax Map & Parcel Print Name of Property Owner Signature of t of Owner e Date 07800-00-00-005EO Pantops LC L ' -'-" ! � � Tax Map & Parcel Print Name of Property Owner 'ign7,vv"er Date 07800 00 00 058G1 Pantops Corner LC I I J 1"112- / 2*4 Y Tax Map & Parcel Print Name of Property Owner Signature of Owner Contact Information for the Owner(s) to receive correspondence: T Print Name v -J S-1,1 ,) h,.4 P Address `[ tZ &_'�'S"- S / , / City C "t to f'kl LI Ale _ State V + Zip 2 Z 104 Daytime Phone �I{ Lf q g /'% 3 E-mail _ i/�1� (�S 'Imp e/1 Q�(� _ GU rn on i 0 B. All Fees [Code section 17-208) For new or modified plans; Total acres proposed to be disturbed 7.;5 Acres to be disturbed Total Fee Fee Due with this Application Fee with Transfer or 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 $1,7 $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 RI C. Registration Statement on the official DEQ form. 0 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. RI E. Stormwater Management Plan satisfying the requirements of code section 17-403. 0 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. ❑ 1. 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 Keane Rucker Address 912 East High St City Charlottesville State YA Zip 22902 Daytime Phone (434) 299-91343 E-mail keane@shimp-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 # ______ Clt#_ By: om RECEIVED NOY 3 0 2010 COMMUNITY OEVELOFo aN'T gee Received 1-760, 00 Received Date [l I --,� o ((�, Received n By