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HomeMy WebLinkAboutWPO202000020 Application 2020-04-02 6.5** /� i, , Community DevelopmentDepartmal ;., ,,� Albemarle e Go ur 401 1 re Road Charlottesville,VA22902-4596 yr Planning Application •(434)296-5832 Fax.(434)972-4126 PARCEL I OWNER INFORMATION —v Tr-1P 06000-00-00-078A0 Owner(s): COUNTY OF ALBEMARLE SCHOOL BOARD AL Application# WP0202000020 PROPERTY INFORMATION Legal Description 'ACREAGE ALBEMARLE/JACK JOUETT/GREER n, v' Magisterial Dist, Jack Jouett s Land Use Primary Office 4'' 1 Current AFD 'Not in A/F District is' Current Zoning Primary Rural Areas _._l APPLICATION INFORMATION Street Address 227 LAMBS LN CHARLOTTESVILLE, 22'01 Entered By Application Typei Jennifer Pntch v Water Protection Ordinances '` 4 2-0-20 _ Project Albemarle-Berkeley Wastewater Pump Station Storage Basin Demo - VSMP Received Date 04/02/20 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad A SUB APPLICATION(s) _ Type Sub Applicatio Comment Stormwater Management/BMP Plan 04/02/20 Erosion and Sediment Control Plan 04/02/20 APPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell 0.7mr/.epplicarot COUNTY OF.ALBEMARLE SCHOOL BOARD 401 MCINTIRE ROAD CHARLOTTESVILL ',22902 4349772970 Pnnary Contact <DOUGLAS MARCH 3299 'A'ATTS PASSAGE CHARLOTTESVILL 22911 4344090464 Date Signature of Contractor or Authorized Agent 4 A �{. Virginia Stormwater Management Program (VSMP) ���!.; Application for Albemarle County 105r. Project Name: Albemarle-Berkeley Wastewater Pump Station Storage Basin Demolition (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No KO 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 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. 60-78A(ACPS) Lindsay Snoddy (y{ C., 3 !! c/Zo 2 0 Tax Map&Parcel Print Name of Owner ,/` i *nature of Own Date Tax Map&Parcel Print Name of Owner Signature of 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 Owner(s)to receive correspondence: Print Name RWSA-do Austin Marrs,ACPS Building Services-do Lindsay Snoddy Address RWSA-695 Moores Creek Lane,ACPS Building Services-2751 Hydraulic Road City Charlottesville State VA Zip 22902/1 Daytime Phone(434) 977-2970 E-mail amarrs@rivanna.org,lcsnoddy@k12albemarle.org Revised 07/24/18 Page 1 of 2 B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0.48 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;$150 ❑ C. Registration Statement on the official DEQ form. ® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Douglas March Address 3299 Watts Passage City Charlottesville State VA Zip 22911 Daytime Phone(434) 409-0464 E-mail dmarch@sehine.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn.Applications without valid owner's signatures will not be considered valid. �7^-� FOR OFFICE USE ONLY WPO*C C Ia0 i Fee Amount$_1 Date Paid-3). By who? Receipt# Ck*_.._. jP„ / Jto 38S'3foLAJ/ o 3f5 Revised 07/24/18 Page 2 of 2 Virginia Stormwater Management Program (VSMP) k��A Application for Albemarle County Project Name: Albemarle -Berkeley Wastewater Pump Station Storage Basin Demolition (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No 91 Is this a revision or resubmission for review? Yes ❑ No 91 County File Number: (to be provided by the County for new applications) The following are required elements of new applications @from code section 17-401]. For revisions or amendments, please indicate which items are being amended. Signatures must be provided for any submission. ® A. Signature of the 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. 60-78A (ACPS) Lindsay Snoddy .'114 Tax Map & Parcel Print Name of Owner Tax Map & Parcel Print Name of Owner Tax Map & Parcel Print Name of Owner Signature of Owner Signature of Owner 3 ►4�(ZaZo Date Date Date Tax Map & Parcel Print Name of Owner Signature of Owner Date Contact Information for the Owner(s) to receive correspondence: Print Name RWSA - c/o Austin Marrs, ACPS Building Services - c/o Lindsay Snoddy Address RWSA - 695 Moores Creek Lane, ACPS Building Services - 2751 Hydraulic Road City Charlottesville Daytime Phone (434) 977-2970 State VA Zip 22902/1 amarrs@rivanna.org,Icsnoddy@kl2albemarle.org Revised 07/24/18 Page 1 of 2 ® B. All Fees [Code section 17-2081 For new or modified plans; Total acres proposed to be disturbed 0.48 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 $1,700 $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 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. ❑ 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 Douglas March Address 3299 Watts Passage City Charlottesville Daytime Phone (434) 409-0464 State VA E-mail dmarch@sehinc.com Zip 22911 *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 I Revised 07/24/18 Page 2 of 2