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