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Home My WebLink AboutWPO202000029 Application 2020-05-27 or u r �� • Community Development Department Albemarle COur..., p p " 401 n7cintire Road Charlottesville,VA22902-4596 �+ � Voice:(434)296-5832 Fax:(434)972-4126 �yZii, Planning Application PARCEL j OWNER INFORMATION IMP 07700-00-00-03860 Owner(s): RIVANNA WATER AND SEWER AUTHORITY Application# WP0202000029 ,PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. Scottsville Land Use Primar, Industrial (v' Current AFD 1Not in A/F District IY I Current Zoning Primary'Light Industry v i APPLICATION INFORMATION Street Address 697 MOORES CREEK LN CHARLOTTESVILLE,22902 Entered By Application Type [Water Protection Ordinances Jennifer Smith v 5 27 2020 Project WOOLEN MILLS PEDESTRIAN BRIDGE TEMPORARY ACCESS ROAD - VSMP - DIGITA Received Date 05/26/20 Received Date Final r Submittal Date Total Fees r 145 Closing File Date Submittal Date Final Total Paid 145 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Stormwater Management/BM-P 05/26/20 Erosion and Sediment Control Plan 05/26/20 APPLICANT /CONTACT INFORMATION ContactT Name Address Ci State Zi Phone PhoneCell OTTESVILL Primary Contact ANDREW ALLISON 608 PRESTON AVE,SUITE 200 CHARLOTTESVILL 22903 4343271683 Appiicirt VICTORIA FORT- RWSA 695 MOORES CREEK LANE CHARLOTTESVILL 22902 4349062813 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) Application for Albemarle County iil";.S' Project Name: Woolen Mills Pedestrian Bridge Temporary Access Road (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes M No 0 Is this a revision or resubmission for review? Yes 0 No County File Number: WP02020 (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. El 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. 07700-00-00-038B0 R.W.S.A. .)25/18/20 Tax Map&Parcel Print Name of Owner Signatt Owner Date 07800-00-00-022A0 R.W.S.A. 5/18/20 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 attn: Victoria Fort Address 695 Moores Creek Lane City Charlottesville State VA Zip 22902 Daytime Phone(434) 906-2813 E-mail vfort@rivanna.org B.R. Management attn: Brian Roy 1012-C Druid Ave Charlottesville, VA 22903 (434) 996-3904 brianhroy@gmail.com Revised 07/24/18 Page 1 of 2 t/ ) NI B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0.53 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than l $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;$150 OK C. Registration Statement on the official DEQ form. IR D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. 14 E. Stormwater Management Plan satisfying the requirements of code section 17-403. IX F. Pollution Prevention Plan satisfying the requirements of code section 17-404. 1$) G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O 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 Andrew Allison Address 608 Preston Ave, Suite 200 City Charlottesville State VA Zip 22903 Daytime Phone(434) 327-1683 E-mail andrew.allison@timmons.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. r FOR OFFICE USE ONLY WPO#a C'�ll , Fee Amount$ / Date Paid'5 � By whop DU areipt# 1 a H I k# I vi y: Vcl 3 Revised 07/24/18 Page 2 of 2