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Home My WebLink AboutWPO202100015 Application 2021-03-09 i.0_-_!,� Community Development Department -"A rt;; Albemarle Cou 40 mire Road Ct�arlottesviiie.VA22902-4596 I3 yam'—IMI v,,ce: (434)296-5832 Fax:(434)972-4126 ''; .11 Planning Application PAR-al,/ OWNER INFORMATION TMP 060E2-00-00-00100 Owner(s): FARMINGTON COUNTRY CLUB Application#i WP0202100015 a PROPERTY INFORMATION Legal Description !FARMINGTON Magisterial Dist, Jack Jouett Land Use Primary Semi-public ',` Current A.FD Not in A/F District Ej Current Zoning Primary Rural Areas j No,' APPLICATION INFORMATION Street Address 1940 OLD MILL RD CHARLOTTESVILLE,22901 Entered By i.._. 'Jennifer Smith ‘i i pplicationType Water Protection Ordinances �`� j3,r10f2021 '— Project FARMINGTON COUNTRY CLUB - GOLF COURSE HOLE 6 - VSMP - DIGITAL Received Date 103/09/21 Received Date Final r l Submittal Date Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments ," Legal Ad SUB APPLICATION(s) Type I Sub Applicatio I Comment Erosion and Sediment Control Plan 03/09/21 . Stormwater Management/BMP Plan 03/09/21 APPLICANT /CONTACT INFORMATION ContactType Name I Address 1 CityState Zip Phone PhoneCell ay,rtri,z,p.ah-srt FARMINGTON COUNTRY CLUB 1625 COUNTRY CLUB CIRCLE CHARLOTTESVILL 22901 Primary Coa:tad SCOTT COLLINS 200 GARRETT STREET,SUITE K CHARLOTTESVILL 22902 4342933719 • Date Signature of Contractor or;Authorized 2.aent i 11.1L't< Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: Farmington Country Club - Golf Course Hole 6 VSMP Plan (The name should be the sante 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: 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 1 have the authority to authorize the land disturbing activities and development on the subject property. 1 hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. 60E2-1 Farmington Country Club L' Tax Map & Parcel Print Name of Owner Si nature 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 Tax Map & Parcel Print Name of Owner Signature of Owner Date Contact Information for the Owner(s) to receive correspondence: Print Name 520 tE KirkKAA Z� Address iV (s„nt•v Cl.. tPC If City cteL&oc(sfleaattlt //State u), zip ZZ`%r Daytime Phone() Pt5 s3?0 _E-mail $ k' c; ker Ug (an Revised 07/24/18 Page I of ❑ B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 2.95 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 5700 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. ❑ 1. Requested Variations or Exceptions as provided in code sections 17407 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 Scott Address 200 Garrett Street, Suite K City Charlottesville State VA Zip 22902 Daytime Phone (434) 293-3719 E-mail scott@collins-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 M Fee Amount $ Date Paid By whop Recetpt # Ck8 By. Revised 07/24/18 Page 2 of 2 Virginia Stormwater Management Program (VSMP) II Application for Albemarle County Project Name: Farmington Country Club-Golf Course Hole 6 VSMP Plan (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No Is this a revision or resubmission for review? Yes 0 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. 60E2-1 Farmington Country Club 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 Tax Map&Parcel Print Name of Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Address City State Zip Daytime Phone( ) E-mail Revised 07/24/18 Page 1 of 2 q ❑ B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 2.95 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;$150 • C. Registration Statement on the official DEQ form. ® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Scott Collins Address 200 Garrett Street,Suite"K City Charlottesville State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott@collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn.Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# — Fee Amount$Ts_ `Date Paid I By who'?CM"))�� 5 F Y( c i c/ 7k#/_By r2c a � Revised 07/24/18 Page 2 of 2