HomeMy WebLinkAboutWPO202100018 Application 2021-03-19 te•
. Community Development Department
y ,aTr. Albemarle Co u. y mire Road Charlottesville,VA22902-4596
P �M' nice:(434)296-5832 Fax:(434)972-4126
Planning Application
PARCEL 1 OWNER INFORMATION
TMP 08500-00-00-040A0 Owner(s): DRIPPS, ROBIN DUNNING OR LUCIA B PHINNEY
Application# WP0202100018
PROPERTY INFORMATION
Legal Description I ACREAGE
Magisterial Dist. Samuel Miller Land Use Primary Residential -- Single-family (inci. modular homes
Current AFD Not in A/F District Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address 6152 PLANK RD AFTON, 22920 Entered B;
JEnnifer Smith ..-
Application Type Water Protection Ordinances
13i 22:2021
Project DRIPPS-PHINNEY DRIVEWAY - VSMP - DIGITAL
Received Date 03/19/21 Received Date Final Submittal Date Total Fees 1451
Closing File Date I Submittal Date Final Total Paid 1451
Revision Number
i
Comments
Legal Ad
ISUB APPLICATION(s) f
Type I Sub Applicatio Commert
Erosion and Sediment Control Plan • 03/19/21
Stormwater Management/BMP Plan 03/19/21
i
APPLICANT /CONTACT INFORMATION
ContactType Name Address City State I Zip Phone PhoneCell
Dwr yps ptcsrt DRIPPS, ROBIN DUNNING OR LUCIA B. i P O BOX 60 BATESVILLE VA '22924 4344669199
.:eery Ccr-sct RIELEY & ASSOCIATES C/0 CONNIE UOU 601 E.MAIN STREET :CHARLOTESIILLE. .22902 4342969715
Sianature of Contractor or Authorized Aaent Date
111
Virginia Stormwater Management Program (VSMP)
Application for Albemarle County 4Vec-
Project Name: Dripps-Phinney Driveway
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes D No
Is this a revision or resubmission for review? Yes ❑ No NI
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.
n 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.
0.4 85-40A Robin Dripps 5•( 7").0 U
Tax Map&Parcel Print Name of Owner Si azure of Owne Date'
cLL
Tax Map&Parcel Print Name of Owner Si e of Owner `` Date
hvit U 3• 1?•abal
Tax Map&Parcel Print Name of Owner Signature of Owner Date
Tr
, 1dA
Tax Map&Parcel Print Name of Owner Signature o Owner 4J\ Date
Contact information for the Owner(s)to receive correspondence: •
Print Name Robin Dripps
Address 6152 Plank Rd.
City Afton State VA Zip 22920
Daytime Phone(434) 466-9199 E-mail rdd9a®virginia.edu
Revised 07/24/18 Page 1 of 2 0?(23\
111
•
RIB. All Fees [Code section 17-2081
For new or modified plans;Total acres proposed to be disturbed 0.70
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;$150
WI C. Registration Statement on the official DEQ form.
® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
O E. Stormwater Management Plan satisfying the requirements of code section 17-403.
O F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
® H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
e J. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
® J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Rieley&Associates c/o Connie Lieu
Address 601 E. Main Street
City Charlottesville State VA zip 22902
Daytime Phone(434) 296-9715 E-mail cl@rieleyandassociates.com
*When applications and plans are reviewed,but not approved,and a response to comments Is not received within 6 months
from the date of county comments,the application will be deemed withdrawn.Applications without valid owner's
signatures will not be considered valid. -1
FOR OFFICE USE ONLY 1 WO 0 aA
Fee Amount$ 45 f Date Paid By who it I Receipt#J 40ft C.0 -By:
Revised 07/24/18 Page 2 of 2
I
Virginia Stormwater Management Program (VSMP)
Application for Albemarle County
Project Name: Dripps-Phinney Driveway
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No El
Is this a revision or resubmission for review? Yes ❑ No IM
(5
County File Number: (to be provided by the County for new applications)
The fallowing 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.
139A. 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
compliancewith the approved plans and permits.
Name of Owner
Tax Map &
�' ki• 'zio 2'k
Tax Man & Parcel Print Name of Owner Sienature of Owner I I Date
�A
Contact information for the Owners) to receive correspondence:
Print Name Robin Dripps
Address 6152 Plank Rd.
City Afton State VA Zip 22920
Daytime Plrone (434) 466-9199 E-mail rdd9a virginia edu
Revised 07/24/18 Page 1 of 2
M B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed 0.70
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; S150
Mitigation Plan; $150
M C. Registration Statement on the official DEQ form.
M D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
M E. Stormwater Management Plan satisfying the requirements of code section 17-403.
M F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
M G. Stonuwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
M H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
M I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
M 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 Hurst 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 Rieley & Associates c/o Connie Liou
Address 601 E. Main Street
Charlottesville
Daytime Phone (4341 296-9715
VA
E-mail cl@rieleyandassociates.com
22902
*when applications and plans are reviewed, but not approved, and a response to comments is not received within 6 nnonths
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 Avnount S Date Paid
-BY who?
Receipt # Ck#
By
Revised 07/24/18 Paee 2 of 2