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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