HomeMy WebLinkAboutWPO201900051 Application 2021-06-03Virginia Stormwater Management Program (VSMP) �A
Application for Albemarle County
�/RL1N�P
Project Name: Scottsville Elementary School Addition
(The name should be the same 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 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 Property 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.
i RI1Id13tItIDI1S1W ] V,
Tax Map & Parcel
Print Name of Property Owner
Signature of Owner Date
Tax Map & Parcel
Print Name of Property Owner
Signature of Owner Date
Tax Map & Parcel
Print Name of Property Owner
Signature of Owner Date
Tax Map & Parcel
Print Name of Property Owner
Signature of Owner Date
Contact Information for the Owner(s) to receive correspondence:
Print Name Albemarle County School Board (Contact: Joseph Letteri)
Address 401 McIntire Road
City Charlottesville
State VA Zip 22902
Daytime Phone (434) 975-9340 E-mail jletteri@k12albemarle.org
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® B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed 3.04
Acres to be
disturbed
Total Fee
Fee Due with this
Application
Fee with Transfer or
modification ofpermit
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 (per request)
Mitigation Plan; $150
® C. Registration Statement on the official DEQ form.
0 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
Address 608 Preston
City Charlottesville
Showalter, PE
Suite 200
State VA Zip 22903
Daytime Phone (434) 327-1681 E-mail jonathan.showalter@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.
FOR OFFICE USE ONLY
WPO #
Fee Amount $ Date Paid
By who?
Receipt #
Ck# By:
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