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Home My WebLink AboutWPO201800070 Application 2018-09-10 '"',,,r" 1 Community Development Department a_c,AlbemarleCoLd.f 'r 401,"-'-`ire Road Charlottesville,'A22902-�4596 ri'Planning Application e (434)296 5832 Fax (434)972-4128 n,; PARCEL/ OWNER INFORMATION i TMP 10000-00-00-017A7 Owner(s); THACKSTON,JOHN M Application# WP020I 8QQQ7Q PROPERTY INFORMATION Legal Description I Subdivide InformationDeed Book,Page(1546,372 )Conveyance(28572 )Date of Sale(D6/26/1996)Transaction, ,A i Magisterial Dist. Samuel Miller .� Land Use Primary:Unassigned E Current AFD Not in A/F District 7,471 Current Zoning Primary Rural Areas j APPLICATION INFORMATION Street Address 3136 OLD LYNCHBURG RD NORTH GARDEN,22959 Entered By Application Type Jennifer Pritch i 17 yP Water Protection Ordinances 90.1,2018 Project Thackston - Old Lynchburg Rd -VESCP Received Date 09/10/18 Received Date Final Submittal Date 09/11/18 Total Fees 300 Closing File Date Submittal Date Final Total Paid 300 Revision Number Comments r, Legal Ad i i SUB APPLICATION(s) Type_ Sub Applicatio Comm ent Erosion and Sediment,Control Pln' 09/11/18 , • APPLICANT /CONTACT INFORMATION ContaotType Name .Address CityState I Zip Phone PhonrCell .r _rJAppli_ert . *THACKSTON,JOHN M, .'38'FOREST DR PALMYPAV?, •22963- " ' ' - -.=rirc_ry C_rtect ?SCOTT COLLINS 4200 GARRETT STr STE K _ Q CHARLOTTESVILL c 22902 '4342933719 Signature of ContractororAuthorized Agent Date Virginia Erosion and Sediment Control Program (VESCP) Application for Albemarle County b/R(xtat• (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: OLD LYNCHBURG ROAD (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No WI Is this a revision or resubmission for review? Yes ❑ No County File Number: LL b9 \\— 5l 0 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401 J. 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. 100-17A7 THACKSTON,JOHN 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 JOHN THACKSTON Address 38 FOREST DRIVE City PALMYRA State VA Zip 22963 Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14, 1/7/15 Page 1 of 2 � I O B. All Fees [Code section 17-207] Total acres proposed to be disturbed 1.65 AC Acres to be disturbed Total Fee Less than 1 $150 per review More than 1 ($300 per review) For amendments to an approved plan;$200 per review Variances;$150(per request) Exceptions;$240 Mitigation Plan;$150 Construction Record Drawing;$300 C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. O D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scoff@coliins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY a WPO# (900 - C 0 7 0 2 Fee Amount$ &rr Date Paid 1 l� IO By Who?''eo//I/15' li Receipt# 115I d n/3 Ck# 35[�y 5' By )() 7/1/14,Revised:7/10/14, 1/7/15 Page 2 of 2 Fee Received RECEIVED Received Date SEP 1 0 2019 (MR COMMUNITY Received By DEVELOPMENT !m