HomeMy WebLinkAboutWPO201800060 Application 2018-08-01 jrAIbemarIe
�,a 401 MireRoadCharlottesvillVA229D2-4598
=—' (434)296-5632 Fax (434)972-4126
�.4 „71:'' Planning Application :_
PARCEL/ OWNER INFORMATION l
TMP 05500-00-00-02800 Ow"ner(s): COUNTY OF ALBEMARLE
Application# WP0201800060
'PROPERTY INFORMATION
Legal Description 1 CROZET MINT SPRINGS PARK 02f12/200g DB 3689 PG 501(DEED .
Magisterial Dist. White Hall T Land Use Primary�Public E1
' CurrentAFD Not'in A/F District •'! Current Zoning Primary RUrai Areas II
APPLICATION INFORMATION
Street Address 6659 MINT SPRINGS PARK CROZET,22932 , Entered Ey
Jennifer PritcF n •
Application Type Water Protection Ordinances 17 B7172018 _ _
Project Mint Springs Park Maintenance Building , ., "
Received Date 08/01/18 Received Date Final Submittal Date Total Fees
Closing File Date • Submittal Date Final Total Paid
Revision Number
Comments i'�'
Legal Ad !A
, i
t e 1,
i n-i
SUB APPLICATION(s)
Type Sub Applicatio . .. . . Comment .
Erosion and Sediment Control Plan 08/01/18
Stormwater Management%BMR,Plan 08/01718 4
APPLICANT/CONTACT INFORMATION
ContectType dame Address Cit State Zip . . Phone I PhoneCell .
;0ver„_riAPpSi;Yrt" ' COUNTY OFALBEFIARLE •401 MCINTIRE ROAD , CHARLOTTE Tau` 22902 •434872450T -.
Primary C^crta_t .CLARK GATHRIGHT 100 Y0TH ST NE,SUITE 200 CHARLOTTESIrILL 22902 4349718848
Signature of Contractor or Authorized Agent Date
Virginia Stormwater Ma raement Program (VSMP)
Application for Albemarle County
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Project Name: Mint Springs Park Maintenance Building
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes El No 0
Is this a revision or resubmission for review? Yes El No 0
County File Number: U.R[�S~nIQ0 (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.
0 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.
55-28 County of Albemarle !� he, / qt/ig
Tax Map&Parcel Print Name of Property Owner Signature of 0 ir 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 Neale Craft, County of Albemarle, Facilities & Environmental Services
Address 401 McIntire Rd
City Charlottesville State VA Zip 22902
Daytime Phone(434) 872-4501 E-mail ncraft@albemarle org
RECEIVED'
AUG 0 1 2018
COMMUNITY
DEVELOPMENT
7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2
❑ B. All Fees [Code section _ -208] -
For new or modified plans;Total acres proposed to be disturbed 0.87
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 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;$150
El C. Registration Statement on the official DEQ form.
0 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
l E. Stormwater Management Plan satisfying the requirements of code section 17-403.
WI F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
• G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
El H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original - -
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Clark Gathright
Address 100 10th St NE Suite 200
City Charlottesville State VA Zip 22902
Daytime Phone(434) 971-8848 E-mail cgathright@dgarchs.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid°• \ By who? Receipt# Ck# _ By
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