HomeMy WebLinkAboutWPO201700022 Application 2017-02-28 Community DevelopmentDepartr7
Albemarle ' Unty 401MclntireRoadCharlottesville.VA22902-4'.
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•k'.11,-+ ,t)1 Planning Application
PARCEL/ OWNER INFORMATION
TMP 061W0-02-OB-00200 Owner(s): GREENBRIER EAST LLC
Application # WP0201700022
PROPERTY INFORMATION
Legal Description I ACREAGE FIRST SYSTEMS AND RESOURCES
Magisterial Dist. Rio Land Use Primary Commercial
Current AFD Not in A/F District ® Current Zoning Primary C1 Commercial
[APPLICATION INFORMATION
Street Address 450 GREENBRIER DR CHARLOTTESVILLE, 22901 Entered
Judy Martin
Application Type Water Protection Ordinances 111 3/1/2017
Project Daly's Rent All - VSMP
Received Date 02/28/17 Received Date Final Submittal Date 03/10/17 Total Fees 1
Closing File Date Submittal Date Final Total Paid 1
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Application Comment
Stormwater Management/BMP Plan 03/10/17
Erosion and Sediment Control Plan 03/10/17
APPLICANT/ CONTACT INFORMATION
ContactType Name Address CityState Zip I Phone PhoneC(
Owner/Applicant GREENBRIER EAST LLC 255 IPSWICH PL 1CHARLOt tESVILL 22901
Primary Contact MERIDIAN PLANNING GROUP LLC 440 PREMIER CIRCLE, STE. 20 CH'VILLE, VA. 22901 434E820121
Signature of Contractor or Authorized Agent Date
�l ap AL
Virginia Stormwater Management Program (VSMP) _a®
Application for Albemarle County
Project Name: LYtS R iLL-
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes 0 Non_
Is this a revision or resubmission for review? Yes ❑ NoX
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.
XA. 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.
(a tax ov it►c 4 'CAST, Lc�. 40'
Tax Map&Parcel Print Name of Property Owner Signature o I wner 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 con espondence:
Print Name
Address
City State Zip
Daytime Phone( ) E-mail
7/1/14, Revised: 7/10/14, 1/7/14 Page 1 of 2
B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be d:sturbed 3 9 IC LEj
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 rev_ew
Variances; $150 (per request)
Mitigation Plan, $150
❑ C. Registration Statement on the official DEQ form.
❑ 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 Name /14 at117/I'PJ /JL)9N/V/N'G GIZet'1 , £2. c
Address flI ?tI a tn s 2O'
City C14nLo Sr/JGG,& State IA Zip Z-11 I
Daytime Phone(97q) 0/Z I E-mail 7 Y)11LLt w► etla41✓1A4te.'C6 .#1
*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 C WPO#
Fee Amount$1t-n_._. Date Paid 2-2,�_14By who'd Iy cibn f h Re pt# 1 �$j 1 # 15C�C� By j J
7/1/14, Revised: 7/10/14, 1/7/14 Page 2 of 2