HomeMy WebLinkAboutWPO201900006 Application 2019-02-04 h°`�' fa Community Development Department
,; , Albemarle Ce -ity
� � Iv4clntire Road Charlottesville,VA22902-4596
voice•(434)296-5&32 Fax (434)972-4126
Planning Application
PARCEL/ OWNER INFORMATION
TMP 090A0-00-00-00200 Owner(s): COVENANT SCHOOL,THE
Application# WP0201 900006
PROPERTY INFORMATION
Legal Description I ACREAGE PARCEL Al
Magisterial Dist. Scottsville jj Land JsF Primary Semi-public
Current AFD iNot in A/F District 12 Current Zoning Primary R2 Residential
APPLICATION INFORMATION
Street.Address 175 HICKORY ST CHARLOTTESVILLE,22902 Entered By
Buck Smith +
Application Type Water Protection Ordinances r2I4/2019
Project THE CONVENANT SCHOOL
Received Date 02/04/19 Received Date Final Submittal Date Total Fees 290
Closing File Date i Submittal Date Final Total Paid 290
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Applicatio Comment
Stormwater Management/BMP Plan 02/04/19
APPLICANT / CONTACT INFORMATION
CantactType Name Address CityState Zip Phone PhoneCell
OwnerfApipkant COVENANT SCHOOL.THE 175 HICKORY STREET CHARLOTTE WILL 22902
Frnnero Contest ERIC WOOLLEY, WOOLLEY ENGINEERING 220 EAST HIGH ST CHARLOTTESVILL 22902 4349730045
ignature of Sr or Authorized Agent Date
4'1I lac,
Virginia Stormwater Management Program (VSMP) ;v4 p
Application for Albemarle County
Y �7Rra"��A
Project Name: The Covenant School
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes 0 No a
Is this a revision or resubmission for review? Yes 0 No a
County File Number: (to be provided by the County for new applications)
The following are required elements of new applications[from code section 17-401J. For revisions or
amendments,please indicate which items are being amended. Signatures must be provided for any
submission.
0 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.
T.M.P. 90A-2 The Covenant School 009
Tax Map&Parcel Print Name of Owner Signature of Owner Date
Tax Map&Parcel Print Name of Owner Signature of Owner Date
Tax Map&Parcel Print Name of Owner Signature of Owner Date
Tax Map&Parcel Print Name of Owner Signature of Owner Date
Contact Information for the Owner(s)to receive correspondence:
Print Name Frank Berry, The Covenant School
Address 175 Hickory Street
City Charlottesville State Virginia Zip 22902
Daytime Phone(434) 220-7308 E-mail fberry@covenantschool.org
Revised 07/24/18 Page 1 of 2
e B. All Fees [Code section 17-208]
For new or modified plans;Total acres proposed to be disturbed 0.5 ac.
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
O 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.
E 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 Eric Woolley, Woolley Engineering
Address 220 East High Street
City Charlottesville State Virginia Zip 22902
Daytime Phone(434) 973-0045 E-mail ewoolley@woolley-eng.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#201 . C2694 .4'
Fee Amount scs),5 t2 Date Paide)/y// y who7l{j..�(.f�/i,�.j,v< K�pt# it‘c?Ckide a•£S7 By:G�t/7
Revised 07/24/18 Page 2 of 2