The URL can be used to link to this page

Home My WebLink AboutWPO201700029 Application 2017-03-24 Albemarle Co ur e Community ttesv pmentDepartment r 401 tire Road Charlottesville,VA22902-4596 rl e i;434j 296-5832 Fax:(434)972-4126 A,n mw' yf Planning Application PARCEL OWNER INFORMATION IMP 06100-00-00-12600 Ow•ner(s): HILLTOP PARTNERS LLC Application# WP0201700029 jPROPERTY INFORMATION Legal Description 1 ACREAGE Magisterial Gist. Rio F-1 Land Use Primal-, Residential -Single-family (incl. modular homes! Current AFD Not in A/F District El Current Zoning Primary'R2 Residential APPLICATION INFORMATION Street Address Entered By I BuckSmith1.1 Application Type Water Protection Ordinances .. 4 2017 Project Hillbrook - VSMP Received Date 03/24/17 Received Date Final Submittal Date Total Fees 200 Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Stormwater Management/BMP Plan • [Erosion and Sediment Control Plan APPLICANT / CONTACT INFORMATION ContactType Name ,address CityState Zip Phone PhoneCell O.4rer/Applicant HILLTOP PARTNERS LLC .609 E MARKET STREET,UNIT CHARLOTTESVILL 22902 : Gar.FFreperer SHIMP ENGINEERING 201 E.MAIN ST,SUITE M CHARLOTTESVILL `22902 4342275140 Signature of Contractor or Authorized Agent Date I - r°F n` ii Virginia Stormwater Mat _.ment Program (VSMP) '� Application for Albemarle County '"} ?` Project Name: k�%• 11\OCo o 1"--- (The name should be the same as it appears p ns) Is this an amendment to an approved plan? Yes onNo ❑ Is this a revision or resubmission for review? Yes 0 No V County File Number: W , 215- 0032 o 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. G/4,4a.,----- ,g44.4 4/ W-7 Tax Map&Parcel Print I�Qame of Property Owner gnature 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 Address City State Zip Daytime Phone( ) E-mail 7/1/14, Revised: 7/10/14, 1/7/14 Page 1 of2 F a 0 B. All Fees [Code section ] )8] For new or modified plans;Total acres proposed to be disturbed 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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. O F. Pollution Prevention Plan satisfying the requirements of code section 17-404. O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Address City State Zip Daytime Phone( ) E-mail *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# ;0/ / -'t CJG Z _ Fee Amount$ a..O�y Date Paid 343/�� By who? '1 'M,q Nl, .d//b-eceipt# /_�k# �J By 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2