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HomeMy WebLinkAboutWPO201200049 Application 2013-12-05 Ilication for Review of �`'"► � Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & t;. Stream Buffer Mitigation Plan ❑ Erosion& Sediment Control Plan M Stormwater ManagementlBMP Plan El Stream Buffer Mitigation Plan ❑ E&S Plan Amendment ❑ SWM Plan Amendment (Previous Plan# ) (Previous Plan# ) ❑ E&S Plan with Variance ❑Request for Exception No fee req'd #of Variances ❑ SWM Plan Resubmittal E&S Plan Resubmittal WPO Application# WPO Application# 2012-00049 Submit 2 copies each of applicable plans/narrative/computations *When a WPO plan is 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a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Project Name: The Miller School - New Entrance Tax map and parcel: TMP 72-32 Zoning: RA Amount of Land Disturbance: 10.5 Acres Location of property(landmarks,intersections,or other): South of Crozet, East side of Miller School Road (Rt. 635) Contact Person(Who should we call/write concerning this project?): Brian P. Smith, PE Address 4835 Three Chopt Road City Troy State VA Zip 22974 Daytime Phone(434-296-3644 Fax#( ) E-mail bpspe©embarqmail.com Owner of Record The Miller School of Albemarle Address 1000 Samuel Miller Loop City Charlottesville State VA Zip 22903 Daytime Phone(__ 1 Fax#( ) E-mail Contractor T.B.D. Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer same as contact person Address City State Zip Daytime Phone( ) _Fax#( ) E-mail Owner/Applicant Must Read and Sign By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater Management/BMP Plan,and/or Mitigation Plan 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 plan. December 5, 2013 Signature of Owner,Contract Purchaser Date Preston Stallings 981-1446 Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By