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Home My WebLink AboutWPO202100052 Application 2021-09-21 Or'h< !' Community DevelopmentDepartmer+t t7' °�`s.. A emar e Ca un 4al r.' a Road Charlottesville,VA22902-4596 ` l_-4.1 Voice• k434;296-5832 Fax•(434)972-4126 `' -tiI,' Planning Application PARCEL/ OWNER INFORMATION TMP O90A1-00-00-O01E0 Owner(s): SOUTHWOOD CHARLOTTESVILLE LLC Application# WP0202100052 PROPERTY INFORMATION Legal Description (ACREAGE PARCEL 5 ,, v, Magisterial Dist. Scottsville [v Land Use Primary Forest Current AFD Not in A/F District 2 Current Zoning Primary,Neighborhood Model District APPLICATION INFORMATION Street Address Entered By Jennifer Smith;Ne .pplication Type Water Protection Ordinances Project SOUTHWOOD TOLVNHOMES VILLAGE 1 - VSMP Received Date 09/20/21 Received Date Final I Submittal Date Total Fees I 171.6 Closing File Date Submittal Date Final 1 Total Paid 1 171.6 Revision Number Comments Legal Ad ISUB APPLICATION(s) Type 1 Sub Applicatio I Comment Erosion and Sediment Control Plan ; 09/20/21 Stormwater Management/BMP Plan 09/20/21 IA_PPLICANT / CONTACT INFORMATION I ContactType Name Address I CityState Zip Phone PhoneCell ow r e*.'4PPicarit SOUTHWOOD CHARLOTTESVILLE LLC 919 WEST MAIN ST CHARLOTTESVILL 22903 • Pr,-,2-, '.anted ;KEITH LANCASTER 142 SOUTH PANTOPS DR i CHARLOTTESVILL :22911 :4342450894 Ap:==: FRANK BALLIF 142 SOUTH PANTOPS DR CHARLOTTESVILL •22911 4342450894 • Cate Signature of Contractor Authorized Aaent Virginia Stormwater Management Program (VSMP) ifive Application for Albemarle County ViAGRt Project Name: _So ck,vocr , To.vA,a,N.es 1/,165e I (The name should be the same as it appears on plans) • I4 this an Amendment, modification, or transfer of an approved plan?:Yes Cr .44=-1/40 Is this a resubmission for review? Yes ❑ Nola County File Number: WPO- (to be provided by the County for new applications) The following are required elements of new applications[§17-401]. For amendments and resubmissions, please indicate which items are being amended. Signatures must be provided for any submission. ❑ A. Signature of the Owner for each parcel: (Required with every submission, 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. / P 90AI - IE Fri�l� Ball AiI % ` o 4bt 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: rra.,nk Qalk�'F Address: (e42 Soi,A PowAor Aries City: (41 nr(ot}esvtilk,e State: JA Zip: 22111 Daytime Phone:03`1) 24 S- 0 8'1 tF E-mail• Fr.Av,k B ,So ,vn-cQevElo .Coro-. Revised 07/1/21;7/26/2021 ❑ B. All Fees [Code §17-cv3] For new or modified plans:Total acres proposed to be disturbed •217' - Fee Due with this Transfer or Acres to be Disturbed Application Modification Fee Total Fee=(Application Fee+4%Technology Surcharge) �.,.. y. .SAgle Fain#ly Dwelling only. $171.601_:-,.. <,$23.92,,., X„ Less than 1 acre ($165+$6.60) ($23+$0.92) Single Family Dwelling only $171.60 $236.08 1 and less than 5 acres ($165+$6.60) ($227+$9.08) Less than 1 acre $171.60 $20.80 ($165+$6.60) ($20+$0.80) 1 and less than 5 acres $1,591.20 $236.08 ($1,530+$61 20) ($227+$9.08) 5 and less than 10 acres $2,004.08 $294.32 ($1,927+$77.08) ($283+$11.32) 10 and less than 50 acres $2,652.00 $353.60 ($2,550+$102) ($340+$13.60) 50 and less than 100 acres $3,596.32 $530.40 ($3,458+$138.32) ($510+$20.40) 100 acres or more $5,657.60 $824.72 ($5,440+$217.60) ($793+$31.72) ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment'Control Plan satisfying the requirements of Code §17-402. ❑ E. Stormwater Management Plan satisfying the requirements of Code §17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of Code §17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of Code §17-405. ❑ H. Mitigation Plan satisfying the requirements of Code §17-406 for any proposed disturbance of stream buffers. $176.80($170 fee+$6.80 technology surcharge) ❑ I. Requested Variations or Exceptions as provided in Code §17-407 and §17-408. $176.80($170 fee+$6.80 technology surcharge) Provide 2 copies of all plans and any supporting documents or submit all documents online. Professional seals must have original signatures. Additional information if not provided on plans and documents: 0 � Z Name of a Contact Person for correspondence(usually the plan preparer,consultant,or agent): W N � Z � Name(Print): ki n Ln n cat - U 0 O w ---1 Et 2w Address: I(-12 S e..zl 1. PowLips Owe 1e N O 11.1 City:Cttnf(AQS k[g, State:(JF'. Zip: 229(1 U Daytime Phone:(y$t()2 tic-agg`i E-mail: k Lo- c.c.s•ter -StYwler-e• p cry".- *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.Active permits are subject to annual maintenance fees[§ 17-208]. FOR OFFICE USE ONLY �` ally #11 Fee Amount$R�-!. 1LJ Nate Paid ` .0 aAy who 1.1 '" e� pt# 1 t 33 04 I2 u" LLL Revised 07/1/21;7/26/2021