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HomeMy WebLinkAboutWPO201800033 Application 2018-05-09 ;;�yQr'.4 CommunityDevelopment Department .��;:-. Albemarle County 401 McIntire Road Charlottesville,VA22902-4596 IS it Voice (434)296-5832 Fax•(434)972-4126 '' -:1 ' Planning Application PARCEL J OWNER INFORMATION TMP 03100-00-00-021A0 Owner(s): Application# WP0201800033 PROPERTY INFORMATION Legal Description I ACREAGE re Magisterial Dist. Rio -I Land Use Primary Industrial Current AFD Not in A/F District _ Current Zoning Primary!Light Industry E APPLICATION INFORMATION Street Address 391 REAS FORD RD EARLYSVILLE,22936 Entered By Application Type iWater Protection Ordinances v Jennifer Pritctly � �Sf9/2018 Project Earlysville Business Park - VSMP Amendment Received Date 05/09/18 Received Date Final Submittal Date Total Fees 2440 Closing File Date Submittal Date Final Total Paid 2440 Revision Number Comments amendment to WPO2015-00083 AND DEQ-VAR10I648 Legal Ad ,, Y SUB APPLICATION(s) Type Sub,pplicatio Comment 'Erosion and Sediment Control Plan 05/09/18 Stormwater Management/BMP Plan 05/09/18 APPLICANT / CONTACT INFORMATION ContactType Name Address CityState I Zip Phone PhoneCell owner/0'90ml 4F LLC 395 REAS FORD ROAD EARLYSVILLE VA i 22936 - -• — — — — — — --— — — ' -- i — ...k..._--.._..._.:.. Primary Coata=t TIM MILLER 440 PREMIER CIRCLE STE 200 CHARLOTTESVILL 22901 4348820121 Date Signature of Contractor or Authorized Agent • • ��,W Al/ f Virginia Stormwater Management Program (VSMP) ?a® Application for Albemarle County ` r _1 Project Name: Amendment to SWM Plans for Earlysville Business Park tlV 5',,n' ` p / (d1Cgd,Mz/4 (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ® No ❑ Is this a revision or resubmission for review? Yes ❑ No WI County File Number: ,(to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401 J. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission 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. �" 31-21A 4F, LLC te. Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date 3424 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 4F, LLC Address 2885 Earlysville Road City Earlysville State VA Zip 22936 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 disturbed 1 27 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 �1,35 $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;$150 ® C. Registration Statement on the official DEQ form. El D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ▪ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. Al/id H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. NII� I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. t/lp J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Tim Miller Address 440 Premier Circle, Suite 200 City Charlottesville State VA Lip 22901 Daytime Phone(434) 882-0121 E-mail tmiller@Mendianwbe corn *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFT)CE USE O\I,l WPO# RA -cco33 Fee Amount$G3..Ct Date Paid/OrBy who7/(" Receipt# l't'yt'IS Ck NYC By tr 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 Virginia Erosion and Sediment Control Program (VESCP) ® `f Application for Albemarle County (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Vsn p A►MIA * Project Name: r Earlysville Business Park (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ® No ❑ Is this a revision or resubmission for review? Yes ❑ No RI INPCZ Of g // 3� County File Number: W �3 (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. ® 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 disturb' g activities and development on the subject property. I hereby grant the County of Albemarle the right to ente pon the property as required to ensure compliance with the approved plans and permits. 31-21A 4F LLC GC/ 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence. Print Name 4F LCC Address 2885 Earlysville Road City Earlysville State VA Zip 22936 Daytime Phone( ) E-mail 7/1/14,Revised: 7/10/14, 1/7/15 Page 1 of2 ® B. All Fees [Code section 17-207] Total acres proposed to be disturbed 1 27 Acres to be disturbed Total Fee Less than 1 $150 per review More than 1 per review Eor amendments to an approved plan,$200 per review Variances,$150(per request) Exceptions;$240 Mitigation Plan;$150 Construction Record Drawing;$300 ® C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. O D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ® E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents• Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Tim Miller Address 440 Premier Circle, Suite 200 City Charlottesville State VA Zip 22901 Daytime Phone(434) 882-0121 E-mail tmiller©mendianwbe.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# CO ob o 3 Fee Amount$: Date Paid3'?i'I�who? Receipt# 1Ck#�oo4I By calf 0 7/1/14,Revised: 7/10/14, 1/7/15 Page 2 of 2