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Home My WebLink AboutWPO201700051 Application 2017-07-10 ;ta i°"'� •, Community Development Department ', Albemarle C I n ty 01 McIntire Road Charlottesville,VA22902-4596 1 +# Voice•(434)296-5832 Fax (434)972-4126 • Planning Application • PARCELI OWNER INFORMATION TMP 04500-00-00-068C1 Owner(s): B PROPERTIES LC Application# WP0201700051 PROPERTY INFORMATION Legal Description f ACREAGE PARCEL"A" BETTER LIVING BUILDING SUPPLY = Magisterial Dist. Rio Land Use Primary Commercial u Current AFD Not in A/F District E Current Zoning Primary-Highway Commercial APPLICATION INFORMATION Street Address 2070 SEMINOLE TRL CHARLOTTESVILLE, 22901 Entered By Judy Martin Application Type Water Protection Ordinances 7111i2017 Project Mallory Ford - VSMP Received Date 07/10/17 Received Date Final Submittal Date Total Fees 145 Closing File Date Submittal Date Final Total Paid 145 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment APPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell Ur*mac%c,prr3rt B PROPERTIES LC P 0 BOX 7627 CHARLOTTESVILL 22906 Date Signature of Contractor or Authorized Agent A1, '. Virginia Stormwater Management Program'(VSMP}'^'•,nt"ater 'clan ageffi: :*4`" '=_ ' 'wak 1 t° Application for Albemarle County '• : 'Ohermsirlt• t, ir.t : 'W.45 1'7 Project Name: Malloy Ford , ; • F�sr (The name should be the same as it appears on plans) •„ Ii n d he i',e Is this'an amendment to an approved plan? Yes ® • No JD • i rl; 'u r, d:j ri.e .ca. • , Is this a revision or resubmission for review? Yes D.issNo r iur t. „ .; v; County File Number: WAO 1 \,l-51 (to 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. 45-68C1 Malloy Properties III 6v/.. ( 7-7-17 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 Justin Shimp Address 201 E. Main St., Suite M City Charlottesville State VA Zip 22902 Daytime Phone(434) 953-6116 E-mail justin@shimp-engineering.com 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 O B..,t!All Fees [Code section 17-208] tl f' t" ' ,.' . For new or modified plans;Total acres proposed to be disturbed,0.60.acres.it i+ .t f• c e"i • Acres to be Total Fee Fee Due with this • ,fee with Transfer or " "disfurlied Application +modification of permit • 'Les4 than.l $290 $145 r : ' .$20 _ 1 '' 1 and less than S $2,700 $1,350 ' • $200 - ^ 5 and less than 10 $3,400 $1,700 $250 ' 10 and less than 50 $4,500 $2,250 - ' it I$300 i- 50 and less than 100 $6,100 $3,050 $450 100and•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. 9.D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. a 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. vitti 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. Ot'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 WPO6. # _ Fee Amour 11411 Date Paid��)a itt ho? S ' —G�' / cccipt a II 0 2/5 Ck# OIS SJ By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 Virginia Stormwater Management Program.(VSMP}'. ill water %lacagen�:f 4 'x 1 t° Application for Albemarle County 'oher•larlr R. nr41 Project Name: Malloy Ford •1 ; (The name should be the same as it appears on plans) •r, •11 cu:l he i',e Is this an amendment to an approved plan? Yes R No:0 • .t .!' do r, cl:l ri•.•c ir ,cl,• • Is this a revision or resubmission for review? Yes 9(.41sNo t ,1. rt su,.iu►stt,.t tus t. yt • it County File Number: (to 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. 45-68C1 Malloy Properties Ill 0 k2 7-7-17 Tax Map&Parcel Print Name of Property Owner Signature of Owner l] 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 Justin Shimp Address 201 E. Main St., Suite M City Charlottesville State VA Zip 22902 Daytime Phone(434) 953-6116 E-mail justin@shimp-engineering.com RECEIVED OCT 1 >F rnu COMMUNITY 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 PEVFLOPME1ff