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HomeMy WebLinkAboutWPO201900009 Application 2019-02-22 fs o. . 'Pitt. Community Development Department V I Albemarle County 401 t1clntire Road Charlottesville,VA22902-4596 Am.] ^1 Voice:(434)296-5832 Fax:(434)972-4126 `.4. ,y` Planning Application PARCEL/ OWNER INFORMATION TMP 07600-00-00-013B0 05^:ner(s): UNIVERSITY OF VIRGINIA FOUNDATION Application# WP0201900009 PROPERTY INFORMATION Legal Description I ACREAGE Magisterial Dist.!Samuel Miller l t Land Use Primary Residential -- Single-family (incl. modular homes Current.AFD Not in A/F District -I Current Zoning Primar, R1 Residential E APPLICATION INFORMATION I Street Address 283 FOXHAVEN FARM CHARLOTTESVILLE, 22903 Entered By _ ------- ------ -- -. __- --- Jennifer Pritc17;1 :..pplication Type Water Protection Ordinances Project Foxhaven Farm - VESCP Received Date 02/22/1.9 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal AdF.- SUB APPLICATION(s) Type Sub.Applicatio Comment Erosion and Sediment Control Plan 02/22/19 APPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell Owner/App$cant UNIVERSITY OF VIRGINIA FOUNDATION PO BOX 40021E CHARLOTTESVILL 22904 Primary Contact J WILSON PO BOX 400218 CHARLOTTESVILL 22904 • Signature of Contractor or Authorized Agent Date • of Virginia Erosion and Sediment Control Program (VESCP) Application for Albemarle County 1 !10";; (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: FOXHAVEN FARM (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 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]. For revisions or amendments,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 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. 76-13B UNIVERSITY OF VIRGINIA FND - /f.7/4(./71( 02/22/19 Tax Map&Parcel Print Name of Owner Sign re 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 UNIVERSITY OF VIRGINIA FOUNDATION Address P.O. BOX 400218 City CHARLOTTESVILLE State VA Zip 22904 Daytime Phone( ) E-mail jwilson©uvafoundation.com 7/1/14,Revised:7/10/14, 1/7/15, 10/17/18 Page 1 of2 ❑ B. All Fees [Code section 17-207] Total acres proposed to be disturbed 2.42 Acres to be disturbed Total Fee Less than 1 $150 per review More than 1 $300 per review $300 For amendments to an approved plan;$200 per review Variances;$150(per request) Exceptions;$240 Mitigation Plan;$150 Construction Record Drawing;$300 • C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Address City State Zip Daytime Phone( ) E-mail *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By 7/1/14,Revised:7/10/14, 1/7/15, 10/17/18 Page 2 of 2