HomeMy WebLinkAboutWPO202200031 Application 2022-08-23Virginia Stormwater Management Program (VSMP) or
Virginia Erosion and Sediment Control Program (VESCP)
Application for Albemarle County — Online Form Only
Project Name: CASTLE ROCK FARM - PHASE 1
(Tlze name should he the sane as it appears on plans)
Tire fillowing is a requireinent.for a new V.SMP or VESCP application lCode §17-401 or 4021. Signatures
mast he pro vided_forany submission.
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.
08400-00-00-05300 Prw< �wtx I s (� u G a.� �f - , - 0 2
'fax Map & Parcel in Name of Owncr Signature of Owner Date
'fax Map & Parcel Print Name of ( )caner Signature of Owner Date
Tax Map & Parcel Print Name of Owner
Signature of Owner
Date
Tax Map & Parcel Print Name of owner Signature of Ow ncr Date
* 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within 6 months from the date of county comments, the application will be deemed withdrawn.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 1§17-207 and §17-2081.
Revised 07/1 /21: 7/26/2021 i 01 /05/2022