HomeMy WebLinkAboutWPO202200037 Application 2022-09-12or n Vu.
Virginia Stormwater Management Program (VSMP) or ` ' R ':
Virginia Erosion and Sediment Control Program (VESCP)�
Application for Albemarle County — Online Form Only ,,,,��r'
Project Name: Innisfree Stream Mitigation Bank Phase 2
Me name should be the same as it appears on plans)
The following is a requirement for a new VSMP or VESCP application [Code §17-401 or 402]. Signatures
must be provided for any submission.
Signature of the Owner for each parcel: (Required with every submission, NOT TO BE SIGNED
BY &N AGENT OR CONSULT.NNT)
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 oa the subject property. I hereby grant the Couaty orAibemarle the right to enter upon
the property as required to ensure compliance with the approved plans and permits.
01400-00-00-01000 Innisfree Incorporated 6�,
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Tax Map & Parcel Print Name of Owner
Signature of Owner
Date
01400-00-00-009BO Innisfree Incorporated
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Tax Map & Parcel Print Name of Owner
Signature of Owner
Date
01400-00-00-00900 Innisfree tncorporaled �,LGuu
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Tax Map & Parcel Print Name of Owner
Signature oCOwne
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01400-00-00-00400 Fried Farm, LLC
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Tax :Iav& Parcel Print Name of Owner
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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within 6 months from the date of county comments, the application will be deemed withdrawn.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
ii-"[hunt valid owner's simlatures will not he cousidercrl valid. Active permnn its are subject to aual
maintenance fees 107-207 and Z;17-2081.
Revised 07/121. 7262021: 01/052022