HomeMy WebLinkAboutWPO201300073 Application 2013-12-03 giii,. :. Albemarle COIF.y Community Development Department
401 entire Road Charlottesville,VA 22902-4596
tr, .,13 Planning Application Voice:(434)296-5832 Fax:(434)972-4126
PARCEL/ OWNER INFORMATION
TMP 07800-00-00-02200 Owner(s):
Application # WP0201300073 THOMAS JEFFERSON MEMORIAL FOUNDATION ATTN: CFO
PROPERTY INFORMATION
Legal Description ACREAGE
Magisterial Dist. Scottsville Land Use Primary Semi-public
Current AFD Not in A/F District Current Zoning Primary Monticello Historic District
APPLICATION INFORMATION I
Street Address 990 MONTICELLO LOOP CHARLOTTESVILLE, 22902 Entered By
Todd Shifflett
Application Type Water Protection Ordinances 12/03/2013
Project 'Kitchen Road Project
Received Date 12/02/13 Received Date Final Submittal Date Total Fees 150
Closing File Date Submittal Date Final Total Paid 150
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type J Sub Applicati Comment
Y
Erosion and Sediment COntroi°4811
'APPLICANT/ CONTACT INFORMATION
ContactType I Name Address I CityState Zip , Phone PhoneCell
Owner/Applicant THOMAS JEFFERSON MEMORIAL FOUND P O BOX 316 CHAR1,OTTESVILL 1_2290z
Primary Contact KAREN KENNEDY - RIELEY &ASSOCIATE 601 EAST MARKET STREET CHARLOTTESVILL 22902 4342969715
Plan Preparer RIELEY&ASSOCIATES 601 EAST MARKET STREET CHARLOTTESVILL 22902 4342969715
Signature of Contractor or Authorized Agent Date
'� wr
Application for Review of }�
Erosion & Sediment Control Plan & Stormwater ManagementBMP Plan & : r0
Stream Buffer Mitigation Plan
WI Erosion&Sediment Control Plan ❑Stormwater Management/BMP Plan ❑ Stream Buffer Mitigation Plan
❑ E&S Plan Amendment ❑SWM Plan Amendment
(Previous Plan# ) (Previous Plan# )
❑ E&S Plan with Variance ❑Request for Exception
#of Variances ❑SWM Plan Resubmittal
❑E&S Plan Resubmittal WPO Application#
WPO Application#
Submit 2 copies each of applicableplans/narrative/computations
*When a WPO plan is 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county comments,the application will be deemed withdrawn.
Project Name: K t{chen goad raj ec—
Tax map and parcel: 78.2.2. Zoning: M!4-D
Amount of Land Disturbance: t. (Z. Acres
Location of property(landmarks,intersections,or other): ThOfll4S dt4ef Son rark - ErP177111CA
Men4[*rLlo etF Sane Bridle _
Contact Person(Who should we call/write concerning this project?): gated ke n n ed y - fRie(e j c,. A sso eYal ess
Address roof Last Market Street City Charlottesville State VA zip 229oz.
Daytime Phone(4341 294-9715 Fax#(4311. 296-7447 E-mail karert Yiel e4f aheld SSoefaf'es.Cory
Owner of Record lllOriutS deNer'SOn Undd+ian
Address PO Eats 3f¢ City Chatriatlesvilfe_ State VA Zip 2210 2.
Daytime Phone el-34, 296-9715 Fax#(q3% 214-7497 E-mail rcb rtete�and asso of afes.COM
Contractor J
Address City State Zip
Daytime Phone( ) Fax#( ) E-mail
Plan Preparer Lria Ass oCfet+'e.S
Address 6,01 Ea tsf- Market Street' City Outdo o f f e s yi[re. State VA, Zip 22q o 2.
Daytime Phone 296 47716 Fax#(43 4 2/4-1715 E-mail karen rt el esd a nd dSS oc lees.Cep
Owner/Applicant Must Read and Sign J
By signing this application as owner,I hereby certify that all requirements of the approved Erosion Control Plan,Stormwater
Management/BMP Plan,and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and
developmen on the subject •• rty. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure
complia it, he a ed .
fit' ZS-
Si:. re of Owner,Contract Purchaser Date
2.041
',1 tl. /9 'i31/— f q- 2_
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY WPO#
Fee Amount S I Date Paid 12-2 13By who? Pie l �° ''�'� is ipt# �e 0E4 Ck# 21 c:15 By:
L anc� Il�c2
5ca, ,
Revised November 14,2011 Page 1 of 3