HomeMy WebLinkAboutWPO202200042 Application 2022-10-07Virginia Stormwater Management Program (VSMP)
Application for Albemarle County
Project Name: Belvedere Phase 3 Block 10
(The name should be the same as it appears on plans)
Is this an amendment, modification, or transfer of an approved plan? Yes ❑ No 12
Is this a resubmission for review? Yes w No ❑
County File Number: "O-2021-00010 (to be provided by the Countyfor new applications)
The following are required elements of new applications [¢]7-401]. For amendments and resubmission,
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, 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. n
062A3-00-00-001 BO Belvedere Lono Holdinas, LLC
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: Andrew Dondero
Address: 455 2nd St. SE, Suite 201
Charlottesville
VA Zin. 22902
Daytime Phone: (44 989-9752 E-mail: chris.schooley@greenwoodhomes.com
Revised 07/1/21; 7/26/2021; 4/26/2022
to 13. All Fees [Code § 17-208]
For new or
modifiedplans: Total acres to osed
to be disturbed 19.56
Due with this Transfer or
Acres to be Disturbedpplication
Modification Fee
PTotalFee = (Application Fee + 4% Technology Surcharge)
Single Family Dwelling only$171.60
$23.92
Less than 1 acre
165 + $6.60)
($23 + $0 92
Single Family Dwelling only
$171.60
$236.08
1 and less than 5 acres
($165 + $6.60)
($227 + $9.08)
Less than I acre
$171.60
$20.80
($165+$6.60)
($20+$0.80)
1 and less than 5 acres
$1,591.20
$236.08
($1,530+$61.20)
($227+$9.08)
5 and less than 10 acres
$2,004.08
$294.32
($1,927 + S77.08)
($283+$11.32)
10 and less than 50 acres
$2,652.00
$353.60
$2,550+$102
$340+$13.60
50 and less than 100 acres
$3,596.32
$530.40
($3,458 + $138.32)
($510 + $20.40)
100 acres or more
$5,657.60
$824.72
(S5,440 + $217.60)
($793 + $31.72)
❑ C. Amendments to an approved plan. Fee = $236.08 per review ($227 fee + $9.08 technology surcharge)
m D. Registration Statement on the official DEQ form.
10 E. Erosion and Sediment Control Plan satisfying the requirements of Code § 17-402.
10 F. Stormwater Management Plan satisfying the requirements of Code § 17-403.
10 G. Pollution Prevention Plan satisfying the requirements of Code § 17-404.
10 H. Stormwater Pollution Prevention Plan satisfying the requirements of Code § 17-405.
❑ I. Mitigation Plan satisfying the requirements of Code § 17-406 for any proposed disturbance of
stream buffers. $176.80 ($170 fee + $6.80 technology surcharge)
❑ J. Requested Variations or Exceptions as provided in Code § 17-407 and § 17-408. $176.80 ($170 fee + $6.80
technology surcharge)
Provide 2 conies of all Plans and any supporting documents or submit all documents online. 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):
Name (Print)- Alex Flint
Address: 999 end St. SE
Charlottesville
VA 7;,,.22902
Daytime Phone: (AM) 977- 205 E-mail: a0int@roudabush.com
* 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 oermits are snhiert t., ,.n..,ar .. 2;-te..e........._.. ,e .»
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FOR OFFICE USE ONLY WPO #
Fee Amount $ Date Paid By who? Receipt p Ck# By