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WPO201400041 Application 2014-05-06
a Albemarle CV un ty Community Development Department 401 McIntire Road Charlottesville,VA 22902-4596 Planning Application Voice:(434)296-5832 Fax:(434)972-4126 'PARCEL/ OWNER INFORMATION TMPI 07700-00-00-047A0 Owner(s): GREENHALGH, BLAKELEY T OR JENNIFER PARHAM Application # WP0201400041 GREENHALGH PROPERTY INFORMATION Legal Description ACREAGE PARCEL A Magisterial Dist. Scottsville Land Use Primary Open Current AFD Not in A/F District Current Zoning Primary Planned Development Shopping Center APPLICATION INFORMATION Street Address Entered By Application Type Water Protection Ordinances Judy Martin 105/06/2014 Project Goodwill - Mill Creek Received Date 04/28/14 Received Date Final I I Submittal Date Total Fees 450 Closing File Date Submittal Date Final Total Paid 450 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Applicati Comment Erosion and Sediment Control Plan Stor �n►ater Management/BMP Plan , 'APPLICANT/ CONTACT INFORMATION Contacgype 1 Name 1 Address I CityState I Zip Phone PhoneCell 0wner1App11cant GREENHAt GH BU1KEt EY T OR IENNTFE 635 PARK ST CHARLOTTESYtLL 22902 • Primary Contact TRIANGLE REALTORS-PETER WRAP :2903 N.AUGUSTA STREET STAUNTON,VA. 624401 5408855181 Plan Preparer KERT O'DONAHUE 1561 COMMERCE ROAD VERONA,VA. 24482 5402483220 Signature of Contractor or Authorized Agent Date application for Review of `...e. Erosion & Sediment Control Plan & Stormwater Management/BMP Plan & ` ® k Stream Buffer Mitigation Plan Erosion& Sediment Control Plan ['tormwater ManagementBMP 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 applicable plans/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a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn.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: ppdW,r/( —M.'// (ret l< 6/1-I-c04 cc (�rr.`dOr- Tax map and parcel: 77-t/74 Zoning: Pi 0/med Oz.ste4ort 44.7/ S�qo/ct . C Amount of Land Disturbance: D. 79 Acres Location of property(landmarks,intersections,or other): -fin4 . cd A-dan S-f- ‘g..E. + N// 6.,„4 ,llr,,u� Contact Person(Who should we call/write concerning this project?): / rll�Q`( Qrc- S — P Address d(D,3 A/. AyL4S.Ja .SIre �'T City `/.S.IlL-‘wtloel State IAA Zip 02q1/0/ Daytime Phone(.S g''S- S'/(/ Fax#(SSD) firs- --.57 7 E-mail Owner of Record 6 t,k,( e- c v l d J i 6r e c hAJ A Address p3& Pork Sys-,GA City Gtiar/a /# s pv,,A, State VA Zip a29O2 Daytime Phone( ) Fax#( ) E-mail Contractor Address City State Zip Daytime Phone( ) Fax#( ) E-mail Plan Preparer 44- D'U,noLi- Address I oI f£r•Ir►ue.e. /Co0, 1' City tier.0(1 , State ()I4 Zip 2d./11__E2_ Daytime Phone(CYO) 248-3,2o2O Fax#(S4 ( 1,/1?—3<2.2/ E-mail do pApn0LjuG� Maher CC Owner/Applicant Must Read and Sign 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 development on t subject pr•perty. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance wi a ppro a plan. Signature o Owner, Con it'urchaser Date .J Print Name Daytime phone number of Signatory FOR OFFICE USE ONyY WPO# Fee Amount$ 4,50 Date Paid 14 By who. V fii is 1 Receipt# CI NISI 1(C�� Ck# �2 By: Revised November 14,2011 Page 1 of 3 NNW EROSION CONTROL PLAN: (SUBMIT 2 COPIES) Land disturbing activity pertaining to single family dwelling unit: 1. Plan Review $150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 2 Permit and First Year Inspection Fees $150 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 3. Annual Permit Renewal and Inspection Fees $150 (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 4. Each reinspection $150 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) Land disturbing activity pertaining to non-exempt agricultural land: 5. Plan Review $150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 6. Permit and First Year Inspection Fees $150 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 7. Annual Permit Renewal and Inspection Fees $150 (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 8. Each reinspection $150 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) All other land disturbing activity: 9. Plan Review,Disturbed Area Less Than One Acre $150 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 10. Permit and First Year Inspection Fees, Disturbed Area Less Than One Acre $200 (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 11. Annual Permit Renewal and Inspection Fees, Disturbed Area Less Than One Acre $200 (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 12. Plan Review, Disturbed Area One Acre or Larger $300 per review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 13. Permit and First Year Inspection Fees, Disturbed Area One Acre or Larger $100/per disturbed acre (TO BE PAID PRIOR TO SCHEDULING PRECONSTRUCTION CONFERENCE FOR EROSION CONTROL PERMIT) 14. Annual Permit Renewal and Inspection Fees,Disturbed Area One Acre or Larger $100/per disturbed acre (TO BE PAID ANNUALLY,STARTING WITH SECOND YEAR,UNTIL COMPLETION OF APPROVED PLAN REQUIREMENTS) 15. Each reinspection $250 (REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) 16. Amendment to Approved Plan $180/per plan review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 17. Variances $150/per request (TO BE PAID AT TIME OF APPLICATION) 18. SUBTOTAL EROSION CONTROL PLAN $ /SO. Revised November 14,2011 Page 2 of 3 STORMWATER MANAGEMENT/BMP PLAN & MITIGATION PLAN: (SUBMIT 2 COPIES) 19. Stormwater Management/BMP Plan $300/per plan review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 20. Major Amendment of Plan $180/per plan review (TO BE PAID AT TIME OF APPLICATION AND EACH SUBMITTAL THEREAFTER UNTIL APPROVAL) 21. Request for exception $240 (TO BE PAID AT TIME OF APPLICATION) 22. Request for development in a stream buffer or for reduction or modification of stream buffer and mitigation plan(if not part of another document)—Single family dwelling unit or accessory structure $85 (TO BE PAID AT TIME OF APPLICATION) 23. Each inspection or reinspection $60 (INSPECTION/REINSPECTION FEES ARE INVOICED TO THE LANDOWNER) 24. Mitigation Plan $150 (TO BE PAID AT TIME OF APPLICATION) 25. SUBTOTAL SWM/BMP PLAN $ 300. TOTAL APPLICATION FEE: (Add lines 18 and 25) $ 1/ THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND/OR ANNUAL RENEWAL FEES WHICH MAY BE CHARGED TO THIS PROJECT. Revised November 14,2011 Page 3 of 3 Nee ,ime Virginia Stormwater Management Program(VSMP) �_'" " Application for Albemarle County r , Project Name: (7,004(4.11/—All Ceti-14. (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: w Pd 2©l'DOD j/ (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. PIA. Signature of the Property 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. CA ( ,CA L-6- �- 7 14 141 Tax Map&Parcel Print Name f Property Owner Signature of Own I) to - f LL Tax Map&Parcel t nt Name of'r+.-rty Owner Signa of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the O wner(s)to receive correspondence: Print Name t 7h 411 t/o t rt1t`c Address 290'3 ,J. K.Q!. .`-ca. 4.11-4-4. City qtn-�-pn J State (/A, Zip 024/1{0/ Daytime Phone(56) q — s/'/ E-mail A I Co . .- e . i e''P JI jf S.Oe I 7/1/14,Revised:7/10/14 Page 1 of 2 *441601 'toe dB. All Fees[Code section 17-208] For new or modified plans;Total acres proposed to be disturbed, Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed 'cation modification of permit Less than 1 $290 ,.$145 $20 1 and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 / Mitigation Plan;$150 IS IC. Registration Statement on the official DEQ form. ID. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. I E. Stormwater Management Plan satisfying the requirements of code section 17-403. l/F. Pollution Prevention Plan satisfying the requirements of code section 17-404. 110. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. yiA 0 H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. PiPs I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the cc 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: RECEIVE D Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name 144 Address /,c(,1 Comrizree c 4.44 410/ ,uivimuNiTy _)L VELOP[UIENT City tiz'onc\ State / (/A ‘0,174,r Zip �?y4 Daytime Phone(St) 2'/S -3Z2o F-mail dodonot we. ,c.G *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 I gc." Date Paid T'16/1gI3y who?,C,f) W - Receipt fig y J�,l Ck# 1)VO By;PQ\ �j 4 f 7/1/14,Revised:7/10/14 Page 2 of 2