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Home My WebLink AboutWPO201400101 Application WPO VSMP Albemarle County n.�r•i.,f Community Development Department 401 ire Road Charlottesville,VA 22902-4596 { :I e:(434)296-5832 Fax:(434)972-4126 -.-• Planning Application PARCEL/ OWNER INFORMATION TMP 07800-00-00-05900 00,ner(_): CASCADIA DEVELOPMENT LLC Application# WP0201400101 PROPERTY INFORMATION Legal Description !ACREAGE Magisterial Dist, Rivattna Land Use Primar; Residential -- Single-family (incl. modular homeiirj Current AFD ; Not in A/F District v 1 Current Zoning Primar, Neighborhood Model District APPLICATION INFORMATION Street AddressEntered By n Emily Lantz 1111 �.pplication Type I Water Protection Ordinances [I 112 ; 2014 Project Cascadia Blocks 1-3-VSMP Received Date 12/03/14 Received Date Final Submittal Date 12/08/14 Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Stormwater Management/BMP Plan 12/08/14 Erosion and Sediment Control Plan 12/08/14 Stream Buffer Mitigation Plan 12/08/14 APPLICANT / CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell Owr,er•+Appficnnt CASCADIA DEVELOPMENT LLC 170 SOUTH PANTOPS DR CHARLOTTESVILL 22911 Primary Contact CHARLIE HURT 195 RSVERBEND DR CHARLOTTESVILL 22911 4349798181 ignature of Contractor or Authorized Agent Date • ('of.�L,(ja rry Virginia Stormwater Management Program (VSMP) ®a _,� Application for Albemarle County . i ?` Project Name: Ca scad a ' Noci.ezI ' ?J (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No)C. Is this a revision or resubmission for review? Yes 0 No ] County File Number: (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401J. For revisions or amendments,please indicate which items are being amended Signatures must be provided for any submission. ,(A. 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. 4 2--Lc 178 e.-1-!( 171r cti les U u` Lf [ .`7�7 z, l 3 / Tax Map&Parcel Print Name of Property Owner Signature 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Ghiar f P. f�.�'( Address I Q s '20'r'tl i�rr t4 Dr Ne..- City &e6 Sv II ll State VA Zip li2-/_�� Daytime Phone Vi ) q7�^tf I0 / E-mail ealal (r 161 k'(,S .tut- 7/1/14,Revised:7/10/14 Page 1 of2 • /B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed C2 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application 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 At $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;$150 4 Registration Statement on the official DEQ form. D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. Stormwater Management Plan satisfying the requirements of code section 17-403. 0� ' l�J Pollution Prevention Plan satisfying the requirements of code section 17-404. , G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. v(/. H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of ll ff // stt`rea buffers. I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. r"I( J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the r,,,,`eg_tiir_ergents of code section 17-422.ze Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Mike, Myos, 1)04e(1/1 tuti wormy Address ( ?Z S • palti ry(1J Pr• '-t City C/14 4O}-'61SV I(Le State VA- Zip 22ci I Daytime Phone ; l) 9 71 1 t Z( E-mail 4lv{1 ye l(S C�uM I01'o iraq (0/✓7 J � *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who9 Receipt# Ck# By 7/1/14,Revised:7/10/14 Page 2 of 2 1 • tic :1LRF,!' Virginia Stormwater Management Program (VSMP) Application for Albemarle County .. Project Name: Cascadia Subdivision Blocks 1-3 (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes El No El Is this a revision or resubmission for review? Yes ® No ❑ County File Number: WP0201400101 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401 J. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. A. 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. 78E-H1,78-59,62-25 Ke, l Ly Fs t/aa� Tax Map& Parcel Print Name of Property Owner ignature of Owner Dale Tax Map&Parcel Print Name of Property Owner Signature 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 Owner(s)to receive correspondence: Print Name --e t Lwl( cj c Address , O S (PGs,LI GrS . City CGS G-- oe S v i State V4 Zip ZZ ! i I Daytime Phone 31 1' S 'O y E-mail 1Z(44(a Sr cou n_.,� 7/1/14. Revised: 7/10/14. 1/7/14 Page 1 of2 NB. 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 Application modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1,350 $200 5 and less than l0 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than 100 $6,100 $3,050 $450 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan; $200 per review Variances;$150(per request) Mitigation Plan;$150 ❑ C. Registration Statement on the official DEQ form. 'b. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Michael Myers, P.E. - Dominion Engineering Address 172 South Pantops Drive City Charlottesville State VA Zip 22911 Daytime Phone(434) 9798121 E-mail mmyers@dominioneng.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# _By: 7/1/14. Revised: 7/10/14. 1/7/14 Page 2 of2 Virginia Stormwater Management Program (VSMP) Application for Albemarle County 4.19 Project Name: Cascadia Subdivision Blocks 1-3 (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: WP0201400101 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401 J. For revisions or amendments, please indicate which items are being amended. Signatures must be provided for any submission. WI A. 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. (07 - ZS : L - s Tax Map&Parcel Print Name of Property Owner Signature of 0 er Date 1/040. t‘//0)— Tax Map& Parcel Print Name of Property Owner Signature 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 Owner(s)to receive correspondence: Print Name Address City State _Zip Daytime Phone( ) E-mail 7/1/14. Revised: 7/10/14. 1/7/14 Pape 1 of 2 .. 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 Application 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 100 $6,100 $3,050 $450 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150(per request) Mitigation Plan;$150 ❑ C. Registration Statement on the official DEQ form.— E E-E S W t PP B15. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. — SEE SW PIMP ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.- Sd7E Sc.JPp Nifii H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. NtI. Requested Variations or Exceptions as provided in code sections 17-407 and 408. (\lltJ. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Clint Shifflett-Dominion Engineering Address 172 South Pantops Drive City Charlottesville State VA Zip 22911 Daytime Phone(434) 9798121 E-mail cshifflett@dominioneng.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who9 Receipt# Ck# By. 7/1/14. Revised: 7/10/14. 1/7/14 Page 2 of 2 4 i Y • Aliftc Virginia Stormwater Management Program VSMP) i Application for Albemarle County - Project Name: Cascadia-Blocks 1-3 (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: WP0201400101 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011 For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. ® A. 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. TMP ry L—L5,-r'Mo 78 E-N I TAP 18- 59asem asoyGs6/. /4u--f— Tax Map&Parcel Print Name of Property Owner Signature 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Informationj for the Owner(s)�to receive correspondence: io� Print Name 0✓e S �` r'1Mr( r Address l `d..rl 5 L W City C ii 6-e4Ad�l� State VA- Zip 1( Daytime Phone(3'{) -/7/" 0 ) ) E-mail CA t,`1 ( I d&,, Le 105. ct+ 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of2 - • ® B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 60.7 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application 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 100 $6,100 $3,050 $450 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved pl ;$200 per revie Variances;$150(per request) Mitigation Plan;$150 1/C. Registration Statement on the official DEQ form. ID. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. �E. Stormwater Management Plan satisfying the requirements of code section 17-403. �F. Pollution Prevention Plan satisfying the requirements of code section 17-404. p' . Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. WE H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. \97 I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. 1 J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Clint Shifflett-Dominion Engineering Address 172 South Pantops Drive City Charlottesville State VA Zip 22911 Daytime Phone(434) 979-1681 E-mail cshifflett@dominioneng.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO#cc // Fee Amount$ 2d 0 Date Paid.31/711S A.-4- \ 'By who?5O v „ r Receipt# Q�7ck# 1(oc(fjb By D(..1 �Z C 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2