HomeMy WebLinkAboutWPO201600071 Application 2023-01-04 Virginia Stormwater Management Program (VSMP)
Application for Albemarle County ® °
Project Name: Belvedere Phase IIB
(The name should be the same as it appears on plans)
Is this an amendment, modification, or transfer of an approved plan? Yes 2 No o
Is this a resubmission for review? Yes w No ❑
County File Number: WPO-2016-00071 (to he provided!fit•the County for new applications)
The following are required elements of new applications [§/7-4011 For amendments and resubmissions,
please indicate which items are being amended. Signatures must be provided,for any submission.
l� 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.
062A3-00-00-00100 Belvedere Land Holding LLC _
Tax Map&Parcel Print Name of Owner Signature ofOwner Date
06100-00-00-16000 New Belvedere INC
Tax Map&Parcel Print Name of Owner an of Owner Date
06200-00-00-002A1 New Belvedere INC
Tax Map&Parcel Print Name of Owner Signature of vner Date
Tax Map&Parcel Print Name of Owner Signature of Owner Date
Contact Information for the Owner(s)to receive correspondence:
Print Name:Steve Krohn
Address: 610 West Rio Road
City:Charlottesville StateVA Zip: 22901
Daytime Phone:(__)434 220-7701 E-mail: skrohn@resortscompanies.com
® B. All Fees [Code §17-208]
For new or modified plans: Total acres proposed to be disturbed 10
Fee Due with this Transfer or
Acres to be Disturbed Application Modification Fee
Total Fee=(Application Fee-4c)u Technology Surcharge)
Single Family Dwelling only $171.60 $23.92
Less than 1 acre (S 165 +56.60) (S23 +$0.92)
Single Family Dwelling only $171.60 $236.08
1 and less than 5 acres (S 165+S6.60) (S227+S9.08)
Less than I acre $171.60 $20.80
(S I65-,S6.60) (S20 -SO 80i
I and less than 5 acres $1,591.20 $236.08
(S I,530+S61 20) (S227+S9 08)
5 and less than 10 acres
$2,004.08 $294.32
(S 1,927+S77 08) (S283+Sl 1.32)
10 and less than 50 acres $2,652.00 $353.60
(S2.550 -S I O2) (S340+S 13.60)
50 and less than 100 acres $3,596.32 $530.40
(S3,458+5138.32) (S510+520.40)
100 acres or more $5,657.60 $824.72
(S5,440+5217.60) (5793+S31.72)
2 C. Amendments to an approved plan. Fee $236.08-r review($227 fee+$9.08 technology surcharge)
2 D. Registration Statement on the official DEQ rmoT .
2 E. Erosion and Sediment Control Plan satisfying the requirements of Code §17-402.
RI F. Stormwater Management Plan satisfying the requirements of Code §17-403.
2 G. Pollution Prevention Plan satisfying the requirements of Code §17-404.
2 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(S170 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 copies of all plans and any supporting documents or submit all documents online. Professional
seals must have original signatures.
t7.--Via . DA
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):Dustin Greene
Address: 999 Second St. SE, Suite 201
City:Charlottesville State:V ' Zip: 22902
Daytime Phone: ( )434 977-0205 E-mail: dgreene@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 permits are subject to annual maintenance fees l§ 17-2081.
FOR OFFICE USE ONLY WPO#
Fee Amount S Date Paid By who? Receipt# Ck# B,.
ROUDABUSH,GALE&ASSOCIATES,INC. 4
ENO/NEERS.SURVEYORS AND LAND PLANNERS I S
Date: January 4th, 2022
To: John Anderson, PE
From: Dustin Greene, PE
RE: Belvedere Phase V VSMP Amendment 2
# of Date Job # Description
2 12/13/22 8438 VSMP Amendment
1 7/5/22 - VSMP Amendment Application
1 1/4/23 - Check for$236.08
999 Second Street SE,Charlottesville,VA 22902