The URL can be used to link to this page

Home My WebLink AboutWPO201400077 Application 2014-09-03 e t it : Albemarle Co ty Community Development Department 40`IIntire Road Charlottesville,VA 22902-4596 Planning Application Voice:(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMPI 093A1-00-00-00300 Owner(s): RIVANNA VILLAGE LLC Application # WP0201400077 PROPERTY INFORMATION Legal Description GLENMORE Magisterial Dist. Scottsville Land Use Primary Forest Current AFD Not in A/F District Current Zoning Primary Neighborhood Model District APPLICATION INFORMATION Street Address Entered By Application Type Water Protection Ordinances Todd ShifFlett 09/03/2014 Project Rivanna Village Phase 1 Received Date 09/02/14 Received Date Final Submittal Date Total Fees 2250 Closing File Date Submittal Date Final Total Paid 2250 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Applicati I Comment Erosion and Sediment control Plan Stormwater Management/BMP Plan Stream Buffer Mitigation Plan (APPLICANT/ CONTACT INFORMATION ContactType Name I Address I CityState I Zip Phone PhoneCell owner/Applicant ;RIVANNA VILLAGE LI C 1314 E WATER ST `I CHARLOT'TESVILL. 22902 14349747377 =.. Primary Contact SCOTT BLOSSOM 5209 CENTER STREET WILLIAMSBURG, 23188 7572206869 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) "4111W � 'T Application for Albemarle County 4 '` Project Name: t.- 5,`p1"/ P�.'476/16,1'kJ//14/7 */ n/Id / (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No 1 Is this a revision or resubmission for review? Yes ❑ No 12/ County File Number: (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. g3A / 44 if; VA/IAA Vlli �c - - r � Tax Map&Parcel Print Name of Property-Owner Signatu of Owner Date 13A I - P;Va.iv►�.�ila y u� rte--' Tax Map& Parcel Print Name of Prop Owner Signature of 0 er 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 rA rtinJ D ri '1 Address 3 F-( E Vui0.de r G.jf City CiAgr State i/4 Zip Za t 2_ Daytime Phone(13 y) �7 Y- '7 7 -) E-mail t . 7/1/14, Revised: 7/10/14 Page 1 of 2 A (9'B. All Fees [Code section 177--208] For new or modified plans; Total acres proposed to be disturbed 40,43 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 $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;$150 P C. Registration Statement on the official DEQ form. ! D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. /E. Stormwater Management Plan satisfying the requirements of code section 17-403. WIT. Pollution Prevention Plan satisfying the requirements of code section 17-404. �. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. l H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. 1. Requested Variations or Exceptions as provided in code sections 17-407 and 408. 1J8r J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if fnot provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name 6 1 a� O e ✓t_fsd -J.c L r � 5 Address Gj Z'D � 2 r /-ceTt City WI II; ✓l,A),91/L r State V4 Zip Z3 15 g Daytime Phone( 5 ZZ D '(p$(A E-mail S -O ; )9I D Orr-10 St,1feC .Co-'►'' *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$212C0.00 Date Paid 9)2J//4 By who? { \V*P.)✓)Q Vt1l41e Receipt# 9 ^7 r 9 tpct Ck# [r 103 By:_� LL 7/1/14,Revised: 7/10/14 Page 2 of2 411110. NM, o 1.4/ Virginia Stormwater Management Program (VSMP) Application for Albemarle County 4: Project Name: g; v',-" V , a P Ph 1 (_ s i n'1 (The name should be the same it appears on plans) Is this an amendment to an approved plan? Yes ❑ No a Is this a revision or resubmission for review? Yes No ❑ County File Number: \ WOO 7 0 ILI 000 7 1 (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. X.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. pl 3 - 3 / OJ8OcVI / (? /,�` fi ) - '3 V Tax Map&Parcel Print Name of Property Owner Signature of Owner Date A I` kt ADNiYT% C /41- 12-3 —1 94 Tax ap&Parcel Print Name of Property Owner Signature of Owner Date �? - 15 A Ar,top.6._ ,i3O ' ) /1-4' ) v. 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 Atir,c re in 1 0 r , . J Se n. o - V P Address J ) 9 L A � 6✓,¢ Q f j 3 f e G+ City Char P+teS J i( C.- State Vit- Zip 2.2 IV Z.-- Daytime Phone(4310 t -7 E-mail aed re rJ , b� n , Clore -C�.�'a�CSJ,1I�.C O - 7/1/14,Revised: 7/10/14 Page 1 of2 Noe 4010 PC❑ B. 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 $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;$150 [kC. Registration Statement on the official DEQ form. X D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. g E. Stormwater Management Plan satisfying the requirements of code section 17-403. i,F. Pollution Prevention Plan satisfying the requirements of code section 17-404. l�1 G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. WA ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. 1,f/1r ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. Nk ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SC.0 77I'0553h'"\ Address 6 ./ 01 C re.„I- City \AI 5 6vr State VA" Zip 2� I / Daytime Phone(157) "2 VI ZO ° (a E-mail •je TI •1),D 50, 6. *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14, Revised: 7/10/14 Page 2 of 2