The URL can be used to link to this page

Home My WebLink AboutWPO201400093 Application 2014-11-14 F ' Albemarle Co `ity "�✓ Community Development Department 401 McIntire Road Charlottesville,VA 22902-4596 by Planning Application Voice:(434)296-5832 Fax:(434)972-4126 (PARCEL/ OWNER INFORMATION TMP 05600-00-00-06200 Owner(s): COUNTY OF ALBEMARLE CROZET ELEMENTARY SCHOOL Application # WP0201400093 C/O FINANCE ADMINISTRATION RM 149 PROPERTY INFORMATION Legal Description ACREAGE WALDORF CROSSROADS SCHOOL Magisterial Dist. White Hall Land Use Primary Public Current AFD Not in A/F District Current Zoning Primary R2 Residential APPLICATION INFORMATION Street Address 1408 CROZET AVE CROZET, 22932 Entered By Danielle Roth Application Type Water Protection Ordinances 11/14/2014 Project Safe Routes to School Sidewalk Project-VESCP Received Date 11/13/14 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Applicati j Comment Erosion and Sediment Control Plan 'APPLICANT/ CONTACT INFORMATION ContactType Name j Address I CityState Zip Phone PhoneCell Owner/Applicant t COUNTY Of ALBEMARLE CROZET ELEME 1401 MICINTIRE ROAD 1 CHARLOTTESVILL ?22901 Primary Contact v FRANK POHL/OFD 4 RM 228 Signature of Contractor or Authorized Agent Date ■ (A'.1L,v, Virginia Erosion and Sediment Control Program (VESCP) yr Application for Albemarle County f" (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Safe Routes to School Sidewalk Project Project Name: (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No XI Is this a revision or resubmission for review? Yes ❑ No tit County File Number: (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. i . 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. Vora VI) 0 t . .Leit".4.., V zh,z Tax Map&Parcel Print Name of Property Owner ignature 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: Frank Pohl Print Name Address Office of Facilities Development, Rm 228 City State Zip Daytime Phone( ) ext. 7914 E-mail fpohl @albemarle.org 7/1/14,Revised: 7/10/14 Page 1 of 2 If B. All Fees [Code section 17-207] Total acres proposed to be disturbed /JA Acres to be disturbed Total Fee Less than 1 $150 per review More than 1 $300 per review For amendments to an approved plan;$200 per review Exceptions;$240 Mitigation Plan;$150 Construction Record Drawing; $300 Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Frank Pohl (OFD) Address County of Albemarle, Office of Facilities Development City State Zip Daytime Phone( ) Ext. 7914 E-mail fpohl @albemarle.org *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14 Page 2 of 2