The URL can be used to link to this page

Home My WebLink AboutWPO201500086 Application 2015-10-28 Community, Development Dn ,rt.•;;,, Albemarle 'ounty 401 McIntire Road Charlottesville.VA 22902-epart4! ; 'ter Now Voice :(434)296-5832 Fax:(434)972-4 ‘vizliff Planning Application PARCEL J OWNER INFORMATION IMP 06100-00-00-16000 Owner(s): BELVEDERE STATION LAND TRUST; ROBERT M HAUSER&ROBEF Application # WP0201500086 !PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. Rio Land Use Primary Commercial Current AFD Not in A/F District pi Current Zoning Primary Neighborhood Model District !APPLICATION INFORMATION Entered Street Address — Judy Martin Application Type Water Protection Ordinances v ii.0128/2015 Protect Belvedere Phase IIA, LLC- Minor Amendment Received Date 10/28/15 Received Date Final Submittal Date Total Fees 2 Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Legal Ad {SUB APPLICATION(s) Type Sub Application Comment Erosion and Sediment Control Plan Minor Amendment IStorinwater Managernent/BMP Plan ;APPLICANT/ CONTACT INFORMATION ContactType Name Address -11 C ityState Zip Phone PhoneCf owner/Applicant BELVEDERE STATION LAND TRUST: ROBE 2421 IVY ROAD CHARLOTTESVILL 22903 • Primary Contact COLLINS ENGINEERING 200 GARRETT ST., STE. K CHARLOTTESVILL 22902 4342932719 Signature of Contractor or Authorized Agent 'Date Virginia Stormwater Management Program (VSMP) �$ �iin 'a Application for Albemarle County A PP Y C rRU1NtP Project Name: BELVEDERE PHASE IIfi (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: WPO-2012-96 (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. Jilt 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. 61-160 BELVEDERE tL(02-7(ZC �S Tax Map&Parcel Print Name of Property Owner Signature of Owner ate 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 BELVEDERE STATION LAND TRUST- ROBERT HAUSER Address 100 10th ST NE, SUITE 103 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 981-2034 E-mail rhauser @stonehaus.net 7/1/14,Revised: 7/10/14 Page 1 of 2 B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed /.10 j0 AG 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 plano0 per re Variances;$150 Mitigation Plan; $150 1A:C. Registration Statement on the official DEQ form. V D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. V E. Stormwater Management Plan satisfying the requirements of code section 17-403. .4 F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ,X G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name COLLINS ENGINEERING -SCOTT COLLINS Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott@collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# / Fee Amount$ ,� Date Paid(0 a�"'i) By who? Cot It'✓` 6 S Receipt# ( l Q (1), CUD-C/a 1 By: rat)i/Veer 7/1/14,Revised: 7/10/14 Page 2 of2