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Home My WebLink AboutWPO201500061 Application 2015-09-01 Albemarle County r.ammunity Development Department 401 McInt lad Charlottesv ille,VA 22902-4596 Voice-10134)296-5832 Fax:(434)972-4126 °* Planning Application PARCEL OWNER INFORMATION TMPI 04300-00-00-034M I Owner(s): CATON, DOUGLAS E Application# WP0201500061 PROPERTY INFORMATION Legal Description I FOUR WINDS FARM 4 Magisterial Dist. Jack Jouett Land Use Primary Unassigned :=. Current AFD Not in A/F District 1,r) Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address Entered By . _ Emily Lantz Tz] Application Type Water Protection Ordinances 1/2015 Project The Caton Residence Received Date 08/25/15 Received Date Final Submittal Date Total Fees 145 Closing File Date Submittal Date Final Total Paid 145 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Applicatio Comment Stormwater Management/BHP Plan Erosion and Sediment Control Plan Stream Buffer Mitigation Plan APPLICANT /CONTACT INFORMATION ContactType I Name Address CitYState I ZIP I Phone I PhorteCell Owner/ARA:ant CATON:DOUGLAS E P0 BOX 530S CHARLOTTESVILL 22905 FrInary Cz^ntsct JUSTIN SHIMP +201 E MAIN ST CHARLOTTESVILL 22902 4342275140 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) �.. Nott Application for Albemarle County Project Name: The Caton Residence (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No Ea Is this a revision or resubmission for review? Yes ❑ No County File Number: (to be provided by the County for new applications) The following are required elements of new applications[front code section 17-401]. 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. (� 43-34A4 Douglas Caton / ' t'� i Gt 8/21/2015 Tax Map&Parcel Print Name of Property Owner Signatui Af 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 Douglas Caton Address P.O. Box 5306 City Charlottesville State VA Zip 22905 Daytime Phone(434) 977-4181 E-mail DCaton @msc-rents.com 7/1/14,Revised:7/10/14,1/7/14 Page 1 oft ®B. All Fees[Code section 17-2081 For new or modified plans;Total acres proposed to be disturbed .98 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 l 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 O 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. O 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. ❑ 1. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O 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 Justin Shimp Address 201 E.Main St. City Charlottesville State VA Zip 22902 Daytime Phone(434) 227-5140 E-mail justin @shimp-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$1"1S-.UV Date Paid S")-S-t'S-Bywho? S11'l Receipt# 11 Ck# 3.5..ci By: FVS�— EVIclt 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2