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Home My WebLink AboutWPO201500068 Application 2015-09-15 Albemarle County .,.... rt.--. Community Development Department 401 McIntire Ro ad Ch arlottesv ille,VA 22902-4596 Voice 1)296-5832 Fax:(434)972-4126 Planning Application 'Noe PARCEL/ OWNER INFORMATION TMPI 03200-00-00-05000 Owner(s): ROUTE 29 LLC Application# WP0201500068 PROPERTY INFORMATION Legal Description 1 ACREAGE Magisterial Dist,LRio ..:d Land Use Primary Forest CI Current AFD Not in A/F District .-:1 Current Zoning Primary Neighborhood Model District APPLICATION INFORMATION Street Address Entered By — . Emily Lantz 11 Application Type , Water Protection Ordinances v 19/1-512-015 -- Project Hollymead Towncenter Received Date 09/11/15 Received Date Final Submittal Date Total Fees 145 Closing File Date Submittal Date Final Total Paid 145 Revision Number I Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio_ Comment I Stormwater Management/BMP Plan Stream Buffer Mitigation Plan APPLICANT /CONTACT INFORMATION ContactType j Name Address CityState Zip j Phone PhoneCell ottmerIAFflizort ROUTE 29 LLC P 0 BOX 5548 CHARLOTTE SVILL 22905 t t, . nriary Czrtact COLLINS ENGINEERING 200 GARRETT ST SUITE K .CHARLOTTESVILL 22902 4342933719 t Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) ,oy Application for Albemarle County . O, ar��P Project Name: HOLLYMEAD TOWNCENTER (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 ■4 No ❑ County File Number: WPO 201300067 (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. ® 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. orb /A z. .1 1/#y, 'e! 32-50 ROUTE 29, LLC — �Cl' 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: Print Name ROUTE 29, LLC Address PO BOX 5548 City CHARLOTTESVILLE State VA Zip 22905 Daytime Phone(434) 975-3334 E-mail ulcwwwaembargmail.com 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 0.99 ac. Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed ication modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 , 50 $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;$150 IE C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. El G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ® H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name COLLINS ENGINEERING Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scottacollins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# �-C� X12 c Fee Amount$ ' 4c.° Date Paid �(-lC By who9 tkl4; l_4"") Receipt# I b 1 3 J , Ck# o� 7 /t By; , J (or('orc,.f—. 4S 7/1/14,Revised: 7/10/14 Page 2 of 2 Noir Virginia Stormwater Management Program (VSMP) , Application for Albemarle County Project Name: HOLLYMEAD TOWNCENTER STORMWATER MANAGEMENT&MITIGATION PLAN (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No OD Is this a revision or resubmission for review? Yes ❑ No County File Number: WPO-2015-00068 (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. ete. /jive -1"1»,5.i4j ✓/ 32-50(PORTION OF) ROUTE 29, LLG 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 Tax Map& Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name ROUTE 29,LLC Address PO BOX 5548 City CHARLOTTESVILLE State VA Zip 22905 Daytime Phone( ) E-mail ulcwwwc lembargmail.com 7/1/14.Revised: 7/10/14 Page 1 of 2 Na 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;$150 D C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. O E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ 1. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ® J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS, PE Address 200 GARRETT ST, SUITE K City CHARLOTTESVILLE _—State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail SCO Collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPOM Fee Amount$ Date Paid By who'_ Receipt q Clot By 7/1/14,Revised: 7/10/14 Page 2 of 2