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Home My WebLink AboutWPO201500019 Application 2015-03-31 " Commt.nity Development Department Albemarle Counts/ .59., 4w1 McIntire Road Charlottes��llle.l' 22��2-4 �- : 1434:2'0-5832 Fax:1434 r72-412E \7'y ,} Planning Application ww PARCEL J OWNER INFORMATION TMP 061011-00-110-167C0 Owners) WETSEL,THOMAS D &CLARENCE H WETSEL&ANN W HUFFMA Application# WPO2OI500019 PROPERTY INFORMATION Legal Description j ACREAGE Magisterial Dist, Rio Land Use Primary" Open Current AFD Not in A/F District Current Zoning Primary R4 Residential APPLICATION INFORMATION Street Address Entered BY odd Shifflett Application Type Water Protection Ordinances 13:31;2015 Project VDOT Project- Best Buy Ramp Received Date 03/31/15 Received Date Final Submittal Date Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub A pplicatio( Comment Erosion and Sediment Control Plan Stormwater Management/BMP Plan APPLICANT / CONTACT INFORMATION } CoatactType [ Name Address CityState Zip Phone PhoneCell Ovirmti €icert WETSEL THOMAS D&CLARENCE H 1878 E RID ROAD CHARLOTTESVILL :22901 FIELDER'S CHOICE ENTERPRISES, INC. 1020 LINDEN AVE, CHARLOTTESVILL 22902 4342440250 434996720 Signature of Contractor or Authorized Agent Date * 0 Virginia Stormwater Manement Program (VSMP) �t� `i � Application for Albemarle County t® ' RG1N�P Project Name: VQor? . (is/F/9 oo21 -fo".,8V)cco/ RtZ9 $Rt 25'0$ p.ss (The name should be the same as it appears on plans) (a.,t dear � Is this an amendment to an approved plan? Yes ❑ No le Is this a revision or resubmission for review? Yes ❑ No C ' 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. ❑ 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. /7//w/airf 6V4 41/ j%!e Tax Map&Parcel Print Name of Property Owne 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 ti,, 7-Apo,o s .7,15.-/ Address $78/�.,`s Roe.el .4st City O','/,t/iJ fr!ge, `/l State /A Zip 22ya t Daytime Phone( ) E-mail 7/1/14, Revised: 7/10/14, 1/7/14 Page 1 of2 ^�of �,.,,�,1 • ' ) ,,, Application for Albemarle County . . . . . . . • 1 - . :r.......:�c-ter!. ..T. ��rd:I�h _.;,.n...:,.�_LI. ...:1L .imTSf.%ti,...s]am on ohms!.l■i!!S'.'T' 'ff�Jl3S•ssz Project Name: V PO lam' t. *71 ei Wt, .Z So (3<5* g44/ 4!".,p) W.s r%srrds., 5:to (The name should he the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No Er Is this a revision or resubmission for review? Yes ❑ No CY 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. ❑ 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. 4 /- 16 741G X 1 �,�, 21n7yw(4, -�(..� �� - 9-�r7 Tax Map&Parcel Print Name of Property Owner Signature of Owner Dat A c. ,R . 1,/4//-_ 7,--5rc, Taxap&Parcel Print Name of Property Owner Signature of OwnerDate // MCVCN1 W. HOOd 1P10,AAt vta ' )4 O a-1-15 Tax Map&Parcel Print Name of Property Owner Signature or Owner Date t, II i 1 ... V• ' tij i. LL), �r 1, • r Tax Map&Parcel Print Name of Property Owner Signature of Owner •• �, plate 2 Contact Information for the Owner(s)to receive correspondence: Print Name 7ii.rne3 Wetse / Address 878 .?/o Re'r,/ 4*fy City CAA rle finis p/We V/1 Zip 2.2sld/ State Daytime Phone( ) E-mail 7/1/14, Revised: 7/10/14, 1/7/15 Page 1 of 2 ❑ B. All Fees [Code section 17- 8] 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 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; $150 El C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. E l F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of ,stream buffers. ) 1-1 Requested Variations or Exceptions as provided in code sections 17-407 and 408. CIA Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer, consultant or agent) Print Name Fie ld4 ' Ctim/e e Fn f?rpr;f<% .2.14-. (r t.* /7,</e/.may,/7i-i✓%/%i+1 • W„de vh;fF/e/fi,' S•./�� Address ppxo d✓e. City C4,r4 State I/if Zip 7Z fez Daytime Phone(V3y) Re/V— 025-a E-mail w s n;o k/e 7 fc a—d fJ. co,,.? cs Hay— ? — 7Z 03 *When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months from the date of county comments, the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY VPO# �j{�/�1"Date ek of u Fee Amount$ �I 5b Date Paid 8)a( By who? Receipt# 9 1 2. lCk# 136•3i4 By: hoc. 7/1/14, Revised: 7/10/14, 1/7/14 Page 2 of2