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HomeMy WebLinkAboutWPO201500080 Application 2015-10-07 .............. _ �U Planning Application PARCEL OWNER INFORMATION Ti't ' 076M1-OO-00-0O2AO O.^oner; :: 5TH STREET STATION VENTURES LLC Application*: WPO2OI500080 ,PROPERTY INFORMATION Leaai e_:r,pt'on 'ACREAGE 'lasterla&e*t. SCOttsville +'s Lar >a �~ a°, Forest + airrent •rc. Not in A/F District ,_•+�•: Current.gin;n; ar.n-a=•, Planned Development Shopping Center •+f APPLICATION INFORMATION , Sz{eez. ��ras> Entered 8, M :.'.,cat'on T•,pe Water Protection Ordinances E ani [le Roth .+_i ProIe.:t Fifth Street Station, Phase II, Amendment III Field Modification - VSMP ae•=e .e,Cate j 10/06/15 r.e;.e',ed Rate Fula! 1 s�;t. .Ettai Cate _.a' gees 200 Cio>€n^y t'OE,Date 1 i :. r.., ! rte ;n3` TCt.a. Pe NJ i 00`i 1. . Per rurnbef comment: pE ;SUS APPLICATION(s) TYkt i Sub 4=plicatioi Comment Erosion and Sediment Control Plan Stream Buffer Development Request Stormwater Management/BMP Plan APPLICANT / CONTACT INFORMATION ,:r)tactT1 ' .... ... ......_... . arre Address Citk State..... 'p Ftore Pi-oe:e __ __ . _-ri "F.EET PT TIL'ti E'. .FEC LL_ " ..ES' Ea':.;,, ETPEET S_E E F-.FE!=°°. _ ....__ --a-. =--'a,: E»4Y..E:. a MINES. G.E. B_HLER -° 2,..-Cr AEU PPF, L:rff . =.FEi:7o.:e'. ::iss ::4;45; i _ ;;:=-:.5.•:..;-e :.t Co'ntra .z -,,`hon:e'dAgent I.•'ate Virginia Stormwater Management Program (VSMP) ' Application for Albemarle County w� Project Name: 5th Street Station - Phase II Amendment Ill Field Modification (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes El No D Is this a revision or resabmission for review? Yes 0 No I>J County File Number: W PO2013-00079 (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. KI 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 compiled 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. 76M 1-2B ^Co1(sN3 (c►Q.Qj''"' 10/6/15 Tax Map&Parcel Print ame of Property Owner igna of Owner Date 76M1-2A �Colls+vS 1016/15 Tax Map&Parcel Print ame of Property Owner i of Owner Date• 76M1-4A Coil aV$ 10/6/15 Tax Map&Parcel Print ame of Property Owner Igia of Owner Date 7700-11 E S--'e-01(01/ .l�} 10/6/15 Tax Map&Parcel Print ame of Property Owner igna of Owner Date Contact Information for the Owner(s)to receive correspondence: Name Stephen Collins Print Address 5 West Broad Street, Suite B City Fairbum State GA yip 30213 Daytime Phone(770)692-8300 E-mail steve @sjcollinsent.com 7/1/14,Revised:7/10/14,1/7/14 Page 1 of 2 w ❑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 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 Flan;$150 ❑ C. Registration Statement on the official DEQ form. l D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ L Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide,2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Daniel R. Hines, P.E., Bohler Engineering Address 28 Blackwell Park Lane, Suite 201, city Warrenton State VA zip 20186 Daytime Phone(540)349-4500 &mail dhines @bohlereng.com *when applications and plans are reviewed,but not approved,and a response to comments is net received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Poo Amount$ r('> Date Paid/o sywlto7 1-,le rc )neer,feleipt# 10, 630 tx# 3 it 0 ay: L 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 „No, BOHLER ENGINEERING 28 Blackwell Park Lane,Suite 201,Warrenton,VA 20186 Professional Engineering Services Telephone:(540)349-4500 Fax:(540)349-0321 LETTER OF TRANSMITTAL VIA: Hand Delivery TO: Albemarle County RE: WPO Plan— E&S Phase II and SWM/BMP Design 401 McIntire Road Amendment III Charlottesville,VA 22902 5th Street Station Charlottesville,VA 22902 (434)296-5832 Albemarle County ATTN: Glenn Brooks DATE: October 6,2015 JOB NO: V122001 WE ARE SENDING YOU ❑Shop drawings ❑Copy of letter Attached ❑ Prints ❑Change order COPIES JOB# DATE REVISION REVISION SHEET NO. DESCRIPTION DATE 1 V122001 10/6/15 Check#002340 Check in the amount of$200.00 made payable to Albemarle County 1 V122001 10/6/15 1-2 of 2 Virginia Stormwater Management Program(VSMP)Application for Albemarle County 2 V122001 12/13/13 8 10/6/15 1,2 WPO Plan—E&S Phase II and SWM/BMP Design Amendment III These Are Transmitted: ®For approval ❑For your use ❑As requested ❑For review and comment DApproved as submitted ❑Approved as noted ❑Returned for corrections REMARKS: Please find enclosed the WPO Plan for the 5th Street Station project in Charlottesville,VA. If you have any questions or require additional information, please do not hesitate to contact this office at (540) 349-4500. COPY TO: SIGs „/ a jaraPv niel R. Ines, '.E. File ( Virginia Erosion and Sediment Control Program (VESCP) /~ � ^ Application for Albemarle County (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: 57 H SieFit-r- 57`'0 )-( (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? Yeses' No ❑ County File Number:N/0202-0/S—- 0 (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. cPizt W 10 2oiC Tax Map&Parcel Print Name of Property Owner Si ture of Owner Date o / - cG - cam o 62 ✓ e) ti'\AC14Z- 1101 I .C-20 i Tax Map&Parcel Print Name of Property Owner Sig e of 0 e Date C--) `?till I -06146 O , ,203 t4, Tax Map&Parcel Print Name of Property Owner Sigrralur of Owner Date 7200 �-- of /Ed /"--"-N\ (32z vvie, o L©I5 Tax Map&Parcel Print Name of Property Owner ignature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Address City State Zip Daytime Phone( ) E-mail 7/1/14, Revised: 7/10/14, 1/7/15 Page 1 oft Nino, `ame- ,❑ B. All Fees [Code section 17-207] Total acres proposed to be disturbed 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 Variances;$150(per request) Exceptions;$240 Mitigation Plan; $150 Construction Record Drawing; $300 0C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Address City State Zip Daytime Phone( ) E-mail *When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By 7/1/14,Revised: 7/10/14, 1/7/15 Page 2 of 2 Virginia Stormwater Management Program (VSMP) ` "` ' Application for Albemarle County .( ilfi Project Name: 5th Street Station (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No 0 Is this a revision or resubmission for review? Yes ❑ No 0 2015- 430 — vARIANG6 County File Number: WPO2OIB-00979—, (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. v 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. 76M1-2B sc VO 10/6/15 Tax Map&Parcel Print ame of Property Owner igna ç2 _t of Owner Date 76M 1-2A • ��t rV�S 10/6/15 Tax Map&Parcel Print ame of Property Owner igna of Owner Date 76M 1-4A ç24._.)• cous445 10/6/15 Tax Map&Parcel Print ame of Property Owner dc2Ignta4 of Owner Date 7700-11 E eod iv-S (2L4 10/6/15 Tax Map&Parcel Print ame of Owner i of Owner Date Property i� Contact Information for the Owner(s)to receive correspondence: Print Name Stephen Collins Address 5 West Broad Street, Suite B City Fairburn State VA Zip 30213 Daytime Phone(770) 692-8300 E-mail steve@sjcollinsent.com • 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft v,B. All Fees [Code section 17-218] 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 ❑ 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. ❑ 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. El 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 Daniel R. Hines, P.E. - Bohler Engineering Address 28 Blackwell Park Lane, Suite 201 City Warrenton State VA Zip 20186 Daytime Phone(540) 349-4500 E-mail dhines@bohlereng.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# `5 . a o Bc�h WS Ern i(*kit r�.ct Fee Amount$1 S 0 Date Paid 101245 By who? V,�t L� e Receipt# 10 1g 16 Ck#003'3 By_ 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2