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Home My WebLink AboutWPO201500020 Application 2015-04-07 �" Community Development Department Albemarle Count 401 W re Road Char]ottesvil I e.VA 22902-46+35 -�- ' Planning Application `ow ‘,„„mot:(434)295-5832 Fax:(434)972-4126 9 PP � PARCEL / OWNER INFORMATION TMPI 056A3-OO-00-00700 Owner(s): ALBEMARLE STORAGE LLC Application# WPO2O1 500020 PROPERTY INFORMATION Legal Description I ACREAGE CVILLE SELF STOR AT CROZET . Magisterial Dist. White Hall Land Use Primary Commercial Current AFD Not in A/F District Current Zoning Primary Light Industry APPLICATION INFORMATION Street Address 5390 THREE NOTCH'D RD CROZET,22932 Entered By anielle Roth Application Type Water Protection Ordinances 14/712015 Project Charlottesville Self Storage at Crozet- VSMP Received Date 04/06/15 Received Date Final Submittal Date Total Fees 1350 Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Erosion and Sediment Control Plan Stream Buffer Development Request Stormwater Management/BMP Plan • APPLICANT /CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell a,,,,,,eApoz.nt ALBEMARLE STORAGE LLC P 0 BOX 332 CHARLOTTE WILL 22902 -en Cr.rts_t COLLINS ENGINEERING/SCOTT COLLINS 200 GARRETT STREET,SUITE ?CHs,RLOTTE54ILL 22902 4342933719 Signature of Contractor or Authorized Agent Date OF A ",L Virginia Stormwater Management Program (VSMP) for Albemarle County ,1�rRGIN�P� Project Name: CHARLOTTESVILLE SELF STORAGE AT CROZET (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-2005-00012 (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. iiKl 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. 56A3-7 ALBEMARLE STORAGE, LLC 4/2/15 Tax Map&Parcel P g inE�W ne v oef s Pe st,y n r anager- F ef rw.,n m r 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 PROJECT DEVELOPMENT, LLC-JO HIGGINS Address P.O. BOX 332 City aC�HARLOTTESVILLE State VA Zip 22902 Daytime Phone( y — 633 el E-mail 7/1/14,Revised:7/10/14 Page 1 oft 2Q B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 1.67 AC Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 I 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 S2,250 S300 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 60 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. CICi F. Pollution Prevention Plan satisfying the requirements of code section 17-404. 22 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# Vint 1(� 1/Fee Amount$2-,tC.C.� Date PaA'b_15 B} She Receipt#` 1 I(1 a CO 4M� By: ' 1 l!�e} 7/1/14,Revised:7/10/14 Page 2 of 2 Registration Statement General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) (Please Type or Print All Information) 1. Construction Activity Operator: (General permit coverage will be issued to this operator. The Certification in Item#12 must be signed by the appropriate person associated with this operator.) Name: ALBEMARLE STORAGE, LLC(OWNER) Contact: PROJECT DEVELOPMENT, LLC-JO HIGGINS Mailing Address: P.O. BOX 332 City: CHARLOTTESVILLE State: VA Zip: 22902 Phone: 434.326.0334 Email address(if available): Indicate if DEQ may transmit general permit correspondence electronically: Yes❑ No El 2. Existing General Permit Registration Number(for renewals only): 3. Name and Location of the Construction Activity: Name: CHARLOTTESVILLE SELF STORAGE AT CROZET Address(if available): 5390 THREE NOTCH'D ROAD City: CROZET State: VA Zip: 22932 County(if not located within a City): ALBEMARLE COUNTY Latitude(decimal degrees): 38.069844 Longitude(decimal degrees): -78.685919 Name and Location of all Off-site Support Activities to be covered under the general permit: Name: Address(if available): City: State: Zip: County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): 4. Status of the Construction Activity(check only one): Federal❑ State❑ Public❑ Private DI 5. Nature of the Construction Activity(e.g.,commercial,industrial,residential,agricultural,oil and gas,etc.): COMMERCIAL 6. Name of the Receiving Water(s)and Hydrologic Unit Code(HUC): Name: RIVANNA RIVER-MECHUMS RIVER-BEAVER CREEK Name: HUC: JR02(020802040102) HUC: 7. If the discharge is through a Municipal Separate Storm Sewer System (MS4),the name of the MS4 operator: 8. Estimated Project Start and Completion Date: Start Date(mm/dd/yyyy): 04/01/2015 Completion Date(mm/dd/yyyy): 12/01/2018 9. Total Land Area of Development(to the nearest one-hundredth acre): 6 AC Estimated Area to be Disturbed(to the nearest one-hundredth acre): 1.67 AC 10. Is the area to be disturbed part of a larger common plan of development or sale? Yes❑ No El 11. A stormwater pollution prevention plan (SWPPP) must be prepared in accordance with the requirements of the General VPDES Permit for Discharges of Stormwater from Construction Activities prior to submitting this Registration Statement. By signing this Registration Statement the operator is certifying that the SWPPP has been prepared. 12. Certification: "I certify under penalty of law that I have read and understand this Registration Statement and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment for knowing violations." Printed Name:A •emarle Storage, LLC, By CW Investments, LLC, manger H.MFitplker, Jr, Manager Signature: / �/A A Date: 4/x/15 (Please sign in ` . T is Certificati.• st be signed by the appropriate person associated with the operator identified in Item#1.) 01/2014 Page 1 of 1