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Home My WebLink AboutWPO201400105 Application 2014-12-22 Albemarle Countv Community Dev elo pm ent Department 401 McIntire Road Charloftesville,VA 22902-4596 Vr (434)296-6832 Fax:(434)972-4126 :12 Planning Application Nome -New, PARCEL/ OWNER INFORMATION IMP 07200-00-00-03200 Own e r(s): MILLER SCHOOL OF ALBEMARLE THE Application# WP0201400105 PROPERTY INFORMATION Legal Description I ACREAGE A Magisterial Dist.I Samuel Miller 2:1 Land Use Primary Semi—public Current AFD I Not AJF District E Current Zoning Primary I Rural Areas vl APPLICATION INFORMATION Street Address 6001 DICK WOODS RD CHARLOTTESVILLE,22903 Entered By Emily Lantz el Application Type Water Protection Ordinances r12122/2014 Project Miller School of Albemarle— New Entrance Road Received Date 12/19/14 Received Date Final Submittal Date 12/22/14 Total Fees 1700 Closing File Date Submittal Date Final Total Paid 1700 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Apiiicatio Cctrrnent Stormwater Management/BMP Plan 12/22/14 Erosion and Sediment Control Plan 12/22/14 APPLICANT /CONTACT INFORMATION ContaotT 4. Name Address Ci She Zip .4 Ph hhe J,PhccroF41 1 t 4%. " • ..... ' Prmiary Contact MERIDIAN PLANNING GROUP LLC 1413 SACHEM PLACE STE 1 CHARLOTTESVILL 22901 4348820121 Signature of Contractor or Authorized Agent Date of:1 L/j1. Virginia Stormwater MAridgement Program (VSMP) it/8w Application for Albemarle County Nrn o rice 4 °�"'�: PP ty Project Name: Miller h,04 / 0 !/ A-16e nna dP — evad (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No lig Is this a revision or resubmission for review? Yes El No IC 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. 7z- 3 Nl,�t,tYe saw or AL('�7iR�'G r G ' 1 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: A Print Name Miller School of Albemarle Address 1000 Samuel Miller Loop City Charlottesville, VA 22903 State Zip Daytime Phone(13L1) kf g 0 5 E-mail Y-cY' ,vlC, m j l rs aio.0 1,o B. All Fees [Code section 17-208] `"` For new or modified plans; Total acres proposed to be disturbed 7/1 ,C i2 E-f 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 PC C. Registration Statement on the official DEQ form. 1K D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. kl E. Stormwater Management Plan satisfying the requirements of code section 17-403. K 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. JJA ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. OIA ❑ I. - Requested Variations or Exceptions as provided in code sections 17-407 and 408. oip ❑ 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 r4 E12I 2111)IJ PC 0NNJNG G-12.(/(J p`, -1,, C Address /Y/3 5`13 C)J E Pt,»C t , 5-re.3.. City('UMYtt,orrETVi(1(.e State '% ZipZV CI a i Daytime Phone(YJ') 8 , O/1 r E-mail 7°1Y)1l,1,t�1 @ tvl EN I to I ranl Wee. Co r'v, *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$ft-1),w Date Paid �lQ'i� By who? ,1 I, 1 �1J, Receipt#Nqi,.:____Cidlt By: