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Home My WebLink AboutWPO201400086 Application 2015-10-03 Albemarle Comity Community Development Department 401 McIntire Road Charlottesville,VA 22902-4596 Planning Application Voice:(434)296-5832 Fax:(434)972-4126 PARCEL/ OWNER INFORMATION TMP 056K0-00-00-000A1 Owner(s): Application # WP0201400086 FOOTHILLS CROSSING INC PROPERTY INFORMATION Legal Description FOOTHILL CROSSING RESIDUE PH 1 Magisterial Dist. White Hall Land Use Primary Unassigned Current AFD Not in A/F District Current Zoning Primary R1 Residential APPLICATION INFORMATION Street Address Entered By Danielle Roth Application Type Water Protection Ordinances 10/06/2014 Project Foothill Crossing - Phase IV&V- Road Plans Received Date 10/03/14 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicati Comment Stormwater Management/BMP Plan 'APPLICANT/ CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell Owner/Applicant ;FOOTHILLS CROSSING INC 321 EAST MAIN ST SUITE 201 CHARLOTTESVILL;=22902 ;4342454970 Primary Contact SCOT COLLINS - COLLINS ENGINEERIN 200 GARRETT SSTREET, SUIT •CHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized Agent Date Vitginia Stormwater Malt> ement Program (VSMP) Application for Albemarle County Project Name: FOOTHILL CROSSING PHASE IV&V ROAD PLANS (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No IX Is this a revision or resubmission for review? Yes ❑ No IX County Fite 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. 56K-Al FOOTHILL CROSSING. INC 10/3/14 Tax Map&Parcel Print Name of Property Owner Signature of N-11 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 ALAN TAYLOR-FOOTHILL CROSSING,INC Address 455 SECOND STREET SE,SUITE 400 City_ CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 245-4970 E-mail alan @riverbenddev_com 7/1/14,Revised:7/10/14 Page 1 oft 20 B. All Fees [Code section rr-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 l 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;$150 Q4 C. Registration Statement on the official DEQ form. Ill D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ISI E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404, ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ® H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. — ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scottCr)collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WFO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14 Paget of 2 ,oFAL Virginia Stormwater Management Program (VSMP) _ r_ Application for Albemarle County 4116A,. Project Name: FOOTHILL CROSSING - PHASE IV&V (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 NI No ❑ County File Number: WPO-2014-00086 (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. I$1 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. 56K-Al FOOTHILL CROSSINGS, INC Tax Map&Parcel Print Name of Property Owner Signa or Owner ate 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 FOOTHILL CROSSINGS. INC-ALAN TAYLOR Address 321 E MAIN ST. SUITE 201 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 245-4970 E-mail alan( riverbenddev.com 7/1/14,Revised: 7/10/14 Page 1 of2 omie ,r„0 ❑ 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;$150 ❑ C. Registration Statement on the official DEQ form. M D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. i E. Stormwater Management Plan satisfying the requirements of code section 17-403. l29 F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. IX H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name COLLINS ENGINEERING -SCOTT COLLINS Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott @collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14 Page 2 of 2