The URL can be used to link to this page

Home My WebLink AboutWPO201500010 Application 2015-02-24 k•'A[ ,rilitt Albemarle r Li+r Community Development DepartmerrE 4D1 tire Road CharlatesJille.V;22K2-4596 ` it ,4 Norge ce.: 1434:29E-5832 Fax:(434)972-4126 Planning Application PARCEL/ OWNER INFORMATION TMP 04500-00-00-095A0 Owner(s): COUNTY OF ALBEMARLE SCHOOL BOARD ATTN: SUPERINTENC Application# WPO2015 00I 0, PROPERTY INFORMATION Legal Description 1 ACREAGE PARCEL A AGNOR-HURT ELEMENTARY Magisterial Dist, Rio I Land Use Primary Public Current AFD Not in A/F District F] Current Zoning Primary R6 Residential F] APPLICATION INFORMATION Street Address CHARLOTTESVILLE, 22901 Entered By odd Shifflett 7 Application Type Water Protection Ordinances El 12/24V2015 Project Agnor Hurt Elementary School Renovations And Additions Received Date 02/23/15 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments A Legal.Ad A SUB APPLICATION(s) Type Sub Applioatio Comment Erosion and Sediment Control Plan Stormwater Management/BMP Plan , APPLICANT if CONTACT INFORMATION ContactType ( Name Address CityState I Zip 1 Phone PhoneCell ow-e-.&.:c=.tart :COUNTY OF ALBEMARLE SCHOOL BOARD 401 MCINTIRE ROAD CHARLOTTESVILL :22901 c---.-, -ta_t CRAIG KOTARSIO i TIMMONS GROUP ;919 2ND ST,SE l CHA.RLOTTESbILL 22902 4343071689 .7)0,-.-;4ae=.ar: ;JOSEPH P, LETTERI 2751 HYDRAULIC ROAD CHARLOTTES ILL 22901 4349759340 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Nome:/�(.��,lrstt PfuwT` /ow rtti'7{�t ' 4.40./ 411 Iitwx at t.+ss Apt,rre•,N S (The name should be the same as it appears on plans) is this an amendment to an approved plan? Yes d No ❑ Is this a revision or resubmission for review? Yes ❑ No ❑ County File Number:WRx' t'loczet (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. ❑ 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,Ihereby 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. d� -oo-C Q5�c7 iQ EC. ae d... 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: Print Name_ �)r Address _ z_��g__4 _l�4j' t Gb C T2Y\'a 4 City >I/tr' � f'S V # 1 E • _ __. —_.State_VA_ Zip-a-al-ajl Daytime Phone(Di) 5 � E-mail e r� �i3 �� 1 � o(`1 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 uf2 New D 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 1 disturbed Application , modification of permit Less than 1___ $290 I $145 ' $20 1 and less than 5 $2,700 $1,350 $200 —_w_____ 5 and less than 10 $3,400 _v 1 $1,700 i $250 10 and less than 50 $4.500 $2,250 $300 50 and less than 100 $6,100 $3,050 mm $450 100 and more I$9,600 : $4,800 1 $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. ❑ II. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ 1. 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: Natne of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name f�sgr � fc t / 7'"y ro^�5. 4 tn" , Address_q/q S-r City. '!..e re V-Li/ State Vie4- Zip �'74 d—" Daytime Phone(VON) 's?—/4.5wI ...._ E-mail ,1j.,,iircsrzy a. 1.7orcres_cs•.,.. *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 OFFICF.!ISF ONLY WPO# Fee Amount 5 )ate Pale{ By who: Receipt" Ch.') By: 7/1/14,Revised: 7/10/14, 1/7/14 Paget of