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HomeMy WebLinkAboutWPO201600019 Application 2016-03-28 " Albemarle ^Ot,/17t}/ Community�DevelopmentDepartn 401 McIntire Road Charlottesville,VA 22902-4: Voice :(434:296-5832 Fax: (434::972-4 Planning Application PARCEL /OWNER INFORMATION TMP 060E2-00-00-00100 Owner(s): FARMINGTON COUNTRY CLUB Application # WP02O1600019 PROPERTY INFORMATION Legal Description FARMINGTON Magisterial Dist. Jack Jouett L _1 Land Use Primar{ Semi-public Current AFD Not in A/F District Fr] Current Zoning Primer{ Rural Areas APPLICATION INFORMATION Street Address 1946 OLD MILL RD CHARLOTTESVILLE, 22901 Ertered Application Type Water Protection Ordinances Judy Martin 3/28/2016 Project FCC East Nine-VSMP Received Date Received Date Final Submittal Date Total Fees 2 Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Application Comment Stormwater Management/BMP Plan 03/25/16 Erosion and Sediment Control Plan 03/25/16 APPLICANT / CONTACT INFORMATION ContactType Name Address CityState 1 Zip Phone (TPhoneCt Owner/Applicant FARMINGTON COUNTRY CLUB 1625 COUNTRY CLUB CIRCLE CHARLOTTESVILL i 22901 Applicant FCC/ATTN: SCOTT KINNAN. GOLF COURSE 1625 COUNTRY CLUB CIRCLE I 3 CHARLOTTES'.�ILL 22901 434455..70 Primary Contact tit's`; ASSOCIATES INC./ATTN: JOHN BORN 30402291127 ... ... AVEMORE. SQUARE PLACE CHARLOTTESVILL : 4349B4�,D0 Signature of Contractor or Authorized Agent Date Now' NNW' :1 Virginia Stormwater Management Program (VSMP) J � ; Application for Albemarle County 7 Project Name: FCC East Nine - VSMP Amendment (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes a No ❑ Is this a revision or resubmission for review? Yes a No ❑ County File Number: WPO-2015-00030 (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. El 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 p operty as required to ensure compliance with the approved plans and permits. TM 60E, Parcel 2-1 Farmington Country Club Terry Lynch, President ''%% 3�y//4 Tax Map&Parcel Print Name of Property Owner Signature (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 Farmington Country Club - Attn: Scott Kinnan, Golf Course Superintendent Address 1625 Country Club Circle City Charlottesville State VA Zip 22901 Daytime Phone(434) 245-5370 E-mail skinnan@fccva.com 7/1/14,Revised: 7/10/14 Page 1 of 2 El B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 43.47 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 pl , ; '.201 .•r review Variances;$150 Mitigation Plan;$150 N/A ❑ C. Registration Statement on the official DEQ form. ® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. N/A ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. N/A 0 F. Pollution Prevention Plan satisfying the requirements of code section 17-404. N/A El G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. N/A ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. N/A ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. N/A ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print NameWW Associates, Inc. - Attn: John Beirne, P.E. Address 3040 Avemore Square Place City Charlottesville State VA Zip 22911 Daytime Phone(434) 984-2700 E-mail jbeirne@wwassociates.net *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ �(o© Date Paid 5P5 /(o By who?Farrnin n Receipt# t 03711 Ck#O/5055 B E.-le—L.- Y� Ceti in Ott b 7/1/14,Revised: 7/10/14 Page 2 of 2