HomeMy WebLinkAboutWPO201500105 Application 2015-12-15 Community Development Departn
$tr-vt, Albemarle Ciunty -,....,
401 McIntire Road Charlottesville;VA 22902-4!'41; w
Voice : (434';296-5832 Fax:(434)972-4
1,4'`..,,v----, Planning Application
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PARCEL / OWNER INFORMATION
TMP 06000-00-00-06500 Owner(s): BARRACKS HEIGHTS LLC
Application # WP0201500105
PROPERTY INFORMATION
Legal Description (ACREAGE OUT OF BOUNDS
Magisterial Dist. Jack Jouett [ll Land Use Primary Residential -- Single-family(incl. modular homes)
Current AFD Not in A/F District " Current Zoning Primary Neighborhood Model District
[APPLICATION INFORMATION
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Street Address
I Entered
Judy Martin [
Application Type Water Protection Ordinances
E 1
12/15/2015
Prol-ect Out of Bounds- Amendment- VESCP
Received Date 12/14/15 Received Date Final Submittal Date 12/21/15
Total Fees 2
Closing File Date Submittal Date Final Total Paid 2
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Revision Number
Comments
Legal Ad
r5UB APPLICATION(s)
Type Sub Application - Comment
Stormwater Management/BMP Plan ' 12/14/15
Erosion and Sediment Control Plan 12/14/15
APPLICANT / CONTACT INFORMATION
ContactType Name Address —I- CityState Zip Phone f PhorpeCt
Owner/Applicant BARRACKS HEIGHTS LLC 195 RIVERBEND DR -CH ARLO I I LSVILL 22911
Primary Contact VITO CETTA
1730 OWENSFIELD DRIVE . ,.
CHARLOTTESVILL 22901 4345312192
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Signature of Contractor or Authorized Agent Date
NNW '4,4010'
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Virginia Erosion and Sediment Control Program (VESCP) faA
Application for Albemarle County a .
(This application is only to be used for projects exempt from the Virginia
Stormwater Management Program,VSMP,and the DEQ General Permit)
Project Name: ()v 4- p' 8'0(1 etdS
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes l' No ❑
Is this a revision or resubmission for review? Yes 0 No f
County File Number: W Pd 1O j H - 2y (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. h�(
6 0 - 6S �/ -- -•�-trC
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:
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Print Name V r1b � %
Address 11 V V'6M6 (XL
City G t' sr2-L0 11A / V t E1;16 State Zip
Daytime Phone 4 55)- 2l 91- E-mail v 6 TO lZ l Or"
7/1/14,Revised: 7/10/14, 1/7/15 Page 1 of2
0. All Fees [Code section 17-207]
Total acres proposed to be disturbed
Acres to be disturbed Total Fee
Less than 1 $150 per review
More than 1 $300 per review
— For amendments to an approved plan;$200 per review
Variances;$150(per request)
Exceptions;$240
Mitigation Plan;$150
Construction Record Drawing;$300
tit C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
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Print Name J{/5�;n S �J�p
Address 2 D I e. fit a,in
City Ghn�l p f{cs v1lle State VA Zip ZZ Q OZ
Daytime Phone(434) 2 2.7 —S/ L{(j E-mail jam$ 4C s h1iM10 - ef1 ,%1eecI'Af, 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#
0
Fee Amount$ 200 Date Paid 12 ( sBy who? 8arrack1 /4o1!gl1 u Receipt# 162508 Ck# 171$ By: elec.,
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7/1/14,Revised: 7/10/14, 1/7/15 Page 2 of 2