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Home My WebLink AboutWPO201500044 Application 2015-07-09 Albemarle Cot ty Planning Application PARCEL OWNER INFORMATION T"P 08600-00-00-107A ^.r1Zr : NA BUNDORAN FARM LIC C/O NATURAL.ASSETS Application u WPO201500044 PROPERTY INFORMATION t.e33;i<Eea:r t:: ; BUNDORAN FARM H8D Samuel Miller +; _ -se f a Unassigned : rent :FD Not in A/F District + Currant _ ar, Rural Areas +_ _._..........._......_.... . _........._._..._....-. ... _._..........- __..._._.. .. ...E APPLICATION INFORMATION Street Pd. eas Fntc"ea , »G, ( ca=. in sOrdinances ��._.. amens Roth +' Water Protection Ordinances ,.',c15 Pr;ie-t Bundoran Farm Lot H-80 &H-8R - Mitigation Plan Recer.ed Cate Fd7/O8/15 1 F.ez.e ,ed Cate FEnal r- _ ,.natal Date; } Tha =ees` 150; :'t”Ing F. L=ate .u;r,,tt.a ;.:".ate Final' , 7;taE Pe 1501 _. nerve ISUB APPLICATION(s) r T" Sub " scat#€ ° Current Stream Buffer Mitigation Plan ....._..__..._____._��_.__.__. ............_._.._. i .APPLICANT / CONTACT INFORMATION Lt.r<£3 tl e N?..rre Address 7 CE Statetea^ FtvfE jP r SII .aw EiEP#:,<,F'i E! F=�'P•1: �. ;l=TIJ :. ..t .. ... _ c :.' E .; CL1P1T HLRMO°i PCJC;:EUS S.LE !`I. .T: .....s cti _ -a< TT -"'G:2 434977:2;2,3- d.nature Agent 4%1 ar AL Virginia Stormwater Management Program (VSMP) Application for Albemarle CountyviR_to Project Name: Bundoran Farm Lot H-8D &H-8R (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No Chi ' Is this a revision or resubmission for review? Yes 0 No CA 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 fo g p v teach 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, 08600-00-00-107A0 NA Bundoran Farm,LLC /-C'c. 07/08/2015 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 NA Bundoran Farm,LLC Address 123 E.Main Street 2nd Floor City Charlottesville State VA Zip 22902 Daytime Phone(434) 352-6458 E-mail m.hahaj@naturalretreats.com 7/1/14,Revised:7/10/14 Page 1 of 2 �... `✓ 0 13. 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 Vayrjances.$150 Mitigation Plan;$150 O C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. O E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. E1 H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Clint Harmon-Roudabush,Gale&Assoc. Address 914 Monticello Road Cit} Charlottesville State VA p Zi 22902 Daytime Phone(434 ) 977-0205 E-mail charmon@roudabush.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ t'0 Date Paid 7''3'1 S By who? -kY C!,,r r.kk _rtevv, Receipt f! I oc-S g d).., Ck# I S ] I By: - 7/1/14,Revised:7/10/14 Page 2 of 2 OF ALyR,I' Virginia Stormwater Management Program (VSMP) oM _ Application for Albemarle County Project Name: �..-ok DD - of ab--, -totes es�-►� c ai��, l fh/1,07 (The name should be the same as it appears on plans) '\ Is this an amendment to an approved plan? Yes 0 No Gi3 Is this a revision or resubmission for review? Yes No 0 County File Number: W?o Z D15 Qap l( (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. qt - t o yr WA ?MAJoranT11- LLQ 84/. Is Tax Map&Parcel Print Name of Property Owner Sign:';re of Owner Date 1 I 0LI AM- _'— S. I`!-is Tax Map&Parcel Print ame of Property Owner Sign re of Owner Date O L4 i • - - �' �.L / 8. Tax Map&Parcel Print Name of Property Owner Signn.r- of Owner Date $CQ — N4 4,-61 ofQ—,-1,f., LA-4- / &'•19.14- Tax 19.1s TaQx/M,Map&Parcel �P1rmt Name of Property Owner Signature of Owner Date DtP - I O) 1�/A- I7 Jor - r •+ Contact Information for the Owner(s)to receive correspondence: Print NamedK / L L t� �" � n O��(ail^ 4"G�,/'vv-�� - Address ( 2- 3 C asf A()4-1 64 fo• City C hAr (o-f+t 5V. !I C State VA' Zip 2-2 oZi Daytime Phone(H3$ 3 5 Z— (n y S S E-mail • 1 w ova S, r n, rti o6 7/1/14„ Revised:7/10/14 Page I of 2 Nome, =wise 4)4. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed C/n 9 A 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;$150 IX. Registration Statement on the official DEQ form. 4Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. LiE/ Stormwater Management Plan satisfying the requirements of code section 17-403. Ca'F. Pollution Prevention Plan satisfying the requirements of code section 17-404. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. re5ourc.e 5.I re, .. ?rel ed e :4-11 S ht:eel C.,I vcrl pr.�cc or,olw.', c�sl•�.l v, «.,.(Fa«.9osF-1ci.rhetSF Via. E1-5 R'H. Mitigation Plan satisfying the requirements of code section 17-4('6 for any proposed disturbance of scs;y,. stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. D J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person/for correspondence(usually the plan preparer, consultant or1agent) Print Name A)4 n 7 rA 410: n / Wit��/$/reG� 7`7N I:a , 6- Address Address '//O &R 0 1774,"n es Cr City �! A c/'o ( S v. JJ ( State VA- Zip Z2.1b a Z.- Daytime Daytime Phone(431) L3" 7 ) E-mail Di C./GI 171 1 I;D. ne." — *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# QC i S "- H' Q Fee Amount$aQ q.v* Date Paid -I' -l S By who? &A-r Jotc Fart-. Receipt# I OIC 3 Ck# l e 0 CI By: P-S 42... LL L 7/1/14. Revised: 7/10/14 Page 2 of 2