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Home My WebLink AboutWPO201500102 Application 2015-12-07 Albemarle unty� Community Development Departrr Nor' Noe 401 McIntire Road Charlottesville.VA 22992-4; Plannin A Iscation Voice :(434)296-5832 Fax:(434)972-4 9 PP PARCEL)"OWNER INFORMATION TMP 03200-00-00-041D1 Owner(s): PEQUA LLC Application # WPO2O1500102 PROPERTY INFORMATION Legal Description ACREAGE - --- Magisterial Dist. Rio Land Use Primary Open Current AFD Not in A/F District Current Zoning Primary Planned Development Shopping Center APPLICATION INFORMATION Street Address _ Enterec Application Type Water Protection Ordinances Judy Martin 112P/2015 Protect Timberwood Commons- VSMP Received Date 12/Q7J15 Received Date Final Submittal Date 12jQ7/15 Total Fees 2 Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Legal Ad __ .... ... SUB APPLICATION(s) Type Sub Application Comment Erosion and Sediment Control Plan 12/07/15 Stormwater Management/BMP Plan 12/07/15 APPLICANT/ CONTACT INFORMATION ContactType Name ,gess PEcitiALLC:; CityState Zip—1 Phone (�PhoneCe Owner/Applicant 620 1�d{)C5t?@RC3i714 DR sum CFi,4RL4TEU'II.L 22901 Primark Contact ROBBY KOLL 400 LOCUST STE ° ARLOTTESVILL AVE,, . „ CH22 . ... �_50_ 4349776400 Signature of Contractor or Authorized Agent Date N.w ti.r of A Virginia Stormwater Management Program (VSMP) e� r Application for Albemarle County L��pSp Project Name: T M C r r tO,n (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 0 Is this a revision or resubmission for review? Yes 0 No 0 County File Number: 20 t 2 000 (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. 0 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 andnnpermits. 7)1-14 l D1 -it emkTy'Ukxio� l�lmnvtun1- / -5/94.— Tax Map&Parcel Print Name of Property Owner igna ur f Own Dat 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 Name2cbby N G l Address It OD LOCA-) i/L . , 3 City Gn r-to'W v e-- State J/li Zip 2-Q-cic.J 'Z Daytime Phone) -I CO A,(.j E-mail VO\o ( IOWA.Cor. CU"e‘ A 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of2 N 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 100 $6,100 $3,050 $450 100 and more $9,600 $4,800 $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. ❑ 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 SU S'F1 VA J t M e Address //��2(3t E (tal,n S� Ste. M City G(1.ro 1 Le t\(l e. State vA zip 729o2 Daytime Phone(ite) L2' S 1 40 E-mail O—A- n ( (tl1G,.CUn'1 *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$ 2.-4.0. Date Paid tkW/slily who? 13/11C o 7€rc,1,in Receipt# 1 '? pp K�OCk# '- cM By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 41111112 oc Request for Pre-construction Meeting and Grading PermitAt ?' from Albemarle County �� v Approved Plan Number: WPO- 2.0/S 00/02 Approved Plan Name: 7 — J4.1/430 eim ga/7f (Plans must be approved prior to a pre-construction meeting.) Bond approved date: (Bonds must be approved and posted prior to a pre-construction meeting or permit.) Responsible Land Disturber: Print Name:i /�e • 1+h1 Lpfy /— State Certification Number: i40 022,0Z— Address io Address L /a �j°� J 900 L-r I'C-C')p /Y't/G, PIOS City C�f1 C_47'rC3 vtoes, State 14- Zip 2.2.-90L Daytime Phone(t__ 96 L -0307 E-mail 7747 Primary Contractor: Print Name / / iI .. `// • Address 449t? Z.0C-4,Y7 ASI City /`[p 'P'J�+r/lG State �A- Zip 2290 Z_ Daytime Phone( ' 9774 s'v 0 E-mail fet6yC°J' MG o, ,. Co."? Permit Issuance and First Year Maintenance Fees: (Request must include payment) Total acres proposed to be disturbed is contained on the approved plan and application: VSMP: Acres to be disturbed Fee Due at Grading Permit Less than 1 . 98L $63.80 1 and less than 5 $594.00 5 and less than 10 $748.00 10 and less than 50 $990.00 50 and less than 100 $1,342.00 100 and more $2,112.00 For plans exempt from VSMP,VESCP fees were paid with the application. 7/1/14,Revised:8/29/14 Page 1 of 3 Person(s)to attend the Pre-construction Meeting: Names(type or print) Firm Contact Number or email d a/nl- 3 - 77 ' -r' &n "f'-9�z-v vy��,:. �- -� cum, .a-y 9Je-/- sZe-S QA ,/ 4--s'd,fr, The second part of the application fee is required to be paid with this request. This fee amount is; FOR OFFICE USE ONLY Permit Issued Dote By who? 7/1/14,Revised:8/29/14 Page 2 of 3