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Home My WebLink AboutWPO201500087 Application 2015-10-30 414r0.1%-s., ,.--. Community DevelopmentDepartn.:.1110 Albemarle Dunty %ifse 401 McIntire Road Charlottesville,VA 22902-4! ' Voice:(434)296-5832 Fax:(434)972-4 st,*15..pf Planning Application PARCEL i 07WNER-INFORMATION TNT 03200-00-00-041L0 - owner(s): TOWN PROPERTIES LIC Application # WP0201500087 !PROPERTY INFORMATION Legal Description ACREAGE C6 ragisterial Dist. Rio 7 Land Use Primary Open Currert AFD Not in A/F District ri Current Zoning Primary Planned Development Mixed Commercial . . l'APPLICATION INFORMATION Street Acoress : Entered r . — Judy Martin f A pplicaticr Tv pe Water Protection Ordinances 7 1040/2015 . . _ Frc;ect Hollymeade Towncenter- (Area C) - Block 4 , Receivec Date ; 10/28/15 Received Date Final Submittal Date Total Fees 2 Closirc File Date I Submittal Date Final Total Paid 2 Revision Number Comments Legal Ao — ffSUB APPLICATION(s) i Ty pe Sub 4plication Comment Erosion and Sediment Control Plan iStormwater Management/BMP Plan 1 i , 'APPLICANT/ CONTACT INFORMATION - , Phone I PhoneCr ContactType 1 Name Owner'zwlicanTOWN PROPERTIES LLC 1778 HEARTHGLOW LANE CHARLOTTESVILL 22901 t Primary Contact KATURAH ROELL ., Address 1778 HEARTHGLOV#' LANE CityState I Zip CHARLOTTESVILL .22901 4349062702 1 1 1 i imi•mm...m.m.m.,,m Signature of Contractor or Authorized Agent Date of.A Virginia Stormwater Management Program (VSMP) .11 y9 Application for Albemarle County o=�' Project Name: Flo it yMeccd lot✓it - Bk'Ck_ C-4 (The name Should be the same as it appears on plans) Is this an amendment to an approved plan? Ye6 No ❑ Is this a revision or resubmission for review? Yes ❑ No)( County File Number:WPC) t 5 ' DQb¶ 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. t / 31-411_1 Town Property /t ', t S" Tax Map&Parcel Print Name of roperty 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 Kms-Una t/ ZCaG.. Address (17's 4-ec r4 1-73/ City (314or(o f ?SV 'lI� State UA Zip 2250l Daytime Phonect3t1) `t/b-Z 7c E-mail (> t tiro 115r niG,t �� Co'') V 7/1/14 RPviced• 7/10/14 1/7/14 Pam- 1 of 2 . 0 B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 2- -2--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 100 $6,100 $3,050 $450 100 and more $9,600 $4,800 $700 F r minor)amendments to an approved plan;$200 per review Variances; $150(per request Mitigation Plan;$150 �. Registration Statement on the official DEQ form. /. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. f�' . Stormwater Management Plan satisfying the requirements of code section 17-403. F. Pollution Prevention Plan satisfying the requirements of code section 17-404. . Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. I\./(A 0 H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. 0 J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for y correspondence(usually the plan preparer,consultant or agent) ,, Print Name M 1'04.0 VW(�'€vs e- ()0/01410 cel'! i ,r,rrJ�'! l 1 Address 1 7 2, 5. ?ciii./ 7S Di. City C114 VV -1 044,S V t I(e--- State VA Zip ?2/? if Daytime Phone(Lt3i £l7-81 U E-mail fififireirSO do In fig i'V)-mj i c049 When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# 'aon- 1 Fee Amount$ UO.o G Date Paid (J--2N9 71c-By who? I Vw A ?r b i2e-r `Receipt#i O\ci S Ck# )03 7 By: J 7/1/14 RPvicPrl• 7/10/14 1/7/14 PauP 2 nf2 ,; ► . Virginia Stormwater Ma gement Program (VSMP) `'"` ilk_� Application for Albemarle County trope"- ,IRCNaA Project Name: I114eT4 -7-/) ci — �/uC / G (The name shbuld be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No K Is this a revision or resubmission for review? Yes No ❑ County File Number: vVl"O go I �-0W J V (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. Signature of the Property Owner for each parcel: (Required with every submission or revision, NOT 7A. 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. 9 Z- 41 L.. I `MLA9N► ro •Ls ti 1�,, ,�,-.5-20E- \ - ( 3 • i s Tax Map&Parcel Print Name of Pro erty 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 lOW - Piler+feSf L46._ ' I N r r .roi ki Aaci f Address 7 t'! -1 w l7 1 -ems(�i�� L.�� City 040-W4J V 'I Le State 144 Zip Z2 oL Daytime Phone(1✓ l )(40t9-VOI-- E-mail1)&41,,,,-01.7 S►c--eiCl/170f, I, cum 7/1/14 RPvicerl• 7/1(1/14 1/7/14 Noe 1 of 2 ❑ B. All Fees [Code section 1208] 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;$150 XC. Registration Statement on the official DEQ form. D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. cE. Stormwater Management Plan satisfying the requirements of code section 17-403. `‘F. Pollution Prevention Plan satisfying the requirements of code section 17-404. XG. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name ki,16, v, rS Address L 7 Z 5 a Path 1 ifis D[ , City CA/Ike(b bt1.S V 1 I C State VA- Zip 7j7 1 1 Daytime Phone(q3' 171 -Y1 Z4 E-mail wim ,rs d,ivi *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14 Revicpfi• 7/111/14 1/7/14 Paap 2 of 2