HomeMy WebLinkAboutWPO201500037 Application 2015-06-22 :e AlbemarCounty
Community DevelopmentDepartmerrt
Albemarle 401 Mclnti 'lad Charlottesville.VA22902-4596
Voick ;41 296-5832 Fax:(434)972-4126
4100)Planning Application Nagel Community
. ARCEL/ OWNER INFORMATION
TMP 05600-00-00-03600 Owner(s): FRANK,ANN JARMAN &WALTER M JARMAN JR&GEORGE BUR1
Application# WPO2OI 500037
PROPERTY INFORMATION
Legal Description I ACREAGE
Magisterial Dist,` White Hall LiLand Use Primary Residential --Single-family (incl. modular home• +�
Current.AFD Not in A/F District # Current Zoning Primary: RI Residential ..7j
APPLICATION INFORMATION
Street Address 5700 JARMAN RDG CROZET,22932 Entered By
Emily Lantz
Application Type i Water Protection Ordinances . ,._2)20-_.__15...
_. _
___
5r2
Project Chesterfield Landing - VSMP
Received Date 06/19/15 Received Date Final Submittal Date Total Fees 2250
Closing File Date Submittal Date Final Total Paid 2250
Revision Number
Comments
Legal Ad
t
SUB APPLICATION(s)
Type Sub Applicatio Comment
Stormwater Management/BMP Plan .
Erosion and Sediment Control Plan
Stream Buffer Mitigation Plan
APPLICANT / CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhoneCell
OwnrriApp4-nnt FRANK,ANN JARMAN&WALTER M 9 HUNTERS TRAIL WAYNESBORO VA 22980-
?nmsryCc-rte_t pJUSTIN SHIMP X201 E MAIN ST SUITE h1 CHARLOTTESVILL 22902 4342275140
Signature of Contractor or Authorized Agent Date
Noe .00
Virginia Stormwater Management Program (VSMP) devc
J ►'
Application for Albemarle County Over.
Project Name: Chesterfield Landing
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes 0 No
Is this a revision or resubmission for review? Yes 0 No
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 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 e ter upon the property as required to ensure
compliance with the approved plans and permits.
56-36 SM Charlottesville, LLC C/i9 is
Tax Map&Parcel Print Name of Property Owner n t, e of Owner Date
Contract Purchaser •• j
56-36A SM Charlottesville, LLC 11 c
Tax Map&Parcel Print Name of Property Owner Si: u f Owner ate
Contract Purchaser
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 Jess Achenbach
Address P.O. Box 645
City Charlottesville State VA Zip 22902
Daytime Phone( ) E-mail
7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2
,4410 Nftwie
® 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.
O 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.
❑ 1. 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 Justin Shimp
Address 201 E Main St, Suite M
City Charlottesville State VA Zip 22902
Daytime Phone(434) 227-5140 E-mail justin@shimp-engineering.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 S W.5V•Ov Date Paid b-1`1'l S By who? Crat.-e t AA- 'Pol-I-A*5 Receipt# nO"s5'Ck# ( oct By: A--"3(7...._
7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2
Virginia Stormwater Management Program (VSMP)
,Ymt
Application for Albemarle County
tLN*
Project Name: Chesterfield Landing
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes 0 No
Is this a revision or resubmission for review? Yes ® No 9
County File Number: i 0 201c 00051 (to be provided bythe
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.
58-36 SM Charlottesville, LLC
Tax Map&Parcel Print Name of Pro
Contract Purchaser Si„` 'f Owner Date
56-36A SM Charlottesville,LLC 110e/1V
Tax Map&Parcel Print Name of Property Owner Signa f Iv ier
Contract Purchaser
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 Jeremy Swink
Address 200 Garrett St, Suite B
City Charlottesville State VA
Zip 22903
Daytime Phone
( )------------_..__.--`__- E-mail
7/1/14,Revised:7/10/14,1/7/14 Page 1 oft