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HomeMy WebLinkAboutWPO201600002 Application 2016-01-20 Albemarle ounty Community Development Departrr 401 McIntire Road Charlottesville;VA 22902-4! k• , 'toe *ipir Voice:(434)296-5832 Fax:(434)972-4 lit Planning Application PARCEL I OWNER INFORMATION TMP 060E2-00-00-00100 Owner(s): FARMINGTON COUNTRY CLUB Application # WP0201600002 PROPERTY INFORMATION Legal Description j FARMINGTON Magisterial Dist. Jack Jouett Land Use Primary Semi-public Current AFD Not in A/F District Current Zoning Primary Rural Areas [APPLICATION INFORMATION Street Address 1946 OLD MILL RD CHARLOTTESVILLE, 22901 Entered Judy Martin Application Type Water Protection Ordinances 1/20/2016 Project Farmington CountryCclub East Nine- VSMP-Amendment Received Date 01/19/16 Received Date Final Submittal Date 01/20/16 Total Fees 2 Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Legal Ad 1SUB APPLICATION(s) Type Sub Application Comment Erosion and Sediment Control Plan 01/20/16 APPLICANT/ CONTACT INFORMATION ContactT • Name Address J CAYState „ ,17,11cne_ Pfr: • Primary Contact WW ASSOCIATES, INC. - ATTN1 JOHN BEI 3040 AVEMORE SQUARE PLACE CHARLOTTESVILL 22911 4349842700 Applicant FARMINGTON COUNTRY CLUB/SCOTT KIN 1625 COUNTRY CLUB CIRCLE CHARLOTTESVILL 22901 4342455370 mmemeismiei Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) �� , Application for Albemarle County J,,�71ita`U�f`4 Farmington Country Club East Nine VSMP Amendment Project Name: Hole#4 Stream Bank Restoration Erosion&Sediment Control Plan (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes PI No ❑ Is this a revision or resubmission for review? Yes Pi No 0 County File Number: WPO-2015-00030 (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. ll 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. TM 60E, Parcel 2-1 Farmington Country Club Matt Wilkinson, President Tax Map&Parcel Print Name of Property Owner igna re o 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 Farmington Country Club -Attn: Scott Kinnan, Golf Course Superintendent Address 1625 Country Club Circle City Charlottesville State VA Zip 22901 Daytime Phone(434) 24.55-5370 E-mail skinnan@fccva.com 7/1/14,Revised: 7/10/14 Page 1 of 2 Now El B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 45.37 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 pl $200 er review Variances;$150 Mitigation Plan;$150 IN 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. N/A 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 correspondence(usually the plan preparer,consultant or agent) Print NameWW Associates, Inc. - Attn: John Beirne, P.E. Address 3040 Avemore Square Place City Charlottesville State VA Zip 22911 Daytime Phone(434) 984-2700 E-mail jbeirne@WWassociates.net *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$41),03 Date Paid 1-lc(. By who? i �� '� ' /l ILS Receipt# NM) Ck#OOcfj 0113y: Ll 7/1/14,Revised:7/10/14 Page 2 of 2 Near -.re W ENGINEERS laSURVEYORS PLANNERS ASSOCIATES TRANSMITTAL To: Matt Wentland, P.E. Date: January 19, 2016 Civil Engineer II Organization: County of Albemarle, VA 1NWA Project No: 214045.05 Dept. of Community Development 401 McIntire Road, Room 227 Charlottesville, VA 22902 Project: Farmington Country Club— East Nine Improvements VSMP Amendment Hole #4 Stream Bank Restoration Erosion & Sediment Control Plan WPO 2015-00030 No. of Copies Description 1 VSMP Application 1 Check in the amount of$200 2 SWPPP 2 Plans WW Associates, Inc. BY: i ` John D. Beir e, Jr., T Senior Project E •ineer 3040 Avemore Square Place•Charlottesville,VA 22911 Telephone(434)984-2700 •Fax(434)978-1444 Charlottesville •Lynchburg „soy Virginia Stormwater Management Program (VSMP) Ip® Application for Albemarle County \ _ Farmington Country Club East Nine VSMP Amendment Project Name: Hole#4 Stream Bank Restoration Erosion&Sediment Control Plan (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes a No 0 Is this a revision or resubmission for review? Yes a No 0 County File Numberd 'a'° (to be provided by the County for new applications) Lt) AOtiPZ 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. ll 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. TM 60E, Parcel 2-1 Farmington Country Clubit 4 J Matt Wilkinson, President dy / Tax Map&Parcel Print Name of Property Owner Si natute of Owner p y g pate 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 Farmington Country Club - Attn: Scott Kinnan, Golf Course Superintendent Address 1625 Country Club Circle City Charlottesville State VA Zip 22901 Daytime Phone(434) 245-5370 E-mail skinnan@fccva.corn 7/1/14,Revised:7/10/14 Page 1 of 2 fi' ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 45.37 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 pla • $200 ,er review Variances;$150 Mitigation Plan;$150 ® C. Registration Statement on the official DEQ form. ® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. El G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. El H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ® I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. N/A ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name WW Associates, Inc. - Attn: John Beirne, P.E. Address 3040 Avemore Square Place City Charlottesville State VA Zip 22911 Daytime Phone( 984-2700 E-mail jbeirne@wwassociates.net *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# - j%5 -00036 / Fee Amount$,- Ce:).. Date Paid 3-II4p By who?r401/ lei I. Receipt# /o33/e`t Ck#Oa1169l By'''.4/ A/ 0c,s.,Ur2y itt b ree/5 it,t tfej 7/1/14,Revised: 7/10/14 Page 2 of