HomeMy WebLinkAboutWPO201500049 Application 2015-07-28 e-04ft4',, Community Development Department
) .t. Albemarle County 401 Mcl ntire Road Chad ottesvil I e.VA 22902-4596
...,, Voice:, 296-5832 Fax:(434)972-4126
lki.747-1.7 Planning Application Noe owl
PARCEL/ OWNER INFORMATION
TMP 056A2-01-00-07000 Owner(s): PIEDMONT REALTY HOLDINGS I LLC
Application# WP0201500049
PROPERTY INFORMATION
Legal Description 1ACREAGE 17-18-19 fr
Magisterial Dist.;White Halt L..] Land Use Primary Open
Current AFD Not in A/F District ----_1] Current Zoning Primary Downtown Crozet District v
. ........._
APPLICATION INFORMATION
Street Address .I Entered By
Emily Lantz v
Application Type Water Protection Ordinances ,
I 7128/2015
Project Claudius Center
Received Date 07/22/15 Received Date Final Submittal Date Total Fees 145
Closing File Date Submittal Date Final Total Paid 145
Revision Number
Comments
Legal Ad f,
!SUB APPLICATION(s)
Type Sub Applicatio Comment
!Stream Buffer Mitigation Plan
Stormwater Management/BMP Plan
Erosionand SedfMent ContrOt Plan
APPLICANT /CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhoneCell
ovirlf.09;4rAnt-, PIEDMONT*AarkotiAGS I LLC ' 1,6$35 WOODBOU'RNE LANE awn-TVA 22932
zn+-sa,-y Cr:rtatt 'SCOTT COLLINS 200 GARRETT ST SUITE K CHARLOTTESVILL 22902 4342933719
Signature of Contractor or Authorized Agent Date
Virginia Stormwater Management Program (VSMP)
Application for Albemarle County .nom'
Project Name: CLAUDIUS CENTER
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ® No 0
Is this a revision or resubmission for review? Yes 0 No IE
County File Number: WP0201200014 (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.
IN 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 upo he property as required to ensure
compliance with the approved plans and permits. /
54A2-01-70 Pttihm0^ 1440*(3L1 /4.0001•46s 1 ?.!o•I S
Tax Map&Parcel Print Name of Property Owner Signatur. i f• ner 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,,receivee/ correspondence:
Print Name /4`t 0 .4 C- heti.W✓.1.7 (-1
Address (0S" S W00o60'.u4 c - -'c
City C 4.O2-f--.7 State 1)v1 Zip 01-111-
Daytime
-13LDaytime Phone(`M 141' 7(4(4.5 E-mail Dit-e'^' 141 PltZt,`"0•0z- el -
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El B. All Fees [Code section 17-208]
For new or modified plans;Total acres proposed to be disturbed 0.98 AC
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;$150
C. Registration Statement on the official DEQ form.
® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
O E. Stormwater Management Plan satisfying the requirements of code section 17-403.
II] F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
EV G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
O J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name SCOTT COLLINS-COLLINS ENGINEERING
Address 200 GARRETT STREET. SUITE K
City CHARLOTTESVILLE State VA Zip 22902
Daytime Phone(434) 293-3719 E-mail scott@collins-engineering.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
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Fee Amount$)y c.A% Date Paid/-7/ZL ��By w ��/�lIM a/ Receipt# /6075 Z Ck#3 3 SO By: /...)/
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