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Home My WebLink AboutWPO201500072 Application 2015-09-22 Community Development Department ft' Albemarle County 6101 McInti• Mad Charlottesville,VA22902-4596 V OiCt A)296-5832 Fax:(434)972-4126 Planning Application Neve Noe PARCEL OWNER INFORMATION IMP 08000-00-00-16900 Owner(s): BSP FARMS LLC C/O R C HOLSINGER Application# WP0201500072 PROPERTY INFORMATION Legal Description I ACREAGE PARCEL A BRIDLESPUR FARM Magisterial Dist, Rivanna Land Use Primary Residential -- Single-family (incl. modular homeo Current AFD Keswick Current Zoning Primary Rural Areas . _ APPLICATION INFORMATION Street Address 366 BRIDLESPUR FARM KESWICK,22947 Entered By Emily Lantz Application Type ,Water Protection Ordinances 7.1 f 9122/2015' Project Bridlespur Farm Received Date 09/17/15 Received Date Final Submittal Date Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments Legal Ad 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 PhorieCell aNreriApplicant BSP FARMS LLC C/O R C HOLSINGER 117 VIP DR SUITE 220 WEXFORD PA 15090 Pr,,ary Czrtae BSP FARMS P.O.B0\333 HUME VA 22639 5402192984 Signature of Contractaror Authorized Agent Date ii-t4filr*-Fp ALB,o.Virginia Stormwater Managc.rent Program (VSMP) .w° .-m Application for Albemarle County tRGIN\P Project Name: .15h61 le.e:Var ilk, (The name should be thee as it appe49j( rs on plans) Is this an amendment to an approved plan? Yes D No 10/ Is this a revision or resubmission for review? Yes ❑ No 2-- 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 enter upon the property as required to ensure compliance with the approved plans and permits. 0 , CO �iCl its, rl( ;� t % q r i, c; Tax Map&Parcel Print Name of PropertyO er Signatu of wner 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 IP rttn' 'c t Ij CA 6 07 Address ?'° 1'$ .� City ‘outaie State \lu _ Zip 2192,11 Daytime Phone t,,I , E-mail e n y ( � -M34 f'�/�" CC'� �C�l , c0 YI't c j ! c, 7/1/14, Revised: 7/10/14, 1/7/14 Page 1 oft ❑ B. All Fees [Code section 17-20`x' ✓ For new or modified plans; Total acres proposed to belI 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; $150 Q'C. Registration Statement on the official DEQ form. Q D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. Q'E. Stormwater Management Plan satisfying the requirements of code section 17-403.pex CSF. Pollution Prevention Plan satisfying the requirements of code section 17-404. E"G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. -_� /H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer, consultant or agent) Print Name Address City State Zip Daytime Phone( ) E-mail *When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# I /ll c11� yCa5{-l->v Receipttill()Ck# -Cl-1By.___ Fee Amount$ I � _U Date Paid �—�' B who? ��`— # 01C] Fill"1-`42.r rer`1 - "iin.L 7/1/14, Revised: 7/10/14, 1/7/14 Page 2 of 2