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Home My WebLink AboutWPO201400106 Application 2014-12-29 Albemarle cou�.�/-.,, Community DevelopmentDepartment ! ., /`" /t 1 401 t+" 're Road Charlottesville,VA 22902-4596 Planning ApplicationNeve : (434)296-5832 Fax:(434)972-4126 ,PARCEL/ OWNER INFORMATION TMP 07600-00-00-01300 Owner(s): UNIVERSITY OF VIRGINIA REAL ESTATE FOUNDATION Application* WP020140 1 06 PROPERTY INFORMATION Legal Description I ACREAGE FOX HAVEN FARM Flagisterial Dist. .Samuel Miller Land Use Primary Residential-- Single-family(incl. modular home) • Current AFD ' Not in A/F District 9 Current Zoning Primary R1 Residential APPLICATION INFORMATION Street Address 307 FOXHAVEN FARM CHARLOTTESVILLE,22903 Entered By anielle aiRoth application Type Water Protection Ordinances + 12/29{2414 Project Foxhaven Farm:Sanitary Sewer Plan-VSMP Received Date 12/22/14 Received Date Final Submittal Date Total Fees 290 Closing File Date Submittal Date Final Total Paid 290 Revision Number Comments I 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 PhorneCeil ow"extAp -_slit 'UNIVERSITY OF VIRGINIA REAL ESTATE `PO BOX 400218 CHARLOTTESVILL 22904 4349825304 ,a;Itca rt ERIC WOOLLEY 220 EAST HIGH STREET CHARLOTTESVILL 22902 4349730045 ..... ........... • Signature of Contractor or.Authorized Agent Date 'w/ "wri te AL% • Virginia Stormwater Management Program (VSMP) ®ma Application for Albemarle County Project Name: 1C (G(Vi vt art ' (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No,k 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 17-4011. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. 64 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. '7Co (3 OvA ct v�c�aa ►�.. `� M i (it( Tax Map&Parcel Print Name of Property Owner ✓ Si nature of Owner /1 ate prh' g f e - (3 4 Ott SS z Tax Map&Parcel Print Name of Property Owner Signature of 0 er D ate 7‘,0- 13j OVA ass lZ(8(( Tax Map&Parcel Print Name of Property Owner Signature of wner/a'gCji f Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for ttheOwner(s)to receive correspondence: Print Name `a 464-4 Olt , V�✓4 JL ��y-. Address POi// 2( City t;rlt 0 ((— State VA Zip ZZlc'f Daytime Phone f3`1) qZ'7 s E-mail S%ft( v �/+Y�.)4,"• CGt v 7/1/14,Revised:7/10/14 Page 1 of 2 Amo, 0B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0 1 5 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;$150 ❑ C. Registration Statement on the official DEQ form. ler D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Eric. CoA‘e Address 2.20 tcAsi- ` City C he r' of i S V 11 `! State V Y-T Zip 229 02. Daytime Phone(jj 3'I) 9/3--00q 5 E-mail e k")00I 1 C.Ut @ L.C O t t l,j" e.r Cj •Co rn *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# `` fr Fee Amount$Z4::40.'.•D Date Paid'Zink By who?u n l ve.rf 1'1l o-c- Receipt#4(1)4% Ck# y O G9 0 By:,L))( �/ilglnl9 �oVe1GIo✓"' 7/1/14,Revised: 7/10/14 Page 2 oft