HomeMy WebLinkAboutWPO201500107 Application 2015-12-23 ent
$ fti Albemarle countyComrnunityDeve ille,V Development 96
IA �+ 401 ta4c.lntire Road Charlottesville.VA 22902-4596
.A Voice: (434)296-5832 Fax : 1:434)972-4126
• •., : • Planning Application
PARCEL / OWNER INFORMATION
TMP 056A2-01-00-07200 Owner(s): CLAUDIUS CROZET PARK INC
Application# WPO201500107
PROPERTY INFORMATION _
Legal Description 1 ACREAGE PARCEL Al CLAUDIUS CROZET POOL
Magisterial Dist. White Hall +i Land Use Primary Commercial NI
Current AFD Not in A/F District RI, Current Zoning Primary Rural Areas 1+1
APPLICATION INFORMATION _ — _—
1 Entered By
Street Address 1075 CLAUDIUS CROZET PARK CROZET, 22932 I
Judy Martin +
Application Type Water Protection Ordinances +i
112/23/2015
Project Claudius Crozet Park Perimeter Trail - VSMP
Received Date 12/23/15 Received Date Final Submittal Date 12/23/15 Total Fees 1350
Closing File Date Submittal Date Final Total Paid 1350
Revision Number
Comments A
Legal Ad AV
SUB APPLICATION(s)
Type ;Sub Applicatio Comment
Erosion and Sediment Control Plan 12/23/15
Stormwater Management/BMP Plan 12/23/15
'APPLICANT /CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhoneCell
m rer,"'4,70oart 'CLAUDIUS CROZET PARK INC !P 0 BOX 171 `CROZET VA. 22932 .
o-ma,e : :s:t ALAN FRANKLIN, PE 42; CR'ANBERRr LANE CROZET,W';+., 22932 4345315544
Signature of ContractororAuthorized Agent Date
•
„ e illsv .
Virginia Stormwater Management Program (VSMP)
Application for Albemarle County
Project Name: Claudius Crozet Park Perimeter Trail
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes D No e
Is this a revision or resubmission for review? Yes ❑ No Ei
County File Number: 46 1\b• 107 (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.
0 A. Signature of the Property Owner for each parcel: (Required with every submission or revision, N 0 T
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.
56A2-01-72 Claudius Crozet Park, Inc. /2 -/GP
Tax Map&Parcel Print Name of Property Owner i ature Owner Date
56A2-01-72A Claudius Crozet Park, Inc. v j2 —
Tax Map&Parcel Print Name of Property Owner Si ature 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 NameClaudius Crozet Park, Inc; Kim Guenther
Address P.O. Box 171
City Crozet / State VA Zip 22932
Daytime Phone( -g* f 7 s �> kE-mail guentherkim@gmail.com
7/1/14.Revised: 7/10/14. 1/7/14 Pane 1 of 2
WI B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed 2.13
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;$150
O C. Registration Statement on the official DEQ form.
O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
O E. Stormwater Management Plan satisfying the requirements of code section 17-403.
O F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print NameAlan Franklin, PE
Address 427 Cranberry Lane
City Crozet State VA Zip 22932
Daytime Phone(434 ) 531-5544 E-mail alan@alanfranklinpe.com
*When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$t ,(t Date Paid1 �� By who? 4' ''6. „4 J I y Receipt# ,( Ck# ) By:
. •S (iftgn
7/1/14_Revised:7/10/14. 1/7/14 Pane 2 of 2