HomeMy WebLinkAboutWPO201500030 Application 2015-05-18 Community Develo pment Department
' Albemarle County 401 Mclntr dGhlottesvjVA2292-4596
Voice 4)296-5832 Fax:(4a4)972-4126
Planning Application *001K
et 4.-•
PARCEL 7 OWNER INFORMATION
TMP 060E2-00-00-00100 Owner(s): FARMINGTON COUNTRY CLUB
Application# WP0201500030
PROPERTY INFORMATION
Legal Description FARMINGTON
Magisterial Dist. Jack Jouett Land Use Primary Semi-public
Current LFD Not in A/F District Current Zoning Primary: Rural Areas
APPLICATION INFORMATION
Street ddress 1946 OLD MILL RD CHARLOTTESVILLE,22901 Entered By
Emily Lantz
LpplicationT,pe Water Protection Ordinances 15,9.812015'
Project Farmington Country Club East 9 Improvements
Fecer.ed Date 05/13/151Received Date Final Submittal Date Total Fees 2400
Closing File Date Submittal Date Final Total Paid 2400
F.ei,ision Number
Comments
Legal Lid r-r-
SUB APPLICATION(s)
Type Sub Applicatio Comment
Stormwater Management/BMP Plan
Stream Buffer Mitigation Plan
Erosion and Sediment Control Plan
APPLICANT / CONTACT INFORMATION
ContactTypeL Name Address CityState Zip Phone PhoneCell
3,-E" •=e FARMINGTON COUNTRY CLUB 1625 COUNTRY CLUB CIRCLE CHARLOTTESVILL 22901
SCOTT UNMAN 1625 COUNTRY CLUB CIRCLE CHARLOTTESVILL 22901 4342455370
Signature (if Contractor or Authorized Agent Date
Nioe ,* it rr<rr
Virginia Stormwater Management Program (VSMP) ,�
Application for Albemarle County 4 `
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Project Name: Farmington Country Club East 9 Improvements-VSMP and Mitigation Plan
(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 ❑ No 0
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.
Farmington Country Club
TM 60E, Parcel 2-1 Matt Wilkinson, President cJ /�j~
Tax Map&Parcel Print Name of Property Owner gnature of Owner to
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.com
7/1/14,Revised: 7/10/14 Page 1 of 2
.,.,�
® B. All Fees [Code section 17-208]
For new or modified plans;Total acres proposed to be disturbed 43.47
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 0$2,250 $300
50 and less than $6,100 "S3, $450
$450
100
100 and more $9,600 $4,800 $700
For(minor)amendments to an approved plan;$200 per review
Variances;$150
Mitigation Pl. ;$150
l C. Registration Statement on the official DEQ form.
® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
® E. Stormwater Management Plan satisfying the requirements of code section 17-403.
® F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
® H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
N/A ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
N/A ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
PrintNameWW Associates, Inc. - Attn: Turner Perrow, Jr., P.E.
Address 3040 Avemore Square Place
City Charlbttesville State VA Zip 22911
Daytime Phone(434) 984-2700 Email tperrow@wwassociates.net
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date'of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ I' ( •U 4 Date Paid S—t 3—I S By who? St-4,1+ K i„✓twl Receipt# ��1r l 0 ek# v.33'1 By:
92 co c� 5-t3-I S' Fti�rM �rr (.„„ clu , ['9y3 I C,?)+.t31
7/1/14,Revised: 7/10/14 Page 2 of 2