The URL can be used to link to this page

Home My WebLink AboutWPO201600049 Application 2016-07-11 Albemarle Community Development Department 'Naditioi01 rort ntire Road Charlottesville,VA 22902-4596 Voice:(434)296-5832 Fax: (434)972-4126 Planning Application PARCEL / OWNER INFORMATION TMP OSSEO-01-00-000AI Owner(s) MARCH MOUNTAIN PROPERTIES LLC Application# WP0201600049 PROPERTY INFORMATION Legal Description I OLD TRAIL PARENT TRACT OLD TRAIL Gt)LF CLUE4&PARENT 11 A Magisterial Dist, White Hall Land Use Current Zoning Primary Primary commercial Current AFD i Not in A/F District El Rural Areas APPLICATION INFORMATION Street Address 549-6 GOLF DR CROZET, 22932 Entered Ey Judy Main ---- Application Type [Water Protection Ordinances 17/11/2016 Project Old Trail Village-alk. 22-Waste Area Erosion Control Plan-VSP/P Received Date 07/07/16 Received Date Final Submittal Date 07125/16 Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments A Legal Ad SUB APPLICATION(s) Type Sub Applioetio Comment Erosion and Sediment Control Plan 07/25/16 APPLICANT / CONTACT INFORMATION ess I a te 1 Zip, Phone Pi-ospoeCeii te°t..„. TY ! • ; ;;yT:L:.;;ict BILL LEDBETTER-ROUDABUSH& GALE 914 MONTICELLO ROAD CHARLOTTESVILL 22902 4349770205 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: Old Trail Village Block 22 Waste Area Erosion Control Plan (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 66 Is this a revision or resubmission for review? Yes ❑ No WI County File Number: WPO 201400012 (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]pon the property as required to ensure compliance with the approved plans and permits. ) 7 55E-01-A1 March Mountain Properties LLC M_ "1-0/ /721 if 6 Tax Map&Parcel Print Name of Property Owner '''S;,gfiature o er 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 Old Trail Village- Dave Brockman Address 1005 Heathercroft Circle-Suite 100 City Crozet State VA Zip 22932 Daytime Phone(702) 987-9088 E-mail dave@oldtrailvillage.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 Nope ‘4141101 ® B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 3.0 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;$150 ® C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Bill Ledbetter-Roudabush and Gale Address 914 Monticello Road City Charlottesville State VA Zip 22902 Daytime Phone(434) 977-0205 E-mail bill@roudabush.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$tWYQODate Paid VT-VD By who?a'ad r Receipt#rogbl Ck# Vitt By: q(1.1' 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 Nrisol" 'sow Registration Statement General VPDES Permit for Discharges of Stormwater from Construction Activities (VAR10) (Please Type or Print All Information) 1. Construction Activity Operator: (General permit coverage will be issued to this operator. The Certification in Item#12 must be signed by the appropriate person associated with this operator.) Name:March Mountain Properties, LLC Contact:David Brockman, Development Manager Mailing Address: 1005 Heathercroft Circle, Suite 100 City:Crozet State:VA Zip:22932 Phone:702-985-9088 Email address(if available): Indicate if DEC)may transmit general permit correspondence electronically: Yes I No L__i 2. Existing General Permit Registration Number(for renewals only):VAR100043 3. Name and Location of the Construction Activity: Name:Old Trail Village Subdivision Address(if available): City:Crozet State:Virginia Zip:22932 County(if not located within a City):Albemarle Latitude(decimal degrees):38.0583 Longitude(decimal degrees):78.7106 Name and Location of all Off-site Support Activities to be covered under the general permit: Name: Address(if available): City: State: Zip: County(if not located within a City): Latitude(decimal degrees): Longitude(decimal degrees): 4. Status of the Construction Activity(check only one): Federal State Public I I Private{} 5. Nature of the Construction Activity(e.g.,commercial,industrial,residential,agricultural,oil and gas,etc.): Residential 6. Name of the Receiving Water(s)and Hydrologic Unit Code(HUC): Name:Lickinghole Creek Name: HUG:JR02 HUC: 7. If the discharge is through a Municipal Separate Storm Sewer System(MS4),the name of the MS4 operator: 8. Estimated Project Start and Completion Date: Start Date(mm/dd/yyyy):05/31/2014 Completion Date(mm/dd/yyyy):05/31/2019 9. Total Land Area of Development(to the nearest one-hundredth acre):237.35 Estimated Area to be Disturbed(to the nearest one-hundredth acre): 113.83 16. Is the area to be disturbed part of a larger common plan of development or sale? Yes{}No n 11. A stormwater pollution prevention plan (SWPPP)must be prepared in accordance with the requirements of the General VPDES Permit for Discharges of Stormwater from Construction Activities prior to submitting this Registration Statement. By signing this Registration Statement the operator is certifying that the SWPPP has been prepared. 12. Certification: "I certify under penalty of law that I have read and understand this Registration Statement and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonmenjfor knowing violations." Printed Name:James L. Jesse Title: Manager Signature: _-.44f1,(.4 1,1*:;,;Pt: ;. Date: &/2.(t Ic (Please sign in INK. This certification mukbe signed by the appropriate person associated with the operator identified in Item#1.) 07/2014 Page 1 of 1