HomeMy WebLinkAboutWPO201500077 Application 2015-09-28 ..,.. #,11,. ,,!,.- Albemarle County Co rtt mun ity Development Department
401 ti,i1cIntir,-Rattii Charlottesville,VA 22902-4696
,.. ., .
. Voice ‘,4)296.5a32 Fax:t434)9724126
Planning Application 'illiefo' ligio' .
PARCEL/ OWNER INFORMATION
TMP 055G0-(111-01:1-07800 Own e r(s): SHIFFLETT,JACKIE B
Application# WP0201500077
PROPERTY INFORMATION
Legal Description ACREAGE
Magisterial Dist.1 White Hall Er Land Use Primary Residential--Single-family(incl. modular lt4Ilme
Current AFD i Not in A/F District •.,_,. Current Zoning PrimaD'LR1 Residential
'APPLICATION INFORMATION
Street Address Entered By
EmilyLanta
Application Type 1.,Water protection Ordinances
Project Old Trail Creekside III Phase III
Received Date 09/22/15 Received Date Final Submittal Date Total Fees 1700
Closing File Date Submittal Date Final Total Paid 1700
Revision Number
Comments ...,
Legal Ad
[ ...-
SUB APPLICATION(s)
I A.- Sub 1 n licatio Comment
Stormwater Management/BMP Plan
. ,
Erosion and Sediment Control Plan
APPLICANT /CONTACT INFORMATION
CositeortT .- Name ,i I ess Ci State , Zi. Phone PhorteCell
cf.4,w,44,caislot i 5,131-PFL'ETT,JACI]E B I 504 ELLENDITAI AVEttli i s`TAt.ITITONNA ' j 24402
irtmar),Cott COLLINS ENGINEERING 22'2 G.4,R.fi:ETT ii"ilLiifE k O1-1,41iLOTTEVILLB 22902 4342933719
,.....„,..... ..„ ....._, ,.......,......,... ,.. .
Signature of Contractor or Authorized Agent Date
Virginia y s
Application for Albemarle Cotilit.
Projec "
t Na :. .,, :i ;: ® * .
hr fame tatr nic%t : .t% ,veal k..art pheic,
Is this an amendment to an approsedplan? Yes No 7
Is this a recision or resubmission for re I es No
rung File Number: o-Ba'z.1-4 ovided the t-oamv`i.=""fd. 4"aft?8i:smip#'t t
The Ittilowing arc required crcnt,"4 nc 3pi't4 alta cram c"tai/e' a' u n /--4-0/1 Pur or
arnetnioncnl& f ,X. 4 in i are i hat.* tteirtS are hong ametLied, Siznatures ?RUS:he providcd or art%
s'tiif:t:,c'l t3ftm
Signature re t the Property Ntil
TO : SIGNED BY AN AGES t`OR t:t:l\St
BY signing ens application as the owner.I hereby remit,°that all requirements of these plans and permits wilt lir
complied with,and I hate the authority to authorise the land disturbing actrsities and development on the subject
property. t hereby grant theConan or Albemarle the right to enter it the property as required to ensure
rs tttptianee with the approved plans and permits.
OLD TRAIL CREEKSIDE .
Mnp . tarsi Prim Nater of Property Owner 'S i at rt t %nom 'at
'Ina Mar¶ Print a s ._: Proper‘ tont Signatune of Owner Date
Tax Map tgt Parcel Print'Name of Property Owner Srimaturt of Owner Date
Tai' Map& Pan:el Pont Name-of Ptopert ' (tit net tier. -e _`OA no- Date
"on uor Information fix the meets)to e , cocrespondence
Pnnt Name_ OLDJRAIL CREEKIs ` _._
Andres-, it* tr ? - r
Cis. 3E ,..__.
State VA p—.22PZ..
Da k time phone tE-mail a.- -
71 B. All i° es[Code section 1
For neek ot. �, atified plans,s, Io acres r to be disturbedw7 AC,
rt E„„ ! Total to i„,e: 1 Fee f)ataTiadd this Fee .tarts, =r
1 d ndet Annfication angdidead „, h ”
y
and dun $2,700
fti and ICS.4 t cF_„E 13 4 `1 st. 3 . 25ts
# it;,and less sisai': `° i $ (did S2,.11atiti I .:rat1F
+w.'a, and :t`4s than `-3M 100 $3,O50 t„`�.J :jj.
00
100 and more g , } $4,100
For(mints amendments to an neva:nod n.-5200 pet tet.iew
Variances.- l5{:€
idg rd=Maw Si d
id
_., 's.
II 1), Erosion and Sediment Control Plan s ti ine. ' ;. 4 of code section 17402,
cr Management Plan S;.' :
_„ „ : tin Plan sat, tits ofc_. ... o
tt rm ° ter Pollution Prevention PE- s nisi:Ong - :t uircm nts of code section 17405
0 It it .tion Plan satisfying tai M ;rt 1 406 for any Pm s , disturbance of
stream buffers,
IL I. Requested ` ii tions or Exceptions as pros i ed in code sections 1740'7 . 408„
L I J. Construction R . . -opt ' .
hor uirernerdis of code section i 7472,
Prt `telt'2 CO i€c:s alai/ 00J anyipp( :m Jot'tta"ntcl l. rOfi,e b a tt sa..li at
A t t;fiaturca,
, Lniairttit i at,itrrmatna la tf not pt"ua`niral on aadns and documents':
Name of a( gall for aorisaiantt"n£ t uwaidi the plan prepareid CO1*„%ul2 :'1t or e"_`
i lire ' =.,f° COLUNS ENGINEERING
d draws_._. 200 GARRETT ST,,,$UITE K
City< ,GNARLOTTESVILLE State VAZip ... 22902 _..v
Davntne Phone( ) 29 -7.. 7'19 t- r stt co ii , ► rin ,.�
*When applications and plans are reviewed.,but not approved,and a response to comments is not received within 6 months
from the date of cunas cotumentws,the application will he deemed withdraw n. Applic t oras without sacidowner's
signatures will not be considered slid.
FOR OFFICE'UST O t. ` s' }