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Home My WebLink AboutWPO201600022 Application 2016-03-29 Albemarle county401 Comniunity Development Del:artrr McIntire Road Charlottesville;VA 22902-4! Voice: (434)29-6-5832 Fax:(434)972-4- V Planning Application PARCEL /OWNER INFORMATION IMP 056()0-00-00-1.1300 Owner(s): HARPER, ROBERT GOODLOE IV OR KRISTEN BUEFiGERT Application # WP0201600022 PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. White Hall Land Use Primary Residential--Single-family(iricL modular homes) Current AFD Not in Af F District Current Zoning Primar/r ; Rural Areas _ [APPLICATION INFORMATION Street Address 371 SHELTON MILL RD CHARLOTTESVILLE, 22903 Entered Judy Martin Application Type ;Water Protection Ordinances 3[29/2016 Project harper-Shelton P4111- VESCP Received Date 03/28/16 Received Date Final Submittal Date 04/04/16 Total Fees 2 Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Soh li.licatioo Comment StormwaterManagernent/BMP Plan 04/04/16... Erniinnn44Sediinent Control Plan [04/04/16 APPLICANT/ CONTACT INFORMATION ContadT - Name Address JINNEaler=11 Zi Phone PhoneCf 0Yorte4A t' HARPER ROEERT GOOD LOC.1V OR KRSTE..;345 PARK'AVENUE 43RD FLOD1NEW'41.2,RK, NY 10154 Primary Contact 1ARK E KELLER C/0 TERRA CONCEPTS 2046 ROCK QUARRY ROAD LOUISA„ VA. 23043 4345313600 „ .. , . Signature of Contractor or Authorized Agent Date Virginia Erosion and Sediment Control Program (VESCP) Application for Albemarle County •� ' (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: CLA 7 1 1',gLL, (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No — Is this a revision or resubmission for review? Yes 0 No County File Number: (to be provided by thi s) The following are required elements of new applications[from code sE sions or amendments,please indicate which items are being amended. Signatu any submission. WA. Signature of the Property Owner for each parcel: (Required wi •evision,NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requil lermits will be complied with,and I have the authority to authorize the land disturbin t on the subject property. I hereby grant the County of Albemarle the right to enter ill I to ensure compliance with they approved plans perpritsiric 10,111 Viv-rAti-Lv3mize.a-T 4442ite- --try 441 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information on for the Owner(s)to receive correspondence: Print Name • i"eC/0 it- l.'(� ° r- Address 2.040 P-eck ( -ylactko City ISA State VA. Zip�9?� Daytime Phone (. &CD E-mail ri{,ie`^I`^ e-it ra coAcep4c., cern 7/1/14,Revised:7/10/14, 1/7/15 Page 1 of 2 B. All Fees [Code section 17-207] Total acres proposed to be disturbed { Acres to be disturbed Total Fee Less than 1 $150 per review 41 ...._- More than 1 $300 per review For amendments to an approved plan;$200 per review Variances;$150(per request) Exceptions;$240 Mitigation Plan;$150 Construction Record Drawing; $300 0-C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name t, l'�' Address j 4-- P A( - City 03v 1P State v.PP Zip 2,1,04 Daytime Phonee� 121— SCO E-mail Mt-rP r-jC,{ (i' J()Cf CM *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# {�/RIO-- �a By 6i-ie'_✓ �. J`oc/� lec P / p Ck# /ff By: Fee Amount$ !�v Date Paid ��13-1t� who? � ei t# Q3��/ IJ�� 7/1/14,Revised:7/10/14, 1/7/15 Page 2 of 2 TE 1' A CONCEPTS, PC Transmittal/Fax Date: 3-25-16 Pages: 1 of 1 From: Mark Keller To: Matthew Wentland -Albemarle County Engineering Fax: Re: Harper—Shelton Mill; E&S and SWPPP Submittal For: X Distribution X Review&Comment Records Other: Transmitting the Following: Qty. Item 1 VESCP Application 1 Application Fee 1 Stormwater Management Agreement for Single Family Residence Construction 2 E&S Plan Sheets 2 E&S Narratives 2 SWPPP Comments: Matt-Thanks for your help on sorting out the submittal piece. Hopefully all the requirements are met.If there is any additional information you would find helpful, please advise. -Mark 3-25-16,Engineering,Shelton MiII,Trans.doc CaYtfa C4 (643+) 61-13--R3v-f 1t i vi'& @ She t-te'H-1,C cvK,. NOTICE: This contains designer-client privileged information,privileged work product,or other confidential information.It is intended only for the designated recipient. If you receive this and are not the designated recipient,you are requested to destroy or deliver this message to the designated recipient immediately;otherwise,notify us that you received this document by mistake.Thank you. MASTER&SITE PLANNING • ENTITLEMENT PROCESSING • LANDSCAPE ARCHITECTURE 2046 Rock Quarry Road,Louisa,Virginia 23093 • Office 434-531-3600•mkeller@terraconceptspc.com