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Home My WebLink AboutWPO201500085 Application 2015-10-28 Albemarle 'ountyComunity Development Departr-r 401 McIntire m Road CharlottesvilleV , A 22902-4', Voice:(434)296-5832 Fax (434)972-4 efr Planning Application [PARCEL I OWNER INFORMATION TMP 056A3-OO-OO-00700 0 ner(s) ALBEMARLE STORAGE LLC Application # WP0201500085 PROPERTY INFORMATION Legal Deecriptn ACREAGE CVILLE SE1-F STOFt AT CROZET Magisterial Dist. White Hall Land Use Primare Commercial Ts: ----— Current AFD I Not in A/F District ,71,7 Current Zoning Primarp, Light Industry APPLICATION INFORMATION Street Address 5390 THREE NOTCH'D RD CROZET, 22932 Entered Judy Martin Application Type Water protection Ordinances 10:/2ei2615"-' proilect Charlottesville Self Storage at Crozet VSMP-Amendment Received Date ,1431.-2024.4.5...., Received Date Final Submittal Date Total Fees 2 it,/ Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Leal Ad [SUB APPLICATION(s) L Type Sub ApplicatioTt Comment Erosion and Sediment Control Plan Minor Amendment 'APPLICANT/ CONTACT INFORMATION Conte4.tT - Neale Address Ci State Zip .Rhone PhoneCt 'Owner/A 'I. ALe, tf,4,ARLE STORAGE LLC PC SOX 33 i CHARLOTTES'etILL 22902 Primary Contact COLLINS ENGINEERING 200 GARRE17 ST., STE. C CHARLOTTESVILL 22902 49429331719 , . . Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) ®® Application for Albemarle County Ar Project Name: CHARLOTTESVILLE SELF STORAGE AT CROZET (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No 20 Is this a revision or resubmission for review? Yes ® No 0 County File Number: WPO201500020 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011 For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. IN 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. 56A3-7 ALBEMARLE STORAGE, LLC / ;11 )ty Tax Map&Parcel Print Name of Property Owner nature of Owne ate 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 ALBEMARLE STORAGE, LLC Address PO BOX 332 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone( ) E-mail 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 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 $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan;$150 ❑ C. Registration Statement on the official DEQ form. ® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT ST, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott@collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments isnot received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# t^'-` C'k# By. 7/1/14,Revised:7/10/14 Page 2 of 2 Virginia Stormwater Management Program (VSMP) ' • Application for Albemarle County x` 07. Project Name: CHARLOTTESVILLE SELF STORAGE AT CROZET (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes fa No❑ Is this a revision or resubmission for review? Yes 0 No l County File Number: WP0201600020 (to he provided by the Countyfor new applications) The following are required elements of new applications[from code section 17-40y. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. I29 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 1 have the authority to nathorize the land disturbing activities and development on the subject property. I hereby grunt the County of Albemarle the right to enter upon the properly as required to ensure compliance with the approved plans and permits. fay G, 124.44 2e_e_., 56A3-7 w_ _ ._ e ' _—�/ �� An' Tax Map&Parcel Print Name of Property Owner Allirignature of Owner40 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 ALBEMARLE STORAGE, LLC Address PO BOX 332 City CHARLOTTESVILLE State :VA Zip 22902 Daytime Phone(434) 326-0334 _E-mail .musxit@ani Coln 7/1/14,;Revised: 7/10/14 Page 1 of 2 2,2:abed 99T9LL6:01. :w0.1d 20:22 ST02-22-100 It B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed Acres to be Total Fee Fee Due with this Fee with Transferor disturbed Application _modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1,350 S200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved p1an200 per review Variances;$250 Mitigation Plan;$150 1 ❑ C. Registration Statement on the official DEQ form. IX D. Erosion and Sediment Control Plan satisfying the requirements of code sectilon 17402. Q.0 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 Iction 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. to I. Requested Variations or Exceptions as provided in code sections 17-407 awl 408. O 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 murst 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_ _ SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT ST,SUITE K City CHARLOTTESVILLE State VA zip22� 902 Daytime Phone(434) 293-3719 E-mail scoff Collins-engineering.coni *When applications and plans are reviewed,but not approved,and a response to comments is hot 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 s11557 Fee Amount 0O t)atc Pahl(0.)67'6-ywho? Al 0116/^ - Receipt# I 019a Cid .` p2y: rci - 1-LC,- i 7/1/l4 I Revised:7/10/14 Page 2 of 2 1 2,2:abed 9bti9LL6:01 :w0.1d 20:22 5102-22-100