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Home My WebLink AboutWPO201600037 Application Grading Plan 2016-05-16 Cammt€nityDevelopment epartrn it Albemarle 3 m 401 Intire R-=d Charlottesville, A22902-4596i � Voice:•-(' 296-5632 Fax:{434j972-4126 Planning Application PARCEL[OWNER INFORMATION TMP 03200-OO-OC1-022E0 Owner(s): APEX LLC Application# WPO2O1600037 PROPERTY INFORMATION Legal Description 23 Magisterial Dist. Rivanna , Land Use Primary Residential-- Singes family( td. n7 d1,itar_ , ,,,ri current AFD F—Nif;1;t;in A,/F;District Current ZoninPrimalY Rural Areas - APPLICATION INFORMATION Street Address 3903 SEMINOLE TRL CHARLOTTESVILLE,22911 Entered 81 Emifr Lat#t �r Application Type Water Protection Ordinances1t 016. Project Hall Grading Plan- VSPMP^ Received Date 05/13/16 Received Date Final Submittal Date Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number A Comments Legal Ad SUB APPLICATION(s) Type iot Stream Buffer Mitigation Plan Stormwater Management/BMP Plan � i„ " .g#fi +3 APPLICANT j CONTACT INFORMATION CotactT f ..eBs Zip eil .A LIC 1349 N RTHSIDE ISR % , z CHAfL07"T I'1'' 2,.g.- Piirsary COrtsst BRIAN MITCHELL('TOWN ES SITE 9850 LORI ROAD SUITE 201. CHESTERFIELD 23832 8047489411 Date Signature of Contractor or.Authori2edAgent Nipie lame Al: Virginia Stormwater Management Program (VSMP) Application for Albemarle County Au Or? Project Name: Hall Grading Plan (The name should he the same as it appears Oil plans) Is this an amendment to an approved plan? Yes 0 No Is this a revision or resubmission for review? Yes 0 No El County File Number: (to he 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. E 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. - 03200-00-D0-022E0 Apex LLC -// 16 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 for the Owner(s)to receive correspondence: Print Name Larry Hall/Brent Hall /- Address City 1) 0',(( 1 (--S State 1 Zip Daytime Phone thn (14? E-mail 6,-e. 1-444-1(5,3AL,6644/3.-N( ((.17r- tl (ma,' 7/1/14, Revised: 7/10/14, 1/7,14 Page 1 of 2 Il B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed +1-3.25Acres 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 61,350 $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;$150 ❑ C. Registration Statement on the official DEQ form. O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. L i E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. IO G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. N/A❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Townes Site Engineering c/o Brian Mitchell Address 9850 Lori Road, Suite 201 City Chesterfield State VA Zip 23832 Daytime Phone(804) 748-9011 E-mail bmitchell@cctownes.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY ,�j WPO# A3-16 i Fee Amount$ Date Pai By whop �( Receipt# Ck# NO By V 1 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 dfirV Virginia Stormwater Management Program (VSMP) Application for Albemarle County ®1 ' Project Name: Hall Grading Plan (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 E No ❑ County File Number: WP0201600037 (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. E 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. 03200-00-00-022E0 Apex LLC d 61101/67 Tax Map&Parcel Print Name of Property Owner Signat 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 for the Owner(s)to receive correspondence: Print Name Larry Hall/Brent Hall Address 1949 Northside Drive City Charlottesville State VA Zip 22911 Daytime Phone(434) 996-5911 (Brent) E-mail brent@hallsautobodyinc.com (434)962-5136(Larry) 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 Fri EIB. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed +/-3 Acres 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;$150 ❑ C. Registration Statement on the official DEQ form. CI D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. E l E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. N/A❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ® I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Townes Site Engineering c/o Brian Mitchell Address 9850 Lori Road, Suite 201 City Chesterfield State VA Zip 23832 Daytime Phone(804) 748-9011 E-mail bmitchell@cctownes.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 Virginia Stormwater Management Program (VSMP) Application for Albemarle County ager- L�RGIi��' Project Name: Hall Grading Plan (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 ll No ❑ County File Number: WP0201600037 (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. 03200-00-00-022E0 Apex LLC 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 Pi )wner Date Tax Map&Parcel P; \j6)01) )wner Date Contact Information for I Print Name Larry Hall/ (\ Address 1949 Northsid l i City Charlottesville State VA Zip 22911 Daytime Phone(434) S )dyinC.Com (434)96 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 N*000 -woo ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed +1-3 Acres 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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. N/A❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. m I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Townes Site Engineering do Brian Mitchell Address 9850 Lori Road, Suite 201 City Chesterfield State VA Zip 23832 Daytime Phone(804) 748-9011 E-mail bmitchell@cctownes.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# ;QLl/(.Q ` 606 3 7 Fee Amount$/-50 Date Paid Er-q- " By who? c ft:+E5 5, Receipt# AY-403o Ck# 2152(< By: e� 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2