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Home My WebLink AboutWPO200400093 Application 2016-04-04 Tim :punt Community Development Departrr Albemarle y 401 McIntire Road Charlottesville,VA 22902-4! Voice:(434)296-5832 Fax (434)972-4' --- '1' Planning Application PARCEL/OWNER INFORMATION TMP 03200-00-00-e1785 Owner(s): DCF LLC Application # WP0201600025 PROPERTY INFORMATION Legal Description I ACREAGE Magisterial Dist. 1 Rio 7 Land Use Primary Commercial Current AFD r---- Not A/F District a Current Zoning Primary[Light Industry [APPLICATION INFORMATION Street Address 1581 AIRPORT RD CHARLOTTESVILLE, 2 291 1 Entered Judy Martin Application Type l Water Protection Ordinances W2016 Project Mass Grading Plan for General Industraial Office-VSMP Received Date 04/04/16 Received Date Final Submittal Date 04/04/16 Total Fees 17 Closing File Date Submittal Date Final Total Paid 17 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Application Comment Stormwater Management/BMP Plan 04/04/16 Erosion and SedimentControlPlan 04104/16 I APPLICANT/CONTACT INFORMATION ContactType Name I Address CityState ZipI Phone I PhoneCt Ovill,grAPPlimnt Pr!U.0 2035 EARLYsvitts.RD IEARLVSVILLE VA 122936 Applicant DONALD W. FOSTER 2885 EARLYSVILLE ROAD EARLYSVILLE, VA. 22936 4349811360 Primary Contact MERIDIAN PLANNING GROUP 440 PREMIER CIRCLESTE. 200 CHARLOTTESVILL 22901 4348820121 Emimmimmo Signature of Contractor or Authorized Agent Date ti h.I Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: MOST Gtzl(10/A/C PLAN6-evekpt JNOUc7glfL. opFIC6/ (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No XI Is this a revision or resubmission for review? Yes 0 No,K, County File Number: (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 o-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. 1 hereby grant the County of Albemarle the right to en • upon the property as required to ensure compliance with the approved plans and permits. / Y2-17135 DCF LL /A /6 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 n d Address Zi i &//ci�'ui/I /6/4 City C54t Jc)iiie- / State ✓v7 Zip 22--251. Daytime Phone("6 78/- (36 6 E-mail 7/1/14,Revised:7/10/14 .'age 1 oft Now' .stri g B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed , 70 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 $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;$150 g C. Registration Statement on the official DEQ form. Z D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. 8'E. Stormwater Management Plan satisfying the requirements of code section 17-403. F. Pollution Prevention Plan satisfying the requirements of code section 17-404. G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. r//f1 0 H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. pfiA 0 I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. dip 0 J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name /14E/Z/22/QA/ /0A/A//V6 62(/(/p Address 90 /2/26"7I4/Eyt e/,2cLE, 5TE z 0 0 City C/JAr2LorT&5-1//1-&e State V/? Zip 22901 Daytime Phone(Y.M 882-6121 E-mail Tjf/CL Elf 0/4 721VJiA1P eg:c0/IA *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$)100• �1] 0 Date Paid '1 )el By who? ep-54.p r Receipt#)0 39A (Ck# 7/3q By: 7/1/14,Revised: 7/10/14 Page 2 of 2 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: Not available at this time Contact: Mailing Address: City: State: Zip: Phone: Email address(if available): Indicate if DEQ may transmit general permit correspondence electronically: Yes® No ❑ 2. Existing General Permit Registration Number(for renewals only): 3. Name and Location of the Construction Activity: Name: General Industrial Office—Mass Grading Plan Address(if available): 1581 Airport Road City: Charlottesville State: VA Zip: 22901 County(if not located within a City): Albemarle Latitude(decimal degrees): 38.13729 Longitude (decimal degrees): -78.44485 Name and Location of all Off-site Support Activities to be covered under the general permit: Name: Not Applicable 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❑ Private 5. Nature of the Construction Activity(e.g., commercial, industrial, residential,agricultural, oil and gas,etc.): Commercial 6. Name of the Receiving Water(s)and Hydrologic Unit Code(HUC): Name: North Fork Rivanna River Name: HUC: JR11 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): 6/1/2016 Completion Date(mm/dd/yyyy): 02/01/2017 9. Total Land Area of Development(to the nearest one-hundredth acre): 7.49 Acres Estimated Area to be Disturbed(to the nearest one-hundredth acre): 5.55 Acres 10. Is the area to be disturbed part of a larger common plan of development or sale? Yes ❑ No Ej 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 imprisonment for knowing violations." Printed Name: Title: Signature: Date: (Please sign in INK. This Certification must be signed by the appropriate person associated with the operator identified in Item#1.) 07/2014 Page 1 of 1