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Home My WebLink AboutWPO201600052 Application WPO VSMP 2016-09-14 _', r Community Development Department t.41,:...., Albemarle Coup ,,,, 4011 !'eRoad Charlottesville.VA22902-4596 Von..e:(434)296-5832 Fax:(434)972-4126 ti 4, Planning Application PARCEL I OWNER INFORMATION IMP 07800-00-00-049A0 Owner(s): HEARTROCK FARM LIC Application# WP0201600052 PROPERTY INFORMATION Legal Description IHUNTER'S HALL 1 Magisterial Dist, LSCottsVille E Land Use Primary Public L _.._�.I Current AFD [Not in A/F District E Current Zoning Primary[Highway Commercial + APPLICATION INFORMATION Street Address 2300 HUNTERS WAY CHARLOTTESVILLE,22911 Entered By �— -- — Judy Martin l =J Application Type Water Protection Ordinances --� r8719j2016 Project 2300 Hunters Way Received Date 08/19/16 Received Date Final Submittal Date 08/22/16 Total Fees 145 Closing File Date Submittal Date Final • Total Paid 145 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Garment Stormwater Management/BMP Plan 08/22/16 Erosion and Sediment Control Plan 08/22/16 APPLICANT /CONTACT INFORMATION ContactType Name Address CityState Zip PhonePhoneCell Owner/Applicant HEARTROCK FARM LLC 2521 SUMMIT RIDGE TRAIL CHARLOTTESVILL 22911 Oref/ KEVIN SCHUYLER 2521 SUMMIT RIDGE TRAIL 4 CHARLOTTESVILL 4 Oro 22911 Primary Cartatt JUSTIN SHIMP 201 E MAIN ST CHARLOTTESVILL 22902 4342275140 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) i, y� Application for Albemarle County t Project Name: 23Oo IHvr1+fr3 WOt y (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No IT Is this a revision or resubmission for review? Yes RI No 0 County File Number: WPO 2016 -00 OS? (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. 0 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. Heartrock Farm LLC �"" � '7e — H 4A Kevin SGhvyler /��rr�uZ U/. c5C/1- iL 9/14/2016 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 Ke.v.1 c ' /k - , Managing Member, Heartrock Farm LLC Address 2 c 2- 1 SvMwlisi- R;dyc T/w:1 City C 1-i4i' 1 p fits V.l(C State VA Zip 2 2 91 Daytime Phone( 434)409-4308 E-mail Ksch ayter• @e-SIonc t 1G.G0rvl 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 AM 0 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 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;$150 NA 0 C. Registration Statement on the official DEQ form. 12(D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. 4/A 0 E. Stormwater Management Plan satisfying the requirements of code section 17-403. NA 0 F. Pollution Prevention Plan satisfying the requirements of code section 17-404. vA 0 G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. pm 0 H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. WA 0 I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. Nit 0 J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional in formation if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Address City State Zip Daytime Phone( ) E-mail *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount S Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 y Sere *toe A • Virginia Stormwater Management Program (VSMP) Application for Albemarle County 4,4,4160r,. Project Name: Z3 0 0 H vet.4.Ers ti/q y. (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 1$ Is this a revision or resubmission for review? Yes 0 No KI 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. 0 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. 78 9 q/4 !-1eaA coc , `�o t m L .,I wit-1120110 Tax Map&Parcel Print Name of Property Owner 'Signature of Owner {a,t�'�V1,�9+�i 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 'Z Q,/i/f, Sc 11 V y'Cr Address 25 2.. X:61.5,e,e T/q s/ City Gt r(0}+Sv.'rl. State k/A Zip 22/J I Daytime Phone( ) E-mail k SC{1 v lee- 6 G stmt I ic.co") 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft f l tooso ,tome &CB. 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 1 $290 14) —, $20 1 and less than 5 $2,700 3-1330 $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;$150 * C. Registration Statement on the official DEQ form. t D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. Z4- E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. All G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name 1`15 f iA S 11,m p Address ZO l E/441,..% ,sI- City C. ha/ 10 t+c cv'l It State VA Zip Z Z 4 d Z Daytime Phone(43(i) 2 Z,— sic/() E-mail J VS VII&S'Vevt p— G/13.''1eei- of .Core *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Q v Fee Amount$i%,O)Date Paid 4 q_1.6 By who?li Lai-portit m Receipt#itha Ck#_,Z,�.f`Y By.OP 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2