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Home My WebLink AboutWPO201600053 Application WPO VSMP 2016-08-24 Albemarle COUnt, Community Development Department 401 Me' tireRoadCharlottesville,VA22992-4596 Planning Application , :(434}296-5332 Fax:(434)972-4126 PARCEL/OWNER INFORMATION IMP 05500-00-00-07100 Owner(s): Application# WPO2OI 6000 3 PROPERTY INFORMATION Legal Description !ACREAGE KILDER FARM Magisterial Dist. Unassigned Land Use Primary Unassigned Current AFDNot in A/F-District gi Current Zoning Primary RI Residential APPLICATION INFORMATION Street Address Entered By Application Type � I ifer Pritchett El Yp Water Protection Ordinances r$"2 I2oi6 Project Old Trail Village-Ballard Field Upper Subdivision Received Date 08/23/16 Received Date Final Submittal Date 08/24/16 Total Fees 200 Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Subplicatio Comm St lr r✓ ! ient!BttP Plan i ;f / 'F► APPLICANT/CONTACT INFORMATION CcotaciTypeName Address State ) Zip Phon a eCell IDAtE g.... tt 5 t^tkAtERDFt CIRCLE j GIAZ* (Zi040% 1702W1.5104a L Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) Application for Albemarle County %l 3'• �'tRG1S11P Project Name: OLD TRAIL VILLAGE-BALLARD FIELD UPPER SUBDIVISION (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ® No 0 Is this a revision or resubmission for review? Yes ® No 0 County File Number: WP02004 00005 (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. 05500-00-00-07100 March Mountain Properties, LLC ,..tr/ IM�,� , 08/23/16 Tax Map&Parcel Print Name of Property Owner cii,gdature o er • 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 Dave Brockman Address 1005 Heathercroft Circle, Suite 200 City Crozet State VA Zip 22092 Daytime Phone(702) 985-9088 E-mail dave@oldtrailvillage.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 `rrd B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 1.32 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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Jeremy Fox Address 914 Monticello Road City Charlottesville State VA Zip 22902 Daytime Phone(434) 977-0205 E-mail ifox@roudabush.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY n 2 WPO# 0?O1(p-53? Fee Amount$C200• ate Paid `� 111) By who? tA60 bilA C6,11Fiecemt# 10591 Ck#(91 d th By: j P 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2