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Home My WebLink AboutWPO201600063 Application 2016-10-18 Albemarle U ftyCommunity Development20r 401 McIntire Road Charlottesville.VA 22902-42-4'. Voice:(434)296-5832 Fax:(434)972-4 41 Planning Application PARCEL/OWNER INFORMATION TMP 04500-00-00-1 iC0 Owner(s): FIRST GOLD LEAF LAND TRUST WENDELL W WOOD, TRUSTEE Application # WP0201600063 PROPERTY INFORMATION Legal Description J ACREAGE PARCEL B Magisterial Dist. Rio T. Land Use Primary Unassigned Current AFD Not in A/F District ` Current Zoning Primary LHighwayCommercial `APPLICATION INFORMATION Street Address Entered _._ Judy Martin Application Type Water Protection Ordinances 1 1o/1B/2016 Project :Northtown Phase IIB-VSMP Received Date 10/17/16 Received Date Final Submittal Date 10/24/16 Total Fees 13 Closing File Date Submittal Date Final Total Paid 13 Revision Number Comments Legal Ad SUB APPLICATION(s) Type SthApilication Comment Stormwater Management/BMP Nan 10/24/16 Erosion and Sediment ControlPian10/24/16 APPLICANT/ CONTACT INFORMATION CortactType 1 Name Cits 1 Zip 1 �f 0wee �tnft $ I T GOLD LEAF LAND TRUST WENDl. ELL` PO BOX 5548 I CHARLOTTESVILL 22905 Primary Contact SCOTT COLLINS-COLLINS ENGINEERING 200 GARRETT ST., STE. K CHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized Agent Date VI.u Virginia Stormwater Management Program (VSMP) Application for Albemarle County f, Project Name: NQRTHTOWN PHASE 118 (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes O No EN Is this a revision or resubmission for review? Yes 0 No iN County File Number: (to he pmwded by the Crntn),for new applications) The following are required elements of new applications[from code.section I7-401]. 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. 45-1110 FIRST GOLD LEAF LAND TRUST Tax Map&Parcel Print Name of Property Owner Signe of Owner Date 45-1100 FIRST GOLD LEAF LAND TRUST r�.•-' ter', s " 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 Owners)to receive correspondence: Print Name FIRST GOLD LEAF LAND TRUST Address PO BOX 5548 City CHARLOTTESVILLE State VA Zip 22905 Daytime Phone(M) 975-3334 E-mail ulcwwweembaraynall.com 7/1/14, Revised: 7/10/14, 1/7/14 Page 1 of 2 `fir✓ ',Noe MB. 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 I $290 $145 $20 I and less than 5 $2700 11,3 .6 ) $200 5 and less than 10 $3,400 $1,704 $250 10 and Tess than 50 $4,500 $2,250 $300 50 and less than 100 $6,100 53.050 $450 100 and more $9,600 $4,$00 $700 For(minor)amendments to an approved plan;$200 per review Variances:$1 50(per request) Mitigation Plan,5150 Ilt C. Registration Statement on the official FN Q form. Q31 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. E E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. IN G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ 3 Construction Record Drawings(as-huilts) for any existing facilities in the proposal satisfying the requirements of'code section 17-422. Provide 2 conies 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 Persson for correspondence(usually the plan preparer,consultant or agent) Print Name_ SCOTT COLI IN O 1 INS ENGINEERING Address 20 GARRE1T STREET_SUITE K City CHARLQTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scotti )collins-engineering,com .,. *W6en 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 witho■t valid owner's signatures will not be considered valid. FOR OFFICE 1'SE MIN wPO 4 ` I ice Amour S\ !0l Daft Paid roI)1 i1 Ry Atte U a V. Receipt M 10 tQ�rJ Ck# 1,c Ry:i F 7/1/14,Revised. 7/10/14, 117114 Page 2 of 2