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Home My WebLink AboutWPO201700045 Application WPO VSMP 2017-06-09 Albemarle n` f Community Development Department Sm00401 McIntire Road Charlottesville,VA 22902-4596 Voice:(434)296-5832 Fax:(434)972-4126 . --.- .44 Planning Application PARCEL/ OWNER INFORMATION IMP 08800-00-00-00310�w��/tar �/�f Owner(s): SHYTLE, HUGH T&DOREEN 14 SHYTLE IT Application# P0201 700045 PROPERTY INFORMATION Legal Description I BLANIDEMAR FARM ESTATES 9 PH UI Magisterial Dist, Samuel Miller Land Use Primary Agricultural Current AFD Not in A/F District ! Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address Entered By Judy Martin Application Type Water Protection Ordinances _�� 1-6J9]2037 Project ShyFtle Residence-VSMP Received Date 06/09/17 Received Date Final Submittal Date Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Ste licatio Cont Stormwater Management/BMP Plan 06/09/17 Erosion and Sediment Control Plan 06/09/17...a$ APPLICANT /CONTACT INFORMATION ContactType Name Address Cityaate Zip Phone FtioneCeliI owneromscart i SMILE,HUGH T&DOREET4 M SHYTLE 136 PAGE ROAD °WESTON MA #02493 Primary Contact ALAN FRANKLIN, PE/WATERSTREET 418 E.MAIN ST. CHARLOTTESVILL 22902 4342958177 Signature of Contractor or Authorized Agent Date 'time sis Virginia Stormwater Management Program (VSMP) fy Application for Albemarle County AirtqlTap. Project Name: Shytle Residence (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 0 No RI County File Number: tottO aO1IF 45 (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. 66 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 pon the property as required to ensure compliance with the approve plans and permits. 88-3Z k 37-31—/7 Tax Map&Parcel Print N e of Prope Owner Si:nature 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 t Owner(s)to receive correspondence: Print Name ( y Address .eco --PAPk4 �n City 4‘k5-1 n State /1''fit" Zip 00 Y93 Daytime Phone((at) 3t) / LIF E-mail SL,y]'(e 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of2 i.r 'rrI` B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 4.55 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;$150 C. Registration Statement on the official DEQ form. C3 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ T. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Waterstreet Studio-Alan Franklin, PE Address 418 East Main Street City Charlottesville State VA Zip 22902 Daytime Phone(434) 295-8177 E-mail afranklin@waterstreetstudio.net *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY �"fr17WPO# `� c� /�y}(,/Ji1Fee Amount$/3 'nate Paid(,(/ By who? /tl( �[eenaveen....k714 Receipt# /(/"/0/7 Clo# 7.514 _By;38 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 Virginia Stormwater Management Program (VSMP) � y Application for Albemarle County Project Name: Shytle Residence (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No Is this a revision or resubmission for review? Yes ® No 0 County File Number: WPO201700045 (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 ctivities and development on the subject property. I hereby grant the County of Albemarle the right to enter on the property as required to ensure compliance with the approved plans and permits. 88-31 4 c . 1?-17 Tax Map&Parcel Print Name of Property wner Sign t e 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 Hugh Shytle Address 36 Page Road City Weston State MA Zip 02493 Daytime Phone(617) 306-1949 E-mail shytle@comcast.net 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft ❑ B. All Fees [Code section 17-2081 For new or modified plans;Total acres proposed to be disturbed 4.55 i 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 $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:$150 Wl C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. • F. Pollution Prevention Plan satisfying the requirements of code section 17-404. • G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ 1. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Waterstreet Studio-Alan Franklin, PE Address 418 East Main Street City Charlottesville State VA Zip 22902 Daytime Phone(434) 295-8177 E-mail afranklin@waterstreetstudio.net *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2