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Home My WebLink AboutWPO201600082 Application WPO VSMP 2017-09-12 • :'..',_,.. r - Commundy Development Department �� Albemarle ou 4i intireRoad CharlottesF.ille,VA22 02-45an _.'.,ice t,4343 2CS- 32 Frtk i434)9 2.4126 +, =t Planning Application PARCEL / OWNER INFORMATION TiM1P 076OQ-9O-00-O55AO Owner(s): FTV INVESTMENTS LLC Application# L WP0201600082 PROPERTY INFORMATION Legal Description 1 ACREAGE PARCELA / Magisterial Dist, Scottsville L. I Land Use Primary Open Current AFD Not in A/F District 1-- Current Zoning Primary.Highway Commercial v' AP;QICATION INFORMATION Street Address Entered By 'Jennifer Smith ApplicetionType Water Protection Ordinances ^ r12;f13/10i6 Project 5th Street Commercial Development Received Date DEMI Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final � Total Paid Revision Number Comments _ ,, , Legal Ad 4 SUB APPLICATION(s) _ Type.. . , . .. ... ..SSubA plicatiol . , ... _....,._ ..Comment . _. ..... Stormwater Management/BMP Plan 12/12/16 Erosion and Sediment Control Plan 12/12/16 APPLICANT /CONTACT INFORMATION ContactTy Name . Address J CityState Zip , Phone: .PhoneCell J "::rnr'AIF.;ii:ane 'FIN,INVESTMENTS LLC 943 GLENW00D STATION LN 'CHARLOTTES vILL 122901 I s i'rxlzry C.1.7=: `SCOTT COLLiNS -COLLINS ENGINEERING '200 GARRETT STREET,SUITE •CH.-.RLOTTESVILL '22902 4342933719 i Signature of Contractor or Authorized Agent Date pY Alga; Virginia Stormwater Management Program (VSMP) twsi® , Application for Albemarle County t-;. Project Name: 5TH STREET COMMERCIAL DEVELOPMENT (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No 69 Is this a revision or resubmission for review? Yes ❑ No XI County File Number: (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011 For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. II 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. 76-55A FTV INVESTMENTS, LLC CZ, l�'�` � ( P G Tax Map&Parcel Print Name of Property Owner Signature of Owner Date 76M1-1 FTV INVESTMENTS LLC - t Z!r / '® 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 FTV INVESTMENTS, LLC Address 943 GLENWOOD STATION LN, SUITE 101 City CHARLOTTESVILLE State VA°"',.y-Zip 22901 Daytime Phone l ".5 J I - toy E-mail rdNJ K 4ll,51-6Mi II P - L rrY'7 a.fl�ri 7/1/14,Revised. 7/10/14, 1/7/14 Page 1 of 2 B All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 3.50 AC 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. i D Erosion and Sediment Control Plan satisfying the requirements of code section 17-402 IX E. Stormwater Management Plan satisfying the requirements of code section 17-403 IXI 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 SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT STREET,SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scottc collins-engineering.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. f1 FOR OFFICE USE ONLY WPO# v Fee Amount$4,5(/ Date Paid 144 By who? I 41 it,e6ipt�! D 7 6 -c1 U! ,� "$y,.!/ 7/1/14,Revised. 7/10/14, 1/7/14 Page 2 of 2 Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: 5TH STREET COMMERCIAL DEVELOPMENT (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 0 No 91 County File Number: WPO2016-82 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011 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. 76-55A FTV INVESTMENTS, LLC 9/12/2017 Tax Map&Parcel Print Name of Property Owner Sionatnre of owner Date 76M1-1 FTV INVESTMENTS, LLC •QF f 9/12/2017 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 FTV INVESTMENTS, LLC Address 943 GLENWOOD STATION LN, SUITE 101 City CHARLOTTESVILLE State VA Zip 22901 Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 VB. 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 ofpermit 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;$150 ❑ C. Registration Statement on the official DEQ form. O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. O E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,,consultant or agent) Print Name SCOTT COLLINS-COLLINS ENGINEERING, LLC Address 200 GARRETT STREET,SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scoff@collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# 10/ U C9L7 Fee Amount$adV--- Date Paid<l ' 4 By who?` e7A TT^�t ) _ 1 Receipt i /O C( k# 3 2S lj By; 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2