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Home My WebLink AboutWPO201500050 Application Minor Amendment 2015-07-28 Albemarle /j., / ty Community Development Department /`iILJ t rl 401 MclntireRnadCharlottesville,VA22902-4596 Voice: 296-5832 Fax:(434)972-4126 -�- 'a Planning Application PARCEL/ OWNER INFORMATION TMP 07800-00-00-05700 Owner(s): PANTOPS-LAKERIDGE LLC Application# WPO2O1500051 PROPERTY INFORMATION Legal Description I ACREAGE Magisterial Dist.I Rivanna Land Use Primary Forest Current AFD I Not in A/F District !r Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address Entered By Emily Lantz In Application Type Water Protection Ordinances ' 7/28/2015__ Project Hyland Ridge Amendment Received Date 07/22115 Received Date Final Submittal Date Total Fees 200 Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Std Apcatio Comment Stormwater Management/BMR Plan Erosion and Sediment Control Plan SEreas�Ball Ifigat%tr►Plan,: APPLICANT /CONTACT INFORMATION ContactTyrpe Name Address .CityState I Zip Phone PhoneCell r AANT0PS UkKERIOGE U-C P 0 80X 8147 [t9 ILIAL t1" '�.£ 9#6 PrimsryCent+t MIKE MYERS 172 SOUTH PANTOPS DR pCHARLOTTESVILL 22911 4349798121 Signature of Contractor or Authorized Agent Date '6 ;OF:\l,R.,tf Virginia Stormwater Management Program (VSMP) ®G_ l Application for Albemarle County 4 , Project Name: 1-1ylaY A R.; e SgA‘zal;s 04" (The name should be the satt as it appears on plans) Is this an amendment to an approved plan? Yes No ❑ Is this a revision or resubmission for review? Yes No $ County File Number: W P0 7.001 0 01 y(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. 2(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. STax7%-51 Ctinrle3 W• I{wk 4,1 - /5- Tax Map&Parcel Print Name of Property Owner ignature 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 NaD. 01/44r . 4- Address 1 l $ t t fte04 r City (}0%;-( 1 oki try:U e State V A' Zip Z21 1, Daytime Phone(`&3'i) 4111 $I$l E-mail C"L 6,,,; 1A e^`1.$ .C.oPN 7/1/14 RevicM 7/1(1/14 1/7/14 Nue 1 of-2 17(B. All Fees [Code section 17-208] A '"' For new or modified plans; Total acres proposed to be disturbed 0• (0.1 H C 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; $150 r4ri C. Registration Statement on the official DEQ form. D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. E. Stormwater Management Plan satisfying the requirements of code section 17-403. F. Pollution Prevention Plan satisfying the requirements of code section 17-404. G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of ream buffers. I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person �for correspondence(usually the plan preparer,consultant or agent) /" 1 Print Name iIke /"�yl.r5 Address n Z So•,k tft, P.,nk. es Dr;NJ t City Ct,•4,rL rlks SVj k%Q State VA Zip ZZA i l Daytime Phone(yam) C( 4 - 21 Ort 140E-mail r'1r1'1yt,t'S a' ishQ"N, C OM *When applications and plans are reviewed, but not approved,and a response to comments is not received within 6 months from the date of county comments, the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# go( — 1 DLA Fee Amount$ .000-CA) Date Paid .- 2-i 7-By who? C c c-1 CS LJJ• Receipt ft 1061 1a. t1 6 By /,S R_ 1-4-uy 4- LL 7/1/14 RPvicpd 7/1(1/14 1/7/14 Pane 2 of