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Home My WebLink AboutWPO201600046 Application WPO VSMP 2016-08-10 t. Albemarle CountyCornminity Development Department 401 M a . clnt` 'oadCI,arlottesville.L, 22902-4596 ,!. VO lc 34 296-5532 Fax:(434)972-4126 . '` Planning Application PARCEL! OWNER INFORMATION TMP 03200-00-00-041D4 _________ Owner(s): HOLLYMEAD/29 LLC Application# WP0201600046 J _ PROPERTY INFORMATION `� Legal Description FACREAGE C1 A HOLLYMEAD TOWNCENTER .a Magisterial Dist Rio gLand Use Primary Open L_ ir Current AFC, Not in A/F District ••• Current Zoning Primar, Planned Development Mixed Commercial Iµ•j APPLICATION INFORMATION Street.Address 1 Entered By -- Emily Lantz ci. Application Type Water Protection Ordinances cl I 5i.22/2016 Project Hollymead Town Center Bojangles - VSMP Received Date 06/22/16 Received Date Final Submittal Date Total Fees 1350 Closing File Date Submittal Date Final Total Paid 1350 Revision Number Comments I Legal Ad [SUB APPLICATION(s) Type Si.,b Applicatio{ Comment Stormwater Management/BMP Plan Erosion and Sediment Control Plan Stream Buffer Mitigation Plan APPLICANT /CONTACT INFORMATION _ortactType Name Address City State I Zip Phone PhoneCell = -_ ==-c HOLLYMEAD 29 LLC 195 RIVERBEND DR STE 1 CHARLOTTESVILL 22911 —:.,a JUSTIN SHIMP -SHIMP ENGINEERING Signature of Contractoror Authorized Agent Date sari „diA Virginia Stormwater Management Program (VSMP) '' Application for Albemarle County Project Name: Hollymead Town Center Bojangles (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No WO Is this a revision or resubmission for review? Yes ® No ❑ County File Number: WPO-201600046 (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. 03200-00-00-041D4 Hollymead 29, LLC 004 Tax Map&Parcel Print Name of Property Owner ignature wner Dat 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 Andrew Baldwin Address 195 Riverbend Drive Ste 1 City Charlottesville State VA Zip 22911 Daytime Phone(434) 979-8181 E-mail andrew@corecville.com 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft Noire ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 2.0 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;$150 ® C. Registration Statement on the official DEQ form. E D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Justin Shimp Address 201 E Main St. Suite M City Charlottesville State VA Zip 22902 Daytime Phone(434) 227-5140 E-mail justin@shimp-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 qi ^: Virginia Stormwater Management Program(VSMP) ;44;14 Application for Albemarle County 1110 Project Name: I4O M EA 11 To vvt+t Ce-tv'1-t=R f30.7-ANG-LES (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No Cit/ Is this a revision or resubmission for review? Yes 0 No EV 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 providedfor any submission. 0 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 or 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. 4.123¢ lid i1-4 MEh]? AA/LLQ -3f 2.0 !6 Tax Map&Parcel Print Name of Property Owner ignati pd Owner 'Date Rost oFi=rcx 1wtit5TWAT Tax Map&Parcel Print Name of Property Owner Si of Owner Date ..3.2-41 Hn Ho TEL LLQ Tax Map&Parcel Print Name of Property Owner S. of Owner ' Date Tax Map&Parcel Print Name of Property ' ",+s ► .I •6 r6 any Owner y Signature of Owner Date Contact Information for the Owners)to receive correspondence Print Name HO l yy,.."c cq r 1LC Address 195 R i 9_1%6 Qin ck. 'f]ri vim.. +.,_ 4 City C—fo.410++,9 S„, (L ; Stag VA zip .1 a.9 I1 Daytime Phone( ) E-mail 1- %%I S\MP •%SSP Vee 1, ,00 61 6i VI/ . , 10ktS aL )(A 7/1/14,Revised:7/10/14,1/7/14 Page 1 of2 Virginia Stormwater Management Program (VSMP) ria' ®=� �. Application for Albemarle County h Project Name: (-kO L L j M EA D To v./NA ce_NTER riO3-ANG-Ls (The name should he the sante as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 13/ Is this a revision or resubmission for review? Yes 0 No LV. County File Number: (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 providedfor any submission. 0 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. 1 G t 0///‘Map&ParcelPrint Name of Propertywner [gnat Owner Date 3�-1t'1D3 Past OFF± /ANT)Tra,usr Tax Map&Parcel Print Name of Property Owner Si `attire of Owner //�� j Date Tax Map&Parcel Print Name of Property OwnerLt- r e t)-0 16 P Y ignature of Owner Date 32-4-1_� Hot t ,ttit� g LLc Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name N0 lJ ci e19 i I c Address QY1 D V42— City-------__� --.__State VA Zip ..___21.41.1) Daytime Phone( ) E-mail • • 7/1/14,Revised:7/10/14, 1/7/14 Page I oft