HomeMy WebLinkAboutWPO201600048 Application 2016-06-27 lbemarle -ounty Community DevelopmentDepartn
":f"
401 McIntire Road Charlottesville.VA
ssIv
- 4,1 Voice :(434)296-5832 Fax: (434;972-4
Planning Application
PARCEL / OWNER INFORMATION
TN1P 03200-00-00-019D0 c. 11,1,.•,.;. UNIVERSITY OF VIRGINIA REAL ESTATE FOUNDATION
Application # WP0201600048
PROPERTY INFORMATION
Legal Description ACREAGE B9.1
Magisterial Dist. Rio Larc Use Primary Office
Current AFD Not in A/F District ',. : current zerirz Primal- Planned Development Industrial Park
APPLICATION INFORMATION
-----
street Addres.. 4040 LEWIS AND CLARK DR CHARLOTTESVILLE, 22911 ErtEnic
Judy Martin
Application Type Water Protection Ordinances .]
16/27/2016
Project Norh Pointe Sanitary Sewer Extension - VESCP
Received Date 06/22/16 Received: Date Firal Submittal Date 07/05/16 Total Fees 2
Closing File Date Submittal Date FinalTotal Pic 2
1
Revision Number _J
Comments
Legal Ad
1
SUB APPLICATION(s)
-..:._.L --44.142.Eli:r -
_-_TT' it
_
APPLICANT / CONTACT INFORMATION
_crt-E-atType i Name 1 .4-i s,res s C Mi State 2ip 1 PI-one PherleCt
: • ,.,.• Lpplicarit L'.:.v- :-. OF VIRGIN la REAL ESTATE F C : E= 40C=.1.= :"--7 :—EE .-___
Primar, Contact rF E-- E-E-EF I ''':,' — , - ::: !'_ _FE_ _E:: - ,_,,_,__,..... ,c, _.: _1---- __ ..,., ..LL __7:1
I
I
Signature of Contractor or L.I.utnonzed Agent Date
- w rrr
Virginia Erosion and Sediment Control Program (VE SCP) (
Application for Albemarle County
(This application is only to be used for projects exempt from the Virginia
Stormwater Management Program, VSMP,and the DEQ General Permit)
Project Name: NORTH POINTE SANITARY SEWER EXTENSION
The name should he the same as it appears on plum i
Is this an amendment to an approved plan? Yes 6i7 No U
Is this a revision or resubmission for review? 1 es 0 No ❑
County File Number: WP0201200068 Ito he provided by the County for new applications)
The following are required elements of new applications[from code section 1-4011 For revisions or
amendments. please indicate which items are being amended. Signatures must he 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.
03200-00-00-02211,10.10,EC.
0320000-00-07400.
03200-00-00-02000 GREAT EASTERN MANAGEMENT _ 6—Az f b
Tax Map& Parcel Print Name of Property Owner Signature of Owner Date
32- 232-2ATSOWc1 Ll,ft 74.54-- Sec 4 4eiEac.erletAdit
Tax Map& Parcel Print Name of Propert Ott ner Signature of Owner Date
3Z-221—
)t 1 r 44
J Z"221 �J11 0. K�,,rxd(a. ��tn.i(� �'�•�-1— Sic ----
Tax Map& Parcel Print Name of Propert> Owner Signature of Ow ncr Date
32- zz f GLS
4'-
Tax Map& Parcel int Name of Property Owner Signature of Owner Date
Contact Information for the Owners)to receive correspondence:
Print Name GREAT EASTERN MANAGEMENT - DAVID MITCHELL
Address 2619 HYDRAULIC ROAD
City CHARLOTTESVILLE State VA Zip 22901
Daytime Phone(434) 963-2670 E-mail DAVID@SOUTHERN-CLASSIC.COM
7/1/14, Revised: 7110/14, 1/715 Page I of 2
- *441•0' Noe
B. All Fees [Code section 17-207]
Total acres proposed to be disturbed
Acres to be disturbed Total Fee
Less than I S150 per revio%
1 More than 5300 per rev io%
For amendments to an approved pla€7.00 per re%(e‘i
Variances:$150(per request)
Exceptions;$240 '
Mitigation Plan:$150
Construction Recdrd Drawing;$300
W1 C. Erosion and Sediment Control Plan satisfying the requirements of code section 17402.
O D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
O E. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
O F. 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(usual!) the plan preparer.consultant or agent)
Print Name TOWNES SITE ENGINEERING - BRIAN MITCHELL
Address 9850 LORI ROAD. SUITE 20
City CHESTERFIELD State VA 7ip 23832
Daytime Phone( 804 748-9011 L-mail BMITCHELL@CGTOWNES.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 N1 ithdrawn. Applications
without valid owner's signatures will not be considered valid.
FOR OM( t I •I vk 1'0#
lee Amount Al* ,00 1)ate Paid 6 (0
.! "
%Ikbth'k cv\itig toom, ilq3
1 14. Revised: 7 10 14. 1:7 15 Page 2 of 2