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HomeMy WebLinkAboutWPO201700031 Application WPO VSMP 2017-04-03 j Gp a/^f � {.J� ! !L Corr munityDevelopmentDepartrr Till' / f l // L.! 401 Mclntire Road Charlottesville,VA 22902-4 Voice:(434)296-5832 Fax:(434)972-4 Planning Application PARCEL I OWNER INFORMATION TMP 07500-00-00-06300 Owner(s): UNIVERSITY OF VIRGINIA REAL ESTATE FOUNDATION Application # ItifP0201700031 PROPERTY INFORMATION Legal Description I ACREAGE BIRDWOOD GOLF COURSE Magisterial Dist. Samuel Miller Land Use Primary Public Current AFD [—Not in A/F District "- Current Zoning Primary , RI Residential [APPLICATION INFORMATION Street Address 502 BIRDWOOD DR CHARLOTTESVILLE, 22903 Entered Judy Martin.t Application Type Water Protection Ordinances 14/3,x2017 Project UVA Foundation Golf Facility-VSMP Received Date 04/03/17 Received Date Final Submittal Date 04/03/17 Total Fees 13 Closing File Date Submittal Date Final Total Paid 13 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Application Correnent Erosion and Sediment Control Plan 04/03/17 Stormwater Management/BMP Plan 04/03/17 APPLICANT/CONTACT INFORMATION CcdRacITYPe Name Address CityState I Zip I Phone PhorteCt Owner/Applicant UNIVERSITY OF Vift .spnA REAL ESTATE F P O BOX 40021B i CHARLOTTESVILL 22904-421 Applicant CHRIS SCHOOLEY CIO UVA FOUNDATION P. O. BOX 400218 pCHARLOTTESVILL 22904 4349823777 Signature of Contractor or Authorized Agent Date Ad?Atgti Virginia Stormwater Management Program (VSMP) Application for Albemarle County _O► 11;67,40, Project Name: University of Virginia Foundation Golf Facility (The name should be the same as it appears on plans) Is this an amendment to an approved pian? Yes 0 No Is this a revision or resubmission for review? Yes ® No 0 County File Number: SDP2017-019 (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. . . • - TMP 75-63 Chris Schooley, UVAF - - - - - - 11/08/17 - Tax Map&Parcel Print Name of Property Owner Signature of 4ner 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 Chris Schooley do University of Virginia Foundation Address PO Box 400218 City Charlottesville State VA Zip 22904 Daytime Phone(434) 982-3777 E-mail cds7c@virginia.edu 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft l B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 4.24 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;$150 El C. Registration Statement on the official DEQ form. 21 D. Erosi,.. .:.0 Sediment Control Plan ging the requirements of co,i, 17-4u2. l E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. M G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. 21 H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O 1. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-bulks)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Devin Keeler Address 4805 Lake Brook Dr., Suite 200 City Glen Allen State VA Zip 23060 Daytime Phone(804) 206-3321 1J-mail dkeeler@dewberry.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# • Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 1 44411104 Virginia Stormwater Management Program (VSMP) Application for Albemarle County 31t* 'S' Project Name: University of Virginia Foundation Golf Facility (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No FD Is this a revision or resubmission for review? Yes El No 0 i v' LD� (.a 3 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 provided for any submission. IT 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. TMP 75-63 Chris Schooley, UVAF cc., fp ' 09/15/17 Tax Map&Parcel Print Name of Property Owner Signatures ner 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 Chris Schooley do University of Virginia Foundation Address PO Box 400218 City Charlottesville State VA Zip 22904 Daytime Phone(434) 982-3777 E-mail cds7c@virginia.edu 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft `fin/ EU B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 4.14 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than I $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;$150 ® C. Registration Statement on the official DEQ form. O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. Ll E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. CI H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ .1. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Devin Keeler Address 4805 Lake Brook Dr., Suite 200 City Glen Allen State VA Zip 23060 Daytime Phone(804) 205-3321 E-mail dkeeler@dewberry.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck-# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 *•✓ \rr00 Virginia Stormwater Management Program VSMP �V'ti� Application for Albemarle County ,s' `�1dGIN1P Project Name: University of Virginia Foundation Golf Facility (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No ffl Is this a revision or resubmission for review? Yes ❑ No 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. ® 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. TMP 75-63 • Chris Schooley, UVAF 2 3 0 ti-- � _ Tax Map&Parcel Print Name of Property Owner '- Signature ofr wneii ' 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 Chris Schooley c/o University of Virginia Foundation Address PO Box 400218 City Charlottesville State VA Zip 22904 Daytime Phone(434) 982-3777 E-mail cds7c@virginia.edu 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft RJ B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 4.14 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 5 $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 1 C. Registration Statement on the official DEQ form. El D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. l E. Stormwater Management Plan satisfying the requirements of code section 17-403. i F. Pollution Prevention Plan satisfying the requirements of code section 17-404. R1 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 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 Devin Keeler Address 4805 Lake Brook Dr., Suite 200 City Glen Allen State VA Zip 23060 Daytime Phone(804) 205-3321 E-mail dkeeler@dewberry.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 51 9 f(' Date Paid /3/`ly who?Nv4, A114—Receipt#/ 0)1).6 CkH j � 1Y�d,L 7/1/14,Revised:7/10/14, 1/7/14 Page 2 oft