HomeMy WebLinkAboutWPO201700061 Application WPO VSMP 2017-08-11 Community Development Department
;111 Albemarle 6 . ,unty 4O1 McIntire Road Charlottesville,VA 22902-4596
Voice:(434)296-5832 Fax:(434)972-4126
12 Planning Application
PARCEL j OWNER INFORMATION
IMP 06010-00-05-02600 Owner(s): BARRACKS HEIGHTS LLC
Application# WP0201700061
PROPERTY INFORMATION
Legal Description OUT OF BOUNDS 5 26 OUT OF BMWS
Magisterial Dist. ,Jack Jouett Land Use Primary Unassigned
Current FD Not in A/F District In Current Zoning Primary Neighborhood Model District
APPLICATION INFORMATION
Street Address Entered By
Judy Martin 11
Application Type :Water Protection Ordinances
FV2T2017
Project Out of Bounds- Lots 26-31-VSMP
Received Date 08102117 Received Date Final Submittal Date Total Fees 145
Closing File Date Submittal Date Final Total Paid 145
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub AQplicatio Comment
Boundary Line Adjustment ' .
Erosion and Sediment Control Plan 08/01/17
No Sub-Application Type Selected
APPLICANT /CONTACT INFORMATION
ConteetType Name Address J CityState Zip Phone PhcneC4A1
ownestamacart BARRACKS RETORTS LLC 126354 BENNIRBTON RD CHARLOTTESM 12:2901
.4. 4 4
Primary contact WILLIAM D. CRAIG/CRAIG ENTERPRISES P.0.BOX 6156 CHARLOTTESWLL 22906 4342420364
Signature of Contractor or Authorized Agent Date
Virginia StormwateNslanagement Program (VSMP) `'"S
Application for Albemarle CountyWx.
1'
iia
Project Name: G� ' 3/
(The nam should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No g(
Is this a revision or resubmission for review? Yes ❑ Noir
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.
❑ 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 thea proved plans and permits.
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Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
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Tax Map& Parcel Print Name of Pro erty Owner Signature of Owner Date
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Tax Map& Parcel Print Name of Property Own-rSignature of Owner Date
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Tax Map&Parcel Print Name of Property Owner Signature of Owner Da e
Contact Information for the Owner(s)to receive correspondence:
Print Name &//?-1�W �i ��Ad" G//& c: ' - h(.)/7 �,P/s�s �•e_ ,
Address Ae2 ,2i3.0/Y 6/3-e
City f,�,��0 t�/1L� State a Zip
Daytime Phone( ...*$/) - ,.9.4/ E-mail ///Y/-Q/Q,aii,Qiy&)/detic./'I Pmt
7/1/14,Revised: 7/10114, 1/7/14 Page 1 of 2
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A.Signature of the Property Owner for each parcel (Continued):
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Tax Map& Parcel Print Name of Property Owner Signature of Owner Date
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Tax Map & Parcel Print Name of Property Owner Signature Y of Owner Date
Tax Map& Parcel Print Name of Property Owner Signature of Owner Date
❑ B. All Fees [Code sen 17-208]
For new or modified plans; Total acres proposed to be disturbed . o7�a
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;$150
❑ C. Registration Statement on the official DEQ form.
❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403.
❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name ,'/ '29c.)
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Address?, ,Q, 6/
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City C1;e1ZUj7' 5'iW2.' State 09 Zip ,P,R52e
Daytime Phone(1. ).53/^G 3,5 2 E-mail t,bcrYYrnel 6erei bo;1 Q1ers, net
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments, the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
7/1/14, Revised: 7/10/14, 1/7/14 Page 2 of 2