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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. /69lf c�Tee isFs ,9* tumof Zo2c- 7/gi ) Tax Map&Parcel Print Name of Property Owner Signature of Owner Date C2/ ),geP/5L`S ,oa-& --n?7 ,,Lciil U.9y�T>, a•,. M.44441 0. /g///7 Tax Map& Parcel Print Name of Pro erty Owner Signature of Owner Date (//647/ ?;<-u7, .E%Sf5 -Z4-1f. -0 -- . Gd iz1,/ • p. ' 4/. 11 M ' 6.2, 2 //2 Tax Map& Parcel Print Name of Property Own-rSignature of Owner Date &.')W fc)>fei'. 5t 41 60,4-e5--,2 Sp telizz/AP97 144444v1 eir 7/, 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 Sr/ A.Signature of the Property Owner for each parcel (Continued): deg/f "Air X ",./545J Z,t) �i4,9� 22, Atiki % x/3/,7 Tax Map& Parcel Print Name of Property Owner Signature of Owner Date &,-11 v/Ve/sf_.5 Yoc! a•Z -62C-3/ 4/, �s&/"P2 Z ei9/1 al/41.4 d 4 0///) 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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name ,'/ '29c.) "411 .3uiA pc.es Address?, ,Q, 6/ �-46 City C1;e1ZUj7' 5'iW2.' State 09 Zip ,P,R52e Daytime Phone(1. ).53/^G 3,5 2 E-mail t,bcrYYrnel 6erei bo;1 Q1ers, net *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments, the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14, Revised: 7/10/14, 1/7/14 Page 2 of 2