HomeMy WebLinkAboutWPO201700059 Application 2017-08-11 Community Development Department
lbemariei� 1 MclntireRoad Charlottesville,VA229 4596
Voice:(434)296-5832 Fax:(434)972-4126
4 ' Planning Application
PARCEL I OWNER INFORMATION
TMP 055E0-01-16-0260 Owner(s): EAST VILLAGE LIC
Application# WPO2OI 700059
PROPERTY INFORMATION
Legal Description I OLD TRAIL ILK 1,6 LOT 25
Magisterial Dist.!White Hall Land Use Primary Unassigned �I
Current AFD Not in AIF District 111 Current Zoning Primary!Neighborhood Model District '!
APPLICATION INFORMATION
Street Address Entered By
Entered
Judy MartinD
Application Type [Water Protection Ordinances l 7/27/2017
Project Old Trail,Block 16, Lots 26-28-VSMP
Received Date 07/27/17 Received Date Final Submittal Date Total Fees 145
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad .
SUB APPLICATION(s)
Type Sub App icatio Cixraient 1
Stormwater Management/BMP Plan 07/27/17
Erasion atiiiiSeelbleiettlaekleIBP100 -07/21117 •
APPLICANT/CONTACT INFORMATION
ContactType Name Ad&ess CityState Zip Phcoe PhoneCell
aiiineoweuint IsiiisT LLC i 11165 t4EAT14ERCROFT CR STE I CROZET VA 22932
Primary Canted WILLIAM D,CRAIG P.0.BOX 6156 CHARLOTTESVILL 22906 4342420364
Signature of Contractor or Authorized Agent Date
.. r •OF AL8
• Virginia Stormwater nagement Program (VSMP) `./ k ;p, '
Application for Albemarle County ' i
Project Name: C-P' /..�/ f�•C Lf rd `G75 c -
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No I�
Is this a revision or resubmission for review? Yes 0 No ( '
County File Number: °jtt-S\
W (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.
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.
y 4/7/O WA" /2 47 -111-1,0
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
(&/7.7/1"F.c 7Fi A'/SFSe,
f-515-6/-/2--i7 if,`4',11/,?ir)D,e",t1 9/ 1444A Q £ J' -‘1(2.10
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
.5-5i-el-4,-;X` , ,/ 0/1)/2 , 4/ Imo, a t4A{ 7'l'L11l
Tax Map&Parcel 'Print Name of Property()wrier 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 ea//2.../14-7"7/� c', j� �G ,e/5/1 (5Ur we/ 5
Address /?G),�i✓X l/
City Cffir%2 /7—F541LL-_ State
i/79 Zip
Daytime Phone(73 ) E-mail /zJ/%/,�/'lt'/(� li/' Cobb(/Yetis,nez.
7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2
load
El B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed , o?,
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;$150
❑ C. Registration Statement on the official DEQ form.
❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403.
O F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
O J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name f G.5,l-1„, ,U,��(/
� �� 6/ J
Address ,Q,
City C1�,1AW. -/ State 02• Zip o7. d.
Daytime Phone(?0 _A9J —V1/./..5E-mail %Oe,Xj 610-14/ hi /c/er s,n-C”
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2