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Home My WebLink AboutWPO201700046 Application WPO VSMP 2017-06-15 Albemarle Cr •(flCommunity Development Department 1 McIntire Road Charlottesville.VA 22902-4596 Sire Num, Voice:(434)296-5832 Fax:(434)972-4126 g Planning Application PARCEL/OWNER INFORMATION TMP OO- Owner(s): SLUTZKY, DAVID OR MELISSA Application# WP0201700046 PROPERTY INFORMATION Legal Description jACREAU Magisterial Dist.[Ck 3ouett Land Use Primary Residential-- Single-family(incl. modular homes Current AFD Not in A/F District w_ Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address 1705 LAMBS RD CHARLOTTESVILLE,22401 Entered By lady Martin Application Type .Water Protection Ordinances . 15 15,2417_ - Project Ivy Creek Nutrient Bank, LLC- VSMP Received Date 06/14/17 Received Date Final Submittal Date Total Fees 200 Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Std AppJicatio Comment Stormwater Management/BMP Plan 06/14/17 Erosion and Sediment Control Pion 06/14/17 APPLICANT /CONTACT INFORMATION ContactTye Naive Ackkese Cit State Zip Phone PhoneCell ...._.:., ...,..,.G:.`�.�°,.e... .x� k. .. �'�; a.�.,.x,,.» x n.....�! �..��.o..�.✓...� .�-x ....,u.. ..�r...... sec ....,.... ...,: ..,..,.. t ..,.....� ....._:, .,......:.. A += DAVID SLUTZKY 1705 LAMBS ROAD CHARLOTTESVILL 22901 4349895888 Prvnary Contact KYLE ASHMUN/ECOSYSTEM SERVICES LLC 2096. 2ND ST.,SW STE.2A CHARLOTTESVILL 22902 4438757804 Signature of ContractororAuthorized Agent Date SS./ `w • 'Virginia Stormwater Management Program (VSMP) „7,41 ,,5 Application for Albemarle CountyO, Project Name: Ivy Creek Nutrient Bank, LLC (The name should be the same as it appears on Tans) Is this an amendment to an approved plan? Yes No ❑ Is this a revision or resubmission for review? Yes ❑ No XI County File Number: W Pb c. O /OV J. (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. Vag Ci David Slutzky ` ` 061417 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name David Slutzky Address 1705 Lambs Rd. City Charlottesville State VA Zip 22901 Daytime Phone(434) 989-5888 E-mail david@fermataenergy.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 - R B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 2.63 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 0 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 Kyle Ashmun of Ecosystem Services, LLC Address 209 2nd St. SW Suite 2A City Charlottesville State VA Zip 22902 Daytime Phone(443) 875-7804 E-mail kyle@ecosystemservices.us *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 PajI /tBy who.``v1' _ .Irk Receipt# Ock#35Ol_(J By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2