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Home My WebLink AboutWPO201700010 Application 2017-02-03 Community Development Department 't' Albemarle �U 40' inti re Road Charlottesville,VA22902-4696 la '�ryr ice:(434)296-5832 Fax:(434)972-4126 a " Planning Application - PARCEL j OWNER INFORMATION TMP 078H0-OO-O5-01700 Owner(s): NVR INC Application# WPO2OI 70001 0' PROPERTY INFORMATION Legal Description I COMMA MK 5 1-0T ..17 Magisterial Dist.1Rivanna 0 Land Use Primary Unassigned ID Current AFD Not in A/F District r! Current Zoning Primary Neighborhood Model District APPLICATION INFORMATION Street Address 802 OVAL PARK LN CHARLOTTESVILLE,22911 Entered By Jennifer Smith 01 � �� Application Type Water Protection Ordinances 3 2017 Project Cascadia-Blocks 4-7- Lots 17-32 Received Date 02/03/17Received Date Final Submittal Date Total Fees 290 Closing File Date Submittal Date Final Total Paid 290 Revision Number Comments Legal Ad ,. .4- SUB SUB APPLICATION(s) - Type Appli io Comment Storrlit Plan' ',4:".°431.1.!,.1.._........ 0 /37 »t .. .».......1.,............ _ » ....».»... ..._... Erosion and Sediment Control Plan - X02/03/17 APPLICANT I CONTACT INFORMATION Contactlyi a Mame I s s Address ►State e Zip Fhone, I PboneCdi 1,_ Own ..... :,j j E 1S l �Dt.E't# it.STE I CttARLOTrE+siVILL »I 901 E Pnmary Contact MIKE MYERS,P.E. • 172 SOUTH PANTOPS DRIVE •CHARLOTTESVILL 22'911 4349798121 Signature of Contractor or Authorized Agent Date ov Virginia Stormwater Arbagement Program (VSMP) .4„ 9 Application for Albemarle County Argot� Project Name: (a c6alf Gt - R 4-7 - lis 17- 3Z (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No lX' Is this a revision or resubmission for review? Yes 0 No County File Number: (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. VA. 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. 170E-f-o5-0-2, NUe, Tax Map&Parcel rint Name of Property Owner Sign. ere . i er ate 78W-o (22.32) CaScadiA Dw . 7 Tax Map&Parcel Print Name of Property Own ' 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 pa(2 i K t 1 l Address b sum I/101-e_TrI , City 04G7--4 \+-teS`/` ( t State 1/4 Zip Z-Zl(D1 Daytime Phone( ) E-mail 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 oft rbX. All Fees [Code secti l"'l7-208] '"irti For new or modified plans;Total acres proposed to be disturbed 0 •8O Ac.. 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 ,f7 0 $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;$150 I. Registration Statement on the official DEQ form. 7 D Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. Stormwater Management Plan satisfying the requirements of code section 17-403. Gd F. Pollution Prevention Plan satisfying the requirements of code section 17-404. 4G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. litt&H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. t449,I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. N -J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name IAI(,14uel tk({r4, P,E..., Address 172 tel( Pet( j` S ►� City C/ i-ID- ,CSV 1t State VA Zip 22gt I I Daytime Phone(q,1$ 4 7/-3'12-I E-mail 01 01yte rC oIOM Al Me/3 ,ram *When applications andlans are reviewed,but Pu 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 USEONLY WPO# �T- I Q Fee Amount$.2c11:U— Date Paid 2.3 j,-11-By who? r 0 Utwe-S Receipt#1 (86 ;(A Ck# Ci 19 t(04 By: • 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2