HomeMy WebLinkAboutWPO201700003 Application WPO VSMP 2017-03-20 , r1 Albemarle flty Community Development Departrr
sS 401 McIntire Road Charlottesville,VA 22902-4!
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--- -4 Planning Application
PARCEL/OWNER INFORMATION
TMP 07860-00-00-000A0 Owner(s): RIVERSIDE VILLAGE PROPERTIES INC
Application # WP0201700003
PROPERTY INFORMATION
Legal Description J RIVERSIDE VILLAGE OPEN SPACE RIVERSIDE VILLAGE
Magisterial Dist. "Rhianna Land Use Primary Unassigned
Current AFD I Not in A/F District Current Zoning Primary{Neighborhood Model District
[APPLICATION INFORMATION
Street Address Entered
Judy Martin
Application Type [Water Protection Ordinances 11/12/2017
Project Riverside Village Block 5 -VSMP
Received Date 01/12/17 Received Date Final Submittal Date 01/20/17 Total Fees 2
Closing File Date Submittal Date Final Total Paid 2
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Application Comment
Erosion and Sediment Control Plan 01/20/17
Stormwater Management/BMP Plan I 01/20/17
APPLICANT I CONTACT INFORMATION
ContactType I Name I Address I CityState I Zip I Phone PhoneCt
Owner/Appikart RIVERSIDE VILLAGE PROPERTIES INC 1200 GARRETT ST STE S CHARLO ii tSVILL 22902
Primary Contact JUSTIN SHIMP 201 E MAIN ST., STE. M CHARLOTTESVILL 22902
Signature of Contractor or Authorized Agent Date
Virginia Stormwater Management Program (VSMP) ` 4,4
Application for Albemarle County *1,,
Project Name: Riverside Village Block 5,WPO 2014-00074
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ® No 0
Is this a revision or resubmission for review? Yes 0 No PI
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 the approved plans and permits. !
r
Riverside Village Properties, Inc. ', 1111
Tax Map&Parcel Print Name of Property Owner S ..#a + oi'Own= ' Date
Tax Map&.Parcel Print Name ofProporty Owner Signature of Owner Date
-ax Map ap cit Parcel Print Name of Proper y t')wroer Signature of Owner Date
Tax Map&Parcel Print Nacre of Property Owner *nature of Owner 17atc
Contact Information for the Owner(s)to receive correspondence:
Print Name Chris Henry
Address 200 Garrett St, Suite 0
City Charlottesville
.� _ ..._..__ �. ..._._. ... ......... �_____..Seta VA Zi22902
Daytime Phone( ) E-mail
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® B. All Fees [Code section 17-208]
For new or modified plans;Total acres proposed to be disturbed
[ -------
Acres to be Total Fee Fee Due with this Fee with Transfer or
disturbed Application modification of ;ermit
Less than 1 $290 $145 $20
i.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 S9,600 i $4,800 $700
For(minor)amendments to an approved plan;$200 per review
Variances;$150(per request)
Mitigation Plan;$150
7 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.
:.i 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.
D 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 Justin Shimp
Address.,201 E Main St. Suite M
_.__..........................____..............
City Charlottesville Stain VAzip—__ p
Daytime Phone(.._. _)W._............._.._ E-mail Justin@shirttp-engineering.com
*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 LSE ONLY { WPO k
-4e Amount 1F^l/V 1. C3 ate Paid I �2ll ly wh;?„5".4/j ,
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