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Home My WebLink AboutWPO201700032 Application WPO VSMP 2017-04-18 Albernark CountyCommunity De 401 McIntire Road CharIon Voice : (434)296-583 52 Planning Application PARCEL / OWNER INFORMATION IMP 04500-00-00-111C0 Owner(s): FIRST GOLD LEAF LAND TRUST WENDELL W WI Application # WP0201700032 PROPERTY INFORMATION Legal Description I ACREAGE PARCEL B Magisterial Dist. Rio Land Use Primary Unassigned Current AFD Not in A/F District E Current Zoning Primary Highway Commercial APPLICATION INFORMATION Street Address Application Type Water Protection Ordinances pa Project Northtown Phase IIB-VSMP Received Date 04/03/17 Received Date Final Submittal Date 04/03/17 Total Closing File Date Submittal Date Final Total Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sub Application Comment Stormwater Management/BMP Plan 04/03/17 Erosion and SedIment Cfoldifd APPLICANT / CONTACT INFORMATION I 1 ConteciTYPe Address State 122905 ZipPI - - owroetiAPPlicantBok 5548 Primary Contact ENGINEERING 200 GARRETT STREET, Sib.K CHARLO1TESVILL 22902 43421 C trim=t-t tro of rnrii-r ,-trtr rtr A,it-krtri7 ri A rsortf Date 41.01 • * V.r. Virginia Stormwater Management Program (VSMP) Application for Albemarle County iw Project Name: NORTHTOWN PHASE IIB (17w name should be Me same as it appears on plans) Is this an amendment to an approved plan? Yes M No n Is this a revision or resubmission for review? Yes C! No LFII County File Number: WP02016-63 (lvheprovided b.vthe County fornew applicutions) 1lie following are required elements of new applications[from code sectiomr 17-401). For revisions or amendments,please indicate which items are being amended. Signatures must he providedfir any submission. N 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 cnlcr upon the property as required to ensure compliance with the approved plans and permits. .t 45-111C FIRST GOLD LEAF LAND TRUST e;��.,.-..0' 1712/ 3/30/17 Tax Map It Parcel Print Name of Property Owner Signature of Owner Date 45-110C FIRST GOLD LEAF LAND TRUST3/30/17 'lax 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 Dale Contact Information for the Owncr(s)to receive cortcspondcncc: Print Nance FIRST GOLD LEAF LAND TRUST Address PO BOX 5548 City CHARLOTTESVILLE Slate VA Zip 22905 Daytime Phone(434) 9755-3334 E-mailulcwww(a,embargmail com 7/1/14.Revised: 7/10/14 Page 1 of 2 ®B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed Acmes to by 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 51.350 5200 5 and less than 10 53.400 $1,700 $250 10 and less than 50 54,500 $2,250 $300 50 and less than 56300 53,050 $450 100 100 and more 59,600 54.800 570(1 For(minor)amendments to an approved plan;$200 per review Variances:$150 Mitigation Plan:$150 O C. Registration Statement on the official DEQ form. ® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. 0 E. Stormwater Management Plan satisfying the requirements of code section 17-403 171 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. O H, Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. Q I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. Q 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 plants and any supporting documents. Prqfessional seals must have original signatures. Additional information if not provided on plans and documents: Name ors Contact Person for correspondence(usually the plan prcparer.consultant or agent) Print Name SCOTT COLLINS - COLLINS ENGINEERING Address 200 GARRETT STREET SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott(a,collins-engineering.com *When applications and plans arc reviewed,hut not approved,and a response to comments is not received within 6 months from the date of county comments,the application will he deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO .wm Fee unt .l.0 Or"P'"4-3-17 HY whn7C')t 1 , kj R.ipA fav: 7/1/14.Revised:7/10/14 Page 2 of 2