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Home My WebLink AboutWPO201600075 Application 2017-12-06 -1, Albemarle Cour,./ 401 Thre Road Cha€-Iottes,,i:ie VA 221"....,0,2-4:•:;9e, e 434 E3 Fa> 414, ')72-412 . Planning Application . . . , PARCEL / OWNER INFORMATION TMP 03200-00-00-041Q0 Owner(s): LTD HOLLYMEAD LLC • 1 Application# VVP0201600075 PROPERTY INFORMATION Le;a1DescriDtron FACrtEAGE C8 tilagistenalDst, Rio [1.1] Land Use Primark Open ""-t - 1 Current 4FD Not in A/F District 1r",r..1 i Current zumng Primer Planned Development Mixed Commercial t v I L _„„... !APPLICATION INFORMATION 1 r _ Street Piddress 1 1 Entered Eiv APPlhcaticlirl TVP* Water Protection Ordinances E1 nnifer Smith i v 111,'2•8/201,6 Project Staybridge Suites r- 1 Reed Date 11/28/16 I Received Date Final 1 1 Submittal Date Total Fees!' 13501 1 1 i Closing Fe Date1 1 Submittal Dane FinalL Total Pd l 13501 Re,ision Number Comments 1 11 _ Legal Pc.' 1 . 1 1 SUB APPLICATION(s) Type Sub 5,.icatio 1 Comment Stormwater Management/BMP Plan 11/28/16 • i Erosion and Sediment Control Plan 11/28/16 . ! APPLICANT / CONTACT INFORMATION --r- t-•!240,c112e,. I_„.„.., „.,_..„....,..,_ Name Address City:State j 2;T j Phone I PhoneCelifi I: .-t• •v.:. ze-: CTCH-OLL r 1IE4C, .LC 1,5E4 C.ROSSP,15 61.LE, CHEEPPEPKE LP :3226 17:-—a-, :-.--tarc NEEL DEEP,' 1564 CROESWANS BOULEP.RD 2i-iESPPEPE i'.4 22320 75714200900 a i i i Mr RN ..:,,gnature ol:Contractor or Authorized Agent Date oc Aza Virginia Stormwater Management Program (VSMP) "ON% Application for Albemarle Countyow- 'r. Project Name: 5N.0.,.,Ib -idc t. \-c-co (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No 14 Is this a revision or resubmission for review? Yes ❑ No V County File Number: (to be provided by the County for new applications) j- 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. CLIA. Signature of the Property Owner for each parcel: (Required with every submission or revision,NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) Sign Here By signing this application as the owner,I hereby certify that all req ' ements of these plans and permits will be complied with,and I have the authority to authorize the land distur s g activities and development on the subject property. I hereby grant the County of Albemarle the right to ent. upon the property as required to ensure compliance with the approved plans and permits. 03200-00-00041Q Nec,1 De,yo.% 1((ti111 Tax Map&Parcel Print Name of Property Owner Sign ture of Owner L ate 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 is Contact Information for the Owner(s)to receive correspondence: Print Name 1.1%.c.1 De-ye.; Address 15 Cs 41 'o' .. t9 cho i,.l c,vo.rd City C.kvf0 p. coY�t. State VA Zip 03300 Daytime Phone(751) 4/0O -0900 E-mail N S AICj LTOHOg9I r ITH.( ONI 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 C 'B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 0.0% 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;$150 ❑ C. Registration Statement on the official DEQ form. LI D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. LSI E. Stormwater Management Plan satisfying the requirements of code section 17-403. d F. Pollution Prevention Plan satisfying the requirements of code section 17-404. G'G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. AH. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. IZTAI. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ,J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Address City State Zip Daytime Phone( ) E-mail *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO#/ - D 6 '—.a0 Fee Amount CV Date Paid/��/e By who?L I � 01A.- soot„+7 Receipt#' -Ck#/4efr Byz76- 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 4 L$� A Virginia Stormwater Management Program (VSMP) ; Application for Albemarle County Project Name: Staybridge Suites (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes D No E Is this a revision or resubmission for review? Yes E No ❑ County File Number: WP0201600075 (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. E 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. 03200-00-00041Q LTD Hollymead, LLC 11/21/17 Tax Map&Parcel Print Name of Property Owner gnature 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 LTD Hollymead, LLC Address 1564 Crossways Boulevard City Chesapeake State VA Zip 23320 Daytime Phone(757) 420-0900 E-mail ndesai@ltdhospitality.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of2 ❑ 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 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;$150 fa C. Registration Statement on the official DEQ form. fa D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. 8 E. Stormwater Management Plan satisfying the requirements of code section 17-403. 8 F. Pollution Prevention Plan satisfying the requirements of code section 17-404. El G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. N/A ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. N/A 0 I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. N/A 0 J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Kimley-Horn and Associates, Inc. Attn: Brian Brewer Address 1700 Willow Lawn Drive, Suite 200 City Richmond State VA Zip 23230 Daytime Phone(804) 673-3882 E-mail brian.brewer@kimley-horn.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 oft ov Virginia Stormwater Management Program(VSMP) �!+ � Application for Albemarle County Alii* wciio Project Name: Staybridge Suites (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 0 Is this a revision or resubmission for review? Yes 0 No ❑ County File Number: WPO201600075 (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. 03200-00-00041Q LTD Hollymead, LLCf�._.� ,7/07 Tax Map&Parcel Print Name of Property Owner S gnature 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 LTD Hollymead, LLC Address 1564 Crossways Boulevard City Chesapeake State VA Zip 23320 Daytime Phone(757) 420-0900 E-mail ndesai@Itdhospitality.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 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;$150 O C. Registration Statement on the official DEQ form. lI D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. E E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Kimley-Horn and Associates, Inc. Attn: Brian Brewer Address 1700 Willow Lawn Drive,Suite 200 City Richmond State VA Zip 23230 Daytime Phone(804) 673-3882 E-mail brian.brewer@kimley-horn.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2