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HomeMy WebLinkAboutWPO201700024 Application WPO VSMP 2017-11-15 Community Development Department Albemarle O UT'' V 401 i"`mire Road Charlottesville,VA 22902-4596 , e:(434)296-5832 Fax:(434}972-4126 '* ---- 'a Planning Application PARCEL/OWNER INFORMATION IMP 05600-00-00-03500 Owner(s): LUCKY CREEK LLC Application# WPO2O1700024 PROPERTY INFORMATION Legal Description I ACREAGE v. Magisterial Dist.'White Hall El Land Use Primary Residential--Single-family(incl. modular homes= Current AFD Not in A/F District iii, Current Zoning Primary R1 Residential APPLICATION INFORMATION Street Address 659 CROZET AVE CROZET,22932 Entered By Application Type Water Protection Ordinances Jennifer Smith Project Chesterfield Landing II Received Date 03/03/17 Received Date Final Submittal Date 03/06/17 Total Fees 265 Closing File Date Submittal Date Final Total Paid 265 Revision Number Comments Legal Ad SUB APPLICATION(s) Type tra _.n._'t e r an _._w..� _'`*..V..,3.147'.1 ..w.K._, . .............................._.. _.. . .,...__. ..... _.__..... .,.._._.w..- J Stormurater Management/BMP Plan Plan 0303/17 APPLICANT /CONTACT INFORMATION Contacti ype Name Address GtyStae 1 Zip Phone l or fpp1ceI _ t 626BLUF#'0N ljFREEp VA 122940 ` t' w tet... .. ..... M... m.a._.w.. i...._ ..h d , '?riwnary C iitect SHIMP ENGINEERING Signature of Contractor or Authorized Agent Date • ' � cf Virginia Stormwater Management Program (VSMP) ,!` PP '�. A lication for Albemarle County Project Name: Chesterfield Landing Phase li (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No Is this a revision or resubmission for review? Yes ® No 0 County File Number: WPO-2017-00024 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. WI 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. 56-35 SM Charlottesville, LLC 1 11 Tax Map&Parcel Print Name of Property Owner Signature of 0 Da Contract Purchaser Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contract Purchaser Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Namc of Property Owner Signature of Owner Date Contact Information for the Owners)to receive correspondence: Print Name Jeremy Swink Address 200 Garrett St, Suite B City Charlottesville State VA Zip 22903 Daytime Phone(671) , ( C1343 E-mail C?W ren t 54-kn r 4,0n 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 B. All Fees[Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 7.17 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 Iess than 10 $3,400 X1,700_. $250 10 and less than 50 $4,500 ( ,250 �' $300 50 and less than 100 $6,100 X3,050 $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;$150 C. Registration Statement on the official DEQ form. © D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. D H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Justin Shimp Address 201 E Main St, Suite M City Charlottesville State VA Zip 22902 Daytime Phone(434) 227-5140 E-mail Tustin©shimp-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: R 3 • 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2 fin ; Virginia Stormwater Management Program (VSMP) Application for Albemarle County ►,, pm- Project Name: Chesterfield Landing Phase II (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No WI Is this a revision or resubmission for review? Yes CO No 0 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. 56-35 SM Charlottesville, LLC 1 11 f Tax Map&Parcel Print Name of Property Owner Signature of 0 Da Contract Purchaser Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contract Purchaser 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 Jeremy Swink Address 200 Garrett St, Suite B City Charlottesville State VA -7,r Zip 229()3 Daytime Phone(� t ) CT)43 E-mail 5W 4%k 5j' e.h6k,,,,vs,44`^ 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 ®B. All Fees[Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 7.17 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 §1,70A_. $250 10 and less than 50 $4,500 T,250 / $300 50 and less than 100 $6,100 ,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;$150 ® C. Registration Statement on the official DEQ form. © D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. • E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Justin Shimp Address 201 E Main St, Suite M City Charlottesville State VA Zip 22902 Daytime Phone(434) 227-5140 E-mail Tustin©shimp-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2 �yc�nt:nye Virginia Stormwater Management Program (VSMP) a _ Application for Albemarle County /iT,fA`�A Project Name: Chesterfield Landing II (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No e Is this a revision or resubmission for review? Yes ET No ❑ County File Number: (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. LEI 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. �) n 56-35 Lc3�y - { L LC. (.�--K � Z . 51 X011-7 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 Address City State Zip Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14,1/7/14 Page 1 of 2 lose Nod NF AI J Virginia Stormwater Management Program (VSMP) eN Application for Albemarle County tl lv Project Name: Chesterfield Landing II (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 8 Is this a revision or resubmission for review? Yes 0 No 0 County File Number: (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011. 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. 56-35 J ltCLo—a. 1. Lti '—''')AZs 13e5 `. `i: 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 Address City State Zip Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14,1/7/14 Page 1 oft `w0 ❑B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 7.10 Acres to be Total Fee Fee Due with this Fee.with Transfer or disturbed Application modification of permit Less than I $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. ❑ 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. ❑l G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. El 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 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# Lii 2 Li Fee Amount 4b, ,l V Date Paid 3 3`9 Bywho NY, 41+105 Receipt# C&# 1 Q By: IleS 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2