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HomeMy WebLinkAboutWPO201600083 Application WPO VSMP 2017-06-16 , .................„ Albemarle Cou ey ,..... 1 ...t4r„.r.E;,(23.-E, ',1:, :...,1:::.,.. ..:. 7roce (4345 2H-E322 F,,* '4"a•-t-,'"d1,2-412:: it.,..—...-1' Planning Application , .„...___ .. [PARCEL LOWNER INFORMATION --- -- ThIP 04500-00-00-112B0 Owner(sj: B PROPERTIES LC Application# WP0201600083 PROPERTY INFORMATION Legal Description ACREAGE PARCEL"C`' i Magisterial Dist, Rio Land Use Primary Forest ..-..,.:. Current F0 Not in A/F District 11 ti Current Zoning Primary Highway Commercial ,.v APPLICATION INFORMATION Sitreeit Address I Entered Eiiif Jennifer Smith,w i Application Type Water Protection Ordinances v , I 12:13,12016 Project Better Living Berkmar Drive I f— — 1 Fecen,ed Date 1 2/1 2/16 I Reteed Date Final 1 1 Submittal Datel i Total Fees I 1350! 1 i i I I Closing File Date. L,, 1 Submittal Date Email I 'rota,Pad 1 13501 .....I P.eidsion Number Somments .... Legal :id i SUB APPLICATION(s) Tje, ji.kb Aiviicatioj ,... ,Stormwater Management/BMP Plan ' 12/12/16 Erosion and Sediment Control Plan 12/12/16 APPLICANT /CONTACT INFORMATION L_c_prtctiiRcL Name i Address CityState L ;!.pi Ph9ne PhneCi.j :2"": E P F111G PiF1111iE S 1.C .P 0 SO.\T627 CH ARLOTTE S OLL 2296 SHIt°P . SHIMP ENGINEERING 201 E. liiIPIN STF.EET CH ARLOTTESVILL 22902 I 1 .77i-7,77 a.tu re of Contractor or Authorized Agent Date , '44110` 'tool l Virginia Stormwater Management Program (VSMP) 4c a`ay Application for Albemarle County ' 6Y Project Name: Better Living Berkmar Drive (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No la 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 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. 1 n y5.-11913 C -.--)h t G. Nun I c !., d 1Z 2 2 Tax Map&Parcel Print Name of Property Owner • tune of Owner D ue 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 B Properties, LC Address P.O. Box 7627 City Charlottesville State VA Zip 22906 Daytime Phone(y)) q't4- en j 1 E-mail 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 l B. All Fees[Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 4.20 Acres Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit 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 $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. O 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: O 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. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ 1. 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 ifnot 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( ) E-mail Justin@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 mnet's signatures will not be considered valid. FOR OFFICE USE ONLY WPO Fee Amount Sete Paid POliky who? 100.!,'11.. (.0. Receipt/! q Y� 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2 yri 1.ItpJf Virginia Stormwater Management Program VSMI') � =. Application for Albemarle County 1111,.4 Project Name: Better Living Berkmar Drive (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No WI Is this a revision or resubmission for review? Yes 6i1 No 0 County File Numbe (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. 45-112B {'i`4"1.4 l U ( 612, '' T Tax Map&Parcel Print Name of Property Owner Signature of caner 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 Contact Information for the Owner(s)to receive correspondence: Print Name B Properties, LC Address P.O. Box 7627 City Charlottesville State VA Zip 22906 Daytime Phone( ) E-mail 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 R. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 4.20 Acres 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;$150 ® C. Registration Statement on the official DEQ form. • D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. 121 F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. o H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. D I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Justin Shimp Address 201 E Main St, Suite M City Charlottesville State VA Zip 22902 Daytime Phone( ) E-mail Justin@shimp-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2