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Home My WebLink AboutWPO201700068 Application 2017-09-12 Alf? 't1?ari ' CountyCommunity Development Department 401 McIntire Road Charlottesville,VA 22902-4596 ` ri✓ Voice:(434)296-5632 Fax:(434)972-4126 31 Planning Application PARCEL/ OWNER INFORMATION TMP 00800-OO-0O-0440( Owner(s): NELSON R MORRIS ALLISON M MORRIS Application# WPO2OI700058 PROPERTY INFORMATION Legal Description I ACS Magisterial Dist. White Hall Land Use Primary Open Current AFD Buck Mountain Current Zoning Primary Rural Areas [APPLICATION INFORMATION Street Address Entered By Judy Martin Application Type 'Water Protection Ordinances Project Morris/Dunn Entrance-VESCP Received Date 09/12/17 Received Date Final Submittal Date Total Fees 150 Closing File Date Submittal Date Final Total Paid 150 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Erosion and Sediment Control Plan 09/12/17 Stormwater Management/BMP Plan 09/11/17 APPLICANT /CONTACT INFORMATION ContactType Name Adikess CityState Zip Phone PhanaCell Oster/40=4 NELSON R MORRIS ALMON M MORRIS 16822 MARKWOOD RD EAR:LYSYRLLEVA 22935 Signature of Contractor or Authorized Agent Date Sir '%goe Virginia Erosion and Sediment Control Program (VESCP) x Application for Albemarle County ., (This application is only to be used for projects exempt from the Virginia Stormwater Management Program,VSMP,and the DEQ General Permit) Project Name: AJ"/'/:S �UhpJ/r-c/1 C (The name should a the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No ❑ Is this a revision or resubmission for review? Yes ❑ No ❑ County File Number: LIAO D MI7-t U (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. Arils 00800-a0-0o L? 6On f-k/1 � 9 /Z /7 Tax Map&Parcel not Name of Property Owner p y Signatuf-Ze_A -7/(4, ner D e -feyy4A6 pogo®-Go-oo JcCo13 Bri n Dunn e/Zf7 Tax Map&Parcel Print Name of Property Owrfer Signatu of Owner Da 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 AIe./Son R 4t ri-n Address �� Z Z. Ar kkvacKA :) c2 City �ctlrlQ�V% /�'( State VI Zip 2 Z93� Daytime Phone ( � 9g7-0 y S E-mail A e,/Soki/63SiEAa 7 Fill. CONN 7/1/14,Revised:7/10/14, 1/7/15 Page 1 of2 • ❑ B. All Fees [Code section 17-207] Total acres proposed to be disturbed Acres to be disturbed Total Fee Less than 1 $150 per review More than 1 $300 per review For amendments to an approved plan;$200 per review Variances;$150(per request) Exceptions;$240 Mitigation Plan;$150 Construction Record Drawing; $300 4E-C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ D. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ E. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ F. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Address City State Zip Daytime Phone( ) E-mail *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/15 Page 2 of 2