HomeMy WebLinkAboutWPO201700037 Application WPO VSMP 2017-04-20 , Community Development Department
Albemarle Cour v L:1 ?tire Road Charlottesville,VA22902-4596
. 117'iro "'.711 Jice:(434)296-6832 Fax:(434)972-4126
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. ' Planning Application
PARCELLOWNER INFORMATION
IMP 04600-00-00-01800 0o,ner(s): HAUGH, CHARLES R & E J OGLESBY JR TRUSTEES
Application# WP0201700037
!PROPERTY INFORMATION
Legal Description [ACREAGE PARCEL A
Magisterial Dist Rivanna , Land Use Primar, Residential -- Single-family (incl. modular homes !•!!
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Current AFC, Not in A/F District i Current Zoning Primary Neighborhood Model District
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APPLICATION INFORMATION 1
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Street Addresz :2E71 SEMINOLE TRL CHARLOTTESVILLE. 22911 Entered By
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Jennifer Smith!v.I
Application TYpe Water Protection Ordinances !!!.!
i 4. 2017
Project Brookhil Development - WPO Block 4A & 8A
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Received Date 104/19/17 Received Date Final I Submittal Date I Total Fees l 2250
Closing File Date Date Final! Total Paid 2250,
Revision Number
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Comments
Legal Ld
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SUB APPLICATION(s)
Type Sub Applicatiol Comment
Stormwater Management/BMP Plan 04/19/17
Erosion and Sediment Control Plan 04/19/17
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IAPPLICANT / CONTACT INFORMATION ! ,
ContactTjpe Name i Address CityState ' Zip I Phone PhoneCell
HLUGH,CHARLES R& E J OGLESE(JR 435 PARK ST CH4RLOTTESVILL 22901
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•:.L.LNTAYIOR 455 SECOND STF.EET SE, CH4FLOTTES\ILL 229C3 4342454932
Signature of Contractor or Authorized Agent Date
Virginia Stormwater Management Program (VSMP)
Application for Albemarle County
Project Name: Brookhill Development-WPO Block 4A& Block 8A
(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 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 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.
HAUGH, CHARLES R & E J
04600-00-00-01800 OGLESBY JR TRUSTEES 4.4 17
Tax Map&Parcel Print Name of Property Owner Signature ofOwuei r.A+-. ?4.�Lrc.Date
CROCKETT CORPORATION CIO /
04600-00-00-01900 HAUGH & HELVIN ." if i411
Tax Map&Parcel Print Name of Property Owner Signature of e • - I lk• W Date
HAUGH, CHARLES R & E J
04600-00-00-018A0 OGLESBY JR TRUSTEES l , - �Q ll II 7
Tax Map&Parcel Print Name of Property Owner Signature of-Owner ?%-1"-c.-' Date
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
Contact Information for the Owner(s)to receive correspondence:
Print Name Ian Tay( oy
Address l S S 5ee on free+ 3 , ov
City CIACA-dOlf eS041 Q State V J Zip 224703
Daytime Phone(1314) 2 t -q'1 3 Z. E-mail C('an '".c tgfbend abi . Corn
7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2
IY . All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed y lD. (o 9 GC
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
$4,500 ONIMPINF $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;$150
O C. Registration Statement on the official DEQ form.
❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403.
O F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
O J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Ryan Yauger, P.E.
Address 28 Blackwell Park Lane, Suite 201
City Warrenton State VA Zip 20186
Daytime Phone(540) 349-4500 E-mail ryauger@bohlereng.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE !ONLY /.� WPO#( 201 }
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Fee Amount$ )2S-0 Date Paid /���B}�who? /.-(/{ J� „I Receipt# / V /6-54/
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