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WPO201600031 Application WPO VSMP 2016-04-21
Albemar401 McIntirele unty Community Development Departrr Road Charlottesville,VA 22902-4i • Voice:(434)296-5832 Fax:(434)972-4' Planning Application PARCEL/OWNER INFORMATION IMP 09000-0000-00300 Owner(s): PIEDMONT NEIGHBORHOODS LP Application # WP0201600031 PROPERTY INFORMATION Legal Description ACREAGE Magisterial Dist. SWIM&Miller Land Use Primary Forest Current AFD Not in A/F District Er Current Zoning Primary Planned Residential Development [APPLICATION INFORMATION Street Address 1569 KENDRA ST CHARLOTTESVILLE, 22903 Entered Judy Martin Application Type [Water Protection Ordinances 1-4/21/2016 Project Whittington-Ph-B VSMP-Amendment Received Date 04/21/16 Received Date Final Submittal Date 04/25/16 Total Fees 2 Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I St Application Comment Stormwatert4anagement/BMPplan .94/25/16 '''''''''''''''''' ''''''''''''''''''''''' APPLICANT/ CONTACT INFORMATION Cnitacti j , Niwne Adtkese CilyState 1 Zip Phone Ph011eCif Offittrt ' $ GtR$OODSI OPAZAM1CA441 ',Oftrik - fRiEsutS VA 1142 196 '17 Primary Contact MICHAEL 4M-Y-EITS4, P.EJDOMINION ENGINE 172 S. PANTOPS DRiVE CHA-IiLOTTESVILL 4 22911 4349798121 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) Application for Albemarle County i+ Project Name: Whittington-Phase B (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ® No 0 Is this a revision or resubmission for review? Yes 0 No County File Number: WPO 2014-00094 (to be provided by the Countyfor 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. 90-3 Piedmont Neighborhoods, LP 3/2/2016 Tax Map&Parcel Print Name of Property Owner ignature 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 Piedmont Neighborhoods, LP Address 11111 Sunset Hills Rd. City Reston State VA Zip 20190 Daytime Phone( )_ — _ E-mail 7/1/1A R p icp,i•7/1(/14. 1/7/14 Page 1 of 'rte yr . 10 B. All Fees [Code section 17-208] • For new or modified plans;Total acres proposed to be disturbed 77.5 Ac 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 $700 For(minor)amendments to an approved plan, 00 . r revte V • ,, request) iti : ion Plan; ► ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17=402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Michael Myers, P.E., Dominion Engineering Address 172 S. Pantops Dr. City Charlottesville State VA Zip 22911 Daytime Phone(434) 979-8121 E-mail mmers©dominioneng.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WpO# c De,Nj"' /�'� D� „ Fee Amount$ Zoo co Date Paid (IIL By who?Dom,/►oo f'1 6"S°Receipt# `a�j J�Ck# �.�) / By: I_�1,_(l\ 7/1/14.Revised:7/10/14. 1/7/14 Pane 2 of 2