The URL can be used to link to this page

Home My WebLink AboutWPO201500062 Application Minor Amendment 2016-01-20 Virginia Stormwater Maffagement Program (VSMP) Application for Albemarle County A :_,-..7°"/ IYRGI;P' Project Name: (The name should be the same as i Is this an amendment to an approved plan? Yes ❑ No IX Is this a revision or resubmission for review? Yes IN No ❑ County File Number: WP02013-00015 (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. 93A4-J CENTRAL VIRGINIA REAL ESTATE VENTURES / 2' jl0 ' Tax Map&Parcel Print Name of Property Owner Signature of Owner D to 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 NEAL SANSOVICH - CENTRAL VIRGINIA REAL ESTATE VENTURES Address 2325 GREY HERON ROAD City KESWICK State VA Zip 22947 Daytime Phone(434) 962-2150 E-mail nsansovich@gmail.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 oft ❑ B. All Fees [Code section r7-208] For new or modified plans; Total acres proposed to be disturbed 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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. IXI E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS - COLLINS ENGINEERING Address 200 GARRETT ST, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott@collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By. 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 tl Albemarle lbemar e L0unty Community Development Department , Road Charlottesville;VA229t2-4595 . 1 Voir 4 296-5632 Fax:(434)972-4126 `..sPlanning Application !PARCEL / OWNER INFORMATION THP 09400-00-00-07400 C,,,ner(s): Application# WP0201500062 PROPERTY INFORMATION Legal Description ' RUNNING DEER A 23 Magisterial Dist. Scottsville Land Use Primar, Residential -- Single-family (incl. modular homey ri Current AFD Not in A/F District w Current Zoning Primar, Planned Residential Development APPLICATION INFORMATION Street Address Entered By —_-- ---- Emily Lantz Application Type Water Protection Ordinances 19;1;'2015 Project Glenmore Leake K2 Lots 24-27 & 29 - Amendment Received Date 08/27/15 Recei,el Date Final Submittal Date Total Fees r 200 - me„ Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments } Legal .1.d SUB APPLICATION(s) TiT Sub Applicata Comment Stormwater Management/BMP Plan Erosion and Sediment Control Plan Stream Buffer Mitigation Plan APPLICANT / CONTACT INFORMATION ContactTytpe I Name Address CityState Lip Phone PhrcneCell -- _-tact SCOTT COLLINS 200 GiARRETT ST SUITE K CHARLOTTESTLL 22902 4342933719 Signature of Contractor or Authorized Agent Date i01 1 Virginia Stormwater Mannent Program (VSMP) joimaApplication for Albemarle County : Project Name: Glenmore Leake K2, Lots 24-27&29 SWM Plan Amendment (The name should be 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: WPO 201300015 (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. 093A4-00-00-000J0 Glenmore Associates Limited Partner: 8/26/15 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 Neal Sansovich Address PO Box 7623 City Charlottesville State VA Zip 22906 Daytime Phone(434) 962-2150 E-mail 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 ® B. All Fees [Code section 11%00 `'r✓ For new or modified plans; Total acres proposed to be disturbed 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 El 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. O 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. 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 Scott Collins, PE Address 200 Garrett Street, Suite K City Charlottesville State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott@collins-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 AmountstOD,W Date Paid By whoO')11t% M,e, Receipt#»1141 Ck# C)t)4' By 7/1/14;Revised:7/10/14, 1/7/14 Page 2 of 2