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Home My WebLink AboutWPO201600065 Application WPO VSMP 2016-10-20 Albemarleç'unty Community Development Departrr 401 McIntire Road Charlottesville,VA 22902-4! �� 13 Planning Application r�.I Voice:(434)296-5832 Fax:(434)972-4- PARCEL / OWNER INFORMATION TMP 07800-00-00-03100 Owner(s): WORRELL LAND&DEVELOPMENT COMPANY LC Application # 1 PQ2O1600065 PROPERTY INFORMATION Legal Description 1 ACREAGE PER NOTES EASED NO DEVELOPMENT Magisterial Dist. 1Rivanna Land Use Primary Office Current AFD ! Not in A/F District CI Current Zoning Primary Planned Development Mixed Commercial APPLICATION INFORMATION Street Address Entered Judy Martin Application Type Water Protection Ordinances Project Pantops Public Safety Facility-VSMP Received Date 10/19/16 Received Date Final Submittal Date 10/24/16 Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Application Comment Stormwater Management/BMP Plan 10/19/16 Erosion and Sediment Control Plan 10/19/16 APPLICANT/CONTACT INFORMATION Cor Type 1 Name l Address 1 GtyState Zip Phone ( PhaneCt owner/art 1WORRELL LAND`i4 DEVELOPMENTCOMPAN iP 0 BOX 5386 i CHARLOTFESVILL 22905 General Contractor ALBEMARLE COUNTY 401 MCINTIRE ROAD CHARLOTTESVILL 2°'29' 2402 4342965832 Primary Contact D3G/DONALD BOOTH 449 MCLAWS CIRCLE WILLIAMSBURG, 23185 7572530673 Signature of Contractor or Authorized Agent Date ./ ``' t iv.,,A4 Virginia Stormwater Management Program (VSMP) fi Application for Albemarle County Project Name: Pantops Public Safety Facility (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 ® No 0 County File Number: SDP 2010-00067 (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. 0 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. 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 Blake Abplanalp-Chief Project Management Address 401 McIntire Road, Room 420 City Charlottesville State VA Zip 22902 Daytime Phone(434) 825-1663 E-mail babplanalp@albemarle.org 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 oft (1000 D B. All Fees [Code section 17-208] 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;$150 ® C. Registration Statement on the official DEQ form. 0 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. • G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Darren Curtis, PLA, LEED AP - DJG, Inc. Address 449 McLaws Circle City Williamsburg State VA Zip 23185 Daytime Phone(757) 253-0673 E-mail dcurtis@djginc.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 oft