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Home My WebLink AboutWPO201600001 Application WPO VSMP 2016-04-04 Virginia Stormwater Management Program ( SMP) Application for Albemarle County Project Name: ?Kairwoad VSAA P Amehdin f (773e name should be the same as it appears on plans Is this an amendment to an approved plan? Yes No CI Is this a revision or resubmission for review? Yes No 0 County File Number: IAA)Al(#7 -60001 ftu he provided by the County for neer applications) 777e illowing are required elements ref 1rc •applications[from code sec1ion1 17-401]. For revisions or amendments,please indicate which items are being amended, Signatures must he provided for any submission. it 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 IN required to ensure compliance with the approved plans and permits. rr..�� A I f0 LC "--I ' Cie(�, Cv { ...,� ,�' ` { tri I(0 Tax Map&Parcel Print Name of Prop:rty Owner Signature of Owner Date: Tax Map& Parcel Print Name of Property Owner Signature of Owner Date--- Tax Map&Parcel Prim Name of Property Owner Signature of Owner Date Tax Map&Parcel Print Name of Propeety Owner Sigaaiure:orOwner Date Contact Information for the Owner(s)to receive correspondence: Print Nanie.__Wco bror Associn tg Address Pb SDK G548 City C iI 01{'eSVi (l& :State VA zip 905 l]ag'titnc Phone w7,!4. �� S- �j¢ ,E- �tii U(Celt YV,/ Q. ttn bavt n7 Ai i. Com 7/1,14,Revised:7/10/14 Page 1 of 2 ❑B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed Acres to be Total Fac Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 I1 and less than 5 52.700 $1.350 5200 s and lass than 10 S3.400 $1,700 $250 10 and less than 50 $4,500 $1250 $300 50 and less then 50.100 $3.050 $450 100 L160 and more 59,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan:5150 L1 C. Registration Statement on the official DEQ form. M D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. lit E. Stormwater Management Plan satisfying the requirements of code section 1 7-40 3 11 F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ti. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. 0 Ii. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. Ll I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422, Provide 2 copies of all plans and any supporting docnrne}rite. Profes:sional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact i Person for corm pondenee(usually.the plan preparer,consultant or agent) PriestNair= Co!(,th-S E11n0.-rt+t.� Address :20d otic i 31( 51.4e:-/-e t env le##sy,'l/e state 19x4 zip .2296X Daytime Phone(444 2q3- 37f? E-mail is'ed-#& 6&i hs--en/Mai-IV ark, *When applications and plans arc reviewed,but not approved,and a resp nnse to comments is not received within 6 months from the date ofcounty ointments,the application will he ikemed withdrawn. Applications without valid owner's signatures will not laeeonsidered valid. FOR OFFICE.USE ONLY W'i'O Fac Amami S I)aIe Paid Hyw•hp? _._,__�_�_�_$scald _ (:�,;;.. _. .. Ry. 7/1114,Revised: 7/10/14 Page 2 of 2 AlbemarleCommunity Development Departs vunt 401 McIntire Road Charlottesville,VA 22902-4! Voice:(434)296-5832 Fax:(434)972-4- Planning Application PARCEL /OWNER INFORMATION TMP 07900-00-00-02000 Owner(s): LUCK STONE CORPORATION C/O LAND USE&DEVELOPMENT Application # WP0201600001 PROPERTY INFORMATION Legal Description I ACREAGE Magisterial Dist. SCOftSVille Land Use Primary Forest Current AFD Not in A/F District Current Zoning Primary Rural Areas [APPLICATION INFORMATION Street Address Entered Judy Martin Application Type Water Protection Ordinances 11/12/2016 Project Briarwood.Ph. 1A-1,1B-1,4&5-VSMP Received Date 01/11/16 Received Date Final Submittal Date 01/11/16 Total Fees 2 Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Apaication Comment Erosion and Sediment Control Plan 01/11/16 StW ager. oP4P Plan .01/11/16 �_ APPLICANT/ CONTACT INFORMATION Costa Type y "Tie J , +ss 1 CityState Zip Phone 1_ lie Darner/1qp tat* LUCK STONE iR�TION CI° LAND US i P o BOIL 10t° $MANAKIN SABOT 28103 Primary Contact SCOTT COLLINS-COLLINS ENG. LLC 200 GARRETT ST., STE. K CHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized Agent Date *too *tiS Virginia Stormwater Management Program (VSMP) Application for Albemarle County P/RC,u Project Name: Site Plan for Briarwood - Phases 1A-1. 1B-1. 4 and 8 (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: SDP-2006-00041 -q' (to be provided by the County for new applications) .W Po.Data OOOlolo 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. IN 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. 32G-1 WOODBRIAR ASSOCIATES '" __...47e-r.--W�'� 12/23/15 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 WOODBRIAR ASSOCIATES Address PO BOX 5548 City CHARLOTTESVILLE State VA Zip 22905 Daytime Phone(434) 975-3334 E-mail ulcwwwl@embargmail.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 oft err' IXI 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 plar($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. ® 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. ❑ 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, LLC 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 Amount$1 i W Date Paid11-6 By who?t1 6 : Receipt#It J Ck# 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2