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Home My WebLink AboutWPO201600008 Application WPO VSMP 2016-04-14 0Vn� Virginia Stormwater Management tial ement Program (VSMP) � `�`� Application for Albemarle County 14097, Project Name: Glenmore K2C-II (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes El No VI Is this a revision or resubmission for review? Yes ® No El County File Number: WPO 2016-00008 (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. Y//'Y7/4 / 93A5-1 Glenmore Partners, LLC ///� /6 Tax Map&Parcel Print Name of Property Owner ignature of Owner Da e 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 Jess Achenbach Address P.O. Box 645 City Charlottesville State VA Zip 22902 Daytime Phone(434) 242.4802 E-mail fess@reddirtdev.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 'oimpe '44400 ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 25.94 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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Justin Shimp Address 201 E Main St, Suite M City Charlottesville State VA Zip 22902 Daytime Phone(434) 227-5140 E-mail Justin@shimp-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 ♦ i of e .>a Virginia Stormwater Management Program (VSMP) ./1!"--:•> Application for Albemarle County Project Name: Glenmore K2C-II (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No RI Is this a revision or resubmission for review? Yes RI No 0 County File Number: O A06- (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. 93A5-1 Glenmore Partners,LLCt 6t/y" /L Tax Map&Parcel Print Name of Property Owner S' tune of wner 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 Jess Achenbach Address P.O.Box 645 City Charlottesville State VA Zip 22902 Daytime Phone(434) 242.4802 E-mail Jess@reddirtdev.com 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 6Z1 B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 25.94 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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Justin Shimp Address 201 E Main St, Suite M City Charlottesville State VA Zip 22902 Daytime Phone(434) 227-5140 E-mail justin@shimp-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 )41be a l+ ' Tty ounCommunity Development Departrr L,1' 401 Mdntire Road Chariottesviile,VA 22902-4i Voice:(434)296-5832 Fax:(434)972-4' 4 Planning Application PARCEL/OWNER INFORMATION TMP r 3AS-00- O--001 > Owner(s): GLENMORE PARTNERS LLC Application # WPC:#201451,00:)08 PROPERTY INFORMATION Legal Description f C:LERPOEIRE PARCEL L Magisterial Dist. Scottsv+ilile Land Use Primary Forest Current AFD Not ht A/F District Current Zoning Primary Planned Residential Development APPLICATION INFORMATION Street Address Entered Judy Martin Application Type Water Protection Ordinances 2/5/2016 Project Carroll Creek Road-`VSMP Received Date 02/05/16 Received Date Final Submittal Date 02/08/16 Total Fees 22 Closing File Date Submittal Date Final Total Paid 22 Revision Number Comments Legal Ad SUB APPLICATION(s) Type., Sub Application Co wner4 Erosion and Srediment Control Plan 02/05/16 § C E � r •.- z �,=�. �..m..� ,mw .-"�"n��.bs�s��«.�mrx#,mak m.-,�`�� °- x.;._ x� E, �°�'�x .. .� 2�x;^ �.aP ', .k�$� I- �� z .. APPLICANT/CONTACT INFORMATION d d{ Varne Nre r ,.•.�,g{ � A?, rPhplieCf # 6 6 Aoka Primary Contact :::JESS ACHENBACH P. O. BOX 645 CHARLOTTESVILL 22902 4342424802 Signature of Contractor or Authorized Agent Date • **We 44111111101 A A144_ Virginia Stormwater Management Program (VSMP) Application for Albemarle County 190' ��RGIN�P Project Name: Carroll Creek Road (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 WI 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. WI 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. 93A5-1 Glenmore Partners, LLC , `�� G %�^ /3�� 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 Jess Achenbach Address P.O. Box 645 City Charlottesville State VA Zip 22902 Daytime Phone(434) 242.4802 E-mail fess@reddirtdev.com 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2 ® B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 25.94 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 (a'C. Registration Statement on the official DEQ form. be SV. +fit ?t> EV6. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. Stormwater Management Plan satisfying the requirements of code section 17-403. Erf. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑�G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. Cil 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 Justin Shimp Address 201 E Main St, Suite M City Charlottesville State VA Zip 22902 Daytime Phone(434) 227-5140 E-mail Justin@shimp-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 ONLY WPO#/y Fee Amount$7).„5-Z).' Date Paido2'S/4 By who?a/E7. )1&Oa-14 TA-361e5 Receipt# /6306 Cki/ 0'7 By. ,�i� 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2