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Home My WebLink AboutWPO201800015 Application WPO VSMP 2018-02-27 Albemarle Co,..)ty Planning Application PARCEL/ OWNER INFORMATION TMP 062G0-02-00-02200 Own er(s): BELVEDERE TOWN CENTER LLC Application# WP0201800015 PROPERTY INFORMATION Legal Description BELVEDERE PH 3 LOT 22 Magisterial Dist. Rio Land Use Primary Unassigned Current AFD Not in A/F District Current Zoning Primary Neighborhood Model District !APPLICATION INFORMATION Street Address Entered By Jennifer Smiths] APPlication Type Water Protection Ordinances 12/217.18 Project BELVEDERE TOWNCENTER- LOT 22 JAMIE WHITE BUILDING - VSMP Received Date 02/26/18 Received Date Final Submittal Date Total Fees 145 Closing File Date Submittal Date Final Total Paid 145 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applioatio Comment Erosion and Sediment Control Plan 02/26/18 Stormwater Management/BMP Plan 02/26/18 APPLICANT /CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell ne..../Applicart BELVEDERE TOWN CENTER LLC 100 10TH STREET NE SUITE CHARLOTTESVILL .22902 aozhca JAMIE WHITE 309 2ND ST NW APT B CHARLOTTESVILL 22902 4349063944 cv,tart SCOTT COLLINS - COLLINS ENGINEERING 200 GARRETT STREET SUITE K CHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) , ®' '� Application for Albemarle County 1114.1W Project Name: BELVEDERE TOWNCENTER-LOT 22 JAMIE WHITE BUILDING (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No Is this a revision or resubmission for review? Yes 0 No 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. ® 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. 62G-02-22 JAMIE WHITE 4-111'1' 02/23 k°/$ 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 JAMIE WHITE j /, / Address wnn W E TER STREET UIT S G* 30 cl �D /V W �f v City CHARLOTTESVILLE State VA Zip 22902 9'o6 39Y- Daytime Phone(434) 9b- t E-mail info@jzwre.com 7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2 0 B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 0.22 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;$150 ® C. Registration Statement on the official DEQ form. D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scoff@collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. /��\\ FOR OFFICE USE,LONLY WPO# COU I /`'� Fee Amount$ J Date Paid,2 •(2et/Ly who?C,[11/� ti ( WO-Receipt# 11 3/N Ck# 3417 By:3 mni t t z 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 oft COUNTY OF ALBEMARLE .► ® Department of Community Development fr? ;N1P 401 McIntire Road Charlottesville,Virginia 22902 VSMP Application Completeness Check Project Title: T0.-n - a""`W [o - �SJ"vy- File Number: UU'CZDI9("Dig �" Date: Reviewer: Your application has been checked for completeness per section 17-409 of the County Code. All items must be received and correct for the application to be deemed complete. ❑ This application is complete and plan review has begun ❑ This application is not complete. Please provide the missing items checked below. Received Correct Y N Y N N/A D Completed application ❑ 0 0 lit ❑ Signatures of the Property Owners for each parcel affected ❑ 0 0 rtl 0 Correct Fees Paid ❑ 0 0 ® ❑ Registration Statement on the official DEQ form, with correct LDA 0 ❑ 0 t ❑ Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ 0 0 ❑ Stormwater Management Plan satisfying the requirements of code section 17-403. 0 0 ❑ 0 Pollution Prevention Plan satisfying the requirements of code section 17-404. The EPA template should be used. ❑ ❑ ❑ CC) ❑ Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. The EPA template should be used. 0 0 0 ❑ >' Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. 0 0 0 ❑ i . Requested Variations or Exceptions as provided in code sections 17-407 and 408, if applicable. (SSF,MMT,etc) 0 0 ❑ o Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. 0 ❑ ❑ Comments: ■