HomeMy WebLinkAboutWPO201600021 Application WPO VSMP 2016-03-28 AlbE'C17a1"1 '"ounty Community Development Departrr
TT 401 McIntire Road Charlottesville,VA 22902-4!
,_r Voice:(434)296-5832 Fax:(434)972-4-
Planning Application
(PARCEL/OWNER INFORMATION
IMP 0400-OO-00-012W0 Owner(s): PAUL,JAMES R OR MARJORIE M
Application # WPO2OI600021
PROPERTY INFORMATION
Legal Description CLEARVIEW 4A
Magisterial Dist. Jack Jouett Land Use Primary Residential--Single-family(incl.modular homes)
Current AFD Not in A/F District Current Zoning Primary Rural Areas
[APPLICATION INFORMATION
Street Address 849 WOODLANDS RD CHARLOTTESVILLE, 22901 Entered
Application Type Water Protection Ordinances Judy Martin
3/28/2016
Project Woodlawn Subdivision-VSMP
Received Date 03/28/16 Received Date Final Submittal Date 04/04/16 Total Fees 17
Closing File Date Submittal Date Final Total Paid 17
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Application Comment
Stormwater Management/BMP Plan 04/04/16
046 ,
APPLICANT/ CONTACT INFORMATION
ContactType ( Name Address CityState Zip ( Phone PhoneCf
owner/Apo-Kant `PAUL JAMES R OR MARJORIE M 2163 BONAVENTURE DRIVE " VIENNA VA 22181
Primary Contact CLINT SHIFFLETT- TIMMONS GROUP 111 EAST HIGH STREET CHARLOTTESVILL 22902 4349624337
Signature of Contractor or Authorized Agent Date
Virginia Stormwater Management Program (VSMP)
Application for Albemarle County
Project Name: Woodlawn,Subdivision
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes 0 No GI
Is this,a revision or resubmission for review? Yes 0 No IA
County File Number: (to be provided by the County for new applications)
The fallowing are required elements of new applications[from code section 17-4011. For revisions or
amendments,please indicate which items are being amended. Signatures must be provided for any
submission.
6d 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. ,�J
IMP 44-12W Mt1i-`orse P4 jig ii 7�� r '26 <6
Tax Map&Parcel Print ane of Property Owner Si:, „ �-of O � Date
TMP 44-12F r 1a rr]O Ac- , P0.u.1 '5°214-Alit/ft
I2( it '/J�cs .� .5�.�i(4Tax Map&Parcel Print Name of Property Owner Siof Owner Date
- Sq `s R, 'Pa - - =
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'Tax Map&Parcel Print Name of Property Owner signature , Owner ` 1 Date
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
Contact Inibrmation for the Ownex(s)to receive correspondence:
Print Name ',Id_me s &ria ka.k jo r� .M
Address—2/ e ay,n .e. ta.:: _
State /4 Zip AA/Yra:3 ?yr
Daytime Phone(1/30 9 9 4-9 9{fit E-mail ' t m .61 al:2t j tte,�ft'.a4 d+-►
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Noe 'tsioe
B. All Fees [Code section 17-208]
For new or modified plans;Total acres proposed to be disturbed 7.28
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 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
O 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.
C3 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 Clint Shifflett-Timmons Group
Address 111 East High Street
City Charlottesville State VA _Y p 22902
Daytime Phone(434) 9624337 -______ E-mail clint_shifflett®timmons_com
*Whelk apptkatkettel iL 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 ittPXY opo# LC-
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