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Home My WebLink AboutWPO201400092 Application WPO VSMP 2016-07-01 Virginia Stormwater Management Program (VSMP) Application for Albemarle County tY Project Name: FOOTHILL CROSSING II (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No NI Is this a revision or resubmission for review? Yes D9 No 0 County File Number: SDP-2015-00004 (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. 56-57 ROUTE 240 HOLDINGS, LLC it 6/2/1/ Tax Map&Parcel Print Name of Property Owner e of• Date / 56A2-1-62 ROUTE 240 HOLDINGS. LLC I Cka4tfra Tax Map&Parcel Print Name of Property Owner ignature of• , 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 ROUTF 240 HOLDINGS I I C Address PO ROX 1467 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone 3 '/ 4'9 70 E-mail a log (r✓ h r'�-�-+ a v. c.��. 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft ❑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;$150 ❑ C. Registration Statement on the official DEQ form. (ECI D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H, Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name COLLINS ENGINEERING-SCOTT COLLINS Address 200 GARRETT STREET.SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scottaCOilins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO Fee Amount$ Date Paid By who? Receipt# Cid By: 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2 ``.r+i �.r Virginia Stormwater Management Program (VSMP) c.44.1./ -,' \t�Iy-_� Application for Albemarle County t . Project Name: FOOTHILL CROSSING II (The name should be the sane as it appears on plans) Is this an amendment to an approved plan? Yes 0 No DE Is this a revision or resubmission for review? Yes IN No 0 County File Number: SDP-2015-00004 404 (to be provided by the County for new applications) IN PO l400-0 The following 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. Il9 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. 56-57 ROUTE 240 HOLDINGS, LLC / (2-;31/1‘. Tax Map&Parcel Print Name of Property Owner Si a of Ovine 56A2-1-67 ROUTE 240 HOLDINGS, LLC 1 (Antt Tax Map&Parcel Print Name of Property Owner Signature of Ownto 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 ROUTE 240 HOI DINGS, II C Address PO BOX 1467 City CHARLOTTESVI LLE State VA Zip 22902 Daytime Phone( ) E-mail 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 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;$150 ❑ C. Registration Statement on the official DEQ form. 181 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. l E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name COLLINS ENGINEERING -SCOTT COLLINS Address 200 GARRETT STREET.SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scottC)collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 oft tic Virginia Stormwater Managemento Program (VSMP) nceE,�.r'l. Application for Albemarle County � I !` Project Name: FOOTHILL CROSSING II (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No NI Is this a revision or resubmission for review? Yes ® No 0 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. 56-57 ROUTE 240 HOLDINGS. LLC1'11'I6 Tax Map&Parcel Print Name of Property Owner ignature o Owner Date 56A2-01-62 ROUTE 240 HOLDINGS, LLC Tax Map&Parcel Print Name of Property Owner Signature of 0 er 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 ROUTE 240 HOLDINGS. LLC Address PO BOX 1467 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 245-4970 E-mail alan@riverbenddev.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 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;$150 I%] C. Registration Statement on the official DEQ form. riZI D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. NI F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name COLLINS ENGINEERING Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott( collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 hnir Albemarle Cderhty so, Community Development Department 401 McIntire Road Charlottesville,VA 22902-4596 Planning Application Voice:(434)296-5832 Fax:(434)9724126 PARCEL/ OWNER INFORMATION IMP 05600-00-00-05700 Owner(s): Application # WP0201400092 ROUTE 240 HOLDINGS LLC PROPERTY INFORMATION Legal Description ACREAGE PARCEL A Magisterial Dist. White Hall Land Use Primary Open Current AFD Not in A/F District Current Zoning Primary R6 Residential APPLICATION INFORMATION Street Address Entered By Danielle Roth Application Type Water Protection Ordinances 11/14/2014 Project Foothills Crossing II -VSMP Received Date 11/11/14 Received Date Final Submittal Date Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicati. Comment Stornwat,er Manageit;>EeInt/BMP Pian Stream Buffer Mitigation Plan Erosion and Sediment Control Plan 'APPLICANT/ CONTACT INFORMATION ContactT Name Address Ci State IZI Phone PhoneCell Owner/Applicant ROUTE 240 HOi DINGS LLC „u P 0 t X 1467 CHARLOITESVILLi 229021 Owner/Applicant 'ALANTAYLORv X455 SECOND STREET SE,SUI tlCHARLOTTESVILL V22902y 4342454970 Primary Contact SCOTT COLLINS 200 GARRETT STREET,SUITE CHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized Agent Date ."1r100' `*id Virginia Stormwater Management Program (VSMP) moi'' Application for Albemarle County 149 ,: �rRiacnP Project Name: FOOTHILL CROSSING II-ROAD&WPO PLAN (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No CE 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. 56-57 Fcoor41-tu.t.S f oC. 10/28/2014. Tax Map&Parcel Print Name of Property Owner Signature of Owner Date 56A2-01-62 t CLL- 10/28/2014 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 ALAN TAYLOR Address 455 SECOND STREET SE,SUITE 400 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 245-4970 E-mail alan@riverbenddev.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 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 $6,100 $3,050 $450 100 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150 Mitigation Plan; $150 ® C. Registration Statement on the official DEQ form. ® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. El E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. l G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. IE H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. El I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name SCOTT COLLINS-COLLINS ENGINEERING Address 200 GARRETT STREET,SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott@collins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By 7/1/14,Revised:7/10/14 Page 2 of 2 4<`Ar;� COUNTY OF ALBEMARLE $�1 _ Department of Community Development 401 McIntire Road Charlottesville,Virginia 22902 VSMP Application Completeness Check Project Title: /'°` k15 cco55'� � _vSMp File Number: L.,,,Fado 1y oGo �a Date: 7-19 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 4 ❑ Completed application 0 0 ❑ ❑ Signatures of the Property Owners for each parcel affected ❑ ❑ ❑ t< ❑ Correct Fees Paid — P' ,a .?eq ❑ ❑ ❑ ^i ❑ Registration Statement on the official DEQ form, with correct LDA ❑ ❑ ❑ ❑ Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ 0 ❑ V❑ Stormwater Management Plan satisfying the requirements of code section 17-403. 0 ❑ ❑ ❑ Pollution Prevention Plan satisfying the requirements of code section 17-404. The EPA template should be used. ❑ 0 ❑ P7 ❑ Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. The EPA template should be used. ❑ ❑ ❑ ❑ ❑ Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ ❑ 0 ❑ ❑ Requested Variations or Exceptions as provided in code sections 17-407 and 408, if applicable. (SSF,MMT,etc) 0 ❑ ❑ ❑ ❑ Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. ❑ ❑ ❑ Comments: ■