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Home My WebLink AboutWPO201700023 Application 2017-03-02 Albemarle Cour "v commirnityDeeelopmeA2p2 Ti 0, 4t31 hire Road Charlottesville,VA 22902-4596 9 *4116i° Noe ce:(434)296-5832 Fax:(434)972-4126 '4 Planning Application PARCEL/OWNER INFORMATION TMP 04500-00-00-026A0Owner(s): OAKLEIGH ALBEMARLE LIC Application# WP 201700023 PROPERTY INFORMATION Legal Description I ACREAGE Magisterial Dist.IMO Land Use Primary Forest Current AFD Not in A/IF District ri Current Zoning Primary!Neighborhood Model District APPLICATION INFORMATION Street Address Entered By Application Type water Protection Ordinances Jennifer Smith (3/332817 Project Oakleigh Received Date 03/02/17 Received Date Final Submittal Date Total Fees 300 Closing File Date Submittal Date Final Total Paid 300 Revision Number Comments Legal Ad SUB APPLICATION(s) II T Std ••icatio Coninent a�" ""rye.'.$� gCgf' "�zi `$� e q i rt. ,r ='r� �� a, ''1v- ° .s.,� .4 % Erosion and Sediment Control Plan 03/02/17 APPLICANT/CONTACT INFORMATION ContarrtT Name Address - Ci State Zt Phtxte PeCell ».:W�'�' gOettk `` »°� #: ._ ., .,' ..:5v ; >ra.rary CmMect ALAN FRANKLIN 427 CRANBERRY LANE CROZET,VA 22932 4345315544 Date Signature of Contractor or Authorized Agent liage 7 Virginia Stormwater Management Program (VSMP) ®="z1 Application for Albemarle County ina��` Project Name: Oakleigh (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No 0 Is this a revision or resubmission for review? Yes 0 No 0 County File Number: WP02008-00066 (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. E l 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 w ill be complied with,and I have the authority to authorize the land disturbing activities and development on the!ubject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensur e compliance with the apuroved plans and permit . 45-26A � 6 N) . i. Tax Map&Parcel Print Name of Property Owner S' 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 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name George Ray Address 690 Berkmar Circle City Charlottesville State VA Zip 229( 1 Daytime Phone(434) 242-3527 E-mail georgerayjr@gmail.com 7/1/14,Revised:7/10/14, 1/7/14 Pae 1 of 2 'owe tiget* 0 B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 10.5 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;$150 O C. Registration Statement on the official DEQ form. 0 D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. 0 E. Stormwater Management Plan satisfying the requirements of code section 17-403. O F. Pollution Prevention Plan satisfying the requirements of code section 17-404. 0 G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturban':e of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying t ae requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Alan Franklin Address 427 Cranberry Lane City Crozet State VA Zip 22932 Daytime Phone(434) 531-5544 E-mail alan@alanfranklinpe.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 1,months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY / WPO# w 1/U/201 -2-5 Fee Amount$ Date Paid,r�!/ By who?6/1/0/- f / 4 vT ` ' eipt# /194 �j i# /3 By:Q LA'S 7/1/14,Revised:7/10/14, 1/7/14 Fuge 2 of 2 COUNTY OF ALBEMARLE =�4le4 Department of Community Development x�1"!� `l: 401 McIntire Road ��` Charlottesville,Virginia 22902 VSMP Application Completeness Check Project Title: 0 k k \. \C� i File Number: tijPo 00o-2_3 Date: 3 Irv/ Reviewer: y)-,--5 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 p ❑ Completed application ❑ ❑ ❑ ❑ ❑ Signatures of the Property Owners for each parcel affected ❑ ❑ ❑ 0 Correct Fees Paid ❑ ❑ ❑ ❑ ❑ Registration Statement on the official DEQ form, with correct LDA ❑ ❑ ❑ 11 ❑ Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ ❑ ❑ ❑ 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 ❑ 0 0 Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. The EPA template should be used. 0 ❑ ❑ ❑ ❑ 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. 0 ❑ ❑ Comments: ■ ofn Virginia Stormwater Management Program (VSMP) (4j Application for Albemarle County 1,00. `iRGS1AA Project Name: Dole I e (The name should be the s� ears plans) PP on P ) Is this an amendment to an approved plan? Yes No Is this a revision or resubmission for review? Yes No El County File Number: \A/e(7be 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. VC-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 • - s w be complied with,and I have the authority to authorize the land disturbing activities and develop , •nt on the su ject property. I hereby grant the County of Albemarle the right to enter upon the property as re,uired toRn�u,• compliance with the approved p q� p'fmi 0e 1—L- 6112/" vZS 0 1.-7- -z LA4 Tax Map&Parcel Print Name of Proplrty Owner Si ature of Owner Date /v- kb h)61 .WAXAA•thelF4. til 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 KZ., p,T 4.,/ J Address �Q/‘ 'P k-- City ( ,jft/ / 1f'Sv` II State [/4 Zip 1 t Daytime Phone(43`f) 3)Z -mail Vrc,ZSQ- (6/V 1 „J 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 oft VI 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;$150 CC/. Registration Statement on the official DEQ form. fib. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. Stormwater Management Plan satisfying the requirements of code section 17-403. L94`.- Pollution Prevention Plan satisfying the requirements of code section 17-404. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. 0 J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name 41,4 f-ra or): , Address 4i Z7 C rat Vibe rry — c City r 1 t7Z+✓} State Zip LZ'?3 1 Daytime Phone(t{ 5 3 1 — 5 5 yL/F_mail �/ A , �.� . *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2