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Home My WebLink AboutWPO201600071 Application Minor Amendment 2018-01-31 gi Virginia Stormwater Management Program (VSMP) �9"ti'' Application for Albemarle County <4149 viridivp Project Name: BELVEDERE PHASE IIB (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 1:1 No ❑ Is this a revision or resubmission for review? Yes X] No ❑ County File Number: WP02016-71 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401 J. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. El 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. 06100-00-00-16000 NEW BELVEDERE, INC 3/25/19 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date 062A3-00-00-00100 NEW BELVEDERE. INC 3/25/19 Tax Map&Parcel Print Name of Property Owner Signature of Owner Date 06200 00 00 002A1 NEW BELVEDERE. INC 3/25/19 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 NEW BELVEDERE, INC Address 610 WEST RIO ROAD City CHARLOTTESVILLE State VA Zip 77g01 Daytime Phone( ) E-mail 7/1/14,Revised. 7/10/14, 1/7/14 Page 1 of 2 f�l B All Fees [Code section 17-208] For new or modified plans, Total acres proposed to be disturbed 18.93 AC 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 plar1a200 per review Variances;$150(per request) Mitigation Plan,$150 Vl C. Registration Statement on the official DEQ form ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402 ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408 ❑ J Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name COLLINS FNGINFERING Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scott(Wcollins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY � WPO#n�(i/ ( -3! f/ Fee Amount$ -ZD ( Date Paid 1.y 1ely who?(, n k eeV#L/lIl�. Q4Ci 3.rl( J By. JS 7/1/14,Revised. 7/10/14, 1/7/14 Page 2 of 2 Virginia Stormwater Management Program (VSMP) ° t Application for Albemarle County I ® Project Name: BELVEDERE PHASE IIB (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes It] No 0 Is this a revision or resubmission for review? Yes 0 No IN County File Number: WP02016-71 (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. KJ 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. 06100-00-00-16000 NEW BELVEDERE,INC / LV ,'31 1ZD� Tax Map&Parcel Print Name of Property Owner Si ature of Owner / ,.1 ,,t'� Ijate 7JV 062A3-00-00-00100 NEW BELVEDERE.INC P1120Tax Map&Parcel Print Name of Property Owner nature of O 06200-00-00-002A1 NEW BELVEDERE.INC /t/tr- \13 ‘\2�)i Tax Map&Parcel Print Name of Property Owner Signature of Owner 19 ate Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name NEW BELVEDFRE, INC Address 610 WEST RIO ROAD City CHARLOTTESVILLE State VA Zip 72901 Daytime Phone(om) 214'2-( ZZ E-mail -5krtiv1 j?'e,5or C.. 5. CDAA 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft El B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 18.93 AC 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 planc200 per review Variances;$150(per request) Mitigation Plan;$150 t1 C. Registration Statement on the official DEQ form. l D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. f ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name COLLINS ENGINEERING Address 200 GARRET!"STREET,SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scottOcollins-engineering.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ci By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 i,,, Albemarle ("'' unt Community Development Qepartrr L 401 McIntire Road Charlottesville,VA 22902-4: Voice:(434)296-5832 Fax:(434)972-4 t' z... Planning Application PARCEL I OWNER INFORMATION TMP 06100-00-00-16000 Owner(s): BELVEDERE STATION LAND TRUST; ROBERT M;HAUSER Be ROBES �r�` Application # 20160 07 PROPERTY INFORMATION Legal Description'ACREAGE Magisterial Dist. 1 Rio ❑ Land Use Primary Commercial Current AFD Not in A/F District „,,:rii,s Current Zoning Primary Neigtthorhood Model District [APPLICATION INFORMATION Street Address Entered Judy Martin I Application Type Water Protection Ordinances 11t712-0is ___ Project Belvedere Phase IIB-VSMP Received Date 11/07/16 Received Date Final Submittal Date 11/14/16 Total Fees 22 Closing File Date Submittal Date Final Total Paid 22 Revision Number Comments Legal Ad SUB APPLICATION(s) ., r Type. Sys Application_ Comment Stormwater Management/BMP Plan 11/07/16 F ' �'� e� a t + rye �- ra �Y}, }:�.a E i d t ''''.2t.11';'-::::' v I f ' d '4 aca 7< a t APPLICANT/CONTACT INFORMATION :1 , r.i r i s v�'1, .,,,,.R- r xMCkeSS z ” ( C x w Ione g ° ar x �E s -Ai .n�a �xtr 2,:',:,..-f. • y * ROAD '� -1,1444 6. r r .............z.,:-....,..........::....f. 1.011( c :-`".. .s....u..i.... d' "a+a.`'."x. ,." ...:tau .......... ....�...:...: '._..... ....i.es s.. ......�,.,..',_, ...4a...`?....—1,.»..m.. ..... .x............,......» ..........: ........... Primary Contact SCOTT COLLINS- COLLINS ENGINEERING 200 GARRETT STREET,STE. K CHARLOTTESVILL 22902 4342933719 Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) Application for Albemarle County !+ , Project Name: BELVEDERE PHASE IIB (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 No IN Is this a revision or resubmission for review? Yes 0 No XI 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. 06100-00-00-16000 BELVEDERE STATION LAND TRUST .. ��$�� , J 1Z.Otlp Tax Map&Parcel Print Name of Property Owner Signature of Owner Date 062A3-00-00-00100 BELVEDERE STATION LAND TRUST k -44_ Ji/zo Tax Ma &Parcel Print Name f Prp o operty Owner Signature of Owner Da 06200-00-00-002A1 BELVEDERE STATION LAND TRUST L.� L'iA -. 1`11/20 (6 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 BELVEDERE STATION LAND TRUST Address 2421 IVY ROAD City CHARLOTTESVILLE State VA Zip 22903 Daytime Phone t-5 ) 1 3`-2034 E-mail E.P. '11S•JF.‘AAk&S NYC-C 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 oft "erre `rn► E B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 13.79 AC 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 fffi C. Registration Statement on the official DEQ form. i D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. I1 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. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O 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 COLLINS ENGINEERING Address 200 GARRETT STREET, SUITE K City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 293-3719 E-mail scottPcollins-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# / r // Fee Amount$2 /0,date Paid 1 y w41) Y &/l4 a9,04 Receipt#16%24 co V Y[ Bydr f C V I 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 oft