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Home My WebLink AboutWPO201600066 Application WPO VSMP 2016-10-25 +" ' Albemarleç_'untyCommunity Development Departrr 401 McIntire Road Charlottesville,VA 22902-4: 114 Planning Application Voice:(434)296-5832 Fax:(434)972-4 PARCEL /OWNER INFORMATION TMP 059C2-01-00-02900 r� Owner(s): O'LUANAIGH,WILLIAM BOYD Application # 1 20160006 PROPERTY INFORMATION Legal Description I WEST LEIGH . 1 29 Magisterial Dist. 1Sanwel Miller i. Land Use Primary Current AFD Not A/F District1:1 Current Zoning Primary [Rural Areas [APPLICATION INFORMATION Street Address Entered ___ _.. __. Judy Martin Type 1 Water Protection Orth _..__ 1D125/2016 < Application Project West Leigh Stream Crossing-VSlP Received Date 10/25/16 Received Date Final Submittal Date 10/31/16 Total Fees Closing File Date Submittal Date Final Total Paid 2 Revision Number Comments Legal Ad SUB APPLICATION(s) r , Type Sub isopiicatiori I Comeat . #r 1 P P n ' IiQ}� 1/16 nr Erosion and Sediment Control Plan 10/31/16 APPLICANT/CONTACT INFORMATION 1,04 //-'-��{�. iia" �}�(ya ( ��_v+! tTya ,y r KXC � sY lrity ,� ip .hone Ptbo neCf _, asi .e, - ''''c i1,AC. 1 Primary Contact BILL O'LUANAIGH 200 WYNDHAM DRIVE L CHAPEL HILL, NC 27515 9193572518 minimmEimmnommmm Signature of Contractor or Authorized Agent Date Virginia Stormwater Management Program (VSMP) b. Application for Albemarle County Project Name: West Leigh Stream Crossing (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: (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. 0 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. 59C2-01-29 O'LUANAIGH,WILLIAM BOYD V e� 9 24l i6 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 Bill O'Luanaigh Address 209 Wyndham Drive City Chapel Hill State NC Zip 27516 Daytime Phone(919) 357-2518 E-mail bill@oluanaigh.net 7/1/14,Revised:7/10/14,1/7/14 Page 1 of 2 Noriol 0 B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0.76 AC To to I: $215 dvL Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 111. $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; ❑ C. Registration Statement on the official DEQ form. O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. lit 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. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. E l 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 Address City State Zip Daytime Phone( ) E-mail *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 Fee Amount a%51Cb Date Paid' 154 By whog56fpattlrj Receipt# /( `Q 2- Ck#Q / By. JP 7/1/14,Revised:7/10/14,1/7/14 Page 2 of 2 Virginia Stormwater Management Program (VSMP) 1.1 Application for Albemarle County Project Name: West Leigh Stream Crossing (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 id No 0 County File Number: WPO 2016-00066 (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. RI 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. 59C2-01-29 O'LUANAIGH,WILLIAM BOYD i! jL/�Sll Tax Map&Parcel Print Name of Property Owner Signature of Owgr Date t 59C2-8F O'LUANAIGH,WILLIAM BOYD J✓ /21 r f//1 Tax Map&Parcel Print Name of Property Owner Signature of O Date 59C2-01-28 O'LUANAIGH,WILLIAM BOYD 1A 11-1 xiIt. Tax Map&Parcel Print Name of Property Owner Signature of Own Date Tax Map&Parcel Print Name of Property Owner Signature of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Bill O'Luanaigh Address 209 Wyndham Drive City Chapel Hill State NC Zip 27516 Daytime Phone(919) 357-2518 E-mail bill@oluanaigh.net r • B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 0.76 AC Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than l SAV. $145 $20 I 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;$150 ❑ C. Registration Statement on the official DEQ form. D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. • E. Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ® H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Address City State Zip Daytime Phone( ) E-mail *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: