HomeMy WebLinkAboutWPO201800009 Application WPO VSMP 2018-01-16 - Albemarle County community Dev401eIopmentDepartment
� tdclnt' Road Charlottesville,VA22902-4596
Vo 34)296-5832 Fax:( )972-4126
•-�- 1 Planning Applications+' `�!
PARCEL/ OWNER INFORMATION
TMP 055EO-01-18-02700 Own er(s): CRAIG ENTERPRISES INC
Application# WP0201800009
PROPERTY INFORMATION
Legal Description IOLDTR 81k18 LOT 27
Magisterial Dist.!White MallLj Land Use Primary Unassigned T
Current AFD Not in A/F District Current Zoning Primary Neighborhood Model District
APPLICATION INFORMATION
Street Address Entered By
Application Type Water Protection Ordinances 0
Keith Bradsha al
16 2018
Project OLD TRAIL BLOCK 18,lots 27,28,29,30A,30B,31,32,33,34 and 35
Received Date 01/16/18 Received Date Final Submittal Date 01/16/18 Total Fees 145
Closing File Date Submittal Date Final Total Paid 145
Revision Number
Comments A.
Legal Ad 46,
SUB APPLICATION(s)
Type Sub Applicatio Comment
APPLICANT/CONTACT INFORMATION
Criq esi, a P4ddress
} C Stas fie P3o+eCell
e �e t
APP WILLIAM D. CRAIG CJD CRAIG P.O.BOX 6156 CHARLOTTESVILL 22906 4342420364
Signature of Contractor or Authorized Agent Date
Sre 1Lg�r
Virginia Stormwater Managtent Program (VSMP) ,owe
-rt ►'�
Application for Albemarle County /,''
Project Name: e%', /�1// / 4 / 20 S 7 - 8 Gq 36/9, / 3 ,,7.333'y►-35
(The name should.e the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No CS
Is this a revision or resubmission for review? Yes ❑ No j(
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.
NAV git-VEMISIS)..rce,
0s5fv- oC/1-O ; 42, 4 P.&if/' AP& D 44 o/21
Tax Map&Parcel Print N me 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 /GL/f// /j1 & ifi01FCperS
F_ c. c<
Address
City ( &E State 149 Zip oW9a7
Daytime Phone CY39') y —o 3Qj ! E-mail k)%//, tird/J ihha/phiade r3 h e2
7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2
•
❑ B. All Fees [Code section 17-2 '''
For new or modified plans; Total acres proposed to be disturbed o 93/gez-
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;$150
❑ C. Registration Statement on the official DEQ form.
❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403.
❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name c./ E /110....1,-A4)3/(9,
Cfi2�/ 11LPf.P5
Address /3e, .dX 6/54
City 9 077 -G%1 State 1//19 Zip ,vi*
Daytime Phone(71).3),..02/.—4 5 E-mail j oe,k dors,
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2