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HomeMy WebLinkAboutWPO201500024 Application WPO VSMP 2017-04-21 Albemarle CQct ,,,r�,� De p ,e, L atter. ;r t€ e Road Char utter ,,4`2932-4596 /14 Planning Application [PARCEL J OWNER INFORMATION TMP 06OA0-00-02-O0OA0 Owner(:): GOLDSTAR BARRACKS OWNER LIC C/O THE GOLDSTAR GROH Application# WPQ2OI500024 `PROPERTY INFORMATION Leal Descr peen I BARRACKS WEST CONDOS OPEN SPACE f Magisterial CAc, Jack iouett •?' Lend Use Primary Commercial ,., Current»RD Not in A/F District + Current Zoning Pr€mare° RIS Residential r :APPLICATION INFORMATION ______ Street Address 2639 BARRACKS RD CHARLOTTESVILLE,2 901 Entered By pp€,cel€ r Type Water Protection Ordinances anselle Roth 14.'2122015 Project Hydraulic Road Sidewalk Improvements- VSMP Received Date 104/17/15 ( Received Cate Final ? Submittal Date Total Fees 0lpsanq Fde Date ISubmEtta€Cate Fmall j Total Raid Re,,&dn Number . -„ -- ._...m .�, .-».wµ „,- — Domments Leg&»d SUB APPLICATION(s) ._ Tye 1 Sub Applioat ,_ _ ..._ __ Comment Erosion and Sediment Control Plan Stream Buffer Development Request Stormwater Management/BMP Plan iAPPLICANT /CONTACT INFORMATION ....c2 Ii _1,.. _ Name - l Ci 'State 2,i ..,_L F P# eCeI„_i j t 1- -,' .==tr. G LGSTAR EARR CKS CIA NER LLL 0 0 4630 h1oNTC0MER, AVE BETNESCOA MD 2_=814 F- 0'1 ;v-=,s BREArJ MCPETERS. PE 1700 WILLOA L.10,vri ©RIVE. _RICHMOND a 23230 8 46 4'23 1 5€gnature of Contractor or Authorized Agent Date Sari Virginia Stormwater Management Program (VSMP) Application for Albemarle County -111107' 17431,*• Project Name: HydraulicRoad Sidewalk Improvements (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ❑ No Is this a revision or resubmission for review? Yes ❑ No RI 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. Not Applicable VDOT Locally Administered Project 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 Frank Pohl - Project Manager Albemarle County Office of Facilities Development Address 401 McIntire Road, Room 222 City Charlottesville State VA Zip 22902 Daytime Phone(434) 872-4501 E-mail fpohl@albemarle.org 7/1/14,Revised: 7/10/14, 1/7/14 Page 1 oft WI B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 0.87 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;$150 • C. Registration Statement on the official DEQ form. 1] D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. E. Stormwater Management Plan satisfying the requirements of code section 17-403. F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ✓ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. El I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Brian McPeters, PE Address 1700 Willow Lawn Drive, Suite 200 City Richmond State VA Zip 23230 Daytime Phone(804) 672-4721 E-mail brian.mcpeters@kimley-horn.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2 yOf ntgE.t Virginia Stormwater Management Program (VSMP) Application for Albemarle CountyVeil; Project Name: 1940-, N 64 7V , X4.3 (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes 0 Nog0 Is this a revision or resubmission for review? Yes,(i No 0 County File Number: Vv lv (9-1 lCY967,i- (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 a tivities and development on the subject property. I hereby grant the County of Albe arle the righ to enter upo the prope as required to ensure compliance with the approved plans and p wits. �J &oil i4( 4-0M,Q1-ILLP .Z11+3 Tax Map&Parcel Print Name of P perty Owner Signature f , 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 NameJ C VI A N ' i Address 4-8\ tpD , 0-;!J City C I l 47 tb`C-t�f'(-t--E State 04s. Zips 29152- Daytime Phone4-0,4h '27 2 49U1 --(p<94 94 E-mail j4N(s 4-,i0,1741,-, 5t)t9). �s-- � 4 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 7 ' 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; $150 ❑ C. Registration Statement on the official DEQ form. -- A rip') Mt n iD • 2:'s2 EK .C. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. C3�E. Stormwater Management Plan satisfying the requirements of code section 17-403. O F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ 1. Requested Variations or Exceptions as provided in code sections 17-407 and 408. O J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name . _t {� � .ice +'1 n\W Address \ AO 1L�-Ov� ('NNS1 Ir� > City _1�- -WOO) State Zip VS '2'' Jj1 i1 r , Daytime Phon,- :an b72 •4 7 Z E-mail s 7CJ cfs N.t 4i-I:214 (-0M *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By 7/1/14,Revised: 7/10/14 Page 2 of 2