HomeMy WebLinkAboutWPO201800011 Application WPO VSMP 2018-01-31 4 Albemarle Cat,„„..„ty Community Development Department
41,44001cIntire Road Ch arl ottesville.VA 22902-4596
Voice: (434)296-5832 Fax:(434)972-4126
Planning Application
PARCEL/ OWNER INFORMATION
TMP 055E0-01-11-02800 Own e r(s): CRAIG ENTERPRISES INC TJA CRAIG BUILDERS
Application# WP020180001 1
PROPERTY INFORMATION
Legal Description I altD TRAIL 11 28 OLD TRAIL VILLAGE CENTER
Magisterial Dist. iWhite Hall
Land Use Primary Unassigned
Current AFD 'Not in A/F District Current Zoning Primary'Neighborhood Model District
APPLICATION INFORMATION
Street Address Entered By
'Jennifer Sm ithO
Application Type Water Protection Ordinances
11/30018
Project OLD TRAIL, MX 11, LOTS 28 B.29- VSMP
Received Date 01/31/18 Received Date Final Submittal Date Total Fees 145
Closing File Date Submittal Date Final Total Paid 145
Revision Number
Comments
Legal Ad
ISUB APPLICATION(s)
Type Sub AgOicatio Comment
Stormwater Management/BMP Plan 01/31/18
•
Erosion and Sediment Control Plan 01/31/18
APPLICANT I CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhoneCell
OnnertAppfecamt CRAIG ENTERPRISES INC VA CRAIG P0 BOX 6156 CHARLOTTESVILL 22906
Arptcamt
WILLIAM T. CRAIG - CRAIG ENTERPRISES, P 0 BOX 6156 CHARLOTTESVILL 22906 4342420364
PzIrria.ry Ccrcl.act JOE KOSHANSKY - CRAIG BUILDERS P0 BOX 6156 CHARLOTTESVILL 22906 7032824425
Signature of Contractor or Authorized Agent Date
Virginia Stormwater Management Program (VSMP) `'� .�:
-®mow
Application for Albemarle County
Project Name: c2 21 9/L ',Lof, .yrs O2 9
(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
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.
g,)TERM-51-5 0'
55.6`'o/—//—0.9S ' iUi4/ASI D,/.P/1i -0
Tax Map&Parcel Print Name of Property Owntr Signature of Owner Date
5.5,E-O/i/-�9 ;W��o�22/.5 70 tasvi a 64 OeS/
Tax Map&Parcel Print Name of Property Ow6er 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 /0),Z/rt2/Y/ D. (.,' �� ‘69/1/ ,.C217:" L/SES,_72)c/i,
Address /0/ d/Ce
City C i,.a077rS� State v Zip 4�r*�
Daytime Phone(g'/),-,2�o?.03 E-mail 10)g L'r4/5( d("Q/ haitakr-5, het
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❑ B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed o d9o2
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;$150
❑ C. Registration Statement on the official DEQ form.
❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403.
❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name ,../27e-
9/ &P
Address �� ' 2' '
l. l�s�
City 4//1/220Z 'c State j Zip
Daytime Phone a3) --41laS E-mail j e_, ra) &/I49ers, n e�
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO# (90
Fee Amount$ 1415 Date Paid )13°'I g By who?era‘,9 TuAlcaS Receipt# a5 D.-1Ck# p )triBy:
J
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