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Home My WebLink AboutWPO201700081 Application WPO VSMP 2017-12-15 AAlbemarle j., Community Development Department lb marCounty401 ta4cinti-,Road Charlottesville,VA229024596 \mi„/ Voi 34)296-5332 Fax:(434)972-4126 tr44 Planning Application PARCEL/ OWNER INFORMATION TMP 07600-OO-OO-04601 Owner(s): MOUNTAINWOOD PROPERTIES, L.L.C. Application# p 0201700081 PROPERTY INFORMATION Legal Description ACREAGE PARCEL Y Magisterial Dist. Samuel Miller Land Use Primary Forest Current AFD Not in A/F District Current Zoning Primary R15 Residential APPLICATION INFORMATION Street Address Entered By • Keith Bradsha Application Type Water Protection Ordinances 12/1513017 Project Brookdale Received Date 12/15/17 Received Date Final Submittal Date Total Fees 1700 Closing File Date Submittal Date Final Total Paid 1700 Revision Number Comments Legal Ad SUB APPLICATION(s) T Sub `••tcatio Cortwnent "°• K p Y 7 i i, 4 } 4 `e,�q ie ' 44 F. £° i-p, y c''r $` "v 't{ a ,�,: .§ '. aa... " P-#'. �..Y ..�.a.,u, ...� t .............a.�..�hs...e..:'«.3..ws... �tk'�f"uw:f Ti t.r..n......�......,a»a'3H... 3w1��.a.....,,.... 8..a..L,.a.. ..a...,..v Erosion and Sediment Control Plan APPLICANT /CONTACT INFORMATION CordactType Name Address Ci State Zip Phone PhoneCell �` i� 9m v � '� r f9 s� r i 4 � a i .�3 9.•+a �.'" h�,a#� � § ,.z� ....... . ..:.i.,. # ,..... L'S'._a..•.iv._._.,..,w,,.a<-a. m._...a ....,....i: aC...as:,.�..: ait ,..aN,«, z•' ..?,..». .» n.». ._.,..:.,.._ aapuc rR William N.Park oro Brookdale Partners,LP 1821 avon street Charlottesville Va 22902 4349792900 Date Signature of Contractor or Authorized Agent B. All Fees [Code section 17-208] For new or modified plans; Total acres proposed to be disturbed 5.55 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;$150 l C. Registration Statement on the official DEQ form. Lei D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ▪ E. • Stormwater Management Plan satisfying the requirements of code section 17-403. ® F. Pollution Prevention Plan satisfying the requirements of code section 17-404. • G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name William N. Park Address 1821 Avon Street, Suite 200 City Charlottesville State VA Zip 22902 Daytime Phone(434) 979-2900 E-mail wpark@pinnacleconstructionva.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. /� FOR OFFICE USE ONLY WPO# tl1 11 0 D b -5. /� Fee Amount$ Date Paidrii i�'V7 By who UQ,S Receipt# I dl I9 Ck#1104L By i li n �tL 7/1/14, Revised: 7/10/14, 1/7/14-Page 2 of 2 Vii} 11 i, Virginia Stormwater Management Program (VSMP) mit Application for Albemarle County tore /1?( Project Name: Brookdale (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 2 County File Number: k)Po 26 (? O''''3 (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. WI 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. <3507600-00-00-0401 Mountainwood Properties, LLC I I - l S' - ii Tax Map&Parcel Print Name of Property Owner Signatu of•w, ./ 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 William N. Park c/o Brookdaie Partners, LP, a Virginia Limited Partnership Address 1821 Avon Street, Suite 200 City Charlottesville State VA Zip 22902 Daytime Phone(434) 979-2900 E-mail wpark@pinnacleconstructionva.com 7/1/14, Revised: 7/10/14, 1/7/14 Page 1 oft