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HomeMy WebLinkAboutWPO201700036 Application Minor Amendment 2018-06-22 OF A Virginia Stormwater Management Program (VSMP) Application for Albemarle County Project Name: Rivanna Solid Waste Authority New Ivy Solid Waste Transfer Station (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes ® No 0 Is this a revision or resubmission for review? Yes ❑ No Pi County File Number: WPO201700036 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-4011. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. 1 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. . ` .3 S _ 07300-00-00-02800 Rivanna Solid Waste Authority �'�j ' ;0- Tax Map&Parcel Print Name of Property Owner Signature of Owner / Dat. 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 Phillip McKalips Address 695 Moores Creek Lane City Charlottesville State VA ----_..._ Zip 22902 Daytime Phone(434) 977-2970 E-mail PMcKalips@rivanna.org 7/1/14,Revised:7/10/14, 1/7/14 Page 1 oft ❑B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed 4'22 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;$150 ❑ C. Registration Statement on the official DEQ form. CI D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. O F. Pollution Prevention Plan satisfying the requirements of code section 17-404. O G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. O 1. Requested Variations or Exceptions as provided in code sections 17-407 and 408. © J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Anthony(Tony)S.Tomlin Address 2877 Guardian Lane Suite 1-F City Virginia Beach State Virginia Zip 23452. Daytime Phone(757) 466-3368 E-mail TTomlin@scsengineers.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# _By: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2 Albemarle ( County Community Development Department 1`i al ?irl7c'�t`r 401 McIntire Road Charlottesville.VA72902-#596 ••-- Rlanning ApplecationSIO , (434)296-5832 Fax:(434)972-4126 PARCEL/OWNER INFORMATION TMP 07300-00-00-02800 Owner(s): RIVANNA SOLID WASTE AUTHORITY Application# WPO2O1700036 PROPERTY INFORMATION Legal Description aACREAGE IVY LAM RLL Magisterial Dist,iSamuel Miller Land Use Primary Commercial Current AFD `-Not in A/F District 13 Current Zoning Primary Litural Areas APPLICATION INFORMATION Street Address 4576 DICK WOODS RD CHARLOTTESVILLE,22903 Entered By Application Type Water Protection Ordinances 14717120r Rritt h , �_�__ 4 712417 Project New Ivy Solid Waste Transfer Station Received Date 04/14/17 Received Date Final Submittal Date 04/17/17 Total Fees 2700 Closing File Date Submittal Date Final Total Paid 2700 Revision Number Comments Legal Ad (SUB APPLICATION(s) Type Sub Applicatio Comment , Storm/tater ment/IRV Plan 04/17117 Erosion and Sediment Control Plan 04/17/17 APPLICANT /CONTACT INFORMATION CistactType Name Address CityState Zip Phone PhoneCell OWThefiAPOWit RWANNA SOLID WAVE AVM:Mr( �654 MORES CREEK LEI i CHARUVTESVILL 22902 Prun.ary Corstnet TONY TOMLIN 875 GUARDIAN LN STE 1-F VIRGINIA BEACH 23452 7574663368 Signature of Contractor or Authorized Agent Date i�rr►' ,tad of Virginia Stormwater Management Program (VSMP) Application for Albemarle County V � Project Name: Rivanna Solid Waste Authority New Ivy Solid Waste Transfer Station (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 FO County File Number: SDP2016000066 (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. 07300-00-00-02800 Rivanna Solid Waste Authority - r 4 7 /7 Tax Map&Parcel Print Name of Property Owner Signature of Owner D 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 Philip McKaiips Address 695 Moores Creek Lane City Charlottesville State Virginia Zip 22902 Daytime Phone(434) 977-2970 E-mail PMcKalips@rivanna.org 7/1/14,Revised:7/10/14,1/7/14 Page 1 of 2 • B. All Fees [Code sectionL08] `r, For new or modified plans; Total acres proposed to be disturbed 3.79 Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than l $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;$150 ❑ C. Registration Statement on the official DEQ form. ❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. ❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Anthony (Tony)S. Tomlin Address 875 Guardian Lane Suite 1-F City Virginia Beach State Virginia Zip 23452 Daytime Phone(757) 466-3368 E-mail ttomlin@scsengineers.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. y, FOR OFFICE USE ONLY WPO# 620/7-3& �-' Fee Amount$,2 —Date ate Paid //,�// y who?,,/�,..v y 5pl /6 S d /Receipt# r f'l,� k# .c/5�y: 7/1/14. Revised: 7/10/14. 1/7/14 Page 2 of 2