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Home My WebLink AboutWPO201800055 Application 2018-07-10 nt tment - ,ue afle Cour{., - Community haDevelopme #'1 1 Count -- 401 Mol-',e Road Charlottesville,VA22902-4596 • ► Va,sus,(434)296-6832 Fax:(434)972-4126 4' Planning Application PARCEL/ OWNER INFORMATION TMP OS5EO-O1--3C- Owner(s): OLD TRAIL HEIGHTS LLC Application# WPO2O1800055 PROPERTY INFORMATION Legal Description I Suaavide . fit'Page(3796,485 )Coevera.ce( )Date of Sale(09/11/2099)Transaction,Date �- Magisterial Dist.!White Hall Land Use Primary Unassigned Current AFD Not in A/F DiStrict *!; Current Zoning Primary Neighborhood Model District APPLICATION INFORMATION Street Address Entered By rL.__ _ Judy Martin v Application Type !Water Protection Ordinances Project Old Trail Village,.Blk. 1,Ph.B&Blk.3, Ph.C-VSMP Received Date 07/10/18 Received Date Final Submittal Date Total Fees 145 Closing File Date Submittal Date Final Total Paid 145 Revision Number Comments Legal Ad SUB APPLICATION(s) Type I Sib 4plicatio Comment } Stormwater Management/BMP Plan 07/10/18 Erosion and Sediment Control Pan 07/10/16 APPLICANT /CONTACT INFORMATION CantactType Nante gess CityState Zip Phone PhoneCell owner/ artowner/Apo:art TRAIL HEIGHT'S tie 440 LOCUST AVE*3 CHARLOTTESVILL 2• 2902 Primary Contact BILL LEDBETTER'ROUDABUSH GALE.& '914 MONTICELLO ROAD CHARLOTTESVILL 22902 4349770205 Signature of Contractor or Agent Date NNW' Nftsd of Virginia Stormwater Management Program (VSMP) :"? Application for Albemarle County ' i Project Name: OLD TRAIL VILLAGE BLOCK 1, PHASE B&BLOCK 3 PHASE C (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes iZ No 0 Is this a revision or resubmission for review? Yes® No 0 County File Number: WP0201300052 (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. VA. 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 u+ •n the property as required to ensure compliance with the approved plans and permits. 055E0-01-3C-000A OLD TRAIL HEIGHTS LLC , 7 3 J Tax Map&Parcel Print Name of Property Owner ' Signature o wn r to 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 OLD TRAIL HEIGHTS LLC Address 400 LOCUST AVE#3 City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 977-6400 E-mail Robby@tbmcom.com 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 0.3 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;$150 • C. Registration Statement on the official DEQ form. I] D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ® E. Stormwater Management Plan satisfying the requirements of code section 17-403. ▪ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. • G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. NA 0 H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. NA 0 I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. NA❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name ROUDABUSH GALE&ASSOCIATES, c/o BILL LEDBETTER Address 914 MONTICELLO ROAD City CHARLOTTESVILLE State VA Zip 22902 Daytime Phone(434) 977-0205 E-mail bledbetter@roudabush.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY WPO# Fee Amount$ Date Paid By who? Receipt# Ck# By: 7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of2 ROUDABUSH, GALE &ASSOCIATES, INC. e A PROFESSIONAL CORPORATION 8 10 LAND SURVEYING Serving Virginia Since 1956 ENGINEERING LAND PLANNING ENGINEERING DEPARTMENT SURVEY DEPARTMENT 172 SOUTH PANTOPS DRIVE,STE.A 914 MONTICELLO ROAD JIM L.TAGGART,P.E. CHARLOTTESVILLE,VA 22911 CHARLOTTESVILLE.VA 22902 WILLIAM J.LEDBETTER,L.S. DON FRANCO.P.E. PHONE(434)979-8121 PHONE(434)977-0205 BRIAN D.JAMISON,L.S. DAVID M.ROBINSON.P.E. FAX(434)979-1681 FAX(434)296-5220 DAVID A.JORDAN.L.S. AMMY M.GEORGE.L.A. INFOITROUDABUSH.COM KRISTOPHFJt C.WINTERS.L...S. TO: Albemarle County Engineering DATE: July 10,2018 JOB#: Old Trail Heights ATTN: Geoff Elsie,Engineering Inspector II County of Albemarle Department of Community Development 401 McIntire Road, Charlottesville,VA 22902 X Attached under separate cover via the following items: #of Copies Date Job# Description 2 07/10/18 OTH Old Trail Heights LLC VSMP Plan& SWPPP 1 07/10/18 OTH VSMP Application $Fee($145 for 0.3 acres disturbance) 1 07/10/18 OTH Registration Statement These are transmitted as Checked below: X For Approval/Signature For your use Please Return As Requested Resubmitted w/Revisions _Review/Comment _For Bids Due Other REMARKS: This is the VSMP plan that is required for Old Trail Heights LLC commercial project that is being completed in Old Trail Village. Please let me know if you have any questions. SIGNED: COPY TO: (7..zmAkvy ) Jeremy L.Fox If enclosures are not as noted, kindly notify us at once. Noof General Permit for Discharges of Stormwater from Construction Activities(VAR10) Registration Statement (Please Type or Print All Information) 1. Construction Activity Operator(The permit will be issued to this operator, and the Certification in Item#13 must be signed by the appropriate person associated with this operator[see the instructions*): Name: OLD TRAIL HEIGHTS LLC Mailing Address: 400 LOCUST AVE#3 City:CHARLOTTESVILLE State:VA Zip: 22902 Phone: (434)977-6400 Email address(if available): Robby@tbmcom.com Indicate if DEQ may transmit the permit electronically: Yes r No 2. (Must be included for renewals of coverage only)Existing Permit Coverage#: 3. Location of Construction Activity: Name:OLD TRAIL HEIGHTS Address:NORTHEAST QUADRANT OF INTERSECTION OF OLD TRAIL DRiVE AND ASHLAR AVENUE City: CROZET State: VA Zip: 22932 County: ALBEMARLE DMS to the nearest 15 seconds: Latitude 38°3'34"N Longitude 78°42'40"W Location of all Offsite Support Activities to be Covered Under the Permit: Name: Address: City: State: Zip: County: If street address unavailable: Latitude Longitude 4. Status of Activity:Federal❑ State❑ Public❑ Private (Check one only) 5. The Nature of the Construction Activity(e.g.,commercial,industrial, residential,agricultural,oil and gas,etc.): RESIDENTIAL BUILDING W/COMMERCIAL FiRST FLOOR 6. Name of the Receiving Water(s): LICKINGHOLE CREEK Hydrologic Unit Cade(HUC): JR02 (Receiving waters identified as impaired on the 2008 305(b)/303(d)Water Quality Assessment Integrated Report or for which a TMDL WLR has been established for stormwater discharges from a construction site shall be noted in an attached list.) 7. if the discharge is through a Municipal Separate Storm Sewer System(MS4),the name of the municipal operator of the storm sewer: 8. Estimated Project Start Date(mm/dd/yyyy): JULY 23, 2018 Estimated Project Completion Date(mm/dd/yyyy):JUNE 1, 2019 9. Total Land Area of Development(to the nearest one-tenth acre): 237 35 Estimated Area to be Disturbed(to the nearest one-tenth acre): 0.3 10. is the area to be disturbed by the construction activity part of a larger common plan of development or sale?YesitNo0 11. Are nutrient offsets intended to be acquired for this activity?YesE No 'Under consideration❑ 12. A stormwater pollution prevention plan (SWPPP) must be prepared in accordance with the requirements of the General Permit for Discharges of Stormwater from Construction Activities prior to submitting this Registration Statement. By signing this Registration Statement the operator is certifying that the SWPPP has been prepared. 13. Certification: "I certify under penalty of law that I have read and understand this Registration Statement and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true. accurate, and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment for knowing violations." Print Name: ' ; 1 • vi( ` , (1/� 9 ,i110..�."i �j ,r Dale: / 3 1i + Signature: /F Date: (Please sign n I 'K.The person signing his fo must be .,;.ciated with the operator identified in Item#1 above.) Mail to: Department of Environmental Quality,Office of Stormwater Management, 10'"Floor, P.O. Box 1105, Richmond,VA 23218 (DEQ 199-146)(08/13) 4,41,A, J ov COUNTY OF ALBEMARLE `#��— Department of Community Development Nuit o 401 McIntire Road Charlottesville,Virginia 22902 VSMP Application Completeness Check Project Title:0 Tad V I,t is ( K I1 ('Fl `� 9t- �. J ; h File Number: Date: '7 l(�.-��20 it?),--� Reviewer: Your application has been checked for completeness per section 17-409 of the County Code. All items must be received and correct for the application to be deemed complete. This application is complete and plan review has begun o This application is not complete. Please provide the missing items checked below. Received Correct Y N Y N N/A .43-- ❑ Completed application ❑ ❑ ❑ ,ems ❑ Signatures of the Property Owners for each parcel affected ❑ ❑ ❑ a 0 Correct Fees Paid ❑ ❑ ❑ I—"'Y X 0 Registration Statement on the official DEQ form, with correct LDA ❑ ❑ 0 ❑ 0 Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ ❑ ❑ ,)a' ❑ Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ ❑ ❑ ,...1Er 0 Pollution Prevention Plan satisfying the requirements of code section 17-404. The EPA template should be used. ❑ ❑ ❑ A ❑ Stormwater Pollution Prevention Plan satisfying the requirements ❑ /A- of code section 17-405. The EPA template should be used. ❑ ❑ ❑ Mitigation Plan satisfying the requirements of code section ❑ 4417-406 for any proposed disturbance of stream buffers. 0 0 0 Requested Variations or Exceptions as provided in code sections 17-407 and 408, if applicable. (SSF,MMT,etc) 0 0 0 ❑ )4 Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the requirements of code section 17-422. ❑ ❑ ❑ Comments: ■