HomeMy WebLinkAboutWPO201500078 Application WPO VSMP 2018-08-06 ,
1
Virginia Stormwater Management Program (VSMP) r�
Application for Alblemarle County ''.
Project Name: North Pointe Middle Entrance and RT 29 Improvements
(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 ❑
County File Numbe, (to be provided by the County for new applications)
The following are requi ed elements of new applications[from code section 17-4011 For revisions or
amendments,please ind cate which items are being amended. Signatures must be provided for any
submission.
® A. Signature of the 'ro•ert Owner for each parcel: (Required with every submission or revision, NOT
TO BE SIGNED BY AN AGENT OR CONSULTANT)
By signing this ap I lication as the owner,I hereby certify that all requirements of these plans and permits will be
complied with,an• I have the authority to authorize the land disturbing activities and development on the subject
property. I hereb grant the County of Albemarle the right to enter upon the property as required to ensure
compliance with t • approved plans and permits.
4
03200-00-00-02000 CWH Properties Limited Partnershi• U 6 /;
Tax Map&Parcel Print Name of Property Owner Signature of Owner µ.IQ Date
G i
03200-00-00-020A2 CWH Properties Limited Partners • b f"
Tax Map&Parcel Print Name of Property Owner • . ure of s erMOtt. Date
03200-00-00-020A1 CWH Properties Limited Partner hip _��� 1 ,5'
Tax Map&Parcel Print Name of Property Owner ignature of Owner 14464Z te
6G
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
Contact Information for the Owner(s)to receive correspondence:
Print Name David Kitchell
Address P.O. Box 5526 (2619 Hydraulic Road)
City Charlottesville State VA
Zip 22905
Daytime Phone(434) 296-4141 E-mail david@southern-classic.com
7/1/14,Revised:7/10/14; 1/7/14 Page 1 of 2
❑ B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed 21.6
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
Variance ,
Mitigation Plan;$150
V C. Registration Statement on the official DEQ form.
▪ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
▪ E. Stormwater Management Plan satisfying the requirements of code section 17-403.
▪ F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
N/A❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
N/AD I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
N/A❑ J. Construction Record Drawings (as-builts)for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Brian C. Mitchell, P.E.
Address 9850 Lori Road, Suite 201
City Chesterfield State VA Zip 23832
Daytime Phone(804) 748-9011 E-mail bmitchell@cctownes.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
7/1/14,Revised: 7/10/14, 1/7/14 Page 2 oft
•
•
Fee Received
' ,
Received Date
RECEIVED
AUG 0 6 2010 Received By
COMMUNITY �M
DEVELOPMENT
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Virginia Stormwater Management Program (VSMP) ,gin-TA
Application for Albemarle County Ape":
Project Name: North Pointe Middle Entrance and RT 29 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 0
County File Number: WP0201500078 (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.
03200-00-00-02000 CWH Properties Limited Partnershi 7/28/2016
Tax Map&Parcel Print Name of Property Owner Signature of Owner CrPtiC Date
03200-00-00-020A2 CWH Properties Limited Partnershl --PM- 7/28/2016
Tax Map&Parcel Print Name of Property Owner Si ure of Owneral 1.4-140.4,41".. Date
03200-00-00-020A1 CWH Properties Limited Partne 7/28/2016
Tax Map&Parcel Print Name of Property Owner Signature of Ownerj Date
a.,..,
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
Contact Information for the Owner(s)to receive correspondence:
Print Name David Mitchell 6- I�1.0 146441/Ad, �vjke'. '
Address P.O. Box 5526(2619 Hydraulic Road)
City Charlottesville State VA Zip 22905
Daytime Phone(434) 296-4141 E-mail david@southern-classic.com
7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of 2
❑ B. All Fees [Code section 17-208]
For new or modified plans;Total acres proposed to be disturbed 17.6
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;$150
® C. Registration Statement on the official DEQ form.
l] D. Erosion and SediTent Control Plan satisfying the requirements of code section 17-402.
• E. Stormwater Management Plan satisfying the requirements of code section 17-403.
• F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
Il G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
N/AD H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
N/AD I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
N/AD J. Construction Record Drawings(as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Mona R. Gabriel, P.E.
Address 9850 Lori Road, Suite 201
City Chesterfield State VA Zip 23832
Daytime Phone(804) 748-9011 E-mail mgabriel@cctownes.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2
Virginia Stormwater Management Program (VSMP) <!T,Fr,
Application for Albemarle County
Project Name: North Pointe Middle Entrance and RT 29 Improvements
(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 0
County File Number: WPO201500078 (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. /
03200-00-00-02000 CWH Properties Limited Partnership h 7/r
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
03200-00-00-020A2 CWH Properties Limited Partners ' 4///,
Tax Map&Parcel Print Name of Property Owner igna - of Owner Date
03200-00-00-020A1 CWH Properties Limited Partner ip 4 7 2 /g-
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 David Mitchell
Address P.O. Box 5526(2619 Hydraulic Road)
City Charlottesville State VA Zip 22905
Daytime Phone(434) 296-4141 E-mail david@southern-classic.com
7/1/14,Revised: 7/10/14, 1/7/14 Page 1 of2
i•
O B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed 21.6
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
Vartanc ,
Mitigation Plan;$150
® C. Registration Statement on the official DEQ form.
O D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
® E. Stormwater Management Plan satisfying the requirements of code section 17-403.
® F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
® G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
N/AD H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
N/AD I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
N/AD J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Brian C. Mitchell, P.E.
Address 9850 Lori Road, Suite 201
City Chesterfield State VA Zip 23832
Daytime Phone(804) 748-9011 E-mail bmitchell@cctownes.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE
ONLY WPO# �� ' �a�e
Fee Amount$o<�0 Date Paid H 11(�j By who? �r � A4Q� Receipt# f I I 1 Ck# I V By: je
7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2
AI er - ar Cour Lv � � � �
� ..• ' Pli=rruling Application
!PARCEL i' OWNER INFORMATION
03200-00-00-02000 CWH PROPERTIES LIMITED PARTNERSHIP
Application 4 WP0201500078
PROPERTY INFORMATION
ACREAGE
Rivanna Land Use Prlmar, Forest v
Not in A{F District Current Zoning Pr:rnar Planned Development Mixed Commercial ,
AP 'LICATION INFORMATION
Street Address
--- ameiie Roth w
Application Type Water Protection Ordinances ''r 015
Project North Pointe Middle Entrance & Rte 29 Improvements- VSMP
Received Date {09/25/IS Date Fmar I Su[=mftzai L=ate T-:*.al Fees; 2250:
Closing File Date Subrr+=.Cal Date Final Paid i 22501
- E
Revision Number I
Comments
Legal Ad
SUB APPLICATION(s)
71/Pc .._.. Sub _ €o Wit^
Erosion and Sediment Control Plan
Stream Buffer Development Request
Sturmwater Manageinent 'BMP Plan
APPLICANT / CONTACT
_r,ta T,, e 1 d ra ..;, Cit °=tate I, , . ? -......Phone f
_, � '- _ *_ P t#BG� 5 _ 'CHARLOTT E SA'IU. '225.05
htttt*4. E 9850 LOR-: __. _ CHESTERFIELD 33833 8847484011
nature 4ontractororAuthonze Agent Gate
Qt A1$4
Virginia Stormwater Management Program (VSMP) 3 W A
Application for Albemarle County -` �-
Project Name: North Pointe Middle Entrance and RT 29 Improvements
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes 0 No
Is this a revision or resubmission for review? Yes 0 No
County File Number: (to be provided by the County for new applications)
The following are required elements of new applications[from code section 17-401J. 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.
443(
03200-00-00-02000 CWH Properties Limited Partnership 9/22/15
Tax Map&Parcel Print Name of Property Owner Sign. re of Owner Date
03200-00-00-020A2 CWH Properties Limited Partners ip 9/22/15
Tax Map&Parcel Print Name of Property Owner Signature of Owner , Date
03200-00-00-020A1 CWH Properties Limited Partnershi. Ai' 9/22/15
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 David Mitchell
Address P.O. Box 5526 (2619 Hydraulic Road)
City Charlottesville State VA Zip 22905
Daytime Phone(434) 296-4141 E-mail david@southern-classic.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 16.10
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;$150
10 C. Registration Statement on the official DEQ form.
1] D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
• E. Stormwater Management Plan satisfying the requirements of code section 17-403.
WI F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
• G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
N/A❑ H. Mitigation Plan s tisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
N/A❑ I. Requested Variati ns or Exceptions as provided in code sections 17-407 and 408.
N/A❑ J. Construction Rec rd Drawings(as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Mona R. Gabriel, P.E.
Address 9850 Lori Road, Suite 201
City Chesterfield State VA Zip 23832
Daytime Phone(804) 748-9011 E-mail mgabriel@cctownes.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ -.)-1-S0.°° Date Paid By who? A/st+1•• PPO i A 1 - Receipt# 1 0 l S1 1 Ck# 11 By: 62—
C6,,to h l-esvi I It
7/1/14,Revised: 7/10/14, 1/7/14 Page 2 of 2
Virginia Stormwater Management Program (VSMP)
18'=7®--
Application for Albemarle County 14551
,
�/AGICy�P
Project Name: North Pointe Middle Entrance and RT 29 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 ❑
County File Number: WPO201500078 (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.
® 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.
03200-00-00-02000 CWH Properties Limited Partnershi• 9/22/15
Tax Map&Parcel Print Name of Property Owner Signa wner Date
03200-00-00-020A2 CWH Properties Limited Partnersh' 9/22/15
Tax Map&Parcel Print Name of Property Owner o wner Date
03200-00-00-020A1 CWH Properties Limited Partnership _9/22/15
Tax Map&Parcel Print Name of Property Owner . -. . ' er Date
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
Contact Information for the Owner(s)to receive correspondence:
Print Name David Mitchell
Address P.O. Box 5526(2619 Hydraulic Road)
City Charlottesville State VA Zip 22905
Daytime Phone(434) 296-4141 E-mail david@southern-classic.com
7/1/14,Revised:7/10/14, 1/7/14 Page 1 of 2
0 B. All Fees [Code section 17-208] No Fee with this submittal
For new or modified plans;Total acres proposed to be disturbed 16.10
Acres to be Total Fee Fee Due with this Fee with Transfer or
disturbed Application modification ofpermit
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;$150
• C. Registration Statement on the official DEQ form.
• D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
• E. Stormwater Management Plan satisfying the requirements of code section 17-403.
® F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
• G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
N/AD H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
N/A❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
N/A❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of all plans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name Mona R. Gabriel, P.E.
Address 9850 Lori Road, Suite 201
City Chesterfield State VA Zip 23832
Daytime Phone(804) 748-9011 E-mail mgabriel@cctownes.com
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid By who? Receipt# Ck# By:
7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2