HomeMy WebLinkAboutCLE201800074 Application 2018-10-31APPROVED
by the Alhornorlc
Application twPftnirig$ l tnce
CLE #
PLEASE REVIENV ALL 3 SHEETS
OFFICE US 0 LY
Check # 1 5b Date: 34T )�
Receipt # 11 L j It: Staff:
PARCEL INFORMATION
Tax Map and Parcel: Tax Map 45, Parcels 58, 60 and 61 Existing Zoning RA w/NR & Airport Overlay
Parcel Owner: Luck Stone Corporation
Parcel Address: 2430 Rio Mills Road City Earlysville State VA Zip 22936
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? William G. Homiller
Address, 1001 Haxail Point City,. Richmond St:tte VA zip 23219
Office Phone: (804) 697-1288 Cell# Fax# E-mail will. homiller@troutman.com
APPLICANT INFORMATION
_
Check any that apply: X Change of ownership Change of use Change of name New business
Business Name/Type: Luck Stone Corporation / Quarry
Previous Business on this site Charlottesville Stone Company (formerly Stone Acquisition Companies Inc.) / Quarry
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide:
No change from previous business
*'this Clearance will only be valid on the parcel for which it is approved. Ifyou change, intensify or move the use to a new location, a new Zoning
Clearance will be required.
I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate to the best of my know'ledge•.nI have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed William G. Homiller,-E{�r„�y .�e' a L-A Stone
T C or or�.'i'+on
APPROVAL INFORMATION
as proposed [ ] Approved with conditions [ ] Denied
[proved
[ ackflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117.
[ No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site complies with the site plan as of this date.
Notes:
Building Official Date
Zoning Official Date 042111 8
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 2%-5832 Fax: (434) 972-4126
Revised 11/02/2015 Page 2 of
Intake to complete the following:
Y N i K Ovef JAB(
Is use in LI. HI or PDIP zoni g? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y ' N
%fill t ere be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE. _ ___ _
Circle the on lies
Is parcel o private we or public water?
If private we ealth Department form.
Zoning review can not begin until we receive approval from Health
Dept. FAX DATE
Circle the one that applies
Is parcel on eptic r public sewer?
Y;N
Will you be putting up a new sign of any kind? If so, obtain proper
Sign permit.
Permit # _world recv�ire Serera}e �elm�t
Y,N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
WA4 ret%Are Rpetgre fell Vv tl '
Zoning to complete the following
Violations:
Y / N
If so, List:
abtikc �
Vari ce:
Y U
If so, List:
Clearances:
Zoe)- loy CIvtlle Skone (ompew
Q r�
Reviewer to complete the following:
Square footage of Use: n 10'
y/N
Permitted as: Qyaf f�►
Under Section: 30 • y
Supplementary regulations section:
Parking formula:
park►hq S�,)4
Required spaces:
Y f N
Ite o be verified in the field:
Inspector: Date:
Notes:
C an at In o.,►nelrs dflIN
P ro,X"
Y
If so, ist:
SP's-
YP.
SDP's
Revised 11 i 112015 Page 3 of 3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompanY zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
1 certify that notice of the application, Zoning Clearance
[County application name and number]
was provided to Luck Stone Corporation the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 45-58, 45-60 and 45-61 by delivering a copy of the application in the
manner identified below:
= Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
0 Mailing a copy of the application to Ben Thompson, Land Use Dev. Director, Luck Stone Corp.
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on March 14, 2018
Date
to the following address:
515 Stone Mill Drive, Manakin Sabot, VA 23103
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signa re of Applicant
William G. Homilier
Print Applicant Name
March 14, 2018
Date