HomeMy WebLinkAboutACE200700002 Application 2007-10-30Application Form
for the Acquisition of Conservation Easements (ACE)
Albemarle County, Virginia
please type or print in dark ink)
owner: C. Merre: C*4-4 +gr. jrus- 1
1. Owner /Contact Person: Lt-Lgk 6r- „CMG "rr , Phone Number: qis-- 19 G g-!I C}2 9 !-ttb9
OR Ca c_r nE
2. Mailing Address: Acv; W,c,rgan<[L ecaJ..
3. Tax Map & Parcel Number: '4,I _ I J — q q -z(rft (can be more than one).
0'I'Lloo -c C - C, -c A- Yro ] (Dq qDo -G 0 c, ]
4. Other Owners of Record:
Name: Address:
Name: Address:
Name: Address:
Name: Address:
5, Entity Owning Property (sole owner, partnership, corporation, limited liability company etc.):
6. Property Location (state road, town):
V,U c oAta: -A-s P"'A
7. Principle uses of property (grazing, timber harvesting, crops, livestock, recreation etc.):
8. Do you own other land in11Albemarlej
Coiunty? Is it contiguous to this arcel? [
9. Is property in an existing "Ag- Forestal" district? ra (yes /no)
10. Do you have a Forest Stewardship Management Plan? nv Date of Plan
Sol] Conservation and Water Quality Plan? it Date of Plan
11. When the property is placed under easement, it will be subject to the following development
restrictions based on parcel size: If a parcel is less than 100 acres, it shall not be divided. If a
parcel is between 100 and 200 acres, it may be divided once into two parcels, however, one of
the residual parcels must be >100 acres. For parcels greater than 200 acres, it may be divided
twice (into 3 parcels) provided 2 lots average > 100 acres, leaving one additional lot for the
balance of land under 100 acres (Example: a 345 acre tract could be divided into four lots: 3
of >100 acres each and the last for any balance of land leftover less than 100 acres). The
other option is the "no subdivision” option where the entire tract will remain as a single,
indivisible tract.
Based on the above description, how many separate parcels do you wish to retain? (#
or would you prefer a "no subdivision"
n
sub divi:si on" clause? (yes /no) 71-e fq'9 1,_& r 113
aCL ti vov p 4-
12. When the property is placed under easement, it will be subject to the following restrictions on
the "plumber and Type of Allowed Structures ": The maximum number and types of structures
may be built or maintained on each 100 acre parcel of the Property: (a) one principal single -
family residential dwelling unit; (b) up to two (2) secondary residential dwelling units
commonly and appropriately incidental thereto, not exceeding two thousand (2,000) square
feet of living space each. There is no limit on: (c) the number of structures such as
outbuildings, swimming pools, decking detached from the single- family dwelling units,
gazebos, garages, and tool sheds; or (d) the number of farm buildings or structures. (Note: On
parcels less than 100 acres, the number of allowed residential dwellings (principle and
secondary) will be affected by the actual size of the parcel.
Based on the above description, how many primary residential structures would you want the
right to build or maintain on the property? How many secondary residential
structures? vo, hke r,,o . e ; M >
40 .
13. List all Deeds of Trust, mortgages and liens against property (by date, parties involved and
deed book reference & page number):
14. If you wish to include additional restrictions in the Deed of Easement (beyond those described
in the generic Deed of Easement), please list and describe:
In addition, please provide the following information with this application:
a) tax returns, for all owners of record, for each of the past three (3) tax years so as to verify
adjusted gross income. All income and tax information will remain confidential.
b) a completed "Request for the Determination of Parcel of Record /Division Rights ".
Definitions Contained in Questionnaire
Forced sale" means the sale of a parcel with unused development rights in a manner prescribed
by law conducted under a judgment, order or court supervision, other than a sale arising from a
partition action; a sale resulting from the foreclosure under the laws of the Commonwealth of
Virginia; or a sale that is not the voluntary act of the owner but is compelled in order to satisfy a
debt evidenced by mortgage, judgment or tax lien.
Hardship" means an economic hardship, other than a circumstance causing a forced sale,
experienced by the landowner of the parcel compelling him to place a parcel with unused
development rights for sale or to use such development rights.
I /We hereby make application to the ,County of Albemarle for the sale of development rights on
the tax parcel(s) identified above on this application form pursuant to Albemarle County
Ordinance No. 00- A.1(1), the Acquisition of Conservation Easements. I /We understand and
acknowledge that I /we incur no obligation by completing this application, and that the County of
Albemarle incurs no obligation by its acceptance of this application. I /We hereby certify that, to
the best of our knowledge, the information contained in this application and attached materials is
true and correct. I /We agree grant permission to the ACE Program Administrator or his designee
to enter the property, after reasonable notice to the owner, for the purposes of evaluating the
parce](s) and verifying required information on the application form and the independent
appraiser who must appraise the property to determine the value of the development rights.
ALL OWNERS OF RE ORD MUST SIGN AND DATE THIS APPLICATION.
Sig.
c fit/ 7rYt Cd -30 —0 7 -
Date
Print Name
I 0 ', ` — o
Signature Date
Print Name
Signature
Print Name
Date
Disclaimer: This Application Form is not a legally binding agreement between the Applicant(s)
and the County of Albemarle. It is strictly for informational purposes in processing the
application.
Questionnaire for Ranlcin Criteria in ACE Pro ram Eligibility Criteria
1. The parcel of land identified on this application form is threatened with a "forced sale" (see
attached definition). yes no. if yes, describe and /or document:
2. The parcel of land identified on this application form is threatened with other "hardship" (see
attached definition). yes no. If yes, describe and /or document:
3. The parcel of land identified on this application form is either: "a working family farm,
including forestry: five (5) points if at least one family member's principal occupation and
income (more than half) is farming or foresting the parcel yes no or; three (3)
points if one family member has as a secondary occupation working the farm sufficient to
qualify for the land use tax program ( >$1,000 /year) yes no. If yes to either
question, describe the type of farming (including horticulture) or forestry you engage in.
I /We hereby certify that, to the best of our knowledge, the information provided on this
questionnaire is true and correct.
Landowner
Landowner
Date
Date
of AL&F
Zr
COUNTY OF ALBEMARLE
Department of Building Code and Zoning Services
401 McIntire Road, Room 227
Charlottesville, Virginia 22902 -4596
FAX (804) 972 -4126 TELEPHONE (804) 296 -5832 TTD (804) 972 -4012
August 20, 2004
Dear ACE Applicant:
Thank you for your interest in the ACE program. One of the steps required in the
application process is for you to obtain an official determination of the number of parcels
and the number of development rights associated with the parcels included in the
application. The Department of Building Code and Zoning Services will perform this
determination. There is no fee for this. However, we ask that you complete the enclosed
form and supply the requested information in order to expedite this review. Please contact
me if you have any questions about this matter.
Sincerely,
John Shepherd
Manager of Zoning Administration
C:Files \LETTERS ACE letter.doc
REQUEST FOR DETERNUNATION PARCEL, OF RECORD /DMSION RIGHTS
pF A]
FILE #:
m
ADMIN (WAIVED)
NON - ADMIN
DATE:
OWNER:
Name: C+• !rcer 'a rr 1 -s` • ir+s
Address:
Phone:
APPLICANT:
Name:
Address: CtR-iW .cLiaa ci_ %?_I, ? i
Phone:
CONTACT PERSON:
Name:
Address:i tE.r arrtie iVlccr. `1 =43 b - rc L 1 3l
Phone: _r..4kr,.. 04"
TAX MAP: M , PARCEL(S): _
LOCATION: Con_ DroA
ACREAGE: If - (TOTAL)
NUMBER OF PARCELS: -A
al l:ulvaral a3010 1;_01_e
1. Tax Map page.
VA. 2.-,?o
o-d N k . _ ZONED:
a 1 , .5--c. 0 0 (EACH PARCEL)
2. Last instrument of record (plat and /or deed) in the Clerk's Office of the Circuit Court of Albemarle County,
Virginia on or prior to December 10, 1980. (Highlight or underline references to the subject property).
3. All plats and /or deeds of record after December 10, 1980, UP UNTIL THE PRESENT DATE. (Highlight
or underline references
to the subject property).
4. Any other pertinent information.
5. Cover letter stating the assumed number of parcels, with explanation of same.
tL
I certify that to the best of my information, belief and pro ession bpanion, these attachments include all pertinent
plats and deeds from the Clerk's Office, as required under "submittal requirements."
Signature Date