HomeMy WebLinkAboutSP202000016 SP Checklist 2020-08-18SPECIAL USE PERMIT CHECKLIST for
Crozet Park / TMP 056A2-01-00-07200 and 056A2-01-00-072A0
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Name or initials of
staff filling out form
Project Name / Tax Map Parcel Number
After the mandatory pre -application meeting, county staff will mark this checklist appropriately so
that it is clear to the applicant the information from Section 33.4 (c) that must be submitted with
the official application
Required for
application?
(County Staff)
X
Provided with
application
(Applicant)
X
SECTION 33.4(c)
YES
NO
❑X
❑
FRI
A narrative of the project proposal, including its public need or benefit;
❑X
❑
❑X
A narrative of the proposed project's consistency with the comprehensive plan,
including the land use plan and the master plan for the applicable development area;
❑c
❑
❑X
A narrative of the proposed project's impacts on public facilities and public
infrastructure.
❑X
❑
❑X
A narrative of the proposed project's impacts on environmental features.
❑
❑X
❑
A narrative of the proffers proposed to address impacts from the proposed project.
❑X
❑
❑X
One or more maps showing the proposed project's regional context and existing natural
and manmade physical conditions;
❑X
❑
❑X
A conceptual plan showing, as applicable:
❑
❑
❑
1) the street network, including circulation within the project and connections to
existing and proposed or planned streets within and outside of the project;
❑X
❑
❑K
2) typical cross -sections to show proportions, scale and streetscape/cross-
sections/circulation; proposed trails/sidewalks/ped bike facilities
❑—
❑
3) the general location of pedestrian and bicycle facilities;
existing and proposed
❑—
❑
❑X
4) building envelopes;
❑
S) parking envelopes;
❑—
❑
❑X
6) public spaces and amenities;
(as applicable - indicate which areas/facilities are public vs. private)
❑
7) areas to be designated as conservation and/or preservation areas;
SPECIAL USE PERMIT CHECKLIST 04/2013 Page 1 of 2
❑X
❑
❑)C
8) conceptual stormwater detention facility locations;
❑X
❑
❑X
9) conceptual grading;
❑c
❑
❑X
Other special studies or documentation, if applicable, and any other information
identified as necessary by the county on the pre -application comment form.
Include a special exception for any provisions of 18-5.1.16 not being met (it appears 16a
is definitPly not met), Inch We :marking sti idy as rpnupsfpd by 7nning Cnnsirlpr if TMP
56A2-04-A4 should be added to this application. Provide trip count estimates (TIA is not
require
Please note: There are additional submittal requirements outlined on the official application for a Special Use Permit.
Read and Sign
I hereby state that, to the best of my knowledge, the official application submitted contains all information marked on
this checklist as required for application.
Signature of person completing this checklist
Scott R. Collins
Print Name
August 17, 2020
Date
434-293-3719
Daytime phone number of Signatory
SPECIAL USE PERMIT CHECKLIST 04/2013 Page 2 of 2