HomeMy WebLinkAboutSDP202000064 Application Minor Amendment 2020-10-01Application for
Major or Minor Site Plan Amendments
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
REVISED 4/23/2018 Page 1 of 2
Existing Site Plan Name & Number: _______________________________________________________________________________________
Tax map and parcel(s): _________________________________________________ Zoning: _________________________________________
Contact (who should we contact about this project):
Street Address
City State Zip Code
Phone Number
Email
Owner of Record
Street Address
City State Zip Code
Phone Number
Email
Applicant
Street Address
City State Zip Code
Phone Number
Email
FEES
Major Amendment Zoning Fee = $1613
Major Amendment Fire Rescue Fee = $100
16 folded copies of plan are required
Minor Amendment (alterations to parking, circulation, building
size, location) = $538
This application may require additional review by the Fire
Marshal. Fees in addition to those shown on this application may
be required by the Fire Prevention Code Fee Schedule. A copy of
the schedule is available from the Fire Marshal.
8 folded copies of plan are required
Notices required by Section 32.4.2.1 (f)
Preparing and mailing or delivering up to fifty (50) notices = $215.00 plus the actual cost of first class postage.
Preparing and mailing or delivering, per notice more than fifty (50) = $1.08 plus the actual cost of first class postage.
Major or Minor Site Plan Amendments REVISED 4/23/2018 Page 2 of 2
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced by public water)
Was a Groundwater Assessment conducted for the existing site plan?
YES
NO
If NO and the new plans show a use using less than 2,000 gallons/day (average)
If NO and the new plans show a use using greater than 2,000 gallons/day (average)
If YES and the use goes from using less than to more than 2,000 gallons/day (average)
If YES and the use does not change from using less than to more than 2,000 gallons/day (average)
Tier 3 Groundwater Review = $548
Tier 4 Groundwater Review = $1,183
Tier 4 minus Tier 3 = $635
No fee
Comments/Attachments:
Owner/Applicant Must Read and Sign
Major Amendment
This major amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan) and Section 32.6 (Final
Site Plan) of the Albemarle County Zoning Ordinance. I understand that plans which lack information required by said section s shall be
deemed incomplete and shall be denied by the agent within ten (10) days of submittal as provided in Section 32.4.2.1 or Section 32.4.3.1
as the case may be.
Minor Amendment
This minor amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan) and Section 32.6 (Final
Site Plan) of the Albemarle County Zoning Ordinance.
I hereby certify that the information provided on this application and accompanying information is accurate, true, and correc t to the best
of my knowledge. By signing this application I am consenting to written comments, letters and or notifications regarding this application
being provided to me or my designated contact via fax and or email. This consent does not preclude such written communicatio n from
also being sent via first class mail.
________________________________________________ _____________________________________
Signature of Owner, Contract Purchaser, Agent Date
________________________________________________ _____________________________________
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY SDP # _____________________
Fee Amount $___________ Date Paid __________By who? _________________________ Receipt # _____________ Ck#_____________ By:_______________