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Home My WebLink AboutHS202000033 Approval - County 2020-12-08Homestay Zoning Clearance FOR OFFICE USE ONLY Fee Amt: $M C Receipt III.G 0 2 a u Albemarle County Community Rd.,NorthWing Development 401 McIntire Rd., North Wing C Charlottesville, VA 22902 APPROVED �'ra,t<t.' Phone 434.296.5832 1 Fax 434.972.4126 Daeftd: 1. Applicant/Owner Information NAME: E-MAILAODRESS: !PHONE: MAILINGADDRESS: , 2. Homestay Information TAX MAP(OR ADD AND PARCEL UNKNOWN): (OR ADDRESS, IF UNKNOWN): 9- I ZONING: ACREAGE: 2_0S i O: IN AY NAME: to Q /' /IJ„ A RESPONSIBLE AGENT NAME: SAME AS ABOVE :OWNER, RESPONSIBLE AGENT EMAIL: `(� Q!1R� Y RESPONSIBLE AGENT PHONE: C, 3 663 RESPONSIBLE AGENT ADDRESS: / , 3. Verification of Requirements NUMBER OF GUEST BEDROOMS: USING ACCESSORY STRUCTURES? 2 FORMS PROOF OF RESIDENCY PROVIDED? FLOOR PLAN SKETCH PROVIDED? 3 YES N YES NC F_S NO PARKING REQUIRED: TOTAL HOMESrAY USES ON PARCEL Dwelling Z NumberdGuest Raa +3 / TQMI0&Street Parking 4. Applicant Signature I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence. I also certify that I have read the restrictions on homestays, that I understand them, and that I will abide by them. OF OWNER/APPLICANT: r E: e DAYTIME PHONE NUMBER: 2r e( Approved lkl Approved with Conditions [ ] Denied[ ] Zoning Official: Date, I[ ;lq aV VDH Approval Date: a' - I Building Official Approval Date: 1 t ay 20 Fire Marshal Approval Date: Conditions : SUBMIT THIS PAGE, YOUR SKETCH, YOUR VDH APPROVAL (IF REQUIRED) , AND YOUR $158 APPLICATION FEE TO COMMUNITY DEVELOPMENT, 401 MCINTIRE ROAD, CHARLOTTESVILLE, VA 22902 www.albemarle.org/homestays v. 9/17/191 Page 5 of 13 EW -=OD UP &SE P'll f-Rl -F Gvo 5E-P- RQC�\--- ro ZEI-L4 I All oil I170 ouot I laWle WA 0 rS,a rle BEDROO m up I i . ITCi1i F KI NN2020 County of Albemarle - GIS-Web - Map ® Get Link A Help (Help.aspx?application=GISWEBApp&functiontabs=search,selection,legend,location,markup,share) 6418 —seloOt ISelection + .. .. Oi Share I a �? PPUl p c� a cr k.. ParKrn9 �t3zt�VGl 229Zo 1-2 69-i PA 5. t AtprodUO ) AWGeo I 50ft dmvj ww.Pm.mnu https://gisweb.albemiie.org/gpv-51/V-iewer.aspx# Leaflet (htlP://laafletla.com) I Albemarle County Or IA ,�FFfR50N HFyU r7 y�is A MMAW CHAROTTESVILLE ILUVANNA GRFENE LDUSA NELSON unuu. i.IHO <MG Operating Name of Business: Facility Address: FFR 4 2LI20 Charlottesvi leiAlbe Health D ppartmi BY: 1111�1 QY1S Facility Namel THOMAS JEFFERSON TRANSIENT LODGING Tax Map Number: 6 - OV Subdivision: Owner/Agent: Ze_ n I Address: Secti Home Phone: Cell Phone: Email: _ Will food be prepared for guests? !/ Total number bedrooms in rental unit, guest + owner -occupied: Water Source (check appropriate): Public Water System Other (please specify): Sewage Disposal (check appropriate): Public Sewer Privat Will the proposed lodging involve any new construction? /I If so, please specify: Signature (owner or agent) Page 1 of 2 TH DISTRICT Lot: ��Qrr�l1 fjfl I cl- Private Well >/ Septic Date: Health Department Use VDH PERMITTING REQUIRED: B&B Permit _Hotel Permit None SEWAGE DISPOSAL SYSTEM Adequate / Approved A review of our records and/or assessment by a licensed profes ional, and all other information available, has indicated that the existing sewage di posal system (SDS) and reserve area (where indicated) appears to have been desigi ied with adequate capacity for the proposed use. This does not imply that the exi ting SDS will continue to function properly for any period of time. A site visif and inspection may not have been performed. • Note: For optimum preventative care, septic tanks should be pum ed out by a licensed sewage hauler every 3 to 5 years. Inadequate A review of our records and/or assessment by a licensed profe sionai, and all other information available, has indicated that the existing sewage adequate for the proposed use. WATER SOURCE: ✓ Approved Not Approved • B&B (w/ food service): coliform bacteria & nitrate testing re initially, then annually thereafter, prior to permit renewal. • Transient lodging w/o food service: Annual coliform bacteria recommended annually thereafter. COMMENTS: Se�� c S S 7� � c p� r'e je C Health Departmen?Official Page 2 of 2 posal system is not red required and zAi/zo Date 1-4C.11_9d-1 - o--a Y FLZ 1 Biological, Chemical, and Physical Analysis of Water, Fir, and Solids; 1 Biological and Chemical Treatability Studies: Flow Measurements i:-i12st_) 1 f Y-iq=3 r-Z i s a A 1'AC.7,: _ 1 627 Dice Street : Charlottesville, Va. 22903-0641 1 Phone i4341295-1716 1 Virginia Laboratory ID # 00015 GAIL TODTER 02/05/2020 6801 DICKWOOD"S RD i=i1=TON, VA. 22320 BACTERIOLOGICAL ANALYSIS REPORT TOTAL COLIFORM IN DRINKING WATER JOB NUMBER: A7i;326 ;AMPLE NUMBER: A76326 DATE RECEIVED: 02/04/2020 DATE REPORTED: 02/ 5i2020 IDENTII'=ICATION: SS01 DICKWOODS RD, 2/4/20 SAMPLE MEETS STATE STANDARD FOR COLIFORM BACTERIA IN DRINKING WATER. TOTAL COLIFORMS WERE NOT DETECTED. E.COLI BACTERIA WERE NOT DETECTED. RUN BY THE COLITAG PROCEDURE. ADUA--AIR LABORATO'gE3, INC I / I I REPORTED BY wmINC? awyoalwc. . Biological, w:m,and wlAnalysis e Water, Air, and Solids; . Biolonical and »im Treatabilityaae Flow m,_a, lac...JawStreet :gym:memVa. < � fhone , cE:,&mom mm=. 00015 « mz+a m TODTER 6801 DICKWOODS q AF.%m. 22920 : a mMGw 076327 GG +w:GGwmm DATE ;mow:m +x mza . — —�. . ...... . . . RJR«3 a9 PEE�IALm c ; ,c:m 3+:G,wwm JN'0-�+mmr & EPA ; REV az....... «ate y ,a o,: w! : +m s!r Gaomm«r: m« BY . . . . .. . .. I October 11, 2020 Gail E. Todter 8801 Dick Woods Road, Afton, VA 22920 434 244 2663 gail@leadingforth.com RE: NOTICE OF EMERGENCY CONTACT/RESPONSIBLE AGENT FOR HS#- 202000033 HOMESTAY NAME: Galleywinter Farm Tax Map Parcel ID: 69-18A ; HOMESTAY ADDRESS 8801 Dick Woods Road, Afton, VA 22920 Dear County of Albemarle CDD Zoning, This letter is to notify you as an adjacent property owner that I propose to conduct a homestay use on my property at 8801 Dick Woods Rd, Afton, VA. The purpose of this notice is to identify the emergency contact/responsible agent for the homestay. NAME: GAIL E. TODTER TELEPHONE NUMBER: 434 244 2663 The responsible agent must: Responsible agent. Each applicant for a homestay must designate a responsible agent to promptly address complaints regarding the homestay use. The responsible agent must be available within 30 miles of the homestay at all times during a homestay use. The responsible agent must respond and attempt in good faith to resolve any complaint(s) within 60 minutes of being contacted. The responsible agent may initially respond to a complaint by requesting homestay guest(s) to take such action as is required to resolve the complaint. The responsible agent also may be required to visit the homestay if necessary to resolve the complaint. Sincerely, Gail HOMESTAY APPLICANTS NAME Gail E. Todter Short -Term Rental Registry Annual Application or nc Albemarle County o Community Development l� C 401 McIntire Rd. North Wing Charlottesville, VA 22902 Phone 434.296.5832 Yr•��p www.albemarle.org Prior to opening for business, all operators of short-term rentals (including accessory tourist lodging rentals) must: homestays and previously approved bed and breakfasts and • Register with this form Obtain an approvedZoninR clearance (requires VDH and building/fire safety inspection) Register for a business license and remit reauired taxes Annually following the initial approvals, all operators of short-term rentals must: Renew their registration with this form • Pass a fire safety inspection • Renew their 12u5i(Irsa license and remit re it d taxes e Fields marked with an 'asterisk are the minimum required for registration. 1. Short Term Rental Information A Whole house rental is a short term rental of a home during which the owner is not required to be present. Whole house rentals are only permitted on Rural Area parcels of 5+acres. APPROVED HOMESTAY(HS), BED AND BREAKFAST (BNB), OR ACCESSORY TOURIST LODGING(ATLI CLEARANCE PERMIT NUMBER (IF APPLICABLE): 1 Z b Z O— O 3 3 'ADDRESS: b O C e 1t)O O gos � 'CITY, STATE, ZIP. / �+ ct� try •L ct2 a TAX MAP PARCEL (IF KNOWN: _ f/1 /'i ZONING (IFKNOWN): A GUESTBEDROOMS: WHOLE HOUSE RENTAL: PS ❑NO Z Property Owner/Operator Information 3. Responsible Agent Information �J The responsibleIagentmust be available within, Dmil s of the homestayat all times during a homestay use, and must respond and attempt ingood faith to resolve anycomplaints within l4Um� in�ofbemg contacted. OR IS RESPONSIBLEAGENT: S ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW F EMAIL: ean(VFYICE USE ONLY Fee Amt: 0$27 ❑$Owith clearance application 4yawed by: Denied Reviewed by: Registration Date:/ l-tD V. 9.17.20 1 Page 1 of 1