HomeMy WebLinkAboutSP202100005 Application 2021-02-15Application for
Special Use Permit
IMPORTANT: Your application will be considered INCOMPLETE until all of the required attachments listed on page 2
have been submitted with the appropriate signature on page 3. Also, please see the list on page 4 for the appropriate fee(s)
related to your application.
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PROJECT NAME: (how should we refer to this applicat1ion?)`4AUP/ P Fp�PM / t.t/
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PROPOSAL/REQUEST: E!c-b�n
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ZONING ORDINANCE SECTION(S): 1"an 1
EXISTING COMP PLAN LAND USE/DENSITY: &Grdd " 1 �, a , �_ . ,g_o
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LOCATION/ADDRESS OF PROPERTY FOR SPECIAL USE PERMIT: u"trti
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TAX MAP PARCEL(s):
ZONING DISTRICT: _J 1(( �i�
A Vie& 5 Zorw na D) JTYI
# OF ACRES TO BE COVERED BY SPECIAL USE PERMIT if a portion, it must be delineated on a [at:
Is this an amendment to an existing Special Use Permit? If Yes provide that SP No . Sp- II D
,0 YES El NO
7711'00/10
Are you submittinga preliminarysite plan with this application?
YES ❑ NO
Contact Person (Who shouldCJ
we calnUIw��U✓j'
riittee�,�L&,i"1(:� concerning this project?):
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Address /101 V16 9W, City IM state Of
zip .7"li7 /
Daytime Phone , 7J,5ax # L_) E-mail %)'�L�L'C►'p�i' p CEUQ g G% % J l r
Owner of Record �ICL!/Li. Y / {LZI�QYFiI ff2l%%�T. 1>^tI�'i �rw
Daytime Phone 44 YK
Applicant ( Who is the Contact person representing?):
Address
Daytime Phone L_)
City ;J)%a l StateV,4 Zip 1�
City
Fax # L._) E-mail
State
Zip
Does the owner of this property own (or have any ownership interest in) any abutting property? If yes, please list those tax map and parcel numbers:
FOR OFFICE USE ONLY SP #
Fee Amount $ Date Paid By who?
ZONING ORDINANCE
Concurrent review of Site Development Pion? YES_ NO
Receipt #
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County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 2%-5832 Fax: (434) 972-4126
Special Use Permit Application Revised 2/28/2019 Page 1 of 5
SPECIAL USE PERMIT CHECKLIST for
M. Reitelbach
PREAPP2019-00133 Camp SP Amendment — Haupt Property / TMPs 85-3A and 85-3A1
(Staff Member)
PreApp Number and 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
Provided with
appl(County
Cououn Staff)(Applicant)
application
SECTION 33.4(c)
X
X
YES
NO
X
A narrative of the project proposal, including its public need or benefit; be sure to
include the proposed number of camp participants, in addition to staff members; the
hours of operation; and the number of days per week of operation and weeks per year.
Also include whether the camp will be a day or an overnight camp.
X
A narrative of the proposed projects consistency with the comprehensive plan,
including the land use plan and the master plan for the applicable development area;
X
A narrative of the proposed project's impacts on environmental features.
X
A narrative that addresses the impacts of the proposed development on public
transportation facilities, public safety facilities, public school facilities, and public
parks.
X
One or more maps showing the proposed projects regional context and existing natural
and manmade physical conditions;
X
A conceptual plan showing, as applicable:
X
1) circulation within the project and connections to existing and proposed or planned
streets within and outside of the project. This conceptual plan should depict the
entrance into the site from Batesville Road, along with the vehicle circulation proposed
within the site for camp attendees, such as how and where vehicles dropping off
attendees will park or turn around on the site. If a bus is proposed to be used, depict
where the bus will turn around and where the bus will stop to drop attendees off.
X
2) typical cross -sections to show proportions, scale and streetscape/cross-
sections/ci rcu lation;
X
3) the general location of pedestrian and bicycle facilities;
SPECIAL USE PERMIT CHECKLIST 09-2020 Page 1 of 2
X
4) building envelopes; the location of any existing or proposed new buildings that will
be used for the camp activities.
X
5) parking envelopes; the location of the parking areas for staff members and the
parking areas for attendees, such as parents/guardians who are dropping off camp
participants.
X
6) public spaces and amenities;
X
7) areas to be designated as conservation and/or preservation areas; identify the
boundaries of the conservation easement on the property and the conditions of the
easement
X
8) conceptual stormwater detention facility locations; if applicable. Any questions
regarding stormwater should be directed to the County Engineer, Frank Pohl,
fpohl@albemarle.org.
X
9) conceptual grading; if applicable. Any questions regarding grading should be directed
to the County Engineer, Frank Pohl, fpohl@albemarle.ore.
X
Other special studies or documentation, if applicable, and any other information
identified as necessary by the county on the pre -application comment form.
-approval from the Health Department will be required for water and sewage facilities.
Provide information on the existing water and sewage facilities and proposed changes.
For example, are additional bathrooms proposed to be constructed somewhere on the
property.
-approval by VDOT of the entrance will be required. Provide the proposed number of
vehicle trips that this use will produce. How many participants of the camp are
requested, along with the proposed number of staff members? Will any type of group
transport be used, such as a bus, to reduce the number of individual vehicles that will
be entering the site each day of the camp's operation?
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 thi checklist
Print Name
-4-/6 �
Date
Daytime phone number of Signatory
SPECIAL USE PERMIT CHECKLIST 09-2020 Page 2 of 2
APPLICATION SIGNATURE PAGE
If the person signing the application is someone other than the owner of record, then a signed copy of the
"CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE
LANDOWNER" form must be provided in addition to the signing the application below. (page 5)
Owner/Applicant Must Read and Sign
By signing this application, I hereby certify that I own the subject property, or have the legal power to act on behalf of
the owner of the subject parcel(s) listed in County Records. I also certify that the information provided on this
application and accompanying information is accurate, true, and correct 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 communication from also being
sent via first class mail.
*Signatu f Owner / Agent / ontract Purchaser
MA&Wr k, /aA un r
Print Name
i C %
1�4i rt r /5, ?.,I),V
Date
y3 ti 9 90 3By 6
Daytime phone number of Signatory
Special Use Permit Application Revised 2/28/2019 Page 3 of 5