The URL can be used to link to this page

Home My WebLink AboutSUB202000054 Application 2020-03-18 Albemarle Cour f 401 Community Development Department tire Road Charlottesville.VA22902-4596 Voice•(434)296-5832 Fax• (434)972-4126 „/ Planning Application •-.220cTsv.-- PARCEL/ OWNER INFORMATION IMP 03200-00-00-018A0 Owner(s): UNIVERSITY OF VIRGINIA FOUNDATION Application# SUB202000054 1PROPERTY INFORMATION Legal Description I ACREAGE Magisterial Dist. Rio Land Use Primer., Residential -- Single-family (incl. modular homes Current A FD Not in A/F District rs, Current zoning Primary Planned Development Industrial Park APPLICATION INFORMATION Street Address 3655 LONESOME PINE LN CHARLOTTESVILLE, 22911 Entered E, Jennifer Smith Application Type Subdivision Plat 13 23 2020 Project ENCOMPASS HEALTH CARE - EASEMENT Received Date 1-63/18/20 FecEl,ed Date Final Submittal Date F03,1 23/20 1 Total Fees 215 Closing File Date Submittal Date Final Total Paid 215 Re.ision Number Comments Legal Ad aVWTROPAWN Per Zoning Ordinance SUB APPLICATION(s) Type Sub Applicatio I Comment Easement Plat " 03/23/20 APPLICANT / CONTACT INFORMATION ContactType Name ',2iddress CityState Zip I Phone PhoneCell Oth.reri,47;,plizant UNIVERSITY OF 'VIRGINIA FOUNDATION P 0 BOX 400218 -CHARLOTTESVILL 22904 4349824646 zrirna-y Car,tatt ANDREW ALLISON i 608 PRESTON AVENUE,SUITE CHARLOTTESVILL 22903 43432716S1 _ . Applicant ENCOMPASS HEALTH CORPORATION 9001 LIBERT'V PARKWAY BIRMINGHAM,AL 35242 2052431949 Sianature of Contractor or Authorized 2,,uerit Date DocuSign Envelope ID:2DB42670-D65A-4B55-BE4M-zOAODD10EDFB Page 1 COUNTY OF ALBEMARLE APPLICATION FOR EASEMENT PLAT Easement plat(s)without a deed=$527 Easement plat(s)with a deed=$817 Easement plat(s)required with a site plan=$215 Easement plat(s) amending a previously approved easement plat(s)= $215 (Provide 5 copies of plat) ass Health GaFe - Tax y Project Name P Tax map and parcels 32-18A, 32-18&32-6R Zoning Planned Development Industrial Park Physical Street Address(if assigned): 3640 and 3655 Lonesome Pine Land and 4419 Dickerson Road Applicant University-offVrginia-Foundation Encompass Health corporation Street Address PUB i40O2T8 9001 Liberty Parkway City't tlarlutte3vitte---Si rmi ngham State Vfr9 -=-Alabama Zip Code 229e4#Lfi� 35242 Phone Number 205-243-1949 Email sari na.davis@encompasshealth.corn Owner of Record University of Virginia Foundation Street Address PO Box 400218 City Charlottesville State Virginia Zip Code 22904-4218 Phone Number 434-982-4646 Email mdolan@uvafoundation.com Contact(who should we contact about this project): ,4tJD - J ALi-1Sor-.1 Street Address 608 Preston Avenue, Suite 200 City Charlottesville State Virginia Zip Code 22903 Phone Number 434-327-1681 Email lefkltheizhglowaltortiMitiliftecirSeGGPI. a . 0l1\.Sw.Q re.rnonc.Gower County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 DocuSign Envelope ID-2DB42670-D65A-4B55-Bt4 A-zOAODD1 CEDFB Page 2 COUNTY OF ALBEMARLE APPLICATION FOR EASEMENT PLAT Owner/Applicant Must Read and Sign The plat application process includes providing the County with all the information required in Chapter 14 Subdivision of Land of the Albemarle County Code The foregoing information is complete and correct to the best of my knowledge. I have read and understand the provisions of Chapter 14 Subdivision of Land of the Albemarle County Code. 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. DJo'cuSig-ned by: Antos (M(seln, E 3/19/2020 6e2CA45t.. Signature of Owner,Contract Purchaser, Agent Date Arthur Wilson 205-970-3530 Print Name Daytime phone number of Signatory FOR OFFICE1 UAS''EhhO\Ll fB# //��,.�'� II Fee Amount S APA — /Date Paid TA.,•�li j1 By who? I11 &t A nS —Art Receipt# 12 10 Ck# C��-9V3 Bv: _ . DocuSign Envelope ID-2DB42670-D65A-4B55-Be4A-LOAODD10EDFB Page 3 COUNTY OF ALBEMARLE EASEMENT PLAT CHECKLIST Sec. 14-208.2 Easement plats. The following sections shall apply to each easement plat, when applicable. A. General. Sections 14-100 through 14-108 B. Administration and procedure: Sections 14-200 through 14-204, 14-209, 14-231 and 14-231.1. C. Plat requirements and documents to be submitted. Sections 14-300, 14-301, 14-302(A)(1),(2),(3), (4),(5), (6),(11),(14)and(15), 14-302(B)(1),(2), (4),(5),(6),(7),(9)and(10), 14-303(A),(B),(C),(D), (E),(F), (H), (I), (L), (0)and(P), 14-312 and 14-314. D On-site improvements and design: Sections 14-433 and 14-438. Sec. 14-300 Persons authorized to prepare plat. Each plat shall be prepared by a professional engineer or a land surveyor, to the limits of his license. Sec. 14-301 Form and style of plats. Each subdivision plat shall comply with the following: A. Standards.Except as otherwise provided in subsection(E),each plat shall meet the standards for plats set forth in 17 VAC 15-60-10 et seq., provided that each final plat to be submitted for recordation in the office of the clerk of the Albemarle County circuit court shall meet the standards for plats set forth in 17 VAC 15-60-10 et seq B. Scale.The plat shall be drawn to a scale of one(1)inch equals fifty(50)feet or to such scale as may be approved by the agent in a particular case. C Size. The plat shall be prepared on one(1)or more sheets, provided that no sheet shall exceed twenty-four (24) inches by thirty-six (36) inches in size, and further provided that if the plat is prepared on more than one(I)sheet, match lines shall clearly indicate where the several sheets join. D Approximate North The top of each sheet shall be approximately north. Sec. 14-302 (A) Contents of preliminary plat. A preliminary plat shall contain the following information: A. A preliminary plat shall contain the following information, which must be included in order for a preliminary plat to be deemed complete under section 14-218• CZ 1. Name of subdivision. The title under which the subdivision is proposed to be recorded The title shall not duplicate or be a homonym of an existing or reserved subdivision name within the county,the City of Charlottesville, or the Town of Scottsville,except if the subdivision is an extension of an existing subdivision. i 2. Vicinity map. A map at a scale of one(1) inch equal to two thousand (2,000)feet showing the property and its relationship with adjoining land and streets, its relationship with landmarks in the area and, if the subdivision is a phased subdivision,all other phases of the subdivision for which a final plat has been approved, in detail adequate to describe the location of the property without field review DocuSign Envelope ID:2DB42670-D65A-4B55-BEwA-c0A0DD10EDFB Page 4 COUNTY OF ALBEMARLE EASEMENT PLAT CHECKLIST Z 3. Existing or platted streets. The location,width and names of all existing or platted streets and all other rights-of-way Z 4. Private easements. The location and dimensions of all existing and proposed private easements. Existing easements shall be labeled with the deed book and page number and the name of the owner of record. Z 5. Public easements. The location and dimensions of all existing and proposed public easements outside of a street right-of-way.Existing easements shall be labeled with the deed book and page number and the name of the public owner of record. Proposed easements shall be labeled as"dedicated to public use." Z 6. Alleys and shared driveways. The location and dimensions of all easements for alleys and shared driveways. 11. Instrument creating property proposed for subdivision. The deed book and page number of the instrument whereby the property was created,as recorded in the office of the clerk of the circuit court of the county. Z 14. Land to be dedicated in fee or reserved. The location,acreage, and current owner of all land intended to be dedicated in fee or reserved for public use, or to be reserved in a deed for the common use of lot owners in the subdivision 15. Identification of all owners and certain interest holders. The names and addresses of each owner of record and holders of any easements affecting the property Sec. 14-302 (B)Contents of preliminary plat. B A preliminary plat shall also contain the following information, provided that the preliminary plat shall not be deemed incomplete for purposes of section 14-218 if it does not include this information in the initial plat submittal. Z 1. General information. The date of drawing, including the date of the last revision,the number of sheets,the north point,and the scale If true north is used, the method of determination shall be shown. .Zi 2. Name of plat preparer. The name of the person who prepared the plat. Z 4. Places of burial. The location of any grave,object or structure marking a place of burial located on the property. ZJ 5. Zoning classification. The zoning classification of the property, including all applicable zoning overlay districts, proffers, special use permits and variances. • 6. Tax map and parcel number. The county tax map and parcel number of the property • 7. Reservoir watershed; agricultural-forestal district. A notation as to whether the land is within an Albemarle County and/or City of Charlottesville water supply watershed or an agricultural-forestal district. DocuSign Envelope ID:2DB42670-D65A-4B55-BE4A-20A0DD10EDFB Pages COUNTY OF ALBEMARLE EASEMENT PLAT CHECKLIST • 9. Flood plain. The location of any part of the property within the flood hazard overlay district,as set forth in section 18-30.3 Z 10. Stream buffers.The location of stream buffers required by the water protection ordinance,with the following note• "The stream buffer(s)shown hereon shall be managed in accordance with the Albemarle County Water Protection Ordinance." Sec. 14-303 Contents of final plat. O In addition to containing all of the information required by section 14-302,except for the information required by section 14-302(A)(12), a final plat shall contain the following information: IZ A. Statement of consent to division. A statement that "The platting or dedication of the following described land [insert a correct description of the land subdivided] is with the free consent and in accordance with the desire of the undersigned owners, proprietors and trustees, if any." Wl B. Section name or number. The name or number of the section if the property is a part of a larger piece of land. O C. Boundary lines. The exterior boundary lines of the property with bearings in degrees,m Mutes and seconds.Curvilinear data shall include radius, central angle,arc length, and tangent distance. All dimensions shall conform to the standards set forth in this chapter. D. Acreage of lots. The total acreage of each existing lot and each proposed lot. Z E. Dimension standards and information on all lots,streets,alleys,easements,and shared driveways. All linear,angular, and curvilinear dimensions of lots, streets, alleys, public easements and private easements and shared driveways shall conform to the requirements set forth in 8 VAC 10-20-370(C),a copy of which shall be on file in the department of community development.Curvilinear data shall include radius, central angle,arc length,and tangent distances and may be shown either directly on the corresponding boundary or surveyed line or in table form. Easements shown for private streets, alleys and shared driveways shall be labeled as"private street easement","alley easement"or"shared driveway easement."The easement holder(s)shall be identified on the plat. If shared driveways are shown,a note shall be added to the plat stating that maintenance shall be by the owners of the lots affected by the shared driveway easement, not by the Virginia Department of Transportation or the county pit' F. Identification of sections, blocks and lots. Sections(phases)shall be identified by numbers; blocks shall be identified by letters; lots shall be identified by numbers,assigned in numerical order 0 H. Monuments. The location and material of all permanent reference monuments.Monuments found or installed prior to plat recordation may be referred to if they are permanent and undisturbed. If any monument required by this chapter will be installed after recordation of the final plat,the certification of the professional engineer or land surveyor shall so note. 0 I. Bearing and distance ties. A definite bearing and distance tie between not less than two(2) permanent monuments on the exterior boundary of the property and further tie to existing street intersection where possible and reasonably convenient. DocuSign Envelope ID•2DB42670-D65A-4B55-Be4H-z0A0DD10EDFB Page 6 COUNTY OF ALBEMARLE EASEMENT PLAT CHECKLIST L. Public utility,drainage and sight distance easements. The location and dimensions of each public • utility,drainage and sight distance easement outside of a street right-of-way; for each existing easement, include a note stating the deed book and page number Z O. Signature panels. Signature panels for each owner and for the agent or his designee.The signature panel for the owner shall be located immediately below the statement required by paragraph (A). Z P. Notary panels.Notary panels for the notary to acknowledge the signature of the owner Documents and or information to be submitted with Plat, as applicable Z Location of existing buildings. [Sec. 14-312] Z Identification of all interests of the County in property [Sec 14-314] SEE CODE For Sections 14-433 and 14-438. Read and Sign In representing the above referenced firm submitting this plat for preliminary approval, I hereby state that,to the sl-ofmy knowledge,th attached plat contains all information required by this checklist. , a L 3i24,0Q Signature of person completing checklist Date AXv i3 C=.2 Bow 92s-8$0 Printed Name Daytime phone number of Signatory •• ••� • •• • TransmittalGROUP YOUR VISION ACHIEVED THROUGH OURS. To: Date: March 19, 2020 Matt Wentland Albemarle County Community Development Job No.: 43266 401 McIntire Road Charlottesville, Virginia 22902 Regarding:WPO201900034UVA Encompass Health Rehabilitation Hospital We are sending you the following items: ® Attached ❑ Under separate cover via ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Specifications ❑ Copy of Letter ❑ Change Order ® Other Plats Copies Date Description 4 March 19, 2020 Encompass Easment Plats 1 March 19, 2020 Easement Plat Application This information is transmitted as checked below: ® For Approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ s;AL ❑ Approved as noted ❑ Submit copies for distribution ❑ As`,, equested El Returned for corrections ❑ Return corrected prints ® For review/comment ❑ Other ❑ for bids due ❑ 0-AEG MEd after loan to us Remarks: Copy to: Signed: 76,1 Andrew Allison Phone: 434.295.5624 Received by: Name(printed) Signature If enclosures are not as noted,please notify us at once