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Closing File Date Submit°tal Date Final Total Paid
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O F ILREIMARLE Jr FINANCE: � M 'T'If E R
p'fiA'r''„Il _a mvt j COUNTY O F wNLBE H ARLE LANCE ST E WI,ARD 401 M CINTIF':E R[
° PH,ILLIP I" CKALI S -� III � 1111""�' 1111""�' '�1 ILIlI 695 H O O F':E S CREEK LANE
E f L TT E '1 LL
CH 4 RL 0 TT E S'VILL 2 2 9 0 2
CH ARLOTTE S'VILL
Phone III PhoneCl l l
4342965E16
4349772970
Application for ��`;ki
Initial Site Plan or Final Site Plan or Site Plan Exception 1
Project Name: Southern Albemarle Convenience Center
Tax map and parcel(s): 12100-00-00-082A2 zoning: Rural Areas
Contact (who should we contact about this project)
Street Address 401 McIntire Road
of Albemarle - Lance Stewart
city Charlottesville State VA zip Code 22902
Phone Number 434-296-5816 x3409 Email LSTEWART@ALBEMARLE.ORG
Owner of Record Same as contact
Street Address
City
Phone Number
Applicant Rivanna Solid Waste Authority (RWSA) - Phillip McKalips
Street Address 695 Moores Creek Lane
City Charlottesville
D/_1
22902
Phone Number 434-977-2970 (ext. 145) Email pmckalips@rivanna.org
Residential
Type of unit(s):
# of building(s):
Sq. ft. of building(s):
# of units per building:
Total # of units:
Resulting density:
Acreage of site:
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
W Non-residential
® Commercial
❑ Industrial
® Quasi -Public
Sq. ft. of building(s): N/A
Acreage of site: 7
Acreage in open space: 7
Acreage in roads: N/A
.average gallons of water used per day: N/A
FOR OFFICE USE ONLY SDP #
Fee Amount $ Date Paid By who? Receipt # C" By
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
REVISED 7/1/2021 (Fee Update) 1 of
Intended use or justification for request:
Comments/Attachments:
FEES
SITE DEVELOPMENT PLAN
® $861.12 Fee $828 + Technology Surcharge
$33.12
Plus
# of dwellings_ X$16=$ X.04=
$
Plus
Nonresidential square feet X .016 =
$ X.04=
TOTAL
No
❑ $1,476.80 Fee $1,420 + Technology Surcharge
$58.80
Plus
# of dwellings X $16 = $ X .04 =
S
Plus
Nonresidential square feet X 0.016 =
$ X.04=
TOTAL $
plus an additional 6 copies if within an Entrance Corridor
❑ $1,846
Fee $1,775 +
Technology
Surcharge $71.00
+ Fire Rescue
Fee of $100
SITE PLAN
Exception to drav
of site plan under
❑ $1,846
Fee $1,775 +
Technology
Surcharge $71.00
+ Fire Rescue
Fee of $100
submittal will be noted plan
with your initial approval
❑ Site plan has a parking structure. Included are revised architectural elevations, drawings, photographs or other visual materials submitted with the initial
site nlan. The elevations shall be nart of the aooroved final site plan.
Notices required by Section 32.4.2.1 (f)
Initial notice fee to be provided in conjunction with an application, for preparing and mailing notices and published notice = $448
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced by public water)
❑ If the plans show a use using less than 2,000 gallons/day (average) Tier 3 Groundwater Review = $627.12
Fee $603 + Technology Surcharge $24.12
❑ If the plans show a use using greater than 2,000 gallons/day (average) Tier 4 Groundwater Review = $1,354.08
Fee S1302+Technology Surcharae $52.08
Special Exception = $523.12 Fee $503 +Technology Surcharge
This application may require additional review by the Fire Marshal. Fees in addition to those shown on this application may be
Owner/Applicant Must Read and Sign
This site plan as submitted contains all of the information required by Section 32.5 (Initial Site Plan) or Section 32.6 (Final Site Plan) of
Chapter 18 of the Code of the County of Albemarle. I understand that plans which lack information required by said sections 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
of Chapter 18 of the Code as the case may be. 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.
For Final Plans Only: To the best of my knowledge. I have complied with Section 32.4.3.1(a) of Chanter 18 of the Code.
Signature of Owner, Contract Purchaser, Agent
Date
Print Name
Daytime phone number of Signatory
Site Plan Application REVISED 7/t/2021 (Fee update) Page 2 of