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SUB200500245 Application 2005-08-08
Comma„,y Jevelopment Department,Planning& rli : County of AlDemarle Community Development Division AIL 401 McIntire Road Charlottesville,VA 22902-4596 77"�," Planning Application 1 Voice:(434)296-5823 Fax:(434)972-4012 PARCEL/OWNER INFORMATION TMP 09000-00-00-021H0 Owner(s): HUNT, DOROTHY B Application # SUB200500245 PROPERTY INFORMATION Legal Description ACREAGE PARCEL A Magisterial Dist. Scottsville Land Use Primary Residential--Single-family(incl. modular homes) Current AFD Not in A/F District Current Zoning Primary Rural Areas APPLICATION INFORMATION House # Street Name Apt/Suite City State Zip Street Address 1797 SCOTTSVILLE RD CHARLOTTESVILLE 22902- Entered By:Stephanie Mallory on 08/09/2005 Application Type Subdivision Plat Project: Hillstone- Family Division 2,717.00 Received Date 08/08/2005 Received Date Final Total Fees $95.00 Submittal Date 08/08/2005 Submittal Date Final Total Paid Closing File Date Revision Number Comments: $95 FEE ON COUNTY RECEIPT 55438 Legal Ad SUB APPLICATIONS) Type Sub Application Date Comments Family Division 08/08/2005 APPLICANT/CONTACT INFORMATION Owner/Applicant Name HUNT, DOROTHY B Phone# (434) 296-8844 Street Address 1797 SCOTTSVILLE ROAD Fax# ( ) - City/State CHARLOTTESVILLE VA Zip Code 22902- E-mail Cellular# ( ) - Applicant Name Karen Gillispie Phone A (434) 973-7784 Street Address 2218 Dominion Drive Fax # ( ) - City/State Charlottesville,VA Zip Code 22901-0000 E-mail Cellular# ( ) - Signature of Contractor or Authorized Agent Date Application for Review of ,cc AI. Rural & Family Subdivisions The term"rural subdivision"means a type of subdivision that is located in the rural areas which results in two or more lots for the pugoose of transfer of ownership or building development,such that: Each lot created is at least five(5)acres in area;and Each lot created has at least two hundred fifty(250)feet of frontage on a public street which is part of the primary system or secondary system of state highways. The term"family subdivision"means the single division of property for the purpose of sale or gift to a member of the immediate family of the owner of the property Eligible members of the immediate family are natural or legally defined offspring,grandchild,grandparent,or parent of the owner of property to be divided. ❑ Rural Division=$95 family Division=$95 (3 copies of plat) (3 copies of plat) ❑ Tier 2 Groundwater Review=$250 plus$25.00 per lot(Required for all plats showing lots less than 21 acres) 0 Tier 3 Groundwater Review=$400 plus$25.00 per lot(Required for all plats showing lots where at least 3 lots are 5 acres or less) ❑ Tier 4 Groundwater Review=$1,000 Project Name: 1.4 1 LLB Tax map and parcel: 0'1 j— CC)-. t 1 C Contact Person(Who should we call/wnte concerning this project?): /DC3/c r l'l 1/ 13• Address / 79� 5Cp H5/Jr//e Jf i City/C472'//)//e5 ./elk State //9 Zip,-.2a2 942 Daytime Phone(' 9'6 ff'4/ Fax# E-mail Owner of Record V. Q/? �'T� /L /�T/P<� J - l f ,l ►'lL( ► K�l� � Address %47 S 5CC!/•5 G" ////1 `i C/ City IX/'I/o#e5U/i<C'State Zip -'9C 2— Daytime Phone. -2 515-7=4r?7c 2 Fax# /' E-mail Applicant(Who is the Contact person representing?) „f>'T,l�'/!7 V///�'. / L�/ �,� Address 2.2/ ���>7/`�/` /)7' City �_/»y/v# Li/�/State Z'/1' Zip 229©/ Daytime Phone( "'1 c723 77171/ Fax# E-mail 660 0 2005 L' I County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434) 296-5832 Fax: (434)972-4126 6/17/05 Page 1 of 2 Property Information: Does the owner of this property own(or have ownership interest in)any abutting property? If yes,please list those tax map and parcel numbers here () Physical Street Address(if assigned) /r,�/'� �3 f 5 Lb"I e AC11 c Location of Property(landmarks,intersections,or other) � ".Z /-r � i)r �5 D./re fh �7 JeO 77SU,//, "fed /Yr 7 C,5 5 �7 csrr� B.i97A0Qm /s Co»57-2-41e-T Magisterial District: fps`/i//e Zoning: /FE'--i (Z /e✓ Comprehensive Plan Land Use Designation: ,,// Proposed Use(s)of Property: 67 /�/c/ i% €J Ail /6.7' 49A to Acreage Information: Total parcel acreage: 'I 53' Acreage in new lots: 5- #of new lots: / Acreage in open space: Acreage in roads• Comments/Attachments: Grantee Information (Family Division Only): Q Grantor(owner of existing parcel being divided) Dd-rc ii y ICJF! 1tc n l7/U'?)T �/ New Parcel Description Grantee(Person receiving new parcel) Relationship to Grantor d4:T LAJ// )// s e ii^‘"Are» /°/%5/0 i e Otga9'h Te Y Owner/Applicant Must Read and Sign The plat application process includes providing 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. 46-7-o7 .62• .1/..4 2f' 7 :a?O() 5 Signature of Ownef,Contract Purchaser Date Print Name / Daytime phone number of Signatory 6/17/05 Page 2 of 2 6aQcoS ..'"-6o -355r V B o V _ v �V N\l/k li Application For Review of a Subdivision Plat ❑ Preliminary Plat [Final Plat 2 TIro-lot subdivision as described in Section 14-232(B)(2)or if all lots front on an existing public street=$95 ❑ Resubdivision(Section 14-212.3)=$95 ❑ Condominium Plat=$100 ❑ Vacation(Section 14-212.2)=$170 5 copies of plat are required for above ❑ 1 to 9 lots=$360 ❑If subject to Planning Commission Review, =S720 ❑ 10 to 19 lots=$550 ❑If subject to Planning Commission Review =$1,100 ❑ 20 or more lots=$670 ❑If subject to Planning Commission Review=$1330 17 copies of plat are required for first submittal-8 copies required for a revision Other matters subject to Planning Commission Review ❑ Waiver,variation or substitution of subdivision requirements=$180 Attach written justification ❑ Relief of condition of prior approval=$180 Prior file Name/Number Other matters subject to Adnunistrative Review Tier 2 Groundwater Review=$250 plus$25.00 per lot(Required for all plats.showing lots less than 21 acres) ❑ Tier 3 Groundwater Review=$400 plus$25.00 per lot(Required for all plats showint lots where at least 3 lots are 5 acres or less) ❑ Tier 4 Groundwater Review=$1,000 ❑ Reinstatement of review=$65 ❑ Extension of plat approval=$45 Must be submitted at least five(5)days prior to expiration of plat ❑ Request to defer action on plat to an indefinite date=$75 ❑ Bonding inspection for plat=$60 Other matters subject to Boar d of Supervisors Review • ❑ Appeal to Board of Supervisors=$240 Prior file Name/Number Project Name: s' N/ /l/ 3 T0,0 6 ' ictilts /y D tJ; 51 0.. I Tax map and parcel: go- Z I L 1 Contact Person (Who should we ccall/writelconcerning this project?) 1\V Y {/� . Ray 1 4soc. ,Inc. / A ; yl(nnt Vel./1 Address 11 11'I� Ail led S+ree City Char lb1-t-C' 1k (`State ✓A Zip 22103 Daytime Phone( ) 2°I3"3195 Fax# 2 " -y 202 E-mail Qh► raj 2 earl /I AL'n Owner of Record Z()ro-thy ( d Address M 91 SCo RSV' Ik L 04,CI City anal'lb&S\i Ill- State VA Zip eliOZ Daytime Phone( ) 29L 0 0 4 q Fax# E-mail Applicant(Who is the Contact person representing?) Address City State Zip Daytime Phone ( ) Fax# E-mail RECEIVED County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 , nen,>rr cta(fI, 6/17/05 Ti age YMQPMENT Property Information Does the owner of this property own(or have ownership interest in)any abutting property? If yes,please list those tax map and parcel numbers here Physical street address(if assigned) Location of property(landmarks,intersections,or other) Magisterial Distnct. Sc_O+bvl I,LAI-- Zoning. �A Comprehensive Plan Land Use Designation: Proposed Uses)of property. Acreage Information: n Total parcel acreage 1.5S Acreage ind new lots •71 #of new lots I Acreage in open space. Acreage in roads. Comments/Attachments: 0,610;61- Cktd( -6(Z $395 / Cope) •-(1 Pt Cbpid1demn� SPC d41-1 • P.er ` Coe/ .541'1/4,4:01 RUC AN:4J Owner/Applicant Must Read and Sign The plat application process includes providing the Planning Commission 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. aA,/' .4):///14Ukel''' Y)'1 a 2q ZO Signature of Qwnex, Contract Purchaser, Agent Date An:4(LTatiV.Unr��`�ah293'39S Print Name 1Daytime phone number of Signatory 6/17/05 Page 2 of 2 • A Family Subdiv on Plat Checklist Nat Requirements per Subdivision Ordinance Sections 14-208(c): A Family Subdivision plat shall contain the following information: Subdivision Ordinance Section 14-302A ❑ 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. ❑ 3. Existing or platted streets. The location,width and names of all existing or platted streets and all other rights-of- way. ❑ 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. ❑ 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." ❑ 6.Alleys and shared driveways. The location and dimensions of all easements for alleys and shared driveways. O 7.Existing and departing lot lines.If the property consists of more than one existing lot,then the identification of the existing lots and their outlines, which shall be indicated by dashed lines; and,the location of departing lot lines of abutting lots. ❑ 9.Building sites on proposed lots.The location, area and dimensions of a building site on each proposed lot complying with the requirements of section 4.2 of the zoning ordinance.The plat shall also contain the following note:"Parcel [letter or number] and the residue of Tax Map/Parcel [numbers] each contain a building site that complies with section 4.2.1 of the Albemarle County Zoning Ordinance." ❑ 10. Right of further division of proposed lots.The number of lots,as assigned by the subdivider,into which each proposed lot may be further divided by nght pursuant to section 10.3.1 of the zoning ordinance, if applicable. The plat shall also contain the following note: "Parcel [letter or number] is assigned [number] development rights and may/may not be further divided and when further divided these rights shall not comprise more than [number] acres. The residue of Tax Map/Parcel [numbers] is retaining [number] development rights and when further divided it shall not consist of more than [number] acres." ❑ 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. O 13.Proposed facilities.The location of proposed water and sewer lines and related improvements;proposed drainage and stormwater management facilities and related improvements. ❑ 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. Subdivision Ordinance Section 14-302B ❑ 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 ❑ 2.Name of plat preparer.The name of the person who prepared the plat. ❑ 4.Places of burial.The location of any grave,object or structure marking a place of burial located on the property. O 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 distnct. O 8.Yards.The location of all yards required by this chapter and the zoning ordinance,which may be shown graphically or described in a note on the plat. ❑ 9. Flood plain.The location of any part of the property within the flood hazard overlay district,as set forth in section 30.3 of the zoning ordinance. ❑ 10 Stream buffers.The location of stream buffers required by section 17-317 of 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." 6/17/05 Page 1 of 3 Subdivision Ordinance Section 1 ❑ A.Statement of consent to division. atement that:"The division of the land describ rein is with the free consent and in accordance with the desire of the undersigned owners,proprietors and trustees.Any reference to future potential development is to be deemed as theoretical only.All statements affixed to this plat are true and correct to the best of my knowledge." ❑ B. Section name or number.The name or number of the section if the property is a part of a larger piece of land. ❑ C.Boundary lines.The exterior boundary lines of the property with bearings in degrees,minutes 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. ❑ 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 18 VAC 10-10-370(C),a copy of which shall be on file in the department of engineering and public works. 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. ❑ 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. ❑ 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. ❑ 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. ❑ 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. ❑ M.Street names.The name of each proposed street,which names shall be subject to approval by the agent. ❑ N.Statement pertaining to private streets.If the subdivision will contain one or more private streets,the following statement: "The streets in this subdivision may not meet the standards for acceptance into the secondary system of state highways and will not be maintained by the Virginia Department of Transportation or the County of Albemarle." ❑ 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). ❑ P.Notary panels.Notary panels for the notary to acknowledge the signature of the owner. ❑ Q.Water supply.A statement as to whether the subdivision will be served by a public water supply and a public sewer system. If the property is not within the service authority jurisdictional area,the following statement:"Under current county policy, public water and/or sewer service will not be available to this property." ❑ S.Control points.At least four(4)control points,evenly distributed across the property and located at survey property corners, and shown on each sheet depicting the property.At the option of the subdivider,the control points may be shown on a copy of the final plat,rather than on the original final plat. Sec. 14-212 Family subdivisions;conditions of approval. Each approval of a plat for a family subdivision shall be subject to the following conditions: ❑ A.No lot created by the family subdivision,including the residue,may be transferred,except by devise,descent or operation of law,to a person other than an eligible member of the immediate family of the subdivider,for a period of two(2)years from the date of recordation of the plat,except for purposes of securing any purchase money and/or construction loan,including bona fide refinancing,provided that the spouse of the member of the immediate family to whom a lot is transferred may be a co-grantee and co-owner of the lot.If the lot created is conveyed back to the grantor within the two(2)year period,it shall be recombined with the parent lot within six(6)months after such conveyance.No building permits shall be issued for the lots until they are recombined. ❑ B.The entrance of the principal means of access for each lot onto any public street shall comply with Virginia Department of Transportation standards and be approved by the Virginia Department of Transportation. ❑ C.The following note shall be added to each plat for a family subdivision:"No lot shown on this family subdivision plat may be sold or conveyed to a person other than an eligible`member of the immediate family,' as that term is defined in Chapter 14 of the Albemarle County Code,for a period of two(2)years from the date of recordation of this plat except as authorized by section 14- 212(A)of the Albemarle County Code.If any lot created by the recordation of this plat is conveyed back to the grantor during the two(2)year period,it shall be recombined with the parent lot within six(6)months after such conveyance." 6/17/05 Page 2 of 3 Additional Requirements (apprc to be provided by applicant) ❑ Verification of Family Division must be submitted with the final plat. Copy of affidavit,deed,or letter from attorney stating: the grantee,grantor and their relationship; and certifying that this is a Family Division in accordance with Section 14-208 and related provisions of the Albemarle County Code. ❑ Health Department approval required for all lots less than 5 acres in size may be required for lots greater than 5 acres. ❑ Plat Note: "The existing and/or proposed right-of-way is of adequate width and horizontal and vertical alignment to accommodate a travelway passable by ordinary passenger vehicles in all but temporary extreme weather conditions,together with area adequate for maintenance of the travelway,as required by section 14-412 of the Albemarle County Code." Water Protection Ordinance ❑ Stream buffer(s). Any stream buffers required under Section 17-317 of the Albemarle County Code shall be shown on the plat along with the following note-"The stream buffer(s)shown hereon shall be managed in accordance with the Water Protection Ordinance of Albemarle County." ❑ Groundwater management plan Level A or Level B. [Sec. 17-403] Read and Sign In representing the above referenced firm submitting this plat for final approval,I hereby state that,to the best of my knowledge,the attached plat contains all information required by this checklist. • esroL/d2 //6. /�LGC S, a d U S Signature of perso completing checklist Date 6crcDIAy J/'n/ 4/5// -2p6" 'f if Daytime phone number of Signatory Printed Name County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 6/17/05 Page 3 of 3 Preliminary & Final Subdivision Checklist Project Name: Thor 41 T 1n4- Firm: ►' ' Rsmi I C This checklist roust be completed,signed and submitted with the application. The information contained in this checklist reflects the contents of the Subdivision Ordinance as of June 20, 2005. The applicant is responsible for insuring that no revisions to the Ordinance have occurred since preparation of this document Sbdivision Ordinance Section 14-302A Contents of Preliminary Plat a l folded prints of the preliminary plat and plans. Written request for any waivers or modifications needed(attach to application) Please List A preliminary plat shall contain the following information, which must be included in order for a preliminary plat to be deemed complete under section 14-216(B):• ❑ 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, nor the Town of Scottsville, except if the subdivision is an extension of an existing subdivision. 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. l3 3 Existing or platted streets.The location,width and names of all existing or platted streets and all other rights-of- way. 4. Private easements. The location and dimensions of all existing and proposed private casements. Existing casements shall be labeled with the deed book and page number and the name of the owner of record. 55 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." �1P❑ 6. Alleys and shared driveways. The location and dimensions of all easements for alleys and shared driveways C1V7. Existing and departing lot lines. If the property consists of more than one existing lot, then the identification of the existing lots and their outlines, which shall be indicated by dashed lines; and, the location of departing lot lines of //��'ibutting lots 9" Proposed lots. The number, approximate dimensions,and area of each proposed lot. 9 Building sites on proposed lots.The location, area and dimensions of a building site on each proposed lot complying with the requirements of section 4.2 of the zoning ordinance. The plat shall also contain the following note: "Parcel [Ietter or number] and the residue of Tax Map/Parcel [numbers] each contain a building site that ,complies with section 4 2 1 of the Albemarle County Zoning Ordinance." f"' 10. Right of further division of proposed lots. The number of lots, as assigned by the subdivider, into which each proposed lot may be further divided by right pursuant to section 10.3.1 of the zoning ordinance, if applicable The plat shall also contain the following note: "Parcel [letter or number] is assigned [number] development rights and may/may not be further divided and when further divided these rights shall not comprise more than [number] acres The residue of Tax Map/Parcel [numbers] is retaining [number] development rights and when further divided it shall dot consist of more than [number] acres." ElY,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 County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 6/17/05 Page 1 of 4 0114.❑ 12 Topography.Existing topography at the time of plat submittal at up to twenty[20]percent slope, maximum five [5] foot contours. The source of topography,including survey date and name of the licensed professional; or a statement that topography data provided by the county was used Proposed grading(maximum five [5] foot contours) supplemented where necessary by spot elevations; areas of the site where existing slopes are twenty-five (25)percent or greater. Existing topography for the entire site with sufficient offsite topography to describe prominent and pertinent offsite features and physical characteristics, but in no case less than fifty(50) feet outside of the site unless otherwise approved by the agent. ❑ 13 Proposed facilities. The location of proposed water and sewer lines and related improvements; proposed drainage and stormwater management facilities and related improvements. ❑ 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. Subdivision Ordinance Section 14-302B 1(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. 5452 Name of plat preparer. The name of the person who prepared the plat. ijk❑ 3 Public areas,facilities or uses. The location of all areas shown in the comprehensive plan as proposed sites for public areas, facilities or uses, as described in Virginia Code § 15.2-2232, which are located wholly or in part within the property. Cl t. Places of burial The location of any grave, object or structure marking a place of burial located on the property. 3'5 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. LY 7 Reservoir watershed; agricultural-forestal district.A notation as to whether the land is within an Albemarle County andlor City of Charlottesville water supply watershed or an agricultural-forestal district ' 6. Yards. The location of all yards required by this chapter and the zoning ordinance, which may be shown graphically or described in a note on the plat. f'"'`❑ 9. Flood plain. The location of any part of the property within the flood hazard overlay district, as set forth in section 30 3 of the zoning ordinance. ❑ 10. Stream buffers.The location of stream buffers required by section 17 317 of 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." Documents to be submitted with preliminary or final plat : ❑ Request for critical slopes waiver. [Sec. 14-304] • Stormwater management information. [Sec. 14-305] ❑ Private Street information. [Sec. 14-306] Subdivision Ordinance Section 14-303 Contents of Final Plat In addition to containing all of the information required by the Sections14-302A &B above, except for the information required by Topography (section 14-302Al2)a final plat shall contain the following ua/A Statement of consent to division. A statement that: "The division of the land described herein is with the free consent and in accordance with the desire of the undersigned owners,proprietors and trustees Any reference to future potential development is to be deemed as theoretical only. All statements affixed to this plat are true and correct to the a/best of my knowledge." . Section name or number. The name or number of the section if the property is a part of a larger piece of land. !3' C. Boundary lines. The exterior boundary lines of the property with bearings in degrees, minutes 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. Le D Acreage of lots.The total acreage of each existing lot and each proposed lot „ 6/17/05 Page 2 of 4 Ll' 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 18 VAC 10-10-370(C), a copy of which shall be on file in the department of engineering and public works. 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. ae 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. IA G. Ownership of common areas. The intended ownership of all common areas. 3/ 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. Z. 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. dA❑ J. Restrictions. Restrictions imposed in conjunction with the approval of the preliminary plat and their period of existence. If the length of a restriction makes its inclusion on the final plat impractical, and does not necessitate the preparation of a separate instrument,reference shall be made to the restriction on the final plat. ❑ K. Temporary turnarounds. The location of temporary turnarounds, if needed, with the following accompanying note. "The area on this plat designated as a temporary turnaround will be constructed and used as other streets in the subdivision until(street name) is/are extended to (street name),at which time the land in the temporary turnaround area will be abandoned for street purposes and will revert to adjoining property owners in accordance with specific provisions in their respective deeds." lL 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. f M. Street names. The name of each proposed street, which names shall be subject to approval by the agent. 'N Statement pertaining to private streets. If the subdivision will contain one or more private streets,the following statement: "The streets in this subdivision may not meet the standards for acceptance into the secondary system of state highways and will not be maintained by the Virginia Department of Transportation or the County of Albemarle." a0 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) ,ler ,P Notary panels. Notary panels for the notary to acknowledge the signature of the owner. !l Q Water supply. A statement as to whether the subdivision will be served by a public water supply and a public sewer system. If the property is not within the service authority jurisdictional area, the following statement. "Under current county policy, public water and/or sewer service will not be available to this property." 1.1t4,❑ R. Parent parcel access.If the subdivision is in the rural areas, the following statement, unless a waiver is granted as provided in section 14-404• "All subsequent divisions of the residue shall enter only onto such street(s)shown on the approved final plat and shall have no immediate access onto to any public street." S Control points.At least four(4)control points,evenly distributed across the property and located at survey property corners, and shown on each sheet depicting the property. At the option of the subdivider, the control points may be shown on a copy of the final plat, rather than on the original final plat Water Protection Ordinance t,ak ❑ Stream buffer(s). Any stream buffers required under Section 17-317 of the Albemarle County Code shall be shown on the plat along with the following note: "The stream buffer(s) shown hereon shall be managed in accordance with the Water Protection Ordinance of Albemarle County." Groundwater management plan Level A or Level B. [Sec. 17-403] 6/17/05 page 3 of 4 Documents to be submitted with Final Plat ❑ Floodplain and topographic information [Sec. 14-308] ❑ Groundwater management plan Level A or Level B. [Sec. 14-308.1] Cl Soil evaluations. [Sec. 14-309] ❑ Health Director approval. [Sec. 14-310] ❑ Infrastructure improvement plans,computations and documents. [Sec. 14-311] ❑ Location of existing buildings. [Sec. 14-312] ❑ Identification of all interests of the County in property. [Sec. 14-314] ❑ Approval of entrance onto public streets. [Sec. 14-316] ❑ Instrument evidencing maintenance of certain improvement. [Sec. 14-317] Additional Zoning & Current Development Division Requirements ❑ Restrictions imposed by the Board of Supervisors and their period of existence. ❑ References to previous ZMA or SP approvals. Read and Sign In representing the above referenced firm submitting this plat for preliminary approval,I hereby state that,to the best of my knowledge,the attached plat contains all information required by this checklist I understand that in accordance with Section 14-216,any plat deemed to be incomplete shall be denied An application for reinstatement accompanied by a complete plat and the required fee may be filed within 15 days of such denial. If the plat is not resubmitted within 15 days.a new application for preliminary plat approval with fee sly I be required for submittal of the plat Signature of person completing checklist Date "wilt_ ?ovally),var) �293-3195' Printed Name Daytime phone number of Signatory 6/17/05 Page 4 of 4