HomeMy WebLinkAboutSDP202100083 Application 2021-11-01Application for OTRGIS%�
Major or Minor Site Plan Amendments
Existing Site Plan Name & Number: SDP198800087 (Preliminary); SDP199000093 (Minor Amendment)
Tax map and parcel(s): 045B 1 -05-OC-00400 Zoning: HC/EC/Managed Steep Slope Overlay
Contact (who should we contact about this project): Line and Grade Civil Engineers; ATTN: Daniel C. Hyer, PE
Street Address 113 4th Street NE; STE 100
City Charlottesville State Virginia Zip Code 22902
Phone Number 434-262-0169
Email dhyer@line-grade.cwm
Owner of Record Russell Miller of Jeanne Miller
Street Address 1458 Millers Manor LN
City Charlottesville state VA Zip Code 22911
Phone Number n/a
Email n/a
Applicant Charlottesville Orthopaedic Center
Street Address 183 Spotnap Road; STE C
City Charlottesville State VA Zip Code 22911
Phone Number 434-244-8412
Email info@cvilleortho.com
FEES
❑ Major Amendment Zoning Fee = $1846
la Minor Amendment (alterations to parking, circulation, building
Application $1775 + Technology Surcharge $71.00
size, location) _ $615.68
Application $592 + Technology Surcharge $23.68
❑ Major Amendment Fire Rescue Fee = $100
This application may require additional review by the Fire
Marshal. Fees in addition to those shown on this application may
16 folded copies ofplan are required
be required by the Fire Prevention Code Fee Schedule. A copy of
the schedule is available from the Fire Marshal.
8folded copies ofplan are required
Technology Surcharge
4% additional fee on each (does not apply to required noticesfees)
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 =
$448.00
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
Major or Minor Site Plan Amendments REVISED 7/I2021 (Fee Update) Page 1 of 2
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced by public water)
Was a Groundwater Assessment conducted for the existing site plan?
❑ YES
® NO
If NO and the new 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 NO and the new plans show a use using greater than 2,000 gallons/day (average)
❑ Tier 4 Groundwater Review = $1,354.08
Fee $ I302 + Technology Surcharge $52.09
If YES and the use goes from using less than to more than 2,000 gallons/day (average)
❑ Tier 4 minus Tier 3 = $726.96
Fee $699 + Technology Surcharge $27.96
If YES and the use does not change from using less than to more than 2,000 gallons/day
❑ No fee
(average)
Comments/Attachments:
Owner/Applicant Must Read and Sign
❑ Manor Amendment
This major amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan) and Section 32.6 (Final
Site Plan) of the Albemarle County Zoning Ordinance. I understand that plans which lack information required by said sections shall be
deemed incomplete and shall be denied by the agent within ten (10) days of submittal as provided in Section 32.4.2.1 or Section 32.4.3.1
as the case may be.
6d Minor Amendment
This minor amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan) and Section 32.6 (Final
Site Plan) of the Albemarle County Zoning Ordinance.
I hereby certify that the information provided on this application and accompanying information is accurate, true, and correct to the best
of my knowledge. By signing this application, I am consenting to written comments, letters and or notifications regarding this application
being provided to me or my designated contact via fax and or email. This consent does not preclude such written communication from
also being sent via first
Pclass
�mail.
r^^"'" lr• I November 1, 2021
Signature of Owner, Contract Purchasesgent Date
Daniel C.
Print Name
434-262-0169
Daytime phone number of Signatory
FOR OFFICE USE ONLY
SDP #
Fee Amount$ Date Paid
By who?
Receipt#
Ck# By:
Major or Minor Site Plan Amendments REVISED 7/I/2021 (Fee Update) Page 2 of 2