HomeMy WebLinkAboutCLE202100098 Application 2022-03-28is'
Zoning Clearance Application
y OF
Albemarle County
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Community Development
401 McIntire Rd, North Wing
Charlottesville, VA 22902
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Phone 434.296.5832
FOR OFFICE USE ONLY Clearance Number:) —G�
APPROVED
Fee Amount: $4W- 5q . T l4O/0 Date Paid: —t / /16I By: by ft Albemarle County
Receipt #: QL3aa$0Nf—%'14W Check #: C !C_ ! By. `community Dev lop�rtttertt Department
Applicant - Fill out the entire page below File Z
And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
Name:
Vicki Brothers
E-Mail Address:
vbrothers@rivannamedical.com
Mailing Address:
2400 Hunters Way Charlottesville VA 22911
Phone #:
800.645.7508
Tax Map and Parcel
number and/or Address
of the Business:
07900-00-00-004CO
Zoning:
Staff will fill out if unknown
Ll
Parcel owner:
BMC Property Management LLC
Owner's Address:
400 Locust Ave #3, Charlottesville, VA 22902
Check any that apply:
❑ New Business ❑ Change of Use [j? Change of Ownership ❑ Change of Name
Business Name:
RIVANNA
Description of Business:
Describe the business including use, number of employees, number of shifts, availability of parking, and any additional info.
Privately held designer, manufacturer, and distributor of medical technologies and services.
23 Employees. No shift work (9 to 5). Parking is available.
Previous Business on Site:
Origin - Humagen Pipets
Floor Plan:
SEE "SAP_2400 Hunters Way_Approval.pdf'
Total Square Footage Used
the Business:
10, 000 sq . ft.
Is the Parcel Zoned LI, HI, or PDIP?
Yes ❑ No If yes, fill out a Certified Engineer's Report (CER)
existingsite and building(no CER)
❑ Yes No If yes, provide Virginia Department of Health approval
Will there be food preparation?
Is the Parcel on public water or private well?
Public Private If on private well, provide ❑ � P � p Virginia Department of Health approval
Is the Parcel on public sewer or septic?
❑ Public Septic If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
❑✓ Yes ❑ No If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
0 Yes ❑ No If yes, obtain appropriate building permit and list permit #below
Please list any applicable Building Permit #s:
sign permit #00018038 and The building permit # is B2021-00579
F
g Clearance review cannot begin until the application above is complete and all applicable forms and fees are submitted.
learance will only be valid on the parcel for which it is approved. If you change, intensify, or move the use to a new
n, a new Zoning Clearance will be required.
y certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the
ation provided is true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand
them, and that I ill abide b them.
Signature Printed Vicki Brothers
Date July 19, 2021
.r OF AJ
2� Albemarle County
Zoning Clearance Application 40mm°n'ireRd, omW
401 d.fte ire Rd. North Wing
Chatlotlesville, VA 22902
?ROIN�P Phone 434.296,5832
Applicant - If you are not the land owner, please fill out the entire page below confirming that you have either
informed or are going to inform the owner of your zoning clearance application.
CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN
PROVIDED TO THE LANDOWNER
I certify that I will provide (or have provided) notice of this clearance application,
Rivanna Medical, LLC GLE 202-( — D
clearance number provided by Staff or business name
to BMC Property Management LLC the owner
Name of landowner on record
of Tax Map and Parcel Number 07900-00-00-004CO by either delivering a
TMP number of property
copy of the application to them in person or by sending them a copy of the application by
mail. (Please check one of the following below)
❑ Hand delivering a copy of the application to the owner identified above on
Date
0 Mailing a copy of the application to the owner identified above on
Date July 19, 2021 to the following address:
Reid@bmcholdingsgroup.com and Robby@tbmcom.com
(Written notice to the owner and last known address on our record books will satisfy this
requirement. Please see staff for elp determining thisinformationinformation if needed)
/�i�/
Signature of Applicant -" /S
Applicant Name Printed Vicki Brothers
Date
July 19 2021
3
For Albemarle County Staff Review Only
Proposed Use:
f
(Wr
Permitted:
IKYes ❑ No
Permitted by Section:
Supplementary Regulations•
Applicable Special Use Permit (SP):
Lz-& zPW— Z-r
Applicable Rezonings (ZMA):
Applicable Site Plans (SDP):
Z�Zj�-� C O� 12� �6-3 76 z 00 (-,11
Parking:
If there Is an appr ved site plan associated with the parcel, the parking requirements will be defined by the SDP. Some
parking requirements are determined by a ZMA or by an roved Code of Development.
Parking Formula:
d' , 0—�1
Defined by:
Site Plan ❑Zoning Ordinance ❑ CoD ❑Existing
Total Square Footage of the Use:
10voo
Required number of parking spaces:
yhe `(5 ey, Am
5 at&- 50 -wo 17
Associated Clearances:
I} ON
Variances:
Violations:
Is a site inspection necessary?:
❑ Yes No
Site Inspection on (date):
To Confirm:
Notes:
Conditions of Approval:
Additional conditions of approval apply to Fireworks and Christmas Trees
,,� e R, Adv,.111 b,,z i -e-evlk
4 1 i
Approval Information
❑ Approved as proposed [a,/Approved with conditions 7 Denied
❑ Backf low prevention device and/or current test data needed forth is site. Contact ACSA, 434.977.4511 ext. 117
❑ No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance
with the existing site plan.
❑ This site complies with the site plan as of this date.
Conditions:
Additional N
Building f
Zoning Of
Other Offi,
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Phone: 434.296.5832 Fax: 434.972.4126 4
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Albemarle County
1138 Rose Hill Drive
Charlottesville, VA 22903
(434) 972-6219 - Office
(434) 972-4310- Fax
Fluvanna County
132 Main Street
Palmyra, VA 22963
(434) 591-1965 - Office
(434)591-1966- Fax
VIRGINIA DEPARTMENT OF HEALTH
Louisa County
Thomas Jefferson Health District
1 Woolfolk Avenue
Louisa, VA 23093
ENVIRONMENTAL HEALTH SERVICES
(540)967-3707-Office
(540) 967-3733 - Fax
Greene County Nelson County
50 Stanards Street /� 4038 Thomas Nelson Hwy
Stanardsville, VA 2299 Jl�///i�m� /� Arrington, VA 22922
(434) 985-2262 - Office I ! R/ / U (434) 263A297 - Office
(434) 985-4822 - Fax M + 434) 263-4304 - Fax
Findings: Review Pursuant to VA CODE §32.1-165
Attachment 3b
Property Owner: Hunter's Way LLC
Phone Number: 434-977-6406
Physical Address: 2400 Hunter's Way, Charlottesville, VA 22902
Parcel Ill #: 794C
Subdivision: Hunters Hall
Section: Lot:
For pools, decks, garages, pole barns, sidewalk installations, and other structures not designed
for human occupancy, the local building official may ask VDH to consider whether proposed
construction could impact the existing sewage system's fi action. For these situations, VDH
lacks authority to determine whether the sewage system is safe, adequate, and proper as
contemplated by the Code. However, as a courtesy to the building official, and by request (see
attachments 3a and 3b), VDH may process the request.
Comments: Proposed sign does not appear to encroach on any septic system and/or components per
site plan submitted by the agent for owner. Proposed sign must maintain 10' setback to septic system
and/or components.
There is no guarantee given or implied that the proposed construction will not interfere with any components of the
sewage disposal system and/or water supply. The Department is simply performing a courtesy review for the
locality to try and identify any potential conflicts based on information available. In the event of damage to a
sewage disposal system or well during construction, the owner will be responsible for any repairs or other actions
deemed necessary by the Department to correct the situation
Page 1 of 2
See Page 2 for Site Sketch and Signature
Page 2 of 2
SITE SKETCH
' Approx.
Drainfield
per owner,
10' min. Existing
Building
Proposed
Sign _
9 Date: �✓ � I
gmrtment Official
dmlalbya m5"i—'F=-1bxnyCmdame(nMadndn3Odaysof
lm for =VFCmmubesminwi ft to OffiDiudaRmhhDkecw=ddLe Me
Albemarle County
1138 Rose Hill Drive
Charlottesville, VA 22903
(434) 972-6219.Office
(434) 9724310- Fax
Fluvanne County
132 Main Street
Palmyra, VA 22963
(434) 591-1965.Office
(434) 591.1966- Fax
VIRGINIA DEPARTMENT OF HEALTH
Blue Ridge Health District
ENVIRONMENTAL HEALTH SERVICES
SRHDEH@vdh.virginia.gov
Greene County
50 Slanards Street
Stanardsville, VA 22973
(434)985.2262 - Office
(434) 965.4822 - Fax
Request for Health Department Review
To Be Completed By Property Owner or Agent
Property Owner: Hunter's Way LLC Home Phone:
Mailing Address: 400 Locust Ave., Suite 3 Charlottesville, VA 22902 Ceti Phone:
Agent Name: BMC Properly Management LLC
Mailing Address: 400 Locust Ave #3, Charlottesville, VA 22902
Site Address: 2400 Hunter's W.
Subdivision:
Parcel ID #: 07900-00-00-004CO
Charlottesville, VA 22911
Current Use (include number of bedrooms): commercial
Email:
Home Phone:
Louisa County
1 Woolfolk Avenue
Louisa, VA 23093
(540) 967-3707 - Office
(540) 967-3733 -Fax
Nelson County
4038 Thomas Nelson Hwy
Arrington, VA 22922
(434) 263-4297 - Office
434) 263.4304 - Fax
Cell Phone: (434) 977-6406
Email: reid@tbmcom.com
Section: Lot:
Proposed Construction (include number of bedrooms): monument sign per attached
Has property been occupied during the previous 30-day period? ®YES or DNO
Septic tank and distribution box lids will be uncovered for inspection by:
(Date)
To prevent potential damage to the system VDH recommends homeowners first contact Miss Utility for marking any
underground utilities. The septic tank and distribution box should be carefully excavated by hand.
Uncovering the septic tank and distribution box lids would cause undue hardship: OYES or ONO
Reasons for Hardship:
(examples of hardship: system was installed less than 5 years ago, recently pumped, accurate records exist, excavation would likely
damage components)
PLEASE READ CAREFULLY:
This report is only intended to address the above referenced request and does not address evaluation procedures for sewage systems
being sold through real estate transfers, or systems and water supplies being reused as part of a subdivision process. This document
specifically addresses VDH's implementation of § 32.1-165 of the Code of Virginia and is not to be used for any unauthorized use.
The property boundaries and building locations are clearly marked or identified at the property, i give permission to VDH to enter the
property described, if necessary, for the purpose of processing this application. An accurate sketch of the property, existing structures,
wells, sewage disposal systems, and proposed structure(s), is attached. Please also attach any recent records of septic system (septic
tank pump -outs, operation & maintenance reports).
Owner/Agent Signature: A Date: 06/18/2021
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z A A y ^ MECHANICAL FNAC II X RS� Humagen Fedility D%mys" HUMAGEN
= zj tsl FLOOR k ATfIC �mm`... NN. U. ica 2i Hueler's Way HVAC SYSTEM
mw re v..n 2122' Chadottesm1k• VA 22911
±yB DEIAOLITION PLAtJ L d,�„z,y REPLACEMENT
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An Addition to
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Huma en Diagnostics
H . , le re WC ., — A1?r c m u r;e C,o ,ly
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An Addition to
Humagexi Diagnostics
N„�re va Way -- Albe..rle County
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An Addition to
Huma en Diagnostics
Hunteve Wey — Alh.m.rIe County
TAGSHEET - Onsite Sewage and Water Program
w:�EH On-sileEormslTagsheet-Onsite
Dafe 10, Application: Fee Collected: IVIA Receipt #:
o a( N C
Application lype: ❑ Bare O OSE ❑ Well Driller ❑ Engineered ❑ AOSS
O Combination ❑ Septic Only ❑ Repair ❑ Certification Letter ❑ Minor Mod.
❑ Well Only ❑ Replacement Well ❑ Well Abandonment ( Existing Review (SAP)
Health Dept Permit ID #: nQ-� - STS - 3a 363
Owner of Property: rilAni�r( 1,4au LLC.
Agent for Owner: RK pr00eri4 ManaaPMen{- L.L
Tax Map & Parcel: %q -4C
Subdivision:
Lot: Section: Block:
Site Visit: EHS Assigned CaAynn Bove Petitioned for Services: ❑ YES XNO
Scheduled Date: Time:
Rescheduled Date:
Comments:
Time:
Entered In EHD
Q YES ONO
well ❑ Level 11 Review Completed:
W^V DATE
V� (9•Z5.21
INITIALS
C.T)-
Permit: tz'Issued ❑ Denied
0-240.'Z1
C. D.
Approved under HB1166 ❑ Yes
❑ No
Treatment Unit
Dispersal
Given to Office Support for Data Entry:
(( ZJ 2�
Data Entry Completed by Office Support:
(G.- 2�
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�MAI(,ED
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Date Permit/Denial Letter: ❑ Mailed
❑ Picked Up (lJ.7rj.21
Picked Up By:
DATE INITIALS
Installation Inspection Called In:
Contractor:
Telephone #:
Follow -Up Inspection Called In:
Time Requested:
All Completion Documents Received: ❑ YES ❑ NO
Operation Permit Signed & Issued: ❑ YES ❑ NO
Copy: ❑ Mailed/Faxed to Building Inspections
❑ Mailed to Owner/Agent
❑ Picked up by Owner/Agent
Time Requested:
AliAnide County
Service Authority
Servirg6Cooservirg < C�
ACSA Application Number: PA-ACSA20210162
Application Review Information (To Be Filled Out by ACSA)
Proper Permit Documentation Submitted by Applicant: YES
RWSA Review Required: NO
RWSA Approval Granted (if applicable): N/A
ACSA Jurisdictional Area Designation: No Service
Water Connection Approved: N/A
Water Meter Size: N/A
Sewer Connection Fees Paid (if applicable): N/A
Sewer Connection Approved: N/A
Domestic Backflow Prevention Device Type Required: N/A
Fire System Backflow Device Required: N/A
Irrigation System Backflow Device Required: N/A
FOG Waste Discharge Permit Required: N/A
Industrial Discharge Permit Required: N/A
Comments: Not in A. No conflict with ACSA/RWSA utilities.
This documentation must be submitted at the time of application to the Albemarle County Community
Development to apply for a building permit. Any revisions to approved applications require a revision
submittal to the ACSA for re -approval prior to a building permit revision submittal to Albemarle County
Community Development.
Application Review Status
Approved:
Denied:
Denial Comments (if applicable):
A4emiv(ev J Moivma, TE Smy v Crvl6 Ehyr"aeep-
Authorized ACSA Signature
6/14/2021
Date
Form Last Revised: 3/11/2021
From: bounce+webmaster=s_ervimauthority.orc(&b.atomi cites ne on behalf of Albemarle County Service Authority
To: Locators
Subject: ACSA Building Permit Pre -Application Submittal for 07900-00-00-004CO
Date: Monday, June 14, 2021 12:34:08 PM
CAUTION: This email originated from outside the ACSA. Do not click links or open
attachments unless you recognize the sender and know the content is safe.
Date: June 14, 2021
Applicant Name:
Contact Person:
Contact Phone:
Contact Email:
Applicant Address:
Address of Proposed
Work (Tax Map and
Parcel below if no
assigned address):
Tax Map and Parcel:
Initial Or Revised
Submittal:
Submittal Type:
Water Supply:
Sewage Disposal:
Irrigation System
Proposed:
FOG Device Proposed
(if applicable):
Total Number of Floors
With Plumbing
(including habitable
areas above the upper
floor)
Description of Work:
Vicki Brothers
Vicki Brothers
248 798 9930
vbrotliers@rivannaiiiedical.com
2400 Hunters Way
Charlottesville, Virginia 22911
2400 Hunters Way
Charlottesville, Virginia 22911
07900-00-00-004CO
Initial
S - Sign
Private
Private
No
N/A
Two
Monument sign (to replace existing sign) at the entrance of our facility.
Overall size is 84" h x 48" w x 4" cabinet. Gropen to install.
Supporting After submitting this form, please e-mail supporting documents (Plans,
Documentation stakeout surveys, etc.) to locators@serviceauthority.org. Please place "Pre -
Submission Instructions App Documents" and the "Address of Work or Tax Map and Parcel
Number" in the subject line. Thank you.
0
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832 Fax (434) 972-4126
MEMORANDUM
TO: Zoning Clearance or Home Occupation Applicant
FROM: Zoning Division
RE: Request for Approval of Letter of Performance Standards or
Certified Engineer's Report
Proposed Business/Use: assemble / test medical device products
Address: 2400 Hunters Way Charlottesville VA 22911
Re CLE (Zoning Clearance Number): CLE2021-98
HO (Home Occupation Number):
Contact Person: Vicki Brothers
Phone Number: 800.645.7508
Fax Number: 434.483.5720
Date Faxed to Applicant: July 23, 2021
Sent via email. My email is vbrothers@rivannamedical.com
Please return this form along with all required documentation to the Zoning Division upon
completion.
Thank you.
To be completed by staff:
Approved: 7- 2,) - Zl
CER Packet Revised 2/11/09
RIVANNA
July 23, 2021
Community Development Department
Division of Zoning and Current Development
401 McIntire Road
Charlottesville, VA 22902
To the County Engineer:
We are a small batch manufacturer that assembles and tests medical device products.
Our facility is located at 2400 Hunters Way, Charlottesville, VA 22911. We store
inventory and package them for distribution. We have six employees in our
manufacturing portion of the building and an additional twelve employees serving
marketing, sales, research and development, and business administration functions.
We have addressed the performance standards of Zoning Ordinance Section 18-4.14:
Noise: Our operation will not create sound or impact noise levels in excess of the values
specified in Section 4.14.1. Our major outside sources of noise are: truck deliveries of
inventory. We operate an air compressor contained within the mechanical level floor of
the building. Inside shop equipment includes a CNC machine, drill press, and 3D printer.
None exhibit meaningful levels of noise output.
Vibration: Equipment operated within our shop does not produce any detectable
earthborn vibration.
Glare: Our operation is completely contained within the building. The interior lighting
associated with this operation does not produce glare that is visible beyond the lot line.
Air Pollution: There will be no emission of smoke, odor, or gaseous pollutants.
Water Pollution: Our operation does not represent a hazard to water quality. Urethanes
and epoxies are used during manufacturing operations. Any waste associated with these
materials are disposed off -site at a certified liquid waste center.
Radioactivity: My operation does not require handling of radioactive materials. There will
be no radioactive emissions.
Electrical Interference: My operation does not require any equipment that would
generate electrical disturbances.
Please feel free to contact me with any further questions you may have at 828.612.8191
or by e-mail at wmauldin()rivannamedical.com.
S�in{cer I ,
F.Mauldin,
Co-founder, CEO, and Chairman of the Board
RIVANNA I rivannamedicaLCOM I infoK)rivannamedical.com
T: 800-645-7508 I Fax: 434-483-5720 I 2400 HUNTERS WAY, CHARLOTTESVILLE. VA 22911