HomeMy WebLinkAboutSUB202100179 Application 2022-05-11. ,
APPLICATION FOR ROAD PLAN APPROVAL
Is this an amendment to an approved plan? Yes ❑ No F
Is this a revision or resubmission for review? Yes ❑ No 0
County File Number: (to be provided by County for new applications)
8 Copies of the Plan to be submitted and distributed by the County as follows:
2 Copies to County Engineering
1 Copy to Albemarle Fire and Rescue
1 Copy to Planning for Street Trees and other landscaping review
2 Copies to Albemarle County Service Authority
2 Copies to Virginia Department of Transportation
Have you submitted plans separately to any agencies listed above? Yes E No ❑
List Agencies: ACSA
Project Name Galaxie Farm Subdivision Road & Utility Plan
Tax map and parcels TMP 91-9
ZoningPRD
Physical Street Address (if assigned): Galaxie Farm Drive & Route 20
Applicant Collins Engineering
Street Address200 Garrett Street, Suite K
City Charlottesville State Virginia Zip Code22902
Phone Number434-293-3719
Email scoff@collins-engineering.com
Owner of RecordGalaxie Farm Investments, LLC
Street Address600 East Water Street, Suite H
City Charlottesville State Virginia Zip Code22902
Phone Number
Email alan@riverbenddev.com
Contact (who should we contact about this project): Collins Engineering
Street Address200 Garrett Street, Suite K
City Charlottesville State VA Zip Code22902
Phone Number434-293-3719
Email scoff@collins-engineering.com
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
• I I I k W IL't •
APPLICATION FOR ROAD PLAN APPROVAL
Owner/Applicant Must Read and Sign
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, and the Design Manual, and am
consenting to all correspondence from Albemarle County be in any of the following forms in writing; by first
class mail, by personal delivery, by fax or, by email.
04 MlIM-101
10/4/21
Signature of Owner, Contract Purchaser, Agent Date
Scott Collins
Print Name
434-293-3719
Daytime phone number of Signatory
FOR OFFICE USE ONLY SUB # Fee Amount $ Date
By who? Receipt #