HomeMy WebLinkAboutSE202200052 Agreements 2022-08-30Albemarle County
Service Authority
Serving*Conserving
ACSA Building Permit Pre -Application Review
Proper Permit Documentation Submitted by Applicant:
RWSA Approval Granted:
RWSA Comments Attached:
ACSA Jurisdictional Area Designation: No Service
ACSA Utility Connection(s) Approval (if applicable):
Sewer Connection Fee Special Conditions (if applicable):
Backflow Requirements (if applicable):
Sewer Discharge Permit Requirements (if applicable):
Comments:
No conflict with ACSA/RWSA utilities.
ACSA Application Number:
YES W/1 NO ❑
YES ❑ NO ❑ N/A F
YES ❑ N/A F
PA-ACSA2O220124
This document must be submitted at the time of Building Permit application to the County of Albemarle. Any revisions to the scope
of work approved under this ACSA Building Permit Pre -Application requires a revision submittal to the ACSA for re -approval, prior to
a Building Permit revision application to the County of Albemarle. This Pre -Application becomes null and void if application for a
Building Permit is not commenced within 6 months of the approval date.
Application Review Status:
Approved:
Denied: ❑
?! �� W. _Zg 7
Authorized ACSA Signature
1/26/2022
Date
Last Revised: September 16, 2021
From: bounce+webmaster=se"iceauthority.ora((bb.atomicsites.net on behalf of Albemarle County Service Authoritv
To: Locators; estee.williamsCaloowderriverdev.mm
Subject: ACSA Building Permit Pre -Application Submittal for 02000-00-00-019B1
Date: Tuesday, January 25, 2022 4:32:25 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: January 25, 2022
Applicant Name:
ATC 88274/ADVANCE MILLS VA
Contact Person:
Estee Williams
Contact Phone:
14344099220
Contact Email:
estee.williams@powderriverdev.com
Applicant Address:
1494 Minor Ridge CT
charlottesville, Virginia 22968
Address of Proposed
5317 PINEY MTN RD
Work (Tax Map and
RUCKERSVILLE, Virginia 22968
Parcel below if no
assigned address):
Tax Map and Parcel:
02000-00-00-019B1
Initial Or Revised
Initial
Submittal:
Submittal Type:
TWR - Tower
Description if OTHER:
EXISTING CELL TOWER
Water Supply:
None
Sewage Disposal:
None
Irrigation System
No
Proposed:
FOG Device Proposed
N/A
(if applicable):
Total Number of Floors
NA
With Plumbing
(including habitable
areas above the upper
floor)
Description of Work:
THE PROPOSED PROJECT INCLUDES MODIFYING GROUND
BASED
AND TOWER MOUNTED EQUIPMENT AS INDICATED PER
BELOW:
TOWER WORK:
REMOVE (3) ANTENNA(S) AND (3) RRU(s).
INSTALL (3) SECTOR MOUNT(S), (6) ANTENNA(S), AND (3)
RRU(s).
EXISTING (3) ANTENNA(S), (6) TMA(s), (9) RRU(s), (2) SQUID(S),
(12) 1-5/8" COAX CABLE(S), (4) 0.82" DC TRUNK(S), AND (2) 0.40"
FIBER TRUNK(S) TO REMAIN.
GROUND WORK:
REMOVE (1) CORDEX CXRF HP 48-4KW RECTIFIER(S).
INSTALL (1) 164 AH EAST PENN HT170ET 48V BATTERY
STRING(S).
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.