HomeMy WebLinkAboutACSA199400001 Application 1994-05-13 APPLICATION TO AMEND THE , 6-N,„9 County of Albemarle
; Department of Planning and Community Development
SERVICE AUTHORITY ° ®z5, 401 McIntire Road
Charlottesville,VA 22902-4596
JURISDICTIONAL AREAS `I /l? 804 296-5823
APPLICANT Name: Charlottesville Oil Co. , Inco ..rated
Signature: C 1 i Phone: 293-9107
Address: /P. O. Bo A140
Charlottes lle, VA 22906
CO-APPLICANT Name (or gent i any): James F. Dulaney, Jr.
Signature: • '('( Phone: 293-9107
Address: O. Box 6340
Charlottesville, A 22906
JURISDICTIONAL AREA DESIGNATION REQUESTED:
❑ maze=.Sewer ❑ Water Only
❑ Water Only to Existing Structure(s) 0 Limited Service (Describe in Justification
below)
PROPERTY LOCATION (Address) Route 250 West, Charlottesville
Tax Map(s)/Parcel Number(s): TM 59-77 and TM 59-80B
CURRENT SERVICE AREA DESIGNATION (If any): y 1 3 1994
❑ Water and Sewer 0 Water Only
❑ Water Only to Existing Structures 0 Limited Service
JUSTIFICATION FOR REQUEST: See attached letter from James P. Fulcher
from Office of Environmental Health
For Staff Use Only /�
DATE SUBMITTED: 45— �3 _. 9 DATE$130 FEE PAID: .5 /3-- y57 ,6c6—;p4 /1/9/0
PROPERTY IS LOCATED (Check Appropriate):
❑ Inside or ❑Outside a Growth Area? ❑ Adjacent to SAJA?
❑ Inside or ❑Outside a Water-Supply Watershed? 0 Adjacent to a Growth Area?
Location and distance of water/sewer line proposed to provide service
REQUEST FOR AMENDMENT ADOPTED: 0 Yes 0 No Date of Action