HomeMy WebLinkAboutSE202200063 Agreements 2022-11-01Albemarle County
Service Authority
Serving*Conserving
ACSA Application Number:
ACSA Building Permit Pre -Application Review
Proper Permit Documentation Submitted by Applicant: YES W/I NO
RWSA Approval Granted: YES ❑ NO ❑ N/A F
RWSA Comments Attached: YES ❑ N/AFv
ACSA Jurisdictional Area Designation: Water and Sewer
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.
PA-ACSA2O221087
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: ❑
Authorized ACSA Signa ure
9/23/2022
Date
Last Revised: September 16, 2021
From: bounce+webmaster=serviceauthority.ora(ab.atomicsites.net on behalf of Albemarle County Service Authority
To: ACSA Locators; edasilya0sitesul.com
Subject: ACSA Building Permit Pre -Application Submittal for 06100-00-00-153A1
Date: Monday, September 12, 2022 4:14:54 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: September 12, 2022
Applicant Name: Emily da Silva - Agent for Verizon Wireless
Contact Person:
Emily da Silva
Contact Phone:
804-852-8089
Contact Email:
edasilva@sitesul.com
Applicant Address:
2004 Snead Ave
Colonial Heights, Virginia 23834
Address of Proposed
1012 Rio Road East
Work (Tax Map and
Charlottesville, Virginia 22901
Parcel below if no
assigned address):
Tax Map and
06100-00-00-153A1
Parcel:
Initial Or Revised
Initial
Submittal:
Submittal Type:
ATWR— Alteration to Tower
Description if
replace existing wireless equipment
OTHER:
Related
SDP2015-00033
SDP/SUB/SP (if
applicable):
Water Supply:
None
Sewage Disposal:
None
Irrigation System
No
Proposed:
FOG Device
N/A
Proposed (if
applicable):
Total Number of 0
Floors With
Plumbing (including
habitable areas
above the upper
floor)
Description of
Verizon Wireless proposes to remove three (3) existing antennas and install
Work:
three (3) antennas at the 67' CL and three (3) antennas at 62' CL. Remove six
(6) existing RRHs and install nine (9) RRHs. Retain two (2) OVPs and two (2)
hybrid cable. No change to ground equipment or ground disturbance required.
Comments:
Cellco Partnership d/b/a Verizon Wireless completed a land lease agreement
with Trustees of City Church on July 29, 2014.
Supporting
After submitting this form, please e-mail supporting documents (Plans,
Documentation
stakeout surveys, etc.) to locators@serviceauthority.org. Please place "Pre-App
Submission
Documents" and the "Address of Work or Tax Map and Parcel Number" in the
Instructions
subject line. Thank you.