HomeMy WebLinkAboutACSA199600001 Application 1996-07-03 APPLICATION TO AMEND THE �-:°��F AL County of Albemarle
lGiip. 9,a Department of Planning and Community Development
SERVICE AUTHORITY x,�a°'�=� 401 McIntire Road •
. Charlottesville,VA 22902-4596
JURISDICTIONAL AREAS 1 ,� 804 296-5823
APPLICANT Name: Christian Aid Mission
Signature:"• 2 ... _ ' E. i R-ow), I/ic& acS• ,Phone: 977-5650
Address: 3045 Ivy Road - -
Charlottesville, VA 22903
CO-APPLICANT Name (or agent, if any): - -
Signature: Phone:
Address:
JURISDICTIONAL AREA DESIGNATION REQUESTED:
❑ Water and Sewer 0 Water Only
❑ Water Only to Existing Structure(s) 0 Limited Service (Describe'in Justification
below)
[ X l Sewer
PROPERTY LOCATION (Address) 3045 Ivy Road, (Routes 677 and 250)
Tax Map(s)/Parcel Number(s): Tax Map 59-23G
CURRENT SERVICE AREA DESIGNATION (If any):
0 Water and Sewer ER Water Only •
❑ Water Only to Existing Structures 0 Limited Service
JUSTIFICATION FOR REQUEST: The Service Authority already furnishes water to
the property. Sewer service requested so as to replace septic systems
currently in use, thus placing both systems with the Authority which has
easements for its lines for both services through the subject property.
For Staff Use Only
DATE SUBMI -11,D: DATE $130 FEE PAID: /1
PROPERTY IS LOCATED (Check Appropriate):
O Inside or ❑Outside a Growth Area? 0 Adjacent to SAJA?
❑ Inside or 0 Outside a Water-Supply Watershed? ❑ 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