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HomeMy WebLinkAboutARB202200101 Application 2022-11-16 (2)DocuSign Envelope ID: 191984C2-8AEB-4715-980E-17545ABDO53C Application for Major or Minor Site Plan Amendments Existing Site Plan Name & Number: SDP199300018 Tax map and parcel(s): 07800-00-00-004AO Zoning: Contact (who should we contact about this project): Commun-ET LLC Street Address 100 M Street SE Suite 620 City Washington State DC Zip Code 20003 Phone Number 2026880484 Email permitting@commun-et.twm Owner of Record MCDONALD'S CORPORATION C/O RAHE INC, T/A 12453 Street Address P O BOX 182571 City COLUMBUS State OH Zip Code 43218 Phone Number 864-494-2491 Email steve.kellett@us.mcd.com Applicant MCDONALD'S CORPORATION Street Address 6903 Rockledge Drive City Bethesda State MD Zip Code 20817 Phone Number 864-494-2491 Email steve.kellett@us.mcd.com FEES ❑ Major Amendment = $1846 la Minor Amendment (alterations to parking, circulation, building Application $1775 + Technology Surcharge $71.00 size, location) = S615.68 ❑ Major Amendment Fire Rescue Fee = $100 Application $592 + Technology Surcharge $23.68 This application may require additional review by the Fire Marshal. Fees in addition to those shown on this application may be required by the Fire Prevention Code Fee Schedule. A copy of the schedule is available from the Fire Marshal. A completed application and all supplemental documents should be submitted via the Community Development Apply for Hare. 7fpaper is the only option, then one copy of a completed application and all supplemental documents may be provided Technology Surcharge 4% additional fee on each (does not apply to required noticesfees) Notices required by Section 32.4.2.1 (f) Initial notice fee to be provided in conjunction with an application, for preparing and mailing notices and published notice = $448.00 County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 Major or Minor Site Plan Amendments 8/15/2022 Page 1 of 2 DocuSign Envelope ID: 191984C2-8AEB-4715-980E-17545ABDO53C ,WATER ASSESSMENT (Required for all non-residential site plans not serviced by public water) Was a Groundwater Assessment conducted for the existing site plan? ❑ YES Id NO If NO and the new plans show a use using less than 2,000 gallons/day (average) If NO and the new plans show a use using greater than 2,000 gallons/day (average) If YES and the use goes from using less than to more than 2,000 gallons/day (average) If YES and the use does not change from using less than to more than 2,000 gallons/day Comments/Attachments: Owner/Applicant Must Read and Sign ❑ Tier 3 Groundwater Review = $627.12 Fee $603 + Technology Surcharge $24.12 ❑ Tier 4 Groundwater Review = $1,354.08 Fee $1302 + Technology Surcharge $52.08 ❑ Tier 4 minus Tier 3 = $726.96 Fee $699 + Technology Surcharge $27.96 ❑ No fee ❑ Manor Amendment This major amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan) and Section 32.6 (Final Site Plan) of the Albemarle County Zoning Ordinance. I understand that plans which lack information required by said sections shall be deemed incomplete and shall be denied by the agent within ten (10) days of submittal as provided in Section 32.4.2.1 or Section 32.4.3.1 as the case may be. id Minor Amendment This minor amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan) and Section 32.6 (Final Site Plan) of the Albemarle County Zoning Ordinance. I hereby certify that the information provided on this application and accompanying information is accurate, true, and correct to the best of my knowledge. By signing this application, I am consenting to written comments, letters and or notifications regarding this application being provided to me or my designated contact via fax and or email. This consent does not preclude such written communication from also being sent via first class mail. Docuaigned by: S&A"l Signature of Owner, Contract Purchaser, geno` [ c steve kellett Date 10/20/2022 8644942491 Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY SDP # Fee Amount $ Date Paid By who? Receipt # Ck# By: Major or Minor Site Plan Amendments 8/15/2022 Page 2 of 2