HomeMy WebLinkAboutSDP202200064 Plan - Submittal (First) 2022-11-21DocuSlgn Envelope ID: 191984C2-8AEB-4715-980E-17545ABD053C
Application for
Major or Minor Site Plan Amendments
Rµ OF A(gF
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Existing Site Plan Name&Number: SDP199300018
Tax map and parml(s): 07800-00-00-004AO Zoning:
Contact (who should we contact about this project): Comm un-ET LLC
Street Address 100 M Street SE Suite 620
cit, Washington State DC Zip Code20003
Phone Number 2026880484
Email permitting@commun-et.com
Owner of Record MCDONALUS 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
1111;1il steve.kellett@us.mcd.com
Applicant MCDONALUS CORPORATION
Street Address 6903 Rockledge Drive
city Bethesda state MD Zip Code 20817
Phone Number 864-494-2491
Fraud steve.kellett@us.mcd.com
FEES
❑ Major Amendment = $1846
® Minor Amendment (alterations to parking, circulation, building
Application $1775 + Technology Surcharge $71.00
size, location) = S615.68
Application $592 + Technology Surcharge $23.68
❑ Major Amendment Fire Rescue Fee = $100
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.
I completed application (aid ail supplemental documents.should be submitted via the Community Development Apply for vane Ifpaper is the only opdon,
then one copy of a completed application and all supplemental documets 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)
Tnitial 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) 972-4126
Major or Minor Site Plan Amendments 8/15/2022 Page 1 of 2
DocuSign Envelope ID: 191984C2-8AEB-4715-980E-17545ABD053C 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
® 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
❑ MaiorAmendment
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.
6d 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.
L,L:
Signe by�:f t (C:-ttt Il
Signature of Owner, Contract Purchaser, gent__'
steve kellett
Print Name
10/20/2022
Date
8644942491
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
DocuSign Envelope ID: 191984C2-BAEB-4715-980E-17545ABD053C
C mmun-ET
LETTER OF AUTHORIZATION
DATE: 10/20/2022
As a representative of the property owner, MCDONALDS CORPORATION, I hereby authorize
the persons/entities below to act as agents on the property owner's behalf on the 1294 STONY
POINT RD CHARLOTTESVILLE, VA 22911 in all matters relating to the submissions and
withdrawals of applications for permits and utilities including the signing of all documents
related to those matters during ongoing application processes.
AGENTS ENTITIES AND NAMES:
COMMUN-ET LLC
IAN SWAIN (240-602-5453)
CHARLOTTE DUCKSWORTH (202-421-1518)
PHILIP AGAR (202-421-3884)
LAURIN CURTIS (202-368-2994)
This Authorization is valid until further written notice.
DocuSigned by:
SIGNATURE: Sft ut. LdWf
NAME: steve Kel TetteZBWGSUUU4Fa...
TITLE: Area construction Manager
COMPANY: MCDonalds USA LLC
PHONE NUMBER- 8644942491
EMAIL: Steve. kel
le Lt@US..ncd.con,
DATE:
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EFFECTIVE DATE.- 0210412005.
THE ELEVATIONS SHOWN HEREON ARE BASED ON AN ASSUMED FFE OF 50.00.
THERE WAS NO PLAT, DEED OR PROPERTY INFORMATION AVAILABLE OR PROVIDED.
THIS SURVEY IS INTENDED TO SHOW IMPROVEMENTS AND NOT BOUNDARIES.
THIS IS TO CERTIFY THAT.•
THIS TOPOGRAPHIC SURVEY WAS COMPLETED UNDER THE DIRECT AND RESPONSIBLE CHARGE
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THAT THE IMAGERY AND/OR ORIGINAL DATA WAS OBTAINED ON ✓ULY 9, 2022 AND THAT
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R. L. Oltb WAY
4908 FENNELL LANE
SUFFOLK, VIRGINIA 23435
PH: (757) 394-1995
www.rlgollowaysurveying.com