HomeMy WebLinkAboutARB202300029 Application 2023-03-10Application for
Initial Site Plan or Final Site Plan or Site Plan Exception
Project Name: Camp Holiday Trails Med Korner
Tax map and parcel(,): 75-47C
Zoning: Rural Areas
Contact (who should we contact about this project) Daniel Hyer
Street Address 113 4th St NE, Suite 100
City Charlottesville Stoic VA
Zip Code 22902
Phone Number 434-962-2430
Email dhyer@line-grade.com
Owner of Record Holiday Trails, Inc
Street Address 400 Holiday Trails Lane
City Charlottesville State VA
Zip Code 22903
Phone Number 434-977-3781
Email tina@campholidaytrails.org
Applicant Holiday Trails, Inc
Street Address same as above
City State
Zip Code
Phone Number
Email
Residential I la Non-residential
Type of unit(s):
# of bulding(s):
Sq. ft. of building(s):
# of units per building:
Total # of units:
Resulting density:
Acreage of site:
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
FOR OFFICE USE ONLY SDP #
la Commercial
❑ Industrial
❑ Quasi -Public
Sq. ft. of bulding(s): 26,989
Acreage of site: 50.38
Acreage in open space: 48.37
Acreage in roads: 1.39
Average gallons of water used per day:
Fee Amount 5 Date Paid By who? Receipt #
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
REVISED W15l2022 1 uf2
Intended use or lustification for request:
New Clinic for campers. Replacing original clinic located elsewhere onsite
Comments/Attachments:
Proposed clinic is —5,000 SF total.
FEES
SITE DEVELOPMENT PLAN
SITE PLAN
EXCEPTION
Technology Surcharge 4% of each transaction
Initial Site Plan
Final Site Plan
Exception to drawing
of site plan under
sectinu 32.3.5(a)
Approved
No
Preapplication plan
Preapplication plan
❑ $1' 846
❑ $1,846
❑ $861.12 Fee S828+Technology Surcharge
® $1,476.80 Fee $1.420+Technology Surcharge
$33.12
$58.80
Fee $1.775 +
Fee S1,775+
PIUS
Plus
Technology
Technology
#ofdwellingsXS16=S_X.04=
# of dwellings_ X$16=$ X.04=
Surcharge S71.00
Surcharge $7100
$
$
+ Fire Rescue
+Fire Rescue
Plus
Plus
Fee of $100
Fee of $100
Nonresidential square feet X .016 =
Nonresidential square feet 5000 X 0.016 =
$ X.04=
$80 X.04=
TOTAL $
TOTAL $ 3.2
+Fire Rescue Fee of $100
+ Fire Rescue Fee of $100
A completed application and all stipplententat documents should be submitted via the Ciou n inin• Develmnatut Apnlr tar Poe,•. if paper is the only option, then
one copy of a completed application and all supplemental documents may be provided.
❑ Site plan has a parking structure. Included are revised architectural elevations, drawings, photographs or other visual materials submitted with the initial
site plan. The elevations shall be part of the approved final site plan.
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
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced by public ivatei)
❑ if the plans show a use using less than 2,000 gallons/day (average) Tier 3 Groundwater Review = $627.12
Fee S603 +Technology Surcharge S24.12
❑ If the plans show a use using greater than 2,000 gallons/day (average) Tier 4 Groundwater Review = $1,354.08
Fee S1302+ Technology Surchare$52.08
❑ Special Exception — $523.12 Fee S503 +Tedwulugy Swchatge,
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.
Owner/Applicant Must Read and Sign
This site plan as submitted contains all of the information required by Section 32.5 (Initial Site Plan) or Section 32.6 (Final Site Plan) of
Chapter 18 of the Code of the County of Albemarle. 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
of Chapter 18 of the Code as the case may be. 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.
frOwmer,
3/10/2023
da%,�,�[1l�ijy_
re Contract Purchaser, Agent
Date
LaRoche
434-977-3781
Name
Daytime phone number of Signatory
Site Plan Application REVISED 8/152022 Page 2 of