The URL can be used to link to this page

Home My WebLink AboutCLE201400013 Legacy Document 2014-02-10Application for Zoning Clearance��° OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check Ud Date: Receipt # ytl Staff: PARCEL INFORMATION 0 5 5:E 00 _ d U o x-t Tax Map and Parcel: Tax Map 055 (ParcelSSE -1 , SSE -2 ) Existing Zoning Parcel Owner: Old Trails Golf Course Parcel Address: 5494 Reas Creek Dr. City Crozet State VA Zip 22932 (include suite or floor) 15 6 PRIMARY CONTACT Who should we call /write concerning this project? Hi Sham Ashur Address: PO.Box: 981 City Charlottesvi� &Te VA Zip 22902 Office Phone: Cell # 4 3 4 8 8 2 6 3 2 Fp'ax # E -mail ha s hur @yahoo . com APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: Amnesty International, Group 157/ 501 -c (3) Previous Business on this site Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of vehicles, and any additional information that you can provide: 30th annual 5k valentine couples race pandraising for a local grni l not-hi nq will he sold at the eimnt _ A —eyp4q , *This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning Clearance will be required. I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided is true and accurate to the best f my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed Hisham Ashur APPROVAL INFORMATION [VI Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x117. [ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. [ ] This site complies with the site plan as of this date. Notes: Building Official Date !/ 3,-t t � 4 p Zoning Official Date Other Official Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 7/1/2011 Page 2 of 3 Intake to complete the following: Y usLI, Is HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y Wil ere be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applies Is parcel on private well or public water? If private well, provide Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the one that applies Is parcel on septic or public sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. c QI n 0' �A t ' Permit # 5 C I /Ylv� ,p(� -•t lJ Y / N �SI�VI pty (O l l Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # yl"�>cri ! iaq 7nnina to emmnlPtP the fnllnwina- Reviewer to complete the following: Square footage of Use: Y / N n `gyp 1�— Permitted as: ` -M l9 • C � V�1 I l Under Section: MAA Supplementary regulations section: -i Parking formula: Required spaces: 9 v 1 \1 i i r". --- Y/N Items to be verified in the field: ViolAons: Y /(N) If so, 1st: ffers: Y N so, List: Varia ce: Y/ If so, st: SP's: Y/N If so, List: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 lrl,ovr ti vl0 %~n /OC' !c l7/'P ROCA P z r�"��•,�- -�triil �„�'1xF �nfF" � A / / / /�/ 8:00 am, Saturday, February 15, 2014 m `I rs ibis gyp, A ri3 Register here OR online at f {' www.chirlottesvilleti--,ickclub.org/couples5k.html This 5- kilometer course will begin and end at the pro shop of the Old Trail golf course (see over for map). Race numbers and day -of -race entries will be available at the pro shop on the morning of the race. Enter the race with a partner or have us find one for you if you prefer. You do not have to run with your partner, but your times will be added together to determine winners in each of six race categories (see race entry form, below). • Entry fees (each runner); CTC members- $18.00 Non -CTC runners- $20.00 All entries on the day of the race- $25.00 • All entrants will receive a special 100% cotton long- sleeve T- shirt. To receive your T -shirt at the race, registration must be received by 5:00 pm, Friday, February 7, 2014. • All inquiries about the race and registration should be directed to cvilleai @amnestycharlottesville.org. Changes to team partnerships will not be allowed after 6:00 pm on February 14, 2014. • Race postponement due to severe weather will be posted at web site amnestycharlottesville.org. Race and location maps are also posted there. Make checks out to "Amnesty International." Mail with your completed entry to: Al Couples Race, P.O. Box 981, Charlottesville, VA 22902 X Al Valentine Couples' Race ENTRY FORM Partner 1: (Last) ( MI) (First) Name: ❑❑❑❑❑❑❑❑❑❑❑❑❑❑ ❑ ❑❑❑❑❑❑❑❑❑❑❑❑ Address: ❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ ❑❑❑❑❑❑❑❑❑ DOE ❑❑❑❑❑❑❑❑❑❑❑❑ Phone: (❑❑ ❑) 0 ❑❑-11 ❑1111 Cell Phone: ( ❑ ❑ ❑) ❑❑❑-❑0011 Email: ❑ ❑❑❑❑ ❑❑❑❑ ❑❑❑❑❑❑❑❑❑❑ ❑❑ ❑❑❑ T -shirt size (check one): ❑ XL ❑ L ❑ M ❑ S Track Club Membership: ❑ CTC member ❑ Nonmember Age: ❑ ❑yrs. Gender; ❑ Partner 2: (Last) ( MI) (First) . Name: ❑❑❑❑❑❑❑❑❑❑❑❑❑❑. ❑ 0 0011111100❑]❑0 Address: ❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ ❑0❑ ❑0❑❑❑❑ Phone: ( ❑❑❑) ❑❑0-0 000 CeIlPhone: (❑❑❑) 1111❑-❑❑00 Email: ❑❑❑❑❑❑❑00 ❑ 0000 ❑❑❑❑000000 T -shirt size (check one): ❑ XL ❑ L ❑ M ❑ S Track Club Membership: ❑ CTC member ❑ Nonmember Age: ❑ ❑yrs. Gender: ❑ Race Category (check one) ❑ Male -Male ❑ Female - Female ❑ Male - Female ❑ Husband - Wife ❑ Parent - Child ❑ Siblings Waiver: Must be signed by both partners (parent or guardian if under 18). No baby joggers, strollers or pets allowed on the course. Running a road race is a potentially hazardous activity. Runners should not enter and run unless they are medically able and properly trained. I agree to abide by any decision of a race official concerning my ability to safely complete the run. I assume all risks associated with running in this event, including but not limited to falls, contact with other participants, the effects of the weather (including cold and precipitation), traffic and the conditions of the road, all sucp risks being known and appreciated by me. Having read this waiver and knowing these fact and in consideration of your having accepted my entry, I, for myself, and anyone entitled to act on my behalf, waive and release the Charlottesville Track Club, Amnesty International, The Old Trail, the County of Albemarle and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. This is a road race conducted under the rules of the USATF. Absolutely no baby joggers, strollers, headphones, animals on leash, skateboards, skates, roller blades or bicycles will be allowed on the course. Participants agree to be bound by the rules established by the Charlottesville Track Club and the organizers of the race. I understand that if the race is postponed or cancelled by circumstances beyond the control of the race organizers, my entry fee will not be refunded. /C .. EI N ED Signature, Partner 1: Date: ' ''ray, •_ , �" Signature, Partner 2: Date: .Z(i1G C®fUIf UNI16" DEEVELOPM ENT ` I �3 1 J. .. !' Rebecca Ragsdale From: Miller Stoddard Sent: Monday, February 10, 2014 9:00 AM To: Hisham; Wolfrey, Sharon A. (VDOT); Rebecca Ragsdale Cc: Liggett, Edward (VDOT); Mike Easton; Ron Lantz Subject: RE: CLE 2014 -13 Amnesty International Valentine Couples Race -Old Trail The Albemarle County Police Department approves of this event. I, Sgt Stoddard, have looked at the race course and do not have any concerns about public or traffic safety issues. Two police officers will be working the event on a contractual overtime basis. Thank You. From: Hisham [mailto:hashur(&yahoo.com] Sent: Tuesday, February 04, 2014 3:18 PM To: Hisham; Wolfrey, Sharon A. (VDOT); Rebecca Ragsdale; Miller Stoddard Cc: Liggett, Edward (VDOT) Subject: Re: CLE 2014 -13 Amnesty International Valentine Couples Race -Old Trail sergeant Stoddard: per our conversation yesterday, the track volunteer coordinator told me last night, that considering the amount of traffic we had last year, we do need a police officer (even two officers if possible) to help us stop traffic especially at the intersections of old Trails Dr. & welbourne Ln and west End Dr. The race starts at 8am and usually ends around 8:45am. Thank You Hisham Ashur Amnesty International - Charlottesville couples Race From: Hisham <hashura),yahoo.com> To: "Wolfrey, Sharon A. (VDOT)" < Sharon Wolfrey(o)-VDOT.Virginia.gov >; Rebecca Ragsdale <rragsdale(c),albemarle.org >; Miller Stoddard <stoddardmQalbemarle.org >; Hisham <hashurC@,yahoo.com> Cc: "Liggett, Edward (VDOT)" <Edward.Liggett(cr vdot.virginia.gov> Sent: Thursday, January 30, 2014 4:53 PM Subject: Re: CLE 2014 -13 Amnesty International Valentine Couples Race -Old Trail Sharon: Thank You for the info, in touch with sergeant Stoddard, please find attached completed and signed requested forms. I could only save the scanned forms as an image. Hisham Ashur Amnesty International - Charlottesville couples Race From: "Wolfrey, Sharon A. (VDOT)" < Sharon .WolfreyCa�VDOT.Virginia.gov> To: Rebecca Ragsdale <rragsdale(c albemarle.org >; Miller Stoddard <stoddardm(Dalbemarle.org> Cc: "hash ur(�yahoo.com" <hashur(cx yahoo.com >; "Liggett, Edward (VDOT)" < Edward. Liggett(a,vdot.virginia.gov> Sent: Thursday, January 30, 2014 11:42 AM Subject: RE: CLE 2014 -13 Amnesty International Valentine Couples Race -Old Trail Good Morning, thank you for the information. The race route appears to be the same as last year's event. We will need Sergeant Stoddard to provide confirmation that the Department will provide traffic control for this event. I am also attaching a permit application for Hisham Ashur to complete and return to the VDO- for processing. Thank you, Sharon Sharon A. Wolfrey Planning & Land Development - South at Zion Crossroads Permits - Albemarle, Fluvanna, Greene and Louisa County 434 - 589 -1013 - - - -- Original Message---- - From: Rebecca Ragsdale [ mailto :rragsdale(cDalbemarle.org] Sent: Wednesday, January 29, 2014 3:18 PM To: Miller Stoddard; Wolfrey, Sharon A. (VDOT); Seale, Dennis L. (VDOT) Cc: hash ura)-yahoo.com Subject: CLE 2014 -13 Amnesty International Valentine Couples Race -Old Trail VDOT and ACPD - Please find attached for your review a zoning clearance for a 5k race in Old Trail scheduled for February 15. Please send me your review /approvals once completed. Thanks, Rebecca Ragsdale, Senior Planner County of Albemarle Department of Community Development- Zoning Services 401 McIntire Road Charlottesville, VA 22902 -4596 (434) 296 -5832 Ext. 3226 E -mail: rragsdaleCcDalbemarle.org