HomeMy WebLinkAboutACE200800006 Application 2007-10-08Application Form
for the Acquisition of Conservation Easements (ACE)
Albemarle County, Virginia
(please type or print in dark ink)
1. Owner /Contact Person: I 1 tl P rM(10 Phone Number: !i- ', �
2. Mailing Address: La. ,/ d �5 1 ', PA
V'97ZZ
3. Tax Map & Parcel Number: '.2. 64 (can be more than one).
4. Other Owners of Record:
Name:
Address:
Name:
Address:
Name:
Address:
5. Entity Owning Property (sole owner, partnership, corporation, limited liability company etc.):
6. Pro e Location (state road, n):
33 own):
7. Principle uses of propeg (grazing, tiriiber harvesting, crops, livestock, recreation etc.):
8. Do you own other land in Albemarle County? ; V6 Is it contiguous to this parcel?
9. Is property in an existing "Ag- Forestal" district? (yes /no)
10. Do you have a Forest Stewardship Management Plan? �0 Date of Plan
Soil Conservation and Water Quality Plan? — Date of Plan
11. When the property is placed under easement, it will be subject to the following development
restrictions based on parcel size: If a parcel is less than 100 acres, it shall not be divided. If a
parcel is between 100 and 200 acres, it may be divided once into two parcels, however, one of
the residual parcels must be >100 acres. For parcels greater than 200 acres, it may be divided
twice (into 3 parcels) provided 2 lots average > 100 acres, leaving one additional lot for the
balance of land under 100 acres (Example: a 345 acre tract could be divided into four lots: 3
of >100 acres each and the last for any balance of land leftover less than 100 acres). The
other option is the "no subdivision" option where the entire tract will remain as a single,
indivisible tract.
Based on the above description, how many separate parcels do you wish to retain for the
property? _,ZT ( #) or; would you prefer a "no subdivision" clause? (yes /no).
12. When the property is placed under easement, it will be subject to the following restrictions
on the "Number and Type of Allowed Structures ": The maximum number and types of structures
may be built or maintained on each 100 acre parcel of the Property: (a) one principal single -
family residential dwelling unit; (b) up to two (2) secondary residential dwelling units commonly
and appropriately incidental thereto, not exceeding two thousand (2,000) square feet of living
space each. There is no limit on: (c) the number of structures such as outbuildings, swimming
pools, decking detached from the single- family dwelling units, gazebos, garages, and tool sheds;
or (d) the number of farm buildings or structures. (Note: On parcels less than 100 acres, the
number of allowed residential dwellings (principle and secondary) will be affected by the actual
size of the parcel.
Based on the above description, how many primary residential structures would you want the
right to build or maintain on the property? How many secondary residential structures?
13. Is the parcel of land identified on this application form threatened with a "forced sale" (see
attached definition). yes L,-' no. If yes, describe and /or document:
14. The parcel of land identified on this application form is threatened with other economic
"hardship" (see attached definition). yes i % no. If yes, describe and /or document:
15. The parcel of land identified on this application form is either: "a working family farm,
including forestry: five (5) points if at least one family member's principal occupation and
income (more than half) is farming or foresting the parcel �es no or; three (3)
points if one family member has as a secondary occupation working the farm sufficient to
qualify for the land use tax program ( >$1,000 /year) yes no. If yes to either
question, describe the type of farming (including horticulture) or forestry you engage in.
A l 1 .0
16. List all Deeds of Trust, mortgages and liens against property (by date, parties involved and
deed b ok reference &page number):
17. If you wish to include additional restrictions in the Deed of Easement (beyond those
described in the generic Deed of Easement), please list and describe:
18. In addition, please provide the following information with this application:
a) tax returns, for all owners of record, for each of the past three (3) tax years so as to verify
adjusted gross income. All income and tax information will remain confidential.
b) a completed "Request for the Determination of Parcel of Record/Division Rights ".
Definitions Contained in Questionnaire
"Forced sale" means the sale of a parcel with unused development rights in a manner prescribed
by law conducted under a judgment, order or court supervision, other than a sale arising from a
partition action; a sale resulting from the foreclosure under the laws of the Commonwealth of
Virginia; or a sale that is not the voluntary act of the owner but is compelled in order to satisfy a
debt evidenced by mortgage, judgment or tax lien.
"Hardship" means an economic hardship, other than a circumstance causing a forced sale,
experienced by the landowner of the parcel compelling him to place a parcel with unused
development rights for sale or to use such development rights.
I /We hereby make application to the County of Albemarle for the sale of development rights on
the tax parcel(s) identified above on this application form pursuant to Albemarle County
Ordinance No. 00- A.1(1), the Acquisition of Conservation Easements. I /We understand and
acknowledge that I /we incur no obligation by completing this application, and that the County of
Albemarle incurs no obligation by its acceptance of this application. I /We hereby certify that, to
the best of our knowledge, the information contained in this application and attached materials is
true and correct. I /We agree grant permission to the ACE Program Administrator or his designee
to enter the property, after reasonable notice to the owner, for the purposes of evaluating the
parcel(s) and verifying required information on the application form and the independent
appraiser who must appraise the property to determine the value of the development rights.
ALL OWNERS OF RECORD MUST SIGN AND DATE THIS APPLICATION.
i
Signatur t Date
Print Name
Signature
Print Name
Date
Signature Date
Disclaimer: This Application Form is not a legally binding agreement between the Applicant(s)
and the County of Albemarle. It is strictly for informational purposes in processing the
application.