HomeMy WebLinkAboutACE200700008 Application 2009-06-28Application Form
for the Acquisition of Conservation Easements (ACE)
Albemarle County, Virginia
(please type or print in dark ink)
1. Owner /Contact Person: M IR aRg R0� Phone Number:
2. Mailing Address: 33 �7 ❑u� rn �pg rzta tv 0J
3. Tax Map & Parcel Number:
(can be more than one).
4. Other Owners of Record:_
Name: J-..,� Address:
]Name: n �, « �� d� - ,T Address: ;� 131.4 k W��I c He iow� 9J. � K
Name: .t rrt P S_ ' , Address: � A T` a cJr r4 C T . 8 J t— L� r� 3
Name: Address:
5. Entity Owning Property (sole owner, partnership, corporation, limited liability company etc.):
6. Property Location (state road, town):
7. Principle uses of property (grazing, timber harvesting, crops, livestock, recreation etc.):
- -Fj Q - e- c-- s a Yv rJ C- r?- �,-t`D
8. Do you own other land in Albemarle County? / 2 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? 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, however, one of the residual
parcels must be >I 00 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, would you prefer to retain the maximum number of allowed
development rights? (yes /no) or have 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? / 2 6� L L
13. List all Deeds of Trust, mortgages and liens against property (by date, parties involved and
deed book reference & page number):
14. 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:
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.
Signature
Print Name _
Signature
`�d� ❑ T, ! cl"Q,
Print Name
C.
Signature
Print Name
Date
Date
1,12-747
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.
Questionnaire for RankinLy Criteria in ACE Prollram ElilZibility Criteria
1. The parcel of land identified on this application form is threatened with a "forced sale" (see
attached definition). yes no. If yes, describe and /or document:
2. The parcel of land identified on this application form is threatened with other "hardship" (see
attached definition). :,-_ yes no. If yes, describe and /or document:
3. The parcel of land identified on this application form is either: "a working family farm,
including forestry, and at least one family member's principal occupation and income (more than
half) is farming or foresting the parcel ". yes no or; "at least one family member
produces farm products derived from the parcel ". yes no. If yes to either
question,, describe the type of farming (including horticulture) or forestry you engage in.
I /We hereby certify that, to the best of our knowledge, the information provided on this
questionnaire is true and correct.
Landowner
fandowner
Date
�.. ,ate - >7
Date
REQUEST FOR DETERNU NATION PARCEL OF RECORD /DIVISION RIGHTS
ti OF "' �f
FILE #:
ADMIN (WAIVED)
NON - ADMIN
DATE:
OWNER:
Name:
Address: _
Phone:
APPLICANT:
Name:
Address:
Phone:
CONTACT PERSON:
Name:
Address:
Phone:
TAX MAP: PARCEL(S):
LOCATION:
ACREAGE: (TOTAL)
NUMBER OF PARCELS:
1. Tax Map page.
ZONED
(EACH PARCEL)
2. Last instrument of record (plat and /or deed) in the Clerk's Office of the Circuit Court of Albemarle County,
Virginia on or prior to December 10, 1980. (Highlight or underline references to the subject property).
3. All plats and /or deeds of record after December 10, 1980, UP UNTIL THE PRESENT DATE. (Highlight
or underline references
to the subject property).
4. Any other pertinent information.
5. Cover letter stating the assumed number of parcels, with explanation of same.
I certify that to the best of my information, belief and professional opinion, these attachments include all pertinent
plats and deeds from the Clerk's Office, as required under "submittal requirements."
Signature Date