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Home My WebLink AboutSUB201500002 Application 2015-01-05 „ l Albemarle Count Community Development Department 401 McIntire Road Charlottesville,VA 22902-4596 VT (434)296-5332 Fax:(434)972-4126 ,.. s Planning Application PARCEL/OWNER INFORMATION TMP 07300-00-00-031A0 Owner(s): WEBER,MICHAEL] OR ALISON P Application# SUB2O1500002 PROPERTY INFORMATION Legal Description I ACREAGE Magisterial Dist i Samuel Miller _r_j Land Use Primary Residential--Single-family(incl. modular home Current AFD Not in A/F District si Current Zoning Primary Rural Areas APPLICATION INFORMATION Street Address 4042 DICK WOODS RD CHARLOTTESVILLE,22903 Entered By Fruity Lantz Application Type !subdivision Plat 1.5/2015 Project Michael Weber#13601A- Final Received Date 01/05/15 Received Date Final Submittal Date 01105/15 Total Fees 870 Closing File Date Submittal Date Final Total Paid 870 Revision Number Comments Legal Ad a '' SUB APPLICATION(s) T b j St Appicatiol comment Rita!l� APPLICANT /CONTACT INFORMATION ContactType 4 Name Adickess L ity J Zip Phone l £hvxroer1 1y ESE MI E4AEL 7 OR.AUSON P L 113451E W R17: CH, RLOTTE$VIt,L 122401 P^may Coated GWEN LACY 1717 1B ALLIED ST CHARLDTTESVILL 22503 4342933195 Signature of Contractor or Authorized Agent Date Pagel COUNTY OF ALBEMARLE APPLICATION FOR A SUBDIVISION PLAT Project Name: /Y1 i V SIC W 6,362.__ ,s&o1 Tax map and parcel: - 3>1 A Zoning: Physical Street Address(if assigned): -Di CY_ I j s ,4 S- Daq ,l&-i"tIe £-rvi Location of property(landmarks,intersections,or other): (A)f-)(. 1-_ a 6,31 f ice) G-- Z i- tic. Contact Person (Who should we call/write concerning this pr ject?): 'e5Eg L„ _(LA� c/1' 5 9)A)c, Address I I ii-ii [1))1 L, -, City dIA.ijdi 6st7kState V Zip ?a_,--��l l;+6.a L tq 61411 ii Ic,t Daytime Phone `f j) . q '319 E-mail UP- N�L[/A !to J, >a Owner of Record in t) AE\ 3 . IN)E ,,l_ Ant A I,Sin; P. (e)-tc3L/� Address s >va 613 f City dlAel4SS JAIL- State i4 Zip � Daytime Phone( �', g 1 -6.-00109\. E-mail Applicant(Who is the Contact person representing?): i ; 4c `, ♦'C Address City State Zip Daytime Phone( ) E-mail Does the owner of this property own(or have ownership interest in)any abutting property? If yes,please list those tax map and parcel numbers here Lin.. 1 -- -3 )i Physical street address(if assigned): 'D i et- 1-3 OD i4 A 0/ici ie-,-/ Aitio13. - itJ Locatio of property landmarks,intersections,or other):' a S� . a Ci i 6 4 - County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 • tire✓ Paget COUNTY OF ALBEMARLE APPLICATION FOR A SUBDIVISION PLAT Owner/Applicant Must Read and Sign The plat application process includes providing the Planning Commission with all the information required in Chapter 14 Subdivision of Land of the Albemarle County Code. The foregoing information is complete and correct to the best of my knowledge. I have read and understand the provis'ons of Chapter 14 Subdivision of Land of the Albemarle County Code. I am consenting to all correspondence from Albemarle County be in any of the following forms in writing; by first class mail,by personal delivery,by fax or,by email. ❑ I am not consenting to all correspondence from Albemarle County in the form of fax or email. AA Signature of Owner, Contract ' i chaser,Agent Date e„..t„, L.- YS 9 "9:s- Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY SUB# Fee Amount$__ C��/�?�Date Paid ` �- f1� By who?Ma U I1JI, Receipt# "�2 2./� CI vSIO3 By: T^�"�'L./ 'tussle 'Note Page3 COUNTY OF ALBEMARLE APPLICATION FOR A SUBDIVISION PLAT FEES Preliminary Plat Reviewed in Accord with 14-206 16 copies of plat are required for first submittal-8 copies required for a revision ❑ 1 to 9lots =$1,150 ❑ 10 to 19 lots =$1,150 ❑ 20 or more lots=$1,150 Final Plat Reviewed in Accord with 14-206(SEE CHECKLIST FOR SECTION 14-206) 16 copies of plat are required for first submittal-8 copies required for a revision ❑ I to 9 lots =$1,000 ❑ 10 to 19 lots =$1,100 ❑ 20 or more lots =$1,230 Final Plat Reviewed in Accord with 14-207(SEE CHECKLIST FOR SECTION 14-207) 5 copies of plat are required for first submittal Two-lot subdivision as described in Section 14-232(B)(2)or if all lots front on an existing public street =$540 ❑ Subdivisions following final site plan approval=$690 ❑ Vacation (Section 14-212.2) =$150 Other matters subject to Review ❑ Waiver of any requirement of this chapter for which a waiver is authorized after approval of a preliminary plat and before approval of a final plat =$830 Attach written justification ❑ Waiver of any requirement of this chapter for which a waiver is authorized after approval of a final plat =$830 Attach written justifica- tion ❑ Relief from plat conditions imposed by the commission prior to the date of adoption of this chapter =$390 Prior file Name/Number SUB- Li Variation to or exception from any requirement of this chapter for which a variation or exception is authorized after approval of a prelimi- nary plat and before approval of a final plat=$830.00. ❑ Variation to or exception from any requirement of this chapter for which a variation or exception is authorized after approval of a final plat=$830.00. Public Street Fees Private Street Fees ❑ For each review of public street plans including revisions after ❑ Authorization of one or more private streets filed separately preliminary approval =$250 from a subdivision application.=$670 ❑ Waiver of interconnection/extension requirement before prelimi- ❑ For each review of private street plans including revisions after nary approval =$540 preliminary approval =$400 ❑ Variation to or exception of one or more street standards before preliminary approval =$540 ❑ Variation to or exception of curb and gutter requirement before preliminary approval =$540 Groundwater Review Fees Tier 2 Groundwater Review=$330(Required for all plats proposing lots less than 21 acres) ❑ Tier 3 Groundwater Review=$510(Required for all plats proposing lots where at least 3 lots are 5 acres or less) ❑ Tier 4 Groundwater Review=$1,100 Notices as required by sections 14-216 and 14-221 Preparing and mailing or delivering up to fifty(50)notices=$200.00 plus the actual cost of first class postage. Preparing and mailing or delivering,per notice more than fifty(50)=$1.00 plus the actual cost of first class postage Page4 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-206 Sec. 14-206 Subdivisions other than rural subdivisions, two lot subdivisions, subdivisions following final site plan approval, subdivisions creating one special lot and one residue lot, family subdivisions,boundary line adjustments and easement plats. The following sections of this chapter shall apply to each subdivision that is not a rural subdivision,a subdivision resulting in two lots, a subdivision following final site plan approval,a subdivision creating one special lot and one residue lot,a family subdivision, a boundary line adjustment or an easement plat: A. General: Sections 14-100 through 14-108. B. Administration and procedure: Sections 14-200 through 14-204, and 14-213 through 14-236. C. Plat requirements and documents to be submitted: Sections 14-300 through 14-318. D. On-site improvements and design: Sections 14-400 through 14-441. Sec. 14-300 Persons authorized to prepare plat. Each plat shall be prepared by a professional engineer or a land surveyor, to the limits of his license. Sec. 14-301 Form and style of plats. Each subdivision plat shall comply with the following: A. Standards. Except as otherwise provided in subsection(E),each plat shall meet the standards for plats set forth in 17 VAC 15-60-10 et seq.;provided that each final plat to be submitted for recordation in the office of the clerk of the Albemarle County circuit court shall meet the standards for plats set forth in 17 VAC 15-60-10 et seq. B. Scale. The plat shall be drawn to a scale of one(1) inch equals fifty(50)feet or to such scale as may be approved by the agent in a particular case. C. Size. The plat shall be prepared on one(1)or more sheets,provided that no sheet shall exceed twenty-four (24) inches by thirty-six (36) inches in size, and further provided that if the plat is prepared on more than one(1) sheet,match lines shall clearly indicate where the several sheets join. D. Approximate North.The top of each sheet shall be approximately north. Sec. 14-302 (A) Contents of preliminary plat. A preliminary plat shall contain the following information: A. A preliminary plat shall contain the following information, which must be included in order for a preliminary plat to be deemed complete under section 14-218: [- 1. Name of subdivision. The title under which the subdivision is proposed to be recorded.The title shall not duplicate or be a homonym of an existing or reserved subdivision name within the county,the City of Charlottesville, or the Town of Scottsville, except if the subdivision is an extension of an existing subdivision. • 444.00. *mei Page 5 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-206 '1 2. Vicinity map. A map at a scale of one(1)inch equal to two thousand(2,000)feet showing the property and its relationship with adjoining land and streets, its relationship with landmarks in the area and, if the subdivision is a phased subdivision, all other phases of the subdivision for which a final plat has been approved, in detail adequate to describe the location of the property without field review. Li 3. Existing or platted streets. The location,width and names of all existing or platted streets and all other rights-of-way. ❑ 4. Private easements. The location and dimensions of all existing and proposed private easements. Existing easements shall be labeled with the deed book and page number and the name of the owner of record. Li 5. Public easements. The location and dimensions of all existing and proposed public easements outside of a street right-of-way. Existing easements shall be labeled with the deed book and page number and the name of the public owner of record. Proposed easements shall be labeled as"dedicated to public use." 1 6. Alleys and shared driveways. The location and dimensions of all easements for alleys and shared driveways. rl 7. Existing and departing lot lines. If the property consists of more than one existing lot,then the identification of the existing lots and their outlines,which shall be indicated by dashed lines; and,the location of departing lot lines of abutting lots. [1 8. Proposed lots. The number, approximate dimensions,and area of each proposed lot. ❑ 9. Building sites on proposed lots. The location, area and dimensions of a building site on each proposed lot complying with the requirements of section 18-4.2. The plat shall also contain the following note: "Parcel [letter or number] and the residue of Tax Map/Parcel [numbers] each contain a building site that complies with section 4.2.1 of the Albemarle County Zoning Ordinance." • 10. Right of further division of proposed lots. The number of lots, as assigned by the subdivider,into which each proposed lot may be further divided by right pursuant to section 18-10.3.1,if applicable. The plat shall also contain the following note: "Parcel [letter or number] is assigned [number] development rights and may/may not be further divided and when further divided these rights shall not comprise more than [number] acres. The residue of Tax Map/Parcel [numbers] is retaining [number] development rights and when further divided it shall not consist of more than [number] acres."Development rights need not be assigned to a special lot. El 11. Instrument creating property proposed for subdivision. The deed book and page number of the instrument whereby the property was created, as recorded in the office of the clerk of the circuit court of the county. ❑ 12. Topography. Existing topography at the time of plat submittal at up to twenty [20] percent slope,with a contour interval that is not greater than the interval on aerial topography available from the county . The source of topography, including survey date and name of the licensed professional; or a statement that topography data provided by the county was used. Proposed grading,with a contour interval equal to the intervals of the existing topography, supplemented where necessary by spot elevations; areas of the site where existing slopes are twenty -five(25)percent or greater. Existing topography for the entire site with sufficient offsite topography to describe prominent and pertinent offsite features and physical characteristics,but in no case less than fifty(50) feet outside of the site unless otherwise approved by the agent. For property in the rural areas zoning district,the proposed grading shall show all grading on each proposed lot, including access,clearing and all other lot improvements. Page6 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-206 H 13. Proposed facilities.The location of proposed water and sewer lines and related improvements;proposed drainage and stormwater management facilities and related improvements. 14. Land to be dedicated in fee or reserved. The location,acreage, and current owner of all land intended to be dedicated in fee or reserved for public use,or to be reserved in a deed for the common use of lot owners in the subdivision. ❑ 15. Identification of all owners and certain interest holders. The names and addresses of each owner of record and holders of any easements affecting the property. H 16. Dam break inundation zones. The limits of a dam break inundation zone. Sec. 14-302 (B) Contents of preliminary plat. B. A preliminary plat shall also contain the following information, provided that the preliminary plat shall not be deemed incomplete for purposes of section 14-218 if it does not include this information in the initial plat submittal: • 1. General information. The date of drawing, including the date of the last revision,the number of sheets, the north point,and the scale. If true north is used,the method of determination shall be shown. H 2. Name of plat preparer. The name of the person who prepared the plat. Li 3. Public areas, facilities or uses. The location of all areas shown in the comprehensive plan as proposed sites for public areas,facilities or uses, as described in Virginia Code § 15.2-2232,which are located wholly or in part within the property. 17 4. Places of burial. The location of any grave, object or structure marking a place of burial located on the property. n 5. Zoning classification. The zoning classification of the property, including all applicable zoning overlay districts,proffers, special use permits and variances. Li 6. Tax map and parcel number. The county tax map and parcel number of the property. • 7. Reservoir watershed; agricultural-forestal district. A notation as to whether the land is within an Albemarle County and/or City of Charlottesville water supply watershed or an agricultural-forestal district. • 8. Yards. The location of all yards required by this chapter and the zoning ordinance,which may be shown graphically or described in a note on the plat. H 9. Flood plain. The location of any part of the property within the flood hazard overlay district, as set forth in section 18-30.3. ri 10. Stream buffers.The location of stream buffers required by the water protection ordinance,with the following note: "The stream buffer(s)shown hereon shall be managed in accordance with the Albemarle County Water Protection Ordinance." Page7 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-206 Sec. 14-303 Contents of final plat. In addition to containing all of the information required by section 14 -302, except for the information required by section 14-302(A)(12), a final plat shall contain the following information: L A. Statement of consent to division. A statement that: "The platting or dedication of the following described land [insert a correct description of the land subdivided] is with the free consent and in accordance with the desire of the undersigned owners,proprietors and trustees, if any." 11 B. Section name or number. The name or number of the section if the property is a part of a larger piece of land. L C. Boundary lines. The exterior boundary lines of the property with bearings in degrees,minutes and seconds. Curvilinear data shall include radius,central angle, arc length, and tangent distance.All dimensions shall conform to the standards set forth in this chapter. L D. Acreage of lots. The total acreage of each existing lot and each proposed lot. L E. Dimension standards and information on all lots,streets,alleys,easements, and shared driveways. All linear,angular, and curvilinear dimensions of lots, streets, alleys,public easements and private easements and shared driveways shall conform to the requirements set forth in 8 VAC 10-20-370(C),a copy of which shall be on file in the department of community development. Curvilinear data shall include radius, central angle, arc length,and tangent distances and may be shown either directly on the corresponding boundary or surveyed line or in table form. Easements shown for private streets, alleys and shared driveways shall be labeled as"private street easement", "alley easement"or"shared driveway easement."The easement holder(s)shall be identified on the plat. If shared driveways are shown,a note shall be added to the plat stating that maintenance shall be by the owners of the lots affected by the shared driveway easement,not by the Virginia Department of Transportation or the county. L F. Identification of sections,blocks and lots. Sections(phases) shall be identified by numbers; blocks shall be identified by letters; lots shall be identified by numbers,assigned in numerical order. G. Ownership of common areas.The intended ownership of all common areas. L H. Monuments. The location and material of all permanent reference monuments. Monuments found or installed prior to plat recordation may be referred to if they are permanent and undisturbed. If any monument required by this chapter will be installed after recordation of the final plat,the certification of the professional engineer or land surveyor shall so note. L I. Bearing and distance ties. A definite bearing and distance tie between not less than two(2) permanent monuments on the exterior boundary of the property and further tie to existing street intersection where possible and reasonably convenient. L J. Restrictions. Restrictions imposed in conjunction with the approval of the preliminary plat and their period of existence. If the length of a restriction makes its inclusion on the final plat impractical, and does not necessitate the preparation of a separate instrument,reference shall be made to the restriction on the final plat. • Page8 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-206 ri K. Temporary turnarounds. The location of temporary turnarounds, if needed, with the following accompanying note: "The area on this plat designated as a temporary turnaround will be constructed and used as other streets in the subdivision until (street name)is/are extended to(street name), at which time the land in the temporary turnaround area will be abandoned for street purposes and will revert to adjoining property owners in accordance with specific provisions in their respective deeds." Li L. Public utility,drainage and sight distance easements.The location and dimensions of each public utility,drainage and sight distance easement outside of a street right-of-way; for each existing easement, include a note stating the deed book and page number. [1 M. Street names. The name of each proposed street,which names shall be subject to approval by the agent. Li N. Statement pertaining to private streets. If the subdivision will contain one or more private streets, the following statement: "The streets in this subdivision may not meet the standards for acceptance into the secondary system of state highways and will not be maintained by the Virginia Department of Transportation or the County of Albemarle." Li 0. Signature panels. Signature panels for each owner and for the agent or his designee. The signature panel for the owner shall be located immediately below the statement required by paragraph(A). P. Notary panels.Notary panels for the notary to acknowledge the signature of the owner. ❑ Q. Water supply.A statement as to whether the subdivision will be served by a public water supply and a public sewer system. If the property is not within the service authority jurisdictional area,the following statement: "Under current county policy,public water and/or sewer service will not be available to this property." R. Parent parcel access. If the subdivision is in the rural areas,the following statement, unless a waiver is granted as provided in section 14-404: "All subsequent divisions of the residue shall enter only onto such street(s) shown on the approved final plat and shall have no immediate access onto to any public street." 7 S. Control points.At least four(4)control points,evenly distributed across the property and located at survey property corners, and shown on each sheet depicting the property. At the option of the subdivider,the control points may be shown on a copy of the final plat,rather than on the original final plat. LI T. Special lots. If the subdivision creates a special lot,the following note shall be placed on the plat: "Lot `X' is a special lot established solely for(insert purpose for the special lot as identified in the definition of special lot in section 14-106)." 'ter, Niue Page9 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-206 Documents and or information to be submitted with Plat, as applicable :1 Request to disturb critical or steep slopes.[Sec. 14-304] • Stormwater management information. [Sec. 14-305] n Private streets information. [Sec. 14-306] _1 Stream crossings. [Sec. 14-307] J Dam break inundation zones. [Sec. 14-307.1] Flood plain and topographic information. [Sec. 14-308] Groundwater assessment information. [Sec. 14-308.1] 7 Soils evaluations if any lot is less than 5 acres [Sec. 14-309] =, Health Director Approval. [Sec. 14-310] Infrastructure improvement plans,computations and documents. [Sec. 14-311] H Location of existing buildings. [Sec. 14-312] 11 Identification of all interests of the County in property. [Sec. 14-314] 1 Approval of entrance onto public streets. [Sec. 14-316] ❑ Instrument evidencing maintenance of certain improvements. [Sec. 14-317] 1 Dam break inundation zones; engineering study and mapping information. Sec. 14-318] SEE CODE For Sections 14-400 through 14-441. :#4 Read and Sign In representing the above referenced firm submitting this plat for preliminary approval, I hereby state that,to the best of my knowledge,the attached plat contains all information required by this checklist. I understand that in accordance with Section 14-216,any plat deemed to be incomplete shall be denied. An application for reinstatement accompanied by a complete plat and the required fee may be filed within 15 days of such denial. If the plat is not resubmitted within 15 days,a new application for pre- liminary plat approval with fee shall be required for submittal of the plat. Signature of person completing checklist Date Printed Name Daytime phone number of Signatory 44111111# Nerd° Page 10 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-207 Sec. 14-207 Rural subdivisions, two lot subdivisions, subdivisions following final site plan approval, and subdivisions creating one special lot and one residue lot. The following sections of this chapter shall apply to each rural subdivision, a subdivision resulting in two lots,a subdivision following final site plan approval, and a subdivision creating one special lot and one residue lot: A. General: Sections 14-100 through 14-108. B. Administration and procedure: Sections 14-200 through 14-204 and sections 14-209, 14-231, 14-231.1 and 14-236. C. Plat requirements and documents to be submitted: Sections 14-300, 14-301, 14-302(A)(1),(3), (4),(5),(6), (7),(9),(10), (11),(14),(15)and(16), 14-302(B)(1), (2),(4), (5),(6), (7), (8), (9)and(10), 14-303(A),(B), (C), (D), (E), (F),(H), (I),(L), (0)and(P), 14-304, 14-305(B), 14-307, 14-307.1, 14-308.1,14-309, 14-310, 14-312, 14-314, 14-316 and 14-318. D. On-site improvements and design: Sections 14-400, 14-403, 14-404 if any proposed lot would have less than five hundred(500) feet of frontage on a major rural street identified in subsection 14-207(E),14-406, 14-414, 14-416, 14-421, 14-426, 14-427, 14-433, 14-438 and 14-441. Sec. 14-300 Persons authorized to prepare plat. Each plat shall be prepared by a professional engineer or a land surveyor, to the limits of his license. Sec. 14-301 Form and style of plats. Each subdivision plat shall comply with the following: A. Standards. Except as otherwise provided in subsection(E), each plat shall meet the standards for plats set forth in 17 VAC 15-60-10 et seq.;provided that each final plat to be submitted for recordation in the office of the clerk of the Albemarle County circuit court shall meet the standards for plats set forth in 17 VAC 15-60-10 et seq. B. Scale.The plat shall be drawn to a scale of one(1) inch equals fifty(50)feet or to such scale as may be approved by the agent in a particular case. C. Size. The plat shall be prepared on one(1)or more sheets,provided that no sheet shall exceed twenty-four (24) inches by thirty-six (36) inches in size, and further provided that if the plat is prepared on more than one(1) sheet,match lines shall clearly indicate where the several sheets join. D. Approximate North. The top of each sheet shall be approximately north. Noe ‘41601 Page 11 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-207 Sec. 14-302 (A) Contents of preliminary plat. A preliminary plat shall contain the following information: A. A preliminary plat shall contain the following information,which must be included in order for a preliminary plat to be deemed complete under section 14-218: G.X. Name of subdivision. The title under which the subdivision is proposed to be recorded.The title shall not duplicate or be a homonym of an existing or reserved subdivision name within the county,the City of Charlottesville, or the Town of Scottsville,except if the subdivision is an extension of an existing subdivision. r 3. Existing or platted streets. The location,width and names of all existing or platted streets and all other rights-of-way. C/'4. Private easements. The location and dimensions of all existing and proposed private easements. Existing easements shall be labeled with the deed book and page number and the name of the owner of record. S. Public easements. The location and dimensions of all existing and proposed public easements outside of a street right-of-way. Existing easements shall be labeled with the deed book and page number and the name of the public owner of record. Proposed easements shall be labeled as"dedicated to public use." X. Alleys and shared driveways. The location and dimensions of all easements for alleys and shared driveways. ew 6'7. Existing and departing lot lines. If the property consists of more than one existing lot,then the identification of the existing lots and their outlines,which shall be indicated by dashed lines; and,the location of departing lot lines of abutting lots. V/ Building sites on proposed lots. The location,area and dimensions of a building site on each proposed lot complying with the requirements of section 18-4.2. The plat shall also contain the following note: "Parcel [letter or number] and the residue of Tax Map/Parcel [numbers] each contain a building site that complies with section 4.2.1 of the Albemarle County Zoning Ordinance." I-u�10. Right of further division of proposed lots. The number of lots, as assigned by the subdivider,into which each proposed lot may be further divided by right pursuant to section 18-10.3.1,if applicable. The plat shall also contain the following note: "Parcel [letter or number] is assigned [number] development rights and may/may not be further divided and when further divided these rights shall not comprise more than [number] acres. The residue of Tax Map/Parcel [numbers] is retaining [number]development rights and when further divided it shall not consist of more than[number] acres."Development rights need not be assigned to a special lot. fX Instrument creating property proposed for subdivision. The deed book and page number of the instrument whereby the property was created,as recorded in the office of the clerk of the circuit court of the county. nt Yd' 14. Land to be dedicated in fee or reserved. The location,acreage,and current owner of all land intended to be dedicated in fee or reserved for public use,or to be reserved in a deed for the common use of lot owners in the subdivision. vii. Identification of all owners and certain interest holders. The names and addresses of each owner of record and holders of any easements affecting the property. 16. Dam break inundation zones. The limits of a dam break inundation zone. `'fir► NINO Page12 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-207 Sec. 14-302 (B) Contents of preliminary plat. B. A preliminary plat shall also contain the following information,provided that the preliminary plat shall not be deemed incomplete for purposes of section 14-218 if it does not include this information in the initial plat submittal: [ii 1. General information. The date of drawing,including the date of the last revision,the number of sheets, the north point,and the scale. If true north is used, the method of determination shall be shown. Name of plat preparer. The name of the person who prepared the plat. X. Places of burial. The location of any grave, object or structure marking a place of burial located on the property. Zoning classification. The zoning classification of the property, including all applicable zoning overlay districts,proffers, special use permits and variances. f'6. Tax map and parcel number. The county tax map and parcel number of the property. h Reservoir watershed; agricultural-forestal district. A notation as to whether the land is within an Albemarle County and/or City of Charlottesville water supply watershed or an agricultural-forestal district. U6 Yards. The location of all yards required by this chapter and the zoning ordinance,which may be shown graphically or described in a note on the plat. SA Flood plain. The location of any part of the property within the flood hazard overlay district, as set forth in section 18-30.3. 10. Stream buffers.The location of stream buffers required by the water protection ordinance,with the following note: "The stream buffer(s)shown hereon shall be managed in accordance with the Albemarle County Water Protection Ordinance." Sec. 14-303 Contents of final plat. In addition to containing all of the information required by section 14 -302, except for the information required by section 14-302(A)(12),a final plat shall contain the following information: [► . Statement of consent to division. A statement that: "The platting or dedication of the following described land [insert a correct description of the land subdivided] is with the free consent and in accordance with the desire of the undersigned owners,proprietors and trustees, if any." Section name or number. The name or number of the section if the property is a part of a larger piece of land. �✓C. Boundary lines. The exterior boundary lines of the property with bearings in degrees,minutes and seconds. Curvilinear data shall include radius,central angle, arc length, and tangent distance.All dimensions shall conform to the standards set forth in this chapter. Niue Page13 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-207 [A. Acreage of lots. The total acreage of each existing lot and each proposed lot. [y1� Dimension standards and information on all lots,streets,alleys,easements, and shared driveways. All linear,angular, and curvilinear dimensions of lots, streets, alleys,public easements and private easements and shared driveways shall conform to the requirements set forth in 8 VAC 10-20-370(C),a copy of which shall be on file in the department of community development. Curvilinear data shall include radius,central angle, arc length,and tangent distances and may be shown either directly on the corresponding boundary or surveyed line or in table form. Easements shown for private streets, alleys and shared driveways shall be labeled as"private street easement", "alley easement"or"shared driveway easement."The easement holder(s)shall be identified on the plat. If shared driveways are shown, a note shall be added to the plat stating that maintenance shall be by the owners of the lots affected by the shared driveway easement,not by the Virginia Department of Transportation or the county. UHF. Identification of sections,blocks and lots. Sections(phases)shall be identified by numbers;blocks shall be identified by letters; lots shall be identified by numbers, assigned in numerical order. X. Monuments. The location and material of all permanent reference monuments. Monuments found or installed prior to plat recordation may be referred to if they are permanent and undisturbed. If any monument required by this chapter will be installed after recordation of the final plat,the certification of the professional engineer or land surveyor shall so note. Bearing and distance ties. A definite bearing and distance tie between not less than two(2)permanent monuments on the exterior boundary of the property and further tie to existing street intersection where possible and reasonably convenient. Y L. Public utility,drainage and sight distance easements. The location and dimensions of each public utility,drainage and sight distance easement outside of a street right-of-way; for each existing easement, include a note stating the deed book and page number. tiY ). Signature panels. Signature panels for each owner and for the agent or his designee. The signature panel for the owner shall be located immediately below the statement required by paragraph(A). fU/P. Notary panels.Notary panels for the notary to acknowledge the signature of the owner. Page 14 COUNTY OF ALBEMARLE SUBDIVISION PLAT CHECKLIST PER 14-207 Documents and or information to be submitted with Plat, as applicable Request to disturb critical slopes.[Sec. 14-304] Stormwater management information. [Sec. 14-305B] H Stream crossings. [Sec. 14-307] Dam break inundation zones. [Sec. 14-307.1] Groundwater assessment information. [Sec. 14-308.1] i Soils evaluations. [Sec. 14-309] I Health Director Approval. [Sec. 14-310] _7 Location of existing buildings. [Sec. 14-312] Identification of all interests of the County in property. [Sec. 14-314] Approval of entrance onto public streets. [Sec. 14-316] Dam break inundation zones; engineering study and mapping information. [Sec. 14-318] SEE CODE For Sections 14-400, 14-403, 14-406, 14-414, 14-416, 14-421, 14-426, 14-427, 14-433, 14-438 and 14-441. RECEIVED JAN '015 COMMUNITY DEVELOPMENT Read and Sign In representing the above referenced firm submitting this plat for preliminary approval,I hereby state that,to the bes of my knowled , the attached plat contains all information required by this checklist. ignat re of person compl ing checklist Date(13 (i a, . (?i-S- --:3 )(15-- Printed Name tACI Daytime phone number of Signatory