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CLE201500089 Application 2015-06-01
Application for Zoning Clearance -u'�" �� CLE# 20 P5 — ` t't�� 'i�>P . � �%1tGl:t�r'r . OFFICE USE ONLY PLEASE REVIEW ALL 3 SHEETS Check # /07 Date: S Receipt# awl 1,p d Staff: PARCEL INFORMATION 0: O Existing Zoning Tax Map and Parcel: I oo --00 •-oo -- a l gI 1r Parcel Owner: 4sF4 L� Parcel Address: J)qq gea5 4�0-,rt , City State UA- Zip 9 (include suite or floor)SI:, i PRIMARY CONTACT t e VY, Who should we call/write concerning this prooie''ct? III -)Address ,r �^ : � �( �c S 6�4Q �Gt , Ste. I City l TSV t I P State V tbv- zip ac7`33 Office Phone: 63 9W-0,w9Cell #Z(-S4—q1,0 Fax # E-mail Sryii�C Q yncj c i, SO � APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of—name New business Business Name/Type: oyVY1,f,t_-t ff __'' �-- V;QS cur r -d_ � i„ ©V1 S� �� Vj I 1 r, Previous . Previous Business on this site MiC,.y'i c�S l.�t�Jc� T� Nxoh DX v" i 1( �S tqc v -t SoVr-c STacc Inrr_� ac c4 fi` ev1 �( apo cep business including number of shifis, available spaces, number of Describe the proposed use, number of employees, parking vehicles, and any additional information that you can provide: Vo U -C , ave a X.1 . _% ►^eco c' �S i3 r��6rvrnlu ` ack11t-4'ej je4 `ru rnecueal i v ca Z yr+ f2l o -S I 0-n aLTOio trr o 3nc w ` 1 vi � -"u Q ,Va. `Vt ct 4W ._ o (o ---(1 , ee --i=e mo„,� *This Clearance will onit be valid on the p reel for which it is approved. If you change, i tensify 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 of my knowle ge. I have read the conditions of approval, and I/understand them, and that I will abide by them. Signature �`�?� 6 Printed APPROVAL INFORMATION >kApproved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, xl 17. [ ] 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 / [t ry 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 N ='6h) Intake to complete the following: s u in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /Irl 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 a lies Is parcel o private wel �epar If private weeaform. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Circle the pies Is parcel o septic r public sewer? Yn Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y /0Wi re be any new construction or renovations? If so, obtain the proper Permit. Permit # Zoninpr to com lete the followin : Reviewer to complete the following: Square footage of Use: ) Z I 0 C� /N /I TT ermitted as: ��b� Under Section: ;7—� Supplementary regulations section: Parking formula: , QC - Required spaces: r I, YIN Items to be verified in the field: Inspector Notes: Date: Violations: Y/ If so, ist: Proffers: Y/ If so"ist: Varia ce, Y / ) If so, List: SP's: If soost: Clearances: SDP's Revised 7/1/2011 Page 3 of 3 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner: I certify that notice of the application, [County application name and number] was provided to L-� the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number by delivering a copy of the application in the manner identified below: Hand delivering a copy of the application to 4-4--j IAC �o +�+-e-�- [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date Mailing a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date to the following address: [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. le T,, � - v -D Signature of Applicant C _ S,-, ,--i, Print Applicant Name I!s Date May 5, 2105 Community Development Department Division of Zoning and Current Development 401 McIntire Road Charlottesville, VA 22902 To the County Engineer: Axon Dx, LLC is a start-up reagent and technology development company. The focus is the production of new reagents and technologies for advancing the medical industry. Axon Dx currently has six employees. I have addressed the performance standards of Zoning Ordinance Section 18-4.14: Noise: The operation will not create sound or impact noise levels in excess of the values specified in Section 4.14.1. The parcel is zoned Industrial (L-1) and is surrounded on 2 sides by parking lots, on 1 side by another business and on the remaining side by Reas Ford Rd. The major source of noise is a backup diesel generator (uses off-road diesel) at the rear of the building. The generator runs a weekly self -test and will only run continuously in the event of a power failure. The equipment inside the laboratory includes centrifuges, incubators, spectrophotometer, microscopes, Class II Biosafety cabinet, fume hood, water baths, refrigerators and freezers, electrophoresis equipment and power supplies, balance, stir plates and autoclave, none of which have an unacceptable noise level. Vibration: Equipment operated by the laboratory does not produce any detectable earthborn vibration. Glare: The operation of Axon Dx is completely contained within the building. The interior lighting associated with this operation does not produce glare that is visible beyond the lot line. Air Pollution: There will be no emission of smoke, odor or gaseous pollutants with the exception of those emitted by the diesel generator. The emissions will not exceed those levels acceptable for diesel vehicles. Water Pollution: Our operation does not represent a hazard to water quality. No industrial liquid wastes will be generated by Axon Dx. All regulated medical waste (RMW) will be transported off-site for disposal by Sci-Med Waste Systems, Inc. (1906 Progress Drive Roanoke, VA 24013), in accordance with DEQ regulations. A small amount of hazardous chemicals will be used at Axon Dx, but the amount falls well below that which would require a DEQ permit. The hazardous waste will be transported off-site for disposal by Environmental Options, Inc., PO Box 879 Rocky Mount, VA 24151 (540) 483-3920 Radioactivity: Axon Dx does not require handling of radioactive materials. Therefore, there will be no radioactive emissions or danger to health and safety of any person on or beyond the premises. Electrical Interference: Axon Dx does not require any equipment that would generate electrical disturbances that would adversely affect the operation of equipment on any other lot or premises. Please feel free to call me with any further questions you may have. SSiincer l A, Mtlrpk� 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: