HomeMy WebLinkAboutSUB201500108 Application 2015-06-18 •
Community Development Department
Att Albemarle County 401 McIntire Road Ch arl ottesville,VA 22902-4596
Voice 4)296-5832 Fax:(434)972-4126
1.1t *1 Planning Application Nor 40.00
PARCEL/ OWNER INFORMATION
TMPI 07200-00-00-03700 I Own e r(s) GIECK,JOE H,TRUSTEE OF THE JOE H GIECK TRUST
Application# SUB201500108
PROPERTY INFORMATION
Legal Description ACREAGE
A
Magisterial Dist,I.,_.Samuel Miller Land Use Primary Residential Single-family(incl. modular horned
... _
Current AFD [ Not in A/F District El Current Zoning Primary Rural Areas
APPLICATION INFORMATION
Street Address Entered By
Emily Lantz
Application Type subdivision Plat [0711/2t11-5— 13
Project koe H. Gieck- Final
Received Date 06/17/15 Received Date Final Submittal Date 06/22/15 Total Fees 870
Closing File Date Submittal Date Final Total Paid 870
Revision Number
Comments I.
Legal Ad
SUB APPLICATION(s)
Type I Sub Applicatioj Comment
Final Plat 06/22/15
APPLICANT /CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhorieCell
OtaretriAppticant MEM,JOE H,TRUSTEE OF THE JOE H 2124 WENTWORTH FARM CHARLOTTESVILL 22902
primary Czmtact GWEN LACY/ROGER RAY
1717-1B ALLIED ST
CHARLOTTESV1LL 22903 4342933195
Signature of Contractoror Authorized Agent Date
r�•
„poi
Page1 COUNTY OF ALBEMARLE
APPLICATION FOR A SUBDIVISION PLAT
Project Name: Joe H. Gieck #14232B
Tax map and parcel: 72-37 Zoning: RA
Physical Street Address(if assigned) Wyant Lane
Location of property(landmarks,intersections,or other):
end of St. Rt. 791, near Midway
Contact Person(Who should we call/write concerning this project?): Gwen Lacy/Roger W. Ray&Assoc.Inc
Address 1717-1 b Allied Street City Charlottesville State VA Zip 22903
Daytime Phone(434 ) 293-3195 E-mail GwenLacy @earthlink.net and rwrinc @earthlink.net
Owner of Record Joe H. Gieck
Address 2124 Wentworth Farm Road City Charlottesville State VA Zip 22902
Daytime Phone( ) E-mail
Applicant(Who is the Contact person representing?): Owner
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
No
Physical street address(if assigned):
Wyant Lane
Location of property(landmarks,intersections,or other):
end of St. Rt. 791, near Midway
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
'III/°" `W"
Page2 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
provisions 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.
Mai A.A 6, /Co- /0 /
Signature of Owner,Contra'1'urchaser,Agent Date
&L.31,) /-1,1e/
Print Name Daytime phone number of Signatory
RECEIVED
JUN 1 7 2015
COMMUNITY
DEVELOPMENT
FOR OFFICE USE ONLY LB# (�{{��Fee/Amount$ �j (� ^ Date Paid (0/17/i//5--
By who?T l �U r LI ��' t( Receipt# U V 14 Cldf ��`"1�-1 By: ed.'
Page 3 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 9 lots =$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
❑ 1 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
❑ Relief from plat conditions imposed by the commission prior to the date of adoption of this chapter =$390
Prior file Name/Number SUB-
U Variation to or exception from any requirement of this chapter for which a variation to or exception from is authorized after approval of a
preliminary plat and before approval of a final plat =$830.00.Attach written justification
❑ Variation to or exception from any requirement of this chapter for which a variation to or exception from is authorized after approval of a
final plat =$830.00.Attach written justification
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
401100 Nese
Page4 COUNTY OF ALBEMARLE
SUBDIVISION PLAT CHECKLIST PER 14-206
Sec. 4-206 Subdivisions other than rural subdivisions, two lot subdivisions, subdivisions
follo ing 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:
1
A. 'General: Sections 14-100 through 14-108.
B. lAdministration 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. 10n-site improvements and design: Sections 14-400 through 14-441.
1
Sep. 14-300 Persons authorized to prepare plat.
3
Eaph plat shall be prepared by a professional engineer or a land surveyor,to the limits of his license.
1
SO. 14-301 Form and style of plats.
i
Each subdivision plat shall comply with the following:
i
A.1 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.
I
f
B I Scale. The plat shall be drawn to a scale of one(1) inch equals fifty(50)feet or to such scale as may be
Iapproved 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.
Se . 14-302 (A) Contents of preliminary plat.
A I reliminary plat shall contain the following information:
A. • preliminary plat shall contain the following information, which must be included in
ord;r for a preliminary plat to be deemed complete under section 14-218:
f i 1 Name of subdivision. The title under which the subdivision is proposed to be recorded. The title shall not
dupl ate or be a homonym of an existing or reserved subdivision name within the county, the City of
Char ottesville, or the Town of Scottsville,except if the subdivision is an extension of an existing subdivision.
Pages COUNTY OF ALBEMARLE
SUBDIVISION PLAT CHECKLIST PER 14-206
:l 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.
❑ 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.
❑ 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."
• 6. Alleys and shared driveways. The location and dimensions of all easements for alleys and shared
driveways.
❑ 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.
❑ 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.
❑ 11. Instrument creating property proposed for subdivision. The deed book and page number of the
.nstrument whereby the property was created,as recorded in the office of the clerk of the circuit court of the
ounty.
12. Topography. Existing topography at the time of plat submittal at up to twenty [20] percent slope,with a
ontour interval that is not greater than the interval on aerial topography available from the county . The source
s f 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
opography,supplemented where necessary by spot elevations; areas of the site where existing slopes are steep
lopes. Existing topography for the entire site with sufficient offsite topography to describe prominent and
ertinent offsite features and physical characteristics, but in no case less than fifty(50)feet outside of the site
less otherwise approved by the agent. For property in the rural areas zoning district,the proposed grading
s i all show all grading on each proposed lot, including access,clearing and all other lot improvements.
Nosy Nal
Page6 COUNTY OF ALBEMARLE
SUBDIVISION PLAT CHECKLIST PER 14-206
I 13. Proposed facilities. The location of proposed water and sewer lines and related improvements; proposed
.i ainage and stormwater management facilities and related improvements.
fl 14. Land to be dedicated in fee or reserved. The location,acreage,and current owner of all land
irnded to be dedicated in fee or reserved for public use,or to be reserved in a deed for the common use of lot
o ers in the subdivision.
1
15. Identification of all owners and certain interest holders. The names and addresses of each owner
o record and holders of any easements affecting the property.
H 16. Dam break inundation zones. The limits of a dam break inundation zone.
S c. 14-302 (B) Contents of preliminary plat.
A preliminary plat shall also contain the following information, provided that the preliminary plat
s all not be deemed incomplete for purposes of section 14-218 if it does not include this information in the
i itial plat submittal:
"! 1. General information. The date of drawing, including the date of the last revision,the number of sheets,
he north point,and the scale. If true north is used,the method of determination shall be shown.
2. Name of plat preparer. The name of the person who prepared the plat.
■ 3. Public areas, facilities or uses. The location of all areas shown in the comprehensive plan as
.roposed sites for public areas,facilities or uses,as described in Virginia Code § 15.2-2232,which are located
holly or in part within the property.
4. Places of burial. The location of any grave, object or structure marking a place of burial located on the
I roperty.
15. Zoning classification. The zoning classification of the property, including all applicable zoning overlay
d'stricts,proffers, special use permits and variances.
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
lbemarle 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
g aphically or described in a note on the plat.
❑ 9. Flood plain. The location of any part of the property within the flood hazard overlay district,as set forth
i section 18-30.3.
L 10. Stream buffers.The location of stream buffers required by the water protection ordinance,with the
f• lowing note: "The stream buffer(s)shown hereon shall be managed in accordance with the Albemarle County
ater Protection Ordinance."
Nose Nail
Pagel COUNTY OF ALBEMARLE
SUBDIVISION PLAT CHECKLIST PER 14-206
ec. 14-303 Contents of final plat.
n addition to containing all of the information required by section 14 -302,except for the information required
y section 14-302(A)(12),a final plat shall contain the following information:
A. Statement of consent to division. A statement that: "The platting or dedication of the following
escribed land [insert a correct description of the land subdivided] is with the free consent and in accordance
lvith the desire of the undersigned owners,proprietors and trustees, if any."
I B. 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.
❑ D. Acreage of lots. The total acreage of each existing lot and each proposed lot.
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.
❑ 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.
[1 G. Ownership of common areas. The intended ownership of all common areas.
Li 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.
I. Bearing and distance ties. A definite bearing and distance tie between not less than two(2) permanent
onuments on the exterior boundary of the property and further tie to existing street intersection where possible
.nd reasonably convenient.
J. Restrictions. Restrictions imposed in conjunction with the approval of the preliminary plat and their
p;riod 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
p1.t.
NW Norge
Page8 COUNTY OF ALBEMARLE
SUBDIVISION PLAT CHECKLIST PER 14-206
P
L K. Temporary turnarounds. The location of temporary turnarounds, if needed,with the following
ac ompanying note: "The area on this plat designated as a temporary turnaround will be constructed and used as
oth r 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."
s
Li t. 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.
i
[1 111. Street names. The name of each proposed street,which names shall be subject to approval by the agent.
E . Statement pertaining to private streets. If the subdivision will contain one or more private streets,
the ollowing statement: "The streets in this subdivision may not meet the standards for acceptance into the
seco dary system of state highways and will not be maintained by the Virginia Department of Transportation or
the ounty of Albemarle."
E
1 Signature panels. Signature panels for each owner and for the agent or his designee. The signature panel
for tie owner shall be located immediately below the statement required by paragraph(A).
P lj. Notary panels.Notary panels for the notary to acknowledge the signature of the owner.
❑ . Water supply. A statement as to whether the subdivision will be served by a public water supply and a
pub is sewer system. If the property is not within the service authority jurisdictional area,the following
stat ment: "Under current county policy,public water and/or sewer service will not be available to this
pro erty."
Li . Parent parcel access. If the subdivision is in the rural areas,the following statement, unless a waiver is
gra ted as provided in section 14-404: "All subsequent divisions of the residue shall enter only onto such
str et(s) shown on the approved final plat and shall have no immediate access onto to any public street."
Li . Control points.At least four(4)control points,evenly distributed across the property and located at
su ey property corners,and shown on each sheet depicting the property. At the option of the subdivider,the
co trol points may be shown on a copy of the final plat,rather than on the original final plat.
❑ . 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
sp ial lot in section 14-106)."
New Nore-
Page9 COUNTY OF ALBEMARLE
SUBDIVISION PLAT CHECKLIST PER 14-206
Documents and or information to be submitted with Plat, as applicable
I Request to disturb critical or steep slopes.[Sec. 14-304]
Stormwater management information. [Sec. 14-305]
❑ Private streets information. [Sec. 14-306]
❑ Stream crossings. [Sec. 14-307]
❑ Dam break inundation zones. [Sec. 14-307.1]
❑ Flood plain and topographic information. [Sec. 14-308]
❑ Groundwater assessment information. [Sec. 14-308.1]
❑ Soils evaluations if any lot is less than 5 acres [Sec. 14-309]
L] Health Director Approval. [Sec. 14-310]
❑ Infrastructure improvement plans,computations and documents. [Sec. 14-311]
❑ Location of existing buildings. [Sec. 14-312]
Li Identification of all interests of the County in property. [Sec. 14-314]
Li Approval of entrance onto public streets. [Sec. 14-316]
❑ Instrument evidencing maintenance of certain improvements. [Sec. 14-317]
L I Dam break inundation zones; engineering study and mapping information. Sec. 14-318]
SEE CODE For Sections 14-400 through 14-441.
I
\ 6(V
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
441411111 '14.01
Page10 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.
Nome N•ire
Page11 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 de- ed complete under section 14-218:
• . ame of subdivision. The title under which the subdivision is proposed to be recorded. The title shall not
plicate 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.
✓ .. Existing or platted streets. The locati width and es of all existing or platted stree a 1 other
rights-of-way.
C 4. ' vate easements. The location and dimensions of all existing and proposed private easements.
sting easements shall be labeled with the deed book and page number and the name of the owner of record.
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.
✓ 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 , butting lots.
✓ 9. : .' ding sites on proposed lots. The location,area and dimensions of a building site on each proposed
lot •bmplying with the requirements of section 18-4.2. The plat shall also contain the following note: "Parcel
etter 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. Rigi further division of proposed lots. The number of lots,as assigned by the subdivider, into
which •: proposed lot may be further divided by right pursuant to section 18-10.3.1, if applicable. The plat
s•. 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.
✓ 11. I _ ument creating property proposed for subdivision. The deed book and page number of the
ins • ent whereby the property was created,as recorded in the office of the clerk of the circuit court of the
county.
O 14. Land to be dedicate s ' fee or reserved. The location,acreage, and current owner of all land intended
to be dedicated in fee o --served for public use,or to be reserved in a deed for the common use of lot owners in
the subdivision.
C 15. Ide • 'cation of all owners and certain interest holders. The names and addresses of each owner of
record a . holders of any easements affecting the property.
F 6. Dam break inundation zones. The limits of a dam break inundation zone.
IOW **MOO
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:
O 1. General information. Th- .ate of drawing, including the date of the last revision,the number of sheets,
the north point,and the scale true north is used,the method of determination shall be shown.
E? 2. Name of pla •reparer. The name of the person who prepared the plat.
[.. 4. Place I f burial. The location of any grave,object or structure marking a place of burial located on the
property
• . Zoning classification. The zoning classification oft - : sperty, including all applicable zoning overlay
istricts,proffers, special use permits and variances.
• 6. Tax map and parcel number. Th- .unty tax map and parcel number of the property.
V 7. Reservoir watershed; agr' I tural-forestal district. A notation as to whether the land is within an
Albemarle County and/or Ci If Charlottesville water supply watershed or an agricultural-forestal district.
C.] 8. Yards. The loc. on of all yards required by this chapter and the zoning ordinance,which may be shown
graphically or described in a note on the plat.
Vi 9. Flood • in. The location of any part of the property within the flood hazard overlay district,as set forth
in section :-30.3.
✓ 10 Stream buffers. The location of stream buffers required by the water protection ordinance,with the
fol .wing note: "The stream buffer(s)shown hereon shall be managed in accordance with the Albemarle County
ater Protection Ordinance."
Sec. 14-303 Contents of final plat.
In addition to containing all of the information requir-: •y section 14 -302,except for the information required
by section 14-302(A)(12),a final plat shall cont.'• e following information:
✓ A. Statement of consent to divis.' . A statement that: "The platting or dedication of the following
described land [insert a correct de • iption of the land subdivided] is with the free consent and in accordance
with the desire of the undersi p•-d owners,proprietors and trustees, if any."
✓ B. Section name number. The name or number of the section if the property is a part of a larger piece
of land.
O C. Bou •ary lines. The exterior boundary lines of the property with bearings in degrees, minutes and
seconds. 'urvilinear data shall include radius,central angle,arc length, and tangent distance. All dimensions
shall .nform to the standards set forth in this chapter.
Page13 COUNTY OF ALBEMARLE
SUBDIVISION PLAT CHECKLIST PER 14-207
• P. Acreage of lots. The total acreage of each existing lot and each proposed lot.
i E. Dimension standards and information on all lots, streets,alleys,easements, and shared driveways.
All linear,angular,and curvilinear dimensions of lo reefs,alleys,public easements and private easements
and shared driveways shall conform to the re•.•rements set forth in 8 VAC 10-20-370(C),a copy of which
shall be on file in the department of co •nity development. Curvilinear data shall include radius,central
angle,arc length, and tangent dist. •-s and may be shown either directly on the corresponding boundary or
surveyed line or in table form. asements 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. I ared driveways are shown,a note shall be added to the plat stating that maintenance
shall be by the own-• of the lots affected by the shared driveway easement,not by the Virginia Department of
Transportation o e county.
• F. Ide fication of sections, blocks and lots. Sections(phases)shall be identified by numbers; blocks shall
be iden •'ied by letters; lots shall be identified by numbers, assigned in numerical order.
• . Monuments. The location and material o all permanent reference monuments. Monuments found or
installed prior to plat recordation may be - red to if they are permanent and undisturbed. If any monument
required by this chapter will be ins - -• after recordation of the final plat,the certification of the professional
engineer or land surveyor sha o note.
e I. Bearing and tance ties. A definite bearing and distance tie between not less than two(2)permanent
monuments on -- exterior boundary of the property and further tie to existing street intersection where possible
and reasona• convenient.
• L 'ublic utility, drainage and sight distance easements. The location and dimensions of each public
ut• ty,drainage and sight distance easement outside of a street right-of-way; for each existing easement, include
. note stating the deed book and •:•e number.
® 0. Signature pa s. Signature panels for each owner and for the agent or his designee. The signature panel
for the owner s - be located immediately below the statement required by paragraph(A).
Wl P. i ary panels.Notary panels for the notary to acknowledge the signature of the owner.
IOW Nee
A
Page 14 COUNTY OF ALBEMARLE
SUBDIVISION PLAT CHECKLIST PER 14-207
Documents and or information to ke submitted with Plat, as applicable
u Request to disturb critical slopes.[Sec. 14-304] Aon
❑ Stormwater management information. [Sec. 14-305B]
-1 Stream crossings. [Sec. 14-307] !
Dam break inundation zones. [Sec. 14-307.1] 9
Fi Groundwater assessment information.J.Sec. 14-308.1]
Soils evaluations.[Sec. 14-309]
El ,Health" itietor Approttal.[Sec.14 4101
• Location of existing buildings. [Sec. 14-312] ✓ /
Identification of all interests of the County in property. [Sec. 14-314]
El Approval of entranee onto'pttbllc''streets.'( eir:1
_7 Dam break inundation zones;engineering study and mapping in ormation. [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.
Read and Sign
In representing the above referenced firm submitting this plat for preliminary approval,I hereby state that,to
the best of my knowle%.e,the attached plat contains all information required by this c h`heeckklist.
Signatu of person compl ing checklist Date
'1-‘)6^) VLSY 93-
Printed Name Daytime phone number of Signatory