HomeMy WebLinkAboutSDP201500062 Application 2015-12-21 .rrt,
4,-„NA Albemarle 'ounty 401 Community Development Departrr
McIntire Road Charlottesville.VA 22902-4;
'Noe Voice:(434)296-5832 Fax:(434; 972-4
tz,r1:7479 Planning Application
PARCEL I OWNER INFORMATION
TMP 07800-00-00-020M0 Owner(s): MARTHA JEFFERSON HOSPITAL
Application # SDP201500062
PROPERTY INFORMATION
Legal Description 1 ACREAGE 11 MARTHA JEFFERSON HOSPITAL
Magisterial Dist. Rivanna Land Use Primary Commercial
Current AFD , Not in A/F District ■ Current Zoning Primary Planned Development Mixed Commercial
[APPLICATION INFORMATION
Street Address 500 MARTHA JEFFERSON DR CHARLOTTESVILLE, 22911 Enterer
Judy Martin
Application Type Site Development Plans
112121/2015
_ .
Project Martha Jefferson Hospital - Minor
Received Date Received Date Final Submittal Date Total Fees 5
Closing File Date Submittal Date Final Total Paid 5
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type _ Sub Application Comment
Major Amendment 12/21/15
APPLICANT/ CONTACT INFORMATION
ContactType I Name I Address I CityState Zip Phone I PhoneCe
Owner/Applicant MARTHA JEFFERSON HOSPITAL PO BOX 2606 CHARLO i iESVILL 22902
Primary Contact DANIEL MEICHAEL, P.E.IVALLEY ENGINEE .3231 PEOPLES DEIVE HARRISONBURG, 22601 5404346365
Applicant MICHAEL SPATZ/MARTHA JEFFERSON HOS 500 MARTH JEFFERSON DRIVE CHARLOTTESVILL '22911 4346547036
Signature of Contractor or Authorized Agent Date
Application for
Major or Minor Site Plan Amendments
Existing Site Plan Name&Number: 1\49414A , �,�C7(� 410 WO— 'jvp—2-009 — 00 D q 0
Tax map and parcel(s): 7g-21? M Zoning: ?D — MC e-MAt(Cg CL .
Contact (who should we contact about this project): PP14 Ill- M c4,4ASL.
Street Address VALLEY G l 19 (i q 1 tic 3z�� ( � -t
City 15 D V-9 State VA Zip Code ZZ-e)D
Phone Number 540 • A34 66695 >c IOCC?
Email (4 111/1 t c-k 04-e--I 6 vat ( e--y
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Owner of Record M P T4�
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Street Address 4 t LocA),T Pcl)G.
City C (..Otre6V State VA Zip Code ZZ S OZ.
Phone Number 454 - (p54 ' -703e
Email ?1()• PAT'a.@ 6 n,rAiz.A • c AA
Applicant 1 G • _ • . -,- AA • • • _ Fin
Street Address •O0 N\A T 4A � 6 Olal Ov-1■/e...,
City C.t-kuari&3\)(.LL State \I" Zip Code ZZ-:k(
Phone Number A .4 • ((554 M930
Email Mti5FAT� to e"I t -A C-�M
FEES
❑ Major Amendment Minor Amendment(alterations to parking,circulation,building
=$1613 size,location)=$538
16 folded copies of plan are required 8 folded copies of plan are required
Notices required by Section 32.4.2.1 (f)
Preparing and mailing or delivering up to fifty(50)notices=$215.00 plus the actual cost of first class postage.
Preparing and mailing or delivering,per notice more than fifty(50)=$1.08 plus the actual cost of first class postage.
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced by public water)
Was a Groundwater Assessment conducted for the existing site plan?
❑ YES
NO
If NO and the new plans show a use using less than 2,000 gallons/day(average) ier 3 Groundwater Review=$548
If NO and the new plans show a use using greater than 2,000 gallons/day(average) ❑ Tier 4 Groundwater Review=$1,183
If YES and the use goes from using less than to more than 2,000 gallons/day(average) ❑ Tier 4 minus Tier 3=$635
If YES and the use does not change from using less than to more than 2,000 gallons/day(average)
❑ No fee
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
REVISED 11/02/2015 Page 1 of 2
Comments/Attachments: `ew •r,,,.,
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Owner/Applicant Must Read and Sign
❑ Major Amendment
This major amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance. I understand that plans which lack information required by said sections shall be
deemed incomplete and shall be denied by the agent within ten(10)days of submittal as provided in Section 32.4.2.1 or Section 32.4.3.1
as the case may be.
Minor Amendment
Thi minor amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance.
I hereby certify that the information provided on this application and accompanying information is accurate,true,and correct to the best
of my knowledge. By signing this application I am consenting to written comments,letters and or notifications regarding this application
being provided to me or my designated contact via fax and or email. This consent does not preclude such written communication from
also being sent via first class mail.
/�/ L � 12. r? • I 5 ignature o Owner,Contract Purchase Agent Date
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symi t M tc-i- -t_ Pe.- 54o• qp8 - 633- Cc-
Print Name / Daytime phone number of Signatory
FOR OFFICE USE ONLY SDP#
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Fee Amount S r Date Paidi `'� By who? ' �b�t Receipt#1�, 7 Ck# ''�7f,'yr� By: (11A
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REVISED 11/02/20'
Fiil Site Development Ply,,,,, 3� 'y-
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Checklist <<-.,k,
P r o j e c t Name: O g i-r 1. ,....‘e,-F f e i v A n) t\--o 5?lrft L- - N`t pptz- tt'OF.i vu,ep r
To `vPr- 24519°1 -ado qo
Firm: J pt Us,/ O N.tt i p zu-N 1 1,L.,C
This checklist must be completed,signed and submitted with the application. The information contained in this
checklist reflects the contents of the Section 32 of Chapter 18 of the Code of the County of Albemarle also known as
the Site Plan Ordinance as of January 1, 2013. The applicant is responsible for insuring that no revisions to the
Ordinance have occurred since preparation of this document.
This final site plan has:
an initial site plan that was approved for the development and it remains valid; SDP-2O - c0 0 'o
Ai
satisfied all of the requirements of section 32.6 below;and
1g satisfied all of the conditions delineated in the letter provided under section 32.4.2.5(c)required to be satisfied prior to
submitting the final site plan.
96 Authorized preparer.
❑ The plan,and any amendments to a plan,is prepared and sealed,signed and dated by one of the following
❑ An architect licensed to practice in the Commonwealth of Virginia.
,IEr A professional engineer licensed to practice in the Commonwealth of Virginia.
❑ A land surveyor licensed to practice in the Commonwealth of Virginia.
❑ A certified landscape architect licensed to practice in the Commonwealth of Virginia.
Number of copies when first submitted.
4. Provide the number of copies as directed in the Initial Site Plan approval letter — 0 Cop,
One(1)reduced copy of the plan no larger than eleven(11)by seventeen(17)inches in size.
pScale and size.
The plan is prepared to the scale of one(1)inch equals twenty(20)feet or larger,or to another scale approved by
the agent in a particular case.
❑ (�/p Other scale approved -one(1)inch equals ( )feet,by
Jt7 No sheet exceeds forty-two(42) inches by thirty-six(36)inches in size.
psi The plan IS prepared on one(1)sheet. OR
❑ The plan IS prepared on more than one(1)sheet and match lines clearly indicate where the several sheets join. ,..VA
IV The to of each sheet is approximately
North or
❑ East
cii Dimensions.
The plan is dimensioned to at least the following standards for accuracy:
1 Boundary,setback and zoning lines:Within one one-hundredth(0.01)of a foot.
pExisting contours: Within one-half(1/2)of the contour interval required in section 32.6.2(c).
/4 Proposed contours: Within one(1)foot horizontally and vertically.
yi Spot elevations: Within one-tenth(0.10)of a foot.
0 Existing critical structures including utilities and other topographic features:Within two(2) feet,
provided that for critical structures,which include,but are not limited to,gas lines,other utilities,pipes,
conduits,walls and buildings to be preserved, within one-tenth(0.10)of a foot.
Proposed structures,roads,parking lots and other improvements: Within one one-hundredth(0.01)of a
foot.
REVISED 06/10/2015 Page 1 of 4
Albemarle County-Final Site Plan Checklist
Site Plan Ordinance Section 31r6- Contents of final site plan w✓
In addition to containing all of the information required to be on an initial site plan, as provided in section 32.5, a final
site plan shall contain the following:
'i Demonstrate compliance with chapter. Specific written schedules or notes as necessary to demonstrate that the
requirements of this chapter are satisfied.
Proposed grading.
XProposed grading(up to twenty [20] percent slope,maximum two [2] foot contours; over twenty [20]
percent slope, maximum five [5] foot contours).
Pi Water and sewer facilities.
❑ Detailed plans for proposed water and sewer facilities, including all pipe sizes,types and grades; P/".
❑ proposed connections to existing or proposed central water supplies and central sewage systems; lu/A
❑ location and dimensions of proposed easements and whether they are to be publicly or privately
maintained; (■)f A
❑ profiles and cross sections of all water and sewer lines including clearance where lines cross; Ni
l all water main locations and sizes; valves and fire hydrant locationst/&) tyrt,e
all sewer appurtenances by type and numbetuy..t ynit.1
56 the station on the plan to conform to the station shown on the profile and indicate the top and invert
elevation of each structure.
24 Drainage and grading plans.
Detailed construction drainage and grading plans:
AProfiles of all ditches and channels whether proposed or existing, showing existing and
proposed grades, and invert of ditches, cross pipes or utilities; typical channel cross
sections for new construction; and actual cross sections for existing channels intended
to remain;
Profiles of all storm sewer systems showing existing and proposed grades;
Al Plan view of all drainage systems with all structures,pipes and channels numbered or
lettered on the plan and profile views. Show sufficient dimensions and bench marks to
r allow field stake out of all proposed work from the boundary lines;
via A drainage summary table for culverts, storm sewer and channels as described in the
following example:
Structure Description Length Invert Invert Slope Remarks
Number In Out
1 42"RCP 50' 24.50 424.00 100.00% Provide
Class III 2, EW
2 DI- 3B L=8 26.00 432.00 - IS-1
Top
3 PG-2A 400' 420.00 400.00 5.00% D=12"
4 Grade 200' 420.00 415.00 2.50% D=18"
Swale
XA legend showing all symbols and abbreviations used on the plan;
General notes,typical sections, and details of all items not covered by Virginia
Department of Transportation standard drawings; and
Flood plain limits for the one hundred(100)year storm for all watercourses with an
upstream drainage area of fifty(50)acres or more provided that the county engineer
may waive this requirement for drainage areas of less than one hundred(100) acres
upon determining that the information is unnecessary for review of the proposed
development.
REVISED 06/10/2015 Page 2 of 4
Albemarle County-Final Site Plan Checklist
NI1 NOW
❑ Street sections.
Typical street sections together with specific street sections where street cut or fill is five (5) feet or
greater;
❑ centerline curve data; N/A
Ld radius of curb returns or edge of pavement;
❑ location,type and size of proposed ingress to and egress from the site together with culvert size;f4A
❑ symmetrical transition of pavement at intersection with existing street; N/A
❑ the edge of street surface or face of curb for full length of proposed street;�A
0 when proposed streets intersect with or adjoin existing streets or travelways,both edges of existing
pavement or travelway together with curb and gutter indicated for a minimum of one hundred(100)
feet or the length of connection,whichever is the greater distance.
❑ Public facilities and utilities.
❑ All public facilities,utility and drainage easements outside the right-of-way of public streets,provided
that new easements may be generally shown and accurately dedicated by separate plat.(0//k
❑ All water and sewer facilities to be dedicated to public use and the easements for those facilities and
shall be identified by a statement that the facilities are to be dedicated to the Albemarle County Service
Authority. /404.l
Signs ure panel.
Signature panel for signature by each member of the site review committee.
❑ Parking and loading areas. NlA
❑ For all parking and loading areas, indicate the
❑ size,
❑ angle of stalls,
❑ width of aisles and specific number of spaces required and provided, and
❑ method of computation. Indicate type of surfacing for all paved or gravel areas.
❑ Landscape plan.
❑ A landscape plan that complies with section 32.7.9 rI/A
❑ Outdoor lighting.
❑ Outdoor lighting information including PJA
❑ a photometric plan with
❑ location, description, and photograph or diagram of each type of outdoor luminaire.
❑ Recreational facilities. (\f/p1/4
❑ Specifications for recreational facilities.
In addition to the items required by the ordinance, Albemarle County Engineer, the Virginia
Department of Transportation, the Albemarle County Service Authority, and the Thomas Jefferson
Health District require these items on plans submitted for final site plan approval. Plans will not be
rejected if these items are not present,but they are required for approval. These items are provided in
an effort to communicate all final site plan comments.
1. Reference the benchmarks used for surveys. (Albemarle County Engineering Policy)
04 2. Indicate the available sight distance for entrances and left turn lanes. (Albemarle County Engineering Policy)
❑ 3. Label the maximum height of all retaining walls. (Albemarle County Engineering Policy) N/A
❑ 4. Provide copies of off-site easements,or letters of intent to grant them from off-site property owners.
(Albemarle County Engineering Policy) N/
REVISED 06/10/2015 Page 3 of 4
Albemarle County-Final Site Plan Checklist
❑ 5. Show and label stream buffer limits. (Water Protection Ordinance,WPO) ,.)//r
iii1/4 6. Indicate the deed book and page reference for all existing utility easements located on the property.
(Albemarle County Service Authority)
D ��
it
7. Tier 3 -Draft or Final Groundwater Management Plan(WPO Section 17-403) NA.
❑ 8. Tier 4—Aquifer testing work plan(WPO Section 17-403),
Read and Sign
In representing the above referenced firm submitting this plan for final approval,I hereby sate that,to the best of my knowledge,the attached plan
contains all information required by this checklist.
12-0 - (5
gnature of Owner,Contract Purc aser .tent Date
tD. 43, . G2 ,25 XIO(O C,C')
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Print Name Daytime phone number of Signatory
REVISED 06/10/2015 Page 4 of 4