HomeMy WebLinkAboutSDP200900059 Application 2009-07-28Community Development DepartmentCountycllbernarle
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Aclntire Road Charlottesville, VA 22902-4596
Voice - (434) 296-5832 Fax (434) 972-4126
Planning Application 1
PARCEL / OWNER INFORMATION
TMP 061W0-02-09-001A0 Owner(s): JMC ENTERPRISE LLC
Application # SDP200900059
PROPERTY INFORMATION
Legal Description ACREAGE PARCEL El 1
i
Magisterial Dist. :Rio Land Use Primary Office
1
Current AFD Not in A/F District Current Zoning Primary Commercial
APPLICATION INFORMATION
House #Street Name Apt / Suite City State Zip
Street Address 1 I I L
Entered By: Todd Shifflett on 07/28/2009
Application Type Site Development Plans
i
Project: [Collins Medical Center-Final 6,758.00
Received Date 07/27/2009 Received Date Final Total Fees $ 410.00 1
Submittal Date 07/27/2009 Submittal Date Final Total Paid 410.00
Closing File Date i Revision Number
1 —
1
Comments:
Legal Ad
SUB APPLICATION(s)
Type Sub Application Date Comments:
Final - Non-residential - Administrative ---
1
07/27/2009I 1
APPLICANT / CONTACT INFORMATION
Primary Contact
Name RAY BURKHOLDER (BALZWER & ASSOC.)Phone # (540) 248-3220
r
1
Street Address 1561 COMMERCE ROAD Fax # 540) 248-3221I
City / State VERONA, VA I Zip Code 24482-0000
E-mail Rburkholder@balzer.com Cellular # ( )
Owner/Applicant
Name JMC ENTERPRISE LLC Phone # ( )
Street Address 1571 DUKE RD Fax #
rCity / State WAYNESBORO VA Zip Code 22980-
E-mail Cellular # ( )
Applicant
Name JMC ENTERPRISE, LLC (ROBERT JONAS COLLINS)Phone # (540) 949-5333 L
Street Address 1571 DUKE ROAD Fax # 1 ( 5 4 0 ) 649-0955
City / State WAYNESBORO, VA I Zip Code 22980-0000
E-mail Cellular # ( )
Signature of Contractor or Authorized Agent Date
t sib,,
Application for e
Site Development Plans and Site Plan Waiver
SITE DEVELOPMENT PLANS SITE PLf \N WAIVER
s2i Preliminary Site Desebrprnent Plan (Subject to Planning Commission Review)Site Plan Waiver
Ordinance Section Number) - S270
Residential = 51,190 plus 513 /dwelling unit 8Jaded copies of sketch plan are required
L Non - residential = 51,580 plus 513 /1,000 sq. ft. of dev.
17 folded copies ofplan are required
Final Site Development Plan (Administrative Review)
Residential == 5410
Non- residential - 5410
8 folded copies of plan are required for first submission
OR
Final Site Development Ilan (Subject to Planning Commission Review)
Prior to preliminar approval = 51,130
17 folded copies of plan are required
After preliminary approval = 5790
8 folded copies of plan are required for first submission
Two (2) in dars and two (2) r a ter co ties n •lan are re aired or si nin 0 - ma1 clan
GROUNDWATER ASSESSMENT
Required jar all non - residential site plans not .scrviccd by public water)
11 the plans show a use less than 2,000 gallons per day Tier 3 Groundwater Review - 5400
If the plans show a use greater than 2,000 gallons per day Tier 4 Groundwater Review - 51,000
Project Name: C o L L ! es-1 E1l Vie— C - .A41
Fax map and parcel: ( Z- B -pA-ft c- 4 Magisterial District:Magisterial Zoning: C.
Physical Street Address (if assigned)
Location of property (landmarks, intersections, or other)T -t= t w).
v;Z tZ tContactPersonWhushouldwecalVwnteconcerningthisproject?)Y,C l:LZt k5
Address ! ST(2 ( cr tE i_L tZ- >City V E' t2.._cDri-4c State Pt Zip Z4 2-
bo Zt?/avtime Phone ( 5`( s- ?)Z2 ClZ`F3- S- iax {o) LA j - 3ZZk F: -mail fZb1.1- `oc C C,s -
Owner of Record S . A, > A- i'
AAddress City State lip
Daytime Phone ( — )Fax tt l 1 F, marl
pplicant (\Lh) is the Contact person representing?) Ji`A_LCiiE' ISE L—
AddrLis`V l! -`= iZ"City WP)s(State
F )aytr me Phone (S4_v) 5 3 1 - Fax I; (S`1 v )E-mail -o 5 F mini
FOR OFFICE USE ONLY SDP
J
y „ho"Ryir r r - ini r; J ! / (kqt - ce Arnottw 15 i Date Paul 1 rtJ. k
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
1 11/ 1 9/1)7 Page 1 of 2
Type of Development
1 1 Residential ja! Non- residential
Type of unit(s):
Commercial
Industrial
Quasi - Public
ofbuilding(s):
Sq. ft. of building( s):7 G >
Sq. ft. of building(s):
Acreage of site:O. 55
of units per building:
Acreage in open space: Cl
Total # of units:
Acreage in roads:
Resulting density:
g
Average gallons of water used per day: 1, "1 52'
Acreage of site:
Acreage in open space:
Acreage in roads:
Average gallons of water used per day:
Intended use or justification for request:
Owner /Applicant Must Read and Sign
This site plan as submitted contains all of the information required by Section 32.5 (Preliminary Plan) or Section 32.6 (Final
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 32.4.3.3 as the case may be.
For Final Plans Only: To the best of my knowledge, I have complied with Section 32.4.3.1 and obtained tentative approvals
for all applicable conditions from the appropriate agencies.
27-
r
Si natur o • wn r, Contract Purchaser, Agent Date
S4c - 24
Print Name Daytime phone number of Signatory
11 19 (i7Paec2ot2
Appli alien t ot°
ii 1)e elopm nt Plans and Site P [dttt
S1T }. D1 \ 1:1.()PM }:N"1 N.ANS Sri i i'i AN WAIVFi2
Preliminary Site feselnpurent flan (Subject rcr l nnrmistiion Rc.0 s)C 1 Site Plan Waiver
Ordinance Section Number) - 5270
1--1 Residential - 51,1 UO plus 513 /dwelling unit 8 folded copies of sketch plan are required
Non- residential - 51,580 plus 513/1,000 sq.. tt- of dev_
17Jelded copies of plan are required
l-inal Site Development Plan (Adininistrative Review)
Residential - 5410
4 Non - residential 5410
8 folded copies of plan are required for first submission
IZ
1 k•inai Site Development Plan (Subject to Planning Coninrission Review >
1 Prior to pi elirninary approval - -- 51,130
17Jolderl copies of plan are required
1 -1 After preliminary' approval == 5790
8 folded copies of plan are required for first cul'missron
Two 21 rn /ars and two 2 paper copies af plan are required for signing of inal plan
GROUNDW ATV 12 ASSFSSM EN 1
Rcyrrr c' l far (1[I17011 -0 •11 /1',1(01/ 11tr' not :-.t t. rc by public ware?)
It the plans sh es a use less than 2,1)00 gallons per day L 1 ier 3 Groundwater Review - 5400
If the plans S1 a use greater than 2.000 gallons per day 1 ier 4 Groundwater Review - 51,000
C , --c- AT t hProjectNaria? L L 1/i i - lc- —r.
At IYlagisterial Distr Zoning: Cict:Zatnaapanalliaicel _ fax Z—Q- _ -. t A
j I
Ph Sr r z t Address (lf rc.st)'n 1i)
1 acation of 1`r :.perry (ieurdnaarRs, trFrrr.rt or other) -- 1„ l.s- a- lt_ - - _ - _ - -t-
1
nn tact Per Srptl l ` d/I10 should we Cali /warp e - o ircrning tins project' %j 1_ - <<'_ s_ vkc 1 C - -C )
t, i> i rn r ._t c .`<_L it 2 l Stat 7r .2
7 Z 7f'nonc( ') Z_( LZ_ fax 1: {` -{c.) LA s t t mad 1z -b Jrt"clzcP -r'
11 of 1Leec rtl Ss L A- t- - t_sa -(C
St.71 7.11)
t - ' 41 tl r _ i'l1l_ 0' ( 1 a). I, (t -rna1l
pphcatit 1\\ 1,,, r the Contact percr rep;rt,t -nrn(r ) 3F' C_ r, -i ( r h'- t` .c'- k -r C <.i a: t J 1 " "t` c `' L
E E qty 6 Yip L L '
J 3 1 - — '- =' , 1 F ax a (' c ) (47)
011 fst t 4i 1 USE ONLY SDP t
lei A Dare l':ptd l {y wh,,' - Nor_, -': ° -- - --ka h,
Comity of Albemarle Department of Community Development
301 McIntire Road ('h rinttt>crrilfc> V t:lll)Inc cow I
Type of Development .
toil
IZesirlerrti.rl Non- t- eidential
lvpc of unrti`.)
c rnnrer(ra1
1 1 IHitw.Ir al
Of 1)Lif1ttrrrf`(S)
cl ft of htirldrn)t(sl-0
Jc h 01 hurldtnf(s)-
r
Ar t. „1 sttt-O. 5S
of amts per budding
c rc of e in (open ~pace 0
1 o[,tl tr o! unrt,
I
lc'rrrrs`r to rcracls 0
5Kcrltur) rlcn >.tty j
c,,)tc. 'allun.of water uscct per day_ 1
Acte,-tpt• of , 1c
Acn -ngo Ili opc space
rrcakle in rt>ctd',,
4
i\. , t ;ire 4lort:, of watts ust ti pct t1ay
Intended Ilse or justification for request:
Is
Owner/Applicant Must Read and Sign
This m10 p },ut ;ts submitted oonlanrtS all (4 the information required by Section 32 -5 (Preliminary Plan) or Section 32_6 (Final
Plan) of tite Albemartc (minty /(finite. (114inance- 1 un0s rs1ant1 that plans which lack information required by said setttuns
shall be der -inert incomplete <tnd ,11at1 he deified by the a €icrtt within on ( 10) days of as provided to C ,tction 12 4 ,' 1
or Section 32 .1 -3.1 as the tae [ he.
Poi hinal flans Only- to tho ht. <,t of env knowledge, 1 have complied wiili Section 12. -3 -1 and obtained ft-01,11100 approval.
trot 111 ,tpp)tc,.rhlt• tondrttow, lrctin the approptiate agencies
2 2
Sif - 0 1.w n r. (ontrai l Purchaser. Agent late
R L2 120L -Zia -- 24 - 3ZZn
Pr111i N;turt.1>ayumc phone number of Signatory
i 1 ,,, gar:
Application tor IReview of
Erosion & Sediment Control Plan & Stornlwater
Management /BMP Plan & Stream Buffer Mitigation Plan
Erosion & Sediment Control Plan Stormwater Management /BMP Plan Stream Buffer Mitigation Plan
F. &S Plan Amendment SWM Plan Amendment
Previous Plan i#Previous Plan # - -
E &S Plan with Variance Request for Exception
i of Variances SWM Plan Resubmittal
E &S Plan Resubmittal WP() Application #
WP() Application i#
Submit 2 copies each of applicable plans /narrative /computations
Project Name: 4t asr.a - 5 -1Ctii if_ dt r- C- Er41`?F
7 ax filliptp and parcel: - t A E -in g: _ - - - - - —
Amount of 1.and Disturbance: 0.41 Acres
Location of propel tv (1- 1ruluiark,, inter,echons, or other ) - a%i S'r1= ELO t2L4
Contact Person (Who <.tu ulr; we cell/write concerning this project''). R-A ( 3VtiK t4otQ Z L -Z 4 4 SCr C
A(Actress t City iZ b State _. -VA- - 7tp L-44 It. Z
Daytime Phone Ir4o .32, 20- Fax 4 (540) 2_4s- 3 LL _ -- F-- mail iZ kL tcJe *ZCS.
Owner of Record J t` T Z P2 $ i- °i r g_v C 11 - 4A- -0
Aciw,,s t5 tE state t>F 2 $ 0
1)a F'h,rii (S ®) 14.1 - 33 3 Fax 4 (S ro' c -Oct 5" E-mail
Contractor -- tV --
Ad Lit Stain
Daytime Ehcxic ( - - - - ) - - -Fax # i - - - )F -marI
Ian Preparer 5-- Cr-T 5 rim T p a_s,„
A(idt,-,s l ---State hip
1),rvume F'h me i Fax 4 ( - F. - mail
Owner /Applicant Must Read and Sign
By signing this application as owner, 1 hereby certify that all requirements of the approved Erosion Control Plan, Storntwater
1anagement /K\'IP Plan, and/or Mitigation Plan will be complied with and I have the authority to authorize the land disturbing activities and
development i n the subject pr operty. 1 hereby grant the Counts' of Alhemai le the right to enter upon the pi operty a+ required to ensure
compliance with the approv ed plan-
Srenaturc vi Owner. (ontract Purchaser 1)arc.
Print Name O.iytunc- phone number of Sti!nauty
FOR OFI-R I I SE () \'L\y't'POa
Fee Amount S Date Paid By who "'Receipt #C1,4 By
kevrsed September 1 S. 41)8 Page 1 rit 3
EROSION CONTROL PLAN: SUBMIT 2 COPIES)
Land disturbing activity pertaining to single family dwelling unit:
1. Plan Review 5150 per review
I I Ct E3[ PAID A I TIME OF , APP[ ICA 110N AND I-ACH SU1iML1 1 AI T HE.RLAFI ER UN - 11L APPROVAL)
2 Permit and First Year inspection Fees 5150
CIO BE PAID PRIOR 1 - 0 S(1f1 L >UL! \'G PRL('O.NSJRI!(110\ C ONFLRENCI. FOR EROSION
CONTROL PERMIT )
3. Annual Permit Renewal and Inspection Dees 5150
lc) BE PAID ANNUALLY. S I AR 1150 WI SECOND YEAR, 11N 111. COMI'LEI ION 01- APPROVED
PLAN RLQ(UREMI.NTS)
4. Each reinspection S150
RI INSPECTION FF E - S .\R1, INVOIC} 0 10 I HL LANDOWNER)
Land disturbing activity pertaining to non- exempt agricultural land:
5. Plan Review S150 per review
T O RE. I' \lD A 1 I INIL OF ANTIC ION AND EACH SUBMIT AL TH1 RCA[ TF.R UNTIL APPROVAL-)
Permit and First Year Inspection Fees 5150
I 1 U RE PAID PRIOR TO SCHEDULING PRI-CONSTRI'('1 K )N CONFERENCE FOR EROSION
CONTROL FERMII )
7- Annual Permit Renewal and Inspection Fees 5150
El O 131 PAID ANNUALLY, STARTING WITH SECOND YEAR. UNTIL COMM [_T ION OF APPROVED
I.AN RI- QUIRLivIF\ I'S)
X. Each reinspection 5 150
REINSPLCTION F=[ -.ES ARE-, INVOICED TO THE LANDOWNER!
All other land disturbing activity:
9. Plan Review, Disturbed Area Less Than One Acre 5150 per review
TO 131 PAID AT LIME O1 APPLICATION AND EACH SUBMIT I AL THE.RFAI I FR UNTIL APPROVAL)
10. Permit and First Year Inspection Fees, Disturbed Area Less Than One Acre 5200
1 (3 131 PAID PRIOR TO SCHEDULING PRLLONSTRLI( - ILO\ CONE{ RI NCI' FOR EROSION
L(0.1 - ROL PERMIT
II. Annual Permit Renewal and Inspection Fees, Disturbed Area Less Than One Acre 5200
O [31 PAID ANNI TALLY, STARTING WIT H SECOND YEAR. UN 1 IL COME'LE HON 01 APPROVED
I'1 AN REQUIREMENTS)
12. Plan Review, Disturbed Area One Acre or Larger 5300 per review
I O Ell PAID AT TIME 01- r\1'PI ICA 1105 AND EA(. H SURMIII AL THI l'NIII APPROVAL )
13. Permit and First Year Inspection Fees, Disturbed Area One Acre or Larger 5100 /per disturbed acre
I1) RI PAID PRIOR EO SCHEDULING PRECONS I RUCTION CON!-ERE \('E Ft lR EROSION
C((N FROI_ ('E,RM1l
14. Annual Permit Renewal and Inspection Fees, Disturbed Area One Acre or Larger S 100 /per disturbed acre
1 U 111 PAID ANNUALLY. 5l ARI ING WITH SECOND Y1 -AR, IJ\ I IL COMPI-LT ION OF APPROVED
PL AN RI .QUIRLMF.N IN)
15. Each reinspection S250
RI-INSPECTION FEES ART INVOICE U 10 THE LANDOWN[ -.R)
1 o Amendment to Approved Plan 51 R(1 /per plan review
1 ( 3 13 1- Bt PAID Al 11511- OF API'LICA I ION AND 1 ACE) SUBMIT ! AL 1 HLRL-5E11 R LINT II_ APPROVAL)
17 Variances 5760 /per request
10 B1 PAID Al LIME OF APPLI( Al ION)
18. SUBTOTAL EROSION CONTROL PLAN 5 S
Revised September 15. 200X I'uge 2 of
STORMWATER MANAGEMENT /BMP PLAN & MITIGATION PLAN: SUBMIT 2 COPIES)
19. Storinwater Management- BMP Plan.S300 /per plan review
11)BF PAIL) Al TIME OF API't ICAI ION AND [.A( 11 SURMIIIAL 1HLRLAFLI R L'N "t IL APPROVAL)
20. Major Amendment of` Plan S 180 /per plan review
1 O BE PAID AT TIME OF APPI ICA HON AND EACH SUBMITTAL THERFAF[FR 11NTI1 APPROVAL I
21. Request for exception S240
TO BL PAID AT TIME OF APl'LICA HON)
22. Request for development in a stream buffer or for reduction or modification of stream
buffer and mitigation plan Of not part of another document) -- Single family dwelling unit
or accessory structure S
TO BE PAID Al TIME OF APPL]CAI ION)
23. Each inspection or reinspection S60
1 INSPI CTION /REINSPLCTION FLI.S ARE INVOICI I) I O THE LANDOWNER)
24. Mitigation Plan 860
LO Bl PAID AT TIME OF APPI ICA I ION
25. SUBTOTAL SWM/BMP PLAN S i°3
TOTAL APPLICATION FEE: (Add lines 18 and 25)4S
THE OWNER SHALL BE RESPONSIBLE FOR ALL REINSPECTION AND /OR ANNUAL RENEWAL
FEES WHICH MAY BE CI-IARGED TO THIS PROJECT.
Revised September 15, 2()()R Page 3 ot 3