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HomeMy WebLinkAboutSDP201500033 Application 2015-06-22Department 1, Albemarle County communadottee ille.V 22902-4696i441htclntirweoadGhariottesviHe,VA229KI'1 4596 Vaic )296-5832 Fax:(434)972-4126 Planning Application 1%4110* PARCEL/ OWNER INFORMATION TMP O6100-OO-OO-153A1 Owner(s): RELIGIOUS CONGREGATION-FIRST ASSEMBLY OF GOD C/O RI Application# SDP2 15 003,.3 PROPERTY INFORMATION Legal Description I AMEACE A&B Magisterial Dist.i Rio Land Use Primary Public Current AFD Not in A/F District ij Current Zoning Primary R4 Residential APPLICATION INFORMATION Street Address 1010 RIO RD E CHARLOTTESVILLE,22901 Entered By Emily Lantz Application Type Site Development Plans 6/23/2015 Project Greenbrier Park/City Church Property PV/SF Received Date 06/22/x15 Received Date Final Submittal Date 06/22/15 Total Fees 2020 Closing File Date Submittal Date Final Total Paid 2020 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Std A;plicatio Camrnent Person Iii(tj x/22/15 ' APPLICANT /CONTACT INFORMATION Contac3Type Name mess CityState Zip Pie 1 Phi neCell dviseomipticiarit,tSti S% h11GA ON-IIRS too no RDE CHiF LarTE54141. ;23341- Primary C STEPHEN WALLER 536 PANTOPS CENTER CHARLOTTESVILL 22911 4348250617 . w Signature of Contractor or Authorized Agent Date FOR OFFICESE ONLY Applic tion# SIGN#(if a Fee Amount$ I'ao Date Paid Co ria —By who? Ll u%der ei cil\M Receipt# 10039k# (LY1-3 by: ZONING ORDINANCE SECTION 4\SG t s 1 V. 2-O .c)- Application for 1063-11 16I Personal Wireless Service Facility 46, IMPORTANT: Your application is considered INCOMPLETE until all of the information on the Required Application Content Checklist on pages 2 thru 6 has been submitted and the appropriate fee has been submitted. See page 11 for the appropriate fee(s)related to your application). Staff will assist you with these items. PROJECT NAME:(how should we refer to this application?): Verizon Wireles- "Greenbrier Park"/City Church Property PROPOSAL: Tier I Tier II ® Tier III 0 Building Permit after Tier II or Tier III approval 0 EXISTING COMP PLAN LAND USE/DENSITY: LOCATION/ADDRESS OF PROPERTY FOR SPECIAL USE PERMIT: 1010 Rio Road East-South Side of Rio Road,just east of railroad and 1/5-mile northwest of John Warner Parkway TAX MAP PARCEL(s): 06100-00-00153A1 ZONING DISTRICT: R4-Residential OF ACRES TO BE COVERED BY SPECIAL USE PERMIT(if a portion it must be delineated on a plat): 4.23 ac/1,200 s.f YES m NO Is this an amendment to an existing Special Use Permit?If Yes provide that SP Number. YES m NO Are you submitting a Special Exception to modify or waive certain requirements with this application? If YES,provide the modifications YES ®NO Does the owner of this property own(or have any ownership interest in)any abutting property? If YES,please list those tax map and parcel numbers: Applicant (who should we contact about this project):Verizon Wireless-C/O Stephen Waller,AICP Street Address 536 Pantops Center- PMB#405 City Charlottesville State Virginia Zip Code 22911 Phone Number 434-825-0617 Email stephen.waller@gdnsites.com Owner of Record Religious Congregation- First Assembly of God -C/O Rev. Garland R. Thomas Street Address 1010 East Rio Road City Charlottesville State Virginia Zip Code 22901-1803 Phone Number Email Contractor (Building Permits and Tier I only) To be determined Street Address City State Zip Code Phone Number Email Work Value$ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 www.albemarle.org REVISED 06/02/2015 Page 1 of 11 Personal Wireless Service Facility Application t a ,, T^a+ ak •3, a .s - a ,1 r ., r n .h1 tr z,}:. 99 v.F._ sa. 'c`dtt a.z„ t ,. `9 r fu -CS. w..'Q..l.C.,.,p • fi t., d 1. Application form and signatures. A completed application form,signed by the parcel owner,the parcel X X X owner's agent or the contract purchaser,and the proposed facility's owner.If the owner's agent signs the application,he shall also submit written evidence of the existence and scope of the agency.If the contract purchaser signs the application,he shall also submit the owner's written consent to the application. 2. Plat or survey of the parcel. A recorded plat or recorded boundary survey of the parcel on which the facility X X X will be located;provided,if neither a recorded plat nor boundary survey exists,a copy of the legal description of the parcel and the Albemarle County Circuit Court deed book and page number. 3. Ownership. The identity of the owner of the parcel and,if the owner is other than a real person,the complete X X X 0 legal name of the entity,a description of the type of entity,and written documentation that the person signing on behalf of the entity is authorized to do so. 4. Plans and supporting drawings, calculations, and documentation. Except where the facility will be located entirely within an eligible support structure or an existing building,a scaled plan and a scaled elevation view and other supporting drawings,calculations,and other documentation required by the agent,signed and sealed by an appropriate licensed professional.The plans and supporting drawings,calculations,and documentation shall show: a) Existing and proposed improvements. The location and dimensions of all existing and proposed X X X improvements on the parcel including access roads and structures,the location and dimensions of significant natural features,and the maximum height above ground of the facility(also identified in height above sea level). b) Elevation and coordinates. The benchmarks and datum used for elevations shall coincide with the X X X Q State Plane VA South US Survey Feet based on the North American Datum of 1983 (NAD 83),and the benchmarks shall be acceptable to the county engineer. c) Design. The design of the facility,including the specific type of support structure and the design,type, X X X location,size,height,and configuration of all existing and proposed antennas and other equipment. d) Color. Identification of each paint color on the facility,by manufacturer color name and color number. A paint chip or sample shall be provided for each color. X X X m e) Topography. Except where the facility would be attached to an eligible support structure or an existing building,the topography within two thousand(2,000)feet of the proposed facility,in contour intervals X X rz not to exceed ten(10)feet for all lands within Albemarle County and,in contour intervals shown on United States Geological Survey topographic survey maps or the best topographic data available,for lands not within Albemarle County. f) Trees.The caliper and species of all trees where the dripline is located within fifty(50)feet of the X X X 1-71 facility.The height,caliper,and species of any tree that the applicant is relying on to provide screening of the monopole or tower.The height,caliper and species of the reference tree.The caliper and species of all trees that will be adversely impacted or removed during installation or maintenance of the facility shall be noted,regardless of their distances to the facility. g) Setbacks,parking,fencing, and landscaping. All existing and proposed setbacks,parking,fencing,and X X X landscaping. h) Location of accessways. The location of all existing vehicular accessways and the location and design X X X of all proposed vehicular accessways. i) Location of certain structures and district boundaries. Except where the facility would be attached to X X X 611 an eligible support structure or an existing building,residential and commercial structures,and residential and rural areas district boundaries. j) Proximity to airports. If the proposed monopole or tower will be taller than one hundred fifty(150) X X feet,the proximity of the facility to commercial and private airports. REVISED 06/02/15 Page 2 of 11 trove Personal Wireless Service Facility Application 5. Photographs. Photographs of the location of the proposed monopole or tower shall be provided that include, X X for applications for Tier II facilities,the reference tree,and for applications for Tier III facilities,the area within fifty(50)feet of the proposed monopole or tower.These photographs shall include reference points to enable the lease area,the vehicular access,the trees that will remain,and the trees that will be removed, to be identified. In addition,photographs,where possible,or perspective drawings of the facility site and all existing facilities within two hundred(200)feet of the site,if any,and the area surrounding the site. 6. Balloon tests. For any proposed monopole or tower,photographs taken of a balloon test,which shall be conducted,if requested by the agent,as follows: a) Scheduling. The applicant shall contact the agent within ten(10)days after the date the application was X X W] submitted to schedule a date and time when the balloon test will be conducted. The test shall be conducted within forty(40)days after the date the application was submitted,and the applicant shall provide the agent with at least seven(7)days prior notice;provided that this deadline may be extended due to inclement weather or by the agreement of the applicant and the agent. b) Marking key boundaries and locations. Prior to the balloon test,the locations of the access road,the lease area,the tower site,the reference tree,and the tallest tree within twenty five(25)feet of the X X WI proposed monopole shall be surveyed and staked or flagged in the field. c) Balloon height. The test shall consist of raising one or more balloons from the facility site to a height equal to the proposed facility. X X WI d) Balloon color or material. The balloons shall be of a color or material that provides maximum visibility.X X e) Photographing balloon test. The photographs of the balloon test shall be taken from the nearest residence and from appropriate locations on abutting properties,along each publicly used road from X X wiwhichtheballoonisvisible,and other properties and locations as deemed appropriate by the agent. The applicant shall identify the camera type,film size,and focal length of the lens for each photograph. 7. Additions of antennas. If antennas are proposed to be added to an eligible support structure or an existing X X X building,all existing antennas and other equipment on the structure,building,or facility,as well as all ground equipment,shall be identified by owner,type,and size.The method(s)by which the antennas will be attached to the mounting structure shall be depicted. 8. Site under conservation or open space easement. If the proposed facility would be located on lands subject X X LI to a conservation easement or an open space easement,a copy of the recorded deed of easement and the express written consent of all easement holders to the proposed facility. 9. Photographic simulations.At the request of the agent,photographic simulations of the proposed facility. X X 12. Special exception. If the proposed facility does not comply with any provision of section 5.1.40,the X X X applicant shall request a special exception in writing as part of the application.The request shall identify which regulation in section 5.1.40 for the special exception is requested and a justification for the special exception. REVISED 06/02/15 Page 3 of 11 Now, slur, Personal Wireless Service Facility Application I '; Pr ,'4s 'u 1. General design. The facility shall be designed,installed,and maintained as follows: a) Guy wires.Guy wires are prohibited. X X X b) Outdoor lighting.Outdoor lighting for the facility shall be permitted only during maintenance periods; X X X regardless of the lumens emitted,each outdoor luminaire shall be fully shielded as required by section 4.17;provided that these restrictions shall not apply to any outdoor lighting required by federal law. c) Ground equipment.Any ground equipment shelter not located within an eligible supportstructure or an existing building shall be screened from all lot lines either by terrain,existing structures,existing X X X vegetation,or by added vegetation approved by the agent. d) Whip antenna.A whip antenna less than six(6)inches in diameter may exceed the height of the facility,the eligible support structure,or the existing building.X X X z e) Grounding rod.A grounding rod,whose height shall not exceed two(2)feet and whose width shall not exceed one(1)inch in diameter at the base and tapering to a point,may be installed at the top of X X X wthefacility,the eligible support structure,or the existing building. 2. Antennas and associated equipment. Antennas and associated equipment that are not entirely within a X X X proposed facility,an eligible support structure,or an existing building shall be subject to the following: a) Number of arrays.The total number of arrays of antennas shall not exceed three(3).All types of X X X antennas and dishes,regardless of their use,shall be counted toward the limit of three arrays. b) Size.Each antenna proposed under the pending application shall not exceed the size shown on the X X X WIapplication,which size shall not exceed one thousand one hundred fifty two(1152)square inches. c) Projection.No antenna shall project from the facility,structure or building beyond the minimum required by the mounting equipment,and in no case shall any point on the face of an antenna project X X X 66morethantwelve(12)inches from the facility,structure,or building;and d) Color.Each antenna and associated equipment shall be a color that matches the facility,structure,or building. X X X 3. Tree conservation plan;content. Before the building official issues a building permit for the facility,the X X X El applicant shall submit a tree conservation plan prepared by a certified arborist.The plan shall be submitted to the agent for review and approval to ensure that all applicable requirements have been satisfied.The plan shall specify tree protection methods and procedures,identify all existing trees to be removed on the parcel for the installation,operation and maintenance of the facility,and identify all dead and dying trees that are recommended to be removed.In approving the plan,the agent may identify additional trees or lands up to two hundred(200)feet from the lease area to be included in the plan. 4. Creation of slopes steeper than 2.1. No slopes associated with the installation of the facility and its X X X accessory uses shall be created that are steeper than 2:1 unless retaining walls,revetments,or other stabilization measures acceptable to the county engineer are employed. 5. Ground equipment shelter;fencing. Any ground equipment shelter not located within an existing building X X X shall be fenced only with the approval of the agent upon finding that the fence:(i)would protect the facility from trespass in areas of high volumes of vehicular or pedestrian traffic or,in the rural areas,to protect the facility from livestock or wildlife;(ii)would not be detrimental to the character of the area;and(iii)would not be detrimental to the public health,safety or general welfare. REVISED 06/02/15 Page 4 of 11 rte' Personal Wireless Service Facility Application x ix L114 ot <d .. 3r Th• ee o ortu tiefor x'9.a's ;.,.. `' ,. ui'-' w- v.; 6. Screening and siting to minimize visibility. The site shall provide adequate opportunities screening and X X the facility shall be sited to minimize its visibility from adjacent parcels and streets,regardless of their distance from the facility.The facilityalso shall be sited to minimize its visibility from any entrance corridor overlay district,state scenic river,national park,or national forest,regardless of whether the site is adjacent to the district,river,park or forest. If the facility would be located on lands subject to a conservation easement or an open space easement,or adjacent to a conservation easement or open space easement,the facility shall be sited so that it is not visible from any resources specifically identified for protection in the 121 deed of easement. 7. Open space plan resources. The facility shall not adversely impact resources identified in the natural resource X X chapter of the county's comprehensive plan and the parks and green systems chapters in any county master plan. 8. Horizontal separation of multiple facilities. The facility shall not be located so that it and three(3)or more X1-311 existing or approved personal wireless service facilities would be within an area comprised of a circle centered anywhere on the ground having a radius of two hundred(200)feet. 9. Diameter of.monopole. The maximum base diameter of the monopole shall be thirty(30)inches and the X WI maximum diameter at the top of the monopole shall be eighteen(I 8)inches. 10. Height of monopole. The top of the monopole,measured in elevation above mean sea level,shall not be X IZI more than ten(10)feet taller than the tallest tree within twenty-five(25)feet of the monopole,and shall include any base,foundation or grading that raises the monopole above the pre-existing natural ground elevation. 11. Color of monopole, antennas, and equipment. Each monopole shall be a dark brown natural or painted X X [ wood color that blends into the surrounding trees.The antennas,supporting brackets,and all other equipment attached to the monopole shall be a color that closely matches that of the monopole.The ground equipment,the ground equipment shelter,and the concrete pad shall also be a color that closely matches that of the monopole,provided that the ground equipment and the concrete pad need not closely match the color of the monopole if they are enclosed within a ground equipment shelter or within or behind an approved structure,façade or fencing that:(i)is a color that closely matches that of the monopole;(ii)is consistent with the character of the area;and(iii)makes the ground equipment,ground equipment shelter, and the concrete pad invisible at any time of year from any other parcel or a public or private street. 12. Placement of cables, wiring, and similar attachments. Each wood or concrete monopole shall be X constructed so that all cables,wiring,and similar attachments that run vertically from the ground equipment to the antennas are placed on the monopole to face the interior of the site and away from pIZ ublic view,as determined by the agent.Metal monopoles shall be constructed so that vertical cables,wiring,and similar attachments are contained within the monopole's structure. 13. Special use permit conditions.All conditions of approval of a special use permit. X 111 REVISED 06/02/15 Page 5 of 11 fir/ tome Personal Wireless Service Facility Application 2 0V.t, ar .xiA. eta t,r f:`ii.. ..aL' .F. . .:i.£t. ?{t.t.x :r.. ,r 2. Vehicular access. Vehicular access to the facility site or tower site shall be subject to the requirements of XX X WIsection4.2 and shall not be exempt under section 4.2.6(c). 3. Setbacks. Notwithstanding section 4.10.3.1(b),the agent may authorize a facility to be located closer in X X X distance than the height of the tower or other mounting structure to any lot line if the applicant obtains an easement or other recordable document showing agreement between the lot owners,acceptable to the county attorney as to addressing development on the part of the abutting parcel sharing the common lot line that is within the monopole or tower's fall zone.If the right-of-way for a public street is within the fall zone,the Virginia Department of Transportation shall be included in the staff review,in lieu of recording an easement or other document. 8 r F c a at E faa a r,a`tI er $ s da a i 1. Building ermit application;submittingcertification of monopole height and revised plans. The following X shall be submitted with the building permit application:(i)certification by a registered surveyor stating the height of the reference tree that is used to determine the permissible height of the monopole;and(ii)a final revised set of plans for the construction of the facility.The agent shall review the surveyor's certificate and the plans to ensure that all applicable requirements have been satisfied. Work Value $ 2. Tree conservation plan; compliance; amendment. The installation,operation,and maintenance of the X X X facility shall be conducted in accordance with the tree conservation plan.The applicant shall not remove existing trees within the lease area or within one hundred(100)feet in all directions surrounding the lease area of any part of the facility except for those trees identified on the plan to be removed for the installation, operation,and maintenance of the facility and dead and dying trees.Before the applicant removes any tree not designated for removal on the approved plan,the applicant shall submit and obtain approval of an amended plan.The agent may approve the amended plan if the proposed tree removal will not adversely affect the visibility of the facility from any location off of the parcel.The agent may impose reasonable conditions to ensure that the purposes of this paragraph are achieved. 3. Completion of installation;submitting certifications of compliance. Within thirty(30)days after completion XX X of the installation of the facility,the applicant shall provide to the agent prior to issuance of a certificate of occupancy:(i)certification by a registered surveyor stating the height of the tower or monopole,measured both in feet above ground level and in elevation above mean sea level,using the benchmarks or reference datum identified in the application;and(ii)certification stating that the lightning rod's height does not exceed two(2)feet above the top of the tower or monopole and its width does not exceed a diameter of one 1)inch. 4. Discontinuance of use;notice thereof;removal;surety. Within thirty(30)days after a tower or monopole's X X X 6/1useforpersonalwirelessserviceoranyservicefacilitatedbytransmissionequipmentisdiscontinued,the owner of the facility shall notify the zoning administrator in writing that the facility's use has discontinued. The facility and any transmission equipment shall be disassembled and removed from the facility site within ninety(90)days after the date its use for personal wireless service or any service facilitated by transmission equipment is discontinued. If the agent determines at any time that surety is required to guarantee that the facility will be removed as required,the agent may require that the parcel owner or the owner of the facility submit a certified check,a bond with surety,or a letter of credit,in an amount sufficient for,and conditioned upon,the removal of the facility.The type and form of the surety guarantee shall be to the satisfaction of the agent and the county attorney. In determining whether surety should be required,the agent shall consider the following:(i)whether there is a change in technology that makes it likely that the monopole or tower will be unnecessary in the near future; (ii)the permittee fails to comply with applicable regulations or conditions; iii)the permittee fails to timely remove another monopole or tower within the county;and(iv)whenever otherwise deemed necessary by the agent. REVISED 06/02/15 Page 6 of 11 Sire vim' Personal Wireless Service Facility Application Criteria for Special Exception to modify or waive requirements If an applicant proposes to submit less information than required or request a modification or waiver of any design criteria the request for modification or waiver must be received at the time the application is filed or the application shall be deemed incomplete. In requesting a modification or waiver the applicant shall provide information to allow the Board of Supervisors to find: 1. That complying with the provisions of the Zoning Ordinance would not forward the purposes of the Zoning Ordinance or otherwise serve the public health,safety,or welfare or; 2. That a modified regulation would satisfy the purposes of the Zoning Ordinance to at least an equivalent degree as the specified requirement. Definitions associated with Personal Wireless Service Facilities Antenna array:An orderly arrangement of antennas mounted at the same height on a tower or other structure and intended to transmit a signal providing coverage over a specific area for a single provider of personal wireless services. Avoidance area:An area having significant resources where the initial siting of personal wireless service facilities could result in adverse impacts as follows:(i)any ridge area where a personal wireless service facility would be skylighted;(ii)a parcel within an agricultural and forestal district;(iii)a parcel within a historic district;(iv)any location in which the proposed personal wireless service facility and three(3)or more existing or approved personal wireless service facilities would be within an area comprised of a circle centered anywhere on the ground having a radius of two hundred(200)feet;or(v)any location within two hundred(200)feet of any state scenichighwayorby-way. Base station:A structure or equipment at a fixed location that enables Federal Communications Commission-licensed or authorized wireless communications between user equipment and a communications network. 1. Services to which the term applies.The term includes,but is not limited to,equipment associated with wireless communications services such as private,broadcast,and public safety services,as well as unlicensed wireless services and fixed wireless services such as microwave backhaul. 2. Equipment to which the term applies and does not apply.The term includes,but is not limited to,radio transceivers,antennas, coaxial,or fiber optic cable,regular and backup power supplies,and comparable equipment,regardless of technological configuration,including distributed antenna systems and small-cell networks.The term does not include any equipment associated with a tower. 3. Structures to which the term applies and does not apply.The term includes any structure,other than a tower,that,at the time the relevant application is filed with the county,supports or houses equipment described in paragraphs(1)and(2)of this definition that has been reviewed and approved under section 5.1.40 or the applicable zoning process in effect prior to October 13,2004. The term does not include:(i)a tower as defined in this section;and(ii)any structure that,at the time the relevant application is filed with the county under section 5.1,40,does not support or house equipment described in paragraphs(1)and(2)of this definition. Collocation:The mounting or installation of transmission equipment on an eligible support structure for the purpose of transmitting and/or receiving radio frequency signals for communications purposes. Collocation, exempt:A collocation that would not result in a substantial change in the physical dimensions of an eligible support structure. Concealment elements of the eligible support structure:Any condition of approval,including any applicable requirement of section 5.1.40 in effect at the time of approval,established and imposed on the personal wireless service facility as a concealment technique and which includes conditions or regulations pertaining to antenna size,color of the structure and all equipment,antenna mounting techniques, including the requirement that antennas be flush mounted,maximum tower diameters at the base and top,limitations on tower height relative to a reference tree,screening by trees including the restrictions on removing trees that are screening the tower,siting towers so that they are not skylighted,requirements as to how cables should be located on a tower,and the size,location,design,and screening forgroundbasedequipment. Eligible support structure: Any tower or base station,provided that it is existing at the time the relevant application is filed with the County. REVISED 06/02/15 Page 7 of 11 StS Personal Wireless Service Facility Application Existing building:As used in section 5.1.40 and any definitions pertaining to personal wireless service facilities,a building that was lawfully constructed or established and complies with the minimum applicable bulk,height,setback,floor area,and other structure requirements of the district in which the building is located. Existing structure:As used in section 5.1.40 a structure,other than a flagpole or an existing tower,that was lawfully constructed or established and complies with the minimum applicable bulk,height,setback,floor area or other structure requirements of the district in which the structure is located. Existing tower or existing base station: As referred to in the definition of"eligible support structure,"a constructed tower or base station that has been reviewed and approved under the applicable zoning process,provided that a tower that has not been reviewed and approved because it was not required to be reviewed when it was built,but was lawfully constructed,is existing for purposes of this definition. Fall zone: A zone on the surface of the ground that is a circle whose center is the proposed or standing personal wireless service facilityorsmallwindturbine(the"facility or turbine"),where the radius is measured from the outer surface of the facility's or turbine's pole or other vertical structure immediately above its foundation,and where the radius is:(i)for facilities,equal to the height of the facility;andii)for turbines,equal to the height of the turbine plus a distance of twenty(20)feet. Mobile personal wireless service facility: A portable self-contained personal wireless service facility site that can be moved to a location and set up to provide personal wireless services on a temporary or emergency basis. Personal wireless services: Commercial mobile services,unlicensed wireless services,common carrier wireless exchange access services, as those services are defined by federal law and,for the purposes of this chapter,unlicensed wireless broadband internet access services. Personal wireless service facility: A facility for the provision of personal wireless services,which may be composed of antennas,cables, wiring,supporting brackets and other structural equipment,grounding rods,transmission equipment,one or more ground equipment shelters,and a self-supporting monopole or tower. Reference tree: A tree designated for determining the top height of a treetop facility's monopole mounting structure.This may either be the tallest tree within twenty five(25)feet of the proposed monopole or a shorter tree that has been strategically identified for screening and camouflaging purposes.(Added 10-13-04) Replacement:As used in section 5.1.40 and any definitions pertaining to personal wireless service facilities,the replacement of transmission equipment of the same or lesser size in the same location as the equipment being replaced on an eligible support structure. Replacement, exempt: A replacement that would not result in a substantial change in the physical dimensions of the eligible support structure. Ridge area:All land within one hundred(100)vertical feet of,and including,the ridgeline and peaks of a mountain or chain of mountains,as identified on a ridge area map approved by the board of supervisors. Ridgeline:The uppermost line created by connecting the peaks of a mountain or chain of mountains,and from which land declines in elevation on at least two(2)sides,as identified on a ridge area map approved by the board of supervisors. Skylight:Locating a personal wireless service facility in such a way that the sky is the backdrop of any portion of the facility.Skylight has the same meaning as"skylining,"as that term is used in the wireless policy. Substantial change:A modification to an eligible support structure that meets one or more of the following criteria: 1.Increase in height.For towers other than towers in the public rights-of-way,the modification increases the height of the tower bymorethantenpercent(10%)or by the height of one additional antenna array with separation from the nearest existing antenna not to exceed twenty(20)feet,whichever is greater;for other eligible support structures,the modification increases the height of the structure by more than ten percent(10%)or more than ten(10)feet,whichever is greater.Changes in height shall be measured from the original support structure in cases where deployments are or will be separated horizontally,such as on buildings'rooftops; in other circumstances,changes in height should be measured from the dimensions of the tower or base station,inclusive of originally approved appurtenances and any modifications that were approved prior to February 22,2012. 2. Increase in width.For towers other than towers in the public rights-of-way,the modification involves adding an appurtenance to the body of the tower that would protrude from the edge of the tower more than twenty(20)feet,or more than the width of the tower structure at the level of the appurtenance,whichever is greater;for other eligible support structures,the modification involves adding an appurtenance to the body of the structure that would protrude from the edge of the structure by more than six6)feet. REVISED 06/02/15 Page 8 of 11 i./ Sod Personal Wireless Service Facility Application 3. Excessive equipment cabinets.For any eligible support structure,the modification involves installation of more than the standard number of new equipment cabinets for the technology involved,but not to exceed four(4)cabinets;or,for towers in the public rights-of-way and base stations,the modification involves installation of any new equipment cabinets on the ground if there are no pre-existing ground cabinets associated with the structure,or else involves installation of ground cabinets that are more than ten percent(10%)larger in height or overall volume than any other ground cabinets associated with the structure. 4. Expands tower site.The modification entails any excavation or deployment outside the current site. 5. Defeats concealment elements.The modification would defeat the concealment elements of the eligible support structure. 6. Does not comply with conditions of approval.The modification does not comply with conditions associated with the siting approval of the construction or modification of the eligible support structure or base station equipment;provided that this limitation does not apply to any modification that is noncompliant only in a manner that would not exceed the thresholds identified in paragraphs(1)through(4)of this definition. Tier I personal wireless service facility or Tier I facility: A personal wireless service facility that:(i)is located entirely within an existing building but which may include a self-contained ground equipment shelter not exceeding one hundred fifty(150)square feet that is not within the building or a whip antenna that satisfies the requirements of subsection 5.1.40(b)(I)(d);(ii)consists of one or more antennas, other than a microwave dish,attached to an existing structure,together with associated personal wireless service equipment;(iii)is located within or camouflaged by an addition to an existing structure determined by the agent to be in character with the structure and the surrounding district;or(iv)is the replacement of a wooden monopole with a metal monopole that does not exceed the maximum dimensions permitted under subsection 5.1.40(b)(9). Tier II personal wireless service facility or Tier IIfacility:A personal wireless service facility that is a treetop facility not located within an avoidance area. Tier III personal wireless service facility or Tier IIIfacility:A personal wireless service facility that is neither a Tier I nor a Tier II facility,including a facility that was not approved by the commission or the board of supervisors as a Tier II facility. Tower: As referred to in the definition of"eligible support structure"and"existing tower or base station,"any structure built for the sole or primary purpose of supporting any Federal Communications Commission licensed or authorized antennas and their associated facilities,including structures that are constructed for wireless communications services including,but not limited to,private,broadcast, and public safety services,as well as unlicensed wireless services and fixed wireless services such as microwave backhaul,and the associated tower site. Tower site:As referred to in the definitions of"substantial change"and"tower"and as used in section 5.1.40,for towers other than towers in the public rights-of-way,the current boundaries of the leased or owned property surrounding the tower and any access or utility easements currently related to the site,and,for other eligible support structures,further restricted to that area in proximity to the structure and to other transmission equipment already deployed on the ground. Transmission equipment: As used in section 5.1.40,equipment that facilitates transmission for any Federal Communications Commission licensed or authorized wireless communication service,including,but not limited to,radio transceivers,antennas,coaxial or fiber-optic cable,and regular and backup power supply.The term includes equipment associated with wireless communications services,including,but not limited to,private,broadcast,and public safety services,as well as unlicensed wireless services and fixed wireless services such as microwave backhaul. Treetop facility:A personal wireless service facility consisting of a self-supporting monopole having a single shaft of wood,metal or concrete no more than ten(10)feet taller than the crown of the tallest tree within twenty-five(25)feet of the monopole,measured above sea level(ASL),and includes associated antennas,mounting structures,an equipment cabinet and other essential personal wireless service equipment. REVISED 06/02/15 Page 9 of 11 Nome yew, Personal Wireless Service Facility Application TIER I, II, and III Building Permit & or Site Plan APPLICATIONS If this is a Tier I application requiring a building permit,the permit becomes null and void if work or construction authorized is not commenced within 6 months,or if construction or work is suspended or abandoned for a period of 6 months at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. By signing this application,the owner and/or their agent hereby grant employees of the Albemarle County Community Development& Real Estate Departments the right to enter and inspect the subject property Monday through Friday between the hours of 8:00 a.m.and 5:00 p.m.,holidays excepted. By signing this application I certify that the information provided on this application and on supporting documents is correct and accurate to the best of my knowledge. I also consent and understand that providing incorrect and inaccurate information about the nature of this application renders this application incomplete and it shall have be deemed to have not been officially submitted. Please check which applies: I certify that I am the agent for Verizon Wireless(recorded leasehold for PWSF) who is the Owner,and I am authorized to submit this application on behalf of the Owner under the agency. I am neither the Owner nor the Owner's agent.I certify that written notice of this application,by providing a copy of this application,will be mailed to the Owner at the following address: within 10 days of today's date as required by Virginia Code§15.2-2204(H). I understand that,if I do not provide the notice to the Owner as provided herein,the building permit application and every other subsequent approval,permit or certificate related thereto could be determined to be void. I certify that I am the owner. Signature of Owner,Contractor,or Authorized Agent Date ELECTRONIC RECORDS STATEMENT:Albemarle County is creating and using electronic records and electronic signatures as allowed by the Uniform Electronic Transactions Act(Virginia Code § 59.1-479 et.Seq.).As an applicant to the Building Permit process, you may consent to receive,or have online access to,electronic records and receive and create records having electronic signatures related to Building Permits,Correspondence,Inspection Tickets and Certificates of Occupancy(the Building Permit transactions). SBW 6/22/15 Initials of Owner,Contractor or Authorized Agent Date Your agreement to conduct Building Permit transactions by electronic means does not prevent you from refusing to conduct other transactions by electronic means. TIER III Special Use Permit APPLICATIONS I hereby certify that I own the subject property,or have the legal power to act on behalf of the owner in filing this application. I also 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. June 22, 2015 Sign ure of Owner/Agenter/Agent Date Stephen Waller,AICP 434-825-0617 Print Name Daytime phone number of Signatory REVISED 06/02/15 Page 10 of 11 Personal Wireless Service Facility Application Required FEES to be paid at time of application: What type ofPersonal Wireless Service Facility are you applying for? Tier I Facility 106.50 Tier II Facilities—Site Plan 1,820 Tier III Facilities—Special Use Permit 2,000 Amend existing Special Use Permit 1,000 Special Exception for relief from conditions of approval;modification or waiver of requirements $425 Notification Requirement for Tier II and Tier III for up to 50 notices 200 Notification Requirement for Tier II and Tier III for each notice over 50 notices* 1 plus the cost of postage Published notice cost for Tier III Facilities ** Cost is based on a cost quote from the publisher. Building Permit after Tier II or Tier Ill approval 106.50 This fee is not collected at the time of initial submittal. This fee, if any, will be calculated by staff and the applicant will be notified of the fee amount and the deadline for payment. If the fee is not submitted by the deadline the applicant shall be deemed incomplete. To be paid after staff review for public notice: Most applications for a Special Use Permit require at least one public hearing by the Planning Commission and one public hearing by the Board of Supervisors. Virginia State Code requires that notice for public hearings be made by publishing a legal advertisement in the newspaper and by mailing letters to adjacent property owners. Therefore, at least two fees for public notice are required before a Special Use Permit may be heard by the Board of Supervisors. The total fee for public notice will be provided to the applicant after the final cost is determined and must be paid before the application is heard by a public body. Staff estimates the total cost of legal advertisement and adjacent owner notification to be between$350 and$450 per hearing. This estimate reflects the average cost ofpublic notice fees for Special Use Permit applications, but the cost of certain applications may be higher. Other FEES that may apply: Y Deferral of scheduled sublic hearin:at al,licant's rec uest 180 SIMIXISSIV Resubmittal fees for Tier III Facilities Y First resubmission FREE y Each additional resubmission(TO BE PAID WHEN THE RESUBMISSION IS MADE TO INTAKE STAFF) 1,000 y Each additional resubmission of an amendment to an existing SP(TO BE PAID WHEN THE RESUBMISSION $500 IS MADE TO INTAKE STAFF) REVISED 06/02/15 Page 11 of 11 11017123211-wireless Implementation/Construction— Virginia 1831 Rady Ct.,Richmond, VA 23222 May 22,2012 TO: Erica Castillo Albemarle County Attorney's Office 401 McIntire Road Charlottesville,Virginia 22902 RE:Verizon Wireless Project-Albemarle County Land Use and Zoning Permits Dear Ms.Castillo: The purpose of this letter is to provide you with a brief statement of Stephen Waller's role in Verizon Wireless' project in the Charlottesville Market. Stephen is a consultant that Verizon Wireless has designated as theconsultingZoningManagerformanyofourantennasitestheCountyofAlbemarle. In this capacity he isresponsibleforfilingthevarioustypesoflanduseapplicationsthatarerequiredbyCountyOrdinancesand maintaining contact with County staff throughout their reviews of these applications. Please do not hesitate to contact me if you should have any questions regarding Stephen's authority to act on behalfofVerizonWireless. Sincerely, Marshall Pearsall Implementation Manager Verizon Wireless marshal I.pearsal l@verizonwireless.cor VERIZON WIRELESS- "GREENBRIER PARK" (CITY CHURCH) TIER II PERSONAL WIRELESS SERVICE FACILITY Project Description/ Request: Cellco Partnership, operating as Verizon Wireless, respectfully requests approval of a Tier II Personal Wireless Service Facility(PWSF), with a 71-foot tall monopole to be located on a parcel with the address of 1010 East Rio Road, and identified as Tax Map 61 - Parcel 153A1 (the Property"). This proposal will also include the installation of a 105 square foot steel, grated platform, housing radio transmitter and backup battery cabinets and a utility H-frame stand with other power and communications components, along with an emergency back-up power generator on a 32 square foot concrete pad. The proposed PWSF will be contained within a 1,200 square foot lease area located in the rear of the Property with an elevation of approximately 451.25 feet Above Mean Sea Level (AMSL). The monopole, antennas, and base station equipment will all be painted with Sherwin Williams Java Brown - #6090, which is a matte enamel color that has been previously approved as an appropriate color for many other Treetop" Personal Wireless Service Facility sites throughout Albemarle County. Network Objectives: Verizon Wireless is licensed by the Federal Communications Commission (FCC) to provide various types of state-of-the-art wireless communications services within Albemarle County. These are comprised of Cellular (CDMA / 800 MHz), PCS (Personal Communication Service / 1900 MHz), the Long Term Evolution 4G Network (LTE / 700 MHz) and Advanced Wireless Service (AWS / 2100 MHz) technologies combined for a wide range of services which are used for mobile voice, data, video and text messaging among other services. Whenever possible, it is Verizon Wireless' goal to provide seamless in-building, in-car and on- street coverage and the full range of voice and data services to existing as well as potential future customers. In doing so, Verizon Wireless has identified this particular area as needing expanded coverage into the growing residential neighborhoods on the northern side of Rio Road East. Additionally, the proposed facility will help to increase network capacity by offloading the increased demands for the company's voice and data services that are currently being provided by the two nearest, neighboring sites: "Melbourne" (co-location on the guyed tower near the intersection of Melbourne Road and Rio Road / Park Street) and "Rio Road" (co- location on the monopole tower just north of Fashion Square Mall). Character of the Area: This subject parcel is triangular in shape and it consists of 4.23 acres located in the Rio Magisterial District, just west of where Rio Road East crosses over the Norfolk Southern Railway. This property, which is zoned R4 - Residential (RA), currently contains a church, a mobile unit for classrooms and a small storage building. Adjacent properties directly to the northeast along Rio Road are zoned CO - Commercial Office (Covenant Church) and R4 (single- family dwellings) respectively. The adjacent parcel to the south shares the same R4 zoning designation and is the site of the Charlottesville Technical Education Center (CATEC). Properties to the west of this site, with rear yards adjacent the Norfolk Southern Railway are all located within the City of Charlottesville's Greenbrier Neighborhood and R-1, Residential Zone. Verizon Wireless PWSF Page 1 Greenbrier Park(City Church) Access to the proposed PWSF will be provided from the southern side of Rio Road East (State Route 631) using the church's existing parking lot and will be extended through the grass around the southern end and into the wooded area behind the existing mobile classroom where the facility will be located. The proposed monopole will be located approximately 65 feet from the nearest boundary line shared with the railroad right-of-way, 73 feet from the CATEC property line (Tax Map 61 - Parcel 153) and approximately 400 feet from the right-of- way for Rio Road East. The nearest off-site dwelling is located approximately 230 feet northeast of this site and identified as Parcel ID #43C001600 in the City of Charlottesville's property records. Compliance with Section 5.1.40 of the Albemarle County Zoning Ordinance Section 5.1.40(b) - Development Requirements for Tier II Personal Wireless Service Facilities Items 1 - 12): 1. General design:The facility shall be designed, installed and maintained as follows. a) Guy wires:The proposed monopole will not require any installation of guy wires. b) Outdoor lighting: One LED Floodlight will be placed at each end of the utility H-frame and they will be fully shielded, and they will only be used when needed during unexpected events that would require nighttime visits by Verizon Wireless's technical operations staff. Although these lights must be adjustable for safety reasons, please also note that the tree coverage above the site will assist in keeping the light from shining skyward during those relatively short periods of time. c) Ground equipment: The proposed equipment platform, base station cabinets and generator will be placed in a location that is screened from offsite views by the church and an existing mobile classroom located just to the north. These items will also be screened by the heavily wooded area that wraps around the other three sides of this site and totally surrounded by a wooden screening fence, which will help fortify the existing natural and man-made screening elements that are offered to this site. d) Whip antenna: No whip antennas are currently proposed with this application. e) Grounding rod: The proposed grounding rod to be mounted at the top of this monopole will comply with the County's sizing requirements for a maximum of 2 feet in length and 1-inch in diameter. 2. Antennas and associated equipment. a) Number of arrays: In order to meet Albemarle County's restrictions for flush-mounting antennas, while also deploying all four of the technologies that the company holds licenses to provide in this market, Verizon Wireless must mount six (6) antennas in two (2) vertically separated arrays (one above the other). The highest array will be centerline mounted at the 67-foot AGL level (518.3' AMSL) with three panel antennas, and the second array will be installed at the 58.5-foot AGL level (509.8' AMSL). These split arrays will support combination of Cellular and PCS service signals at one mounting level on the monopole and LTE and AWS signals at the other level. Other connectors and devices that will be mounted below the antennas include nine (9) remote radio heads and two (2) fiber optics surge protection boxes. These items will also be placed well below treetop height so that they are not likely to be visible from nearby or distant off-site views. Verizon Wireless PWSF Page 2 Greenbrier Park(City Church) b)Size:The antennas to be installed in both arrays are identified as Commscope Model# SBNHH-1D65C [96"(H)x 11.9"(W)x 7.1"(D), equaling 1142.4 square inches]. c) Projection: The proposed antennas in both arrays are fitted with Internal Remote Electrical Tilt (RET) mechanisms that allow the necessary amount of down-tilting of transmit and receive elements within visible parts of the panel antennas. This will be combined the use of "low profile chain-mounts" that will be use to ensure that all of the antennas are in compliance with the County's flush-mounting requirements (12" maximum between the face of the monopole and the face of the antenna). d) Color:All antennas will be painted to match the color of the proposed monopole. 3. Tree conservation plan; content. Prior to the approval of a building permit, Verizon Wireless will submit a tree conservation plan by Dave Rosene, a Certified Arborist with VanYahres Tree Company. As standard practice, Mr. Rosene will not issue his written conservation plan letter until after he has had the chance to review Verizon Wireless's Final Construction Drawings / Site Plan and visit the site. As a standard practice Mr. Rosene's letter will provide any post- construction recommendations and/or granting approval for all proposed land disturbance techniques, vegetation protection fencing locations, and other design elements that might affect the health of trees that surround this site. 4. Creation of slopes steeper than 2:1. Upon the completion of this project, none of the remaining slopes will be greater than 2:1 as a result of construction and land disturbing activities for the proposed facility. 5. Ground equipment shelter; fencing. Verizon Wireless is proposing the installation of a 7-foot high wooden, stockade fence in order to prevent trespassing, while also providing additional screening the from nearby property during the fall and winter, while also. The proposed fencing will be suitable to this area, because it will be similar to other forms of fencing that is used for residential and commercial properties and uses throughout the county. The location and design details of the proposed screening fence are provided in the construction drawings /site plan being submitted with this application. 6. Screening and siting to minimize visibility. The proposed facility will be located at the rear of the subject parcel. The existing brick church and its tall steeple are located between Rio Road East and the facility site and this will help to screen views of the monopole from the adjacent road.The ground equipment compound will be screened by an existing mobile classroom building located directly in front of this site. Trees in the wooded area surrounding the compound will assist in screening views of the monopole and base station equipment on all other sides of the facility. 7. Open space plan resources. Verizon Wireless has identified no open space, natural, man-made or other specifically identified resources that would be adversely impacted by approval of this application. Verizon Wireless PWSF Page 3 Greenbrier Park(City Church) 8. Horizontal separation of multiple facilities. The proposed PSWF will be the first of its kind to be located on the subject parcel, and there are not any other facilities located on any of the adjacent parcels. Therefore, there will be no other existing facilities that are within the close proximity as specified by the restrictions of this particular section. 9. Diameter of monopole. As indicated in the attached construction drawings, Verizon Wireless' proposed monopole will be designed and constructed so that it is 30 inches at its base and tapers to 18 inches at its top. 10. Height of monopole. At 71 feet tall (522.3 feet Above Mean Sea Level - AMSL), the proposed monopole will be approximately 10 feet above the top elevation of the reference tree,which is identified as a 15" diameter White Pine that is 62.7 feet tall (512.3 feet AMSL), and has a drip line that is approximately 12 feet west of where the monopole will be installed. 11.Color of monopole, antennas, and equipment. The monopole and all antennas will be painted Sherwin Williams Java Brown #6090, a color that has been applied to previously approved Tier II and treetop PWSF monopoles in Albemarle County. All of the base station equipment that is installed to support this facility will also be painted the same color and enclosed within a wooden screening and security fence as well. 12. Placement of cables, wires and similar attachments. The proposed monopole will be designed and constructed to contain all of Verizon Wireless's coaxial and fiber optic cables that will run from the ground equipment to all supporting connection devices and both sets of antennas. However, if for some reason it is determined in the future that additional cables for facility upgrades cannot be fit within this pole (which must also be designed to taper from 30" at its base to 18" at the top), then Verizon Wireless may need to request approvals to allow any cables that can't fit inside to be run up the back of the pole (interior to the property) instead. This would have to be done in a similar manner that is currently as allowed for wooden and concrete monopoles. Section 5.1.40(c) -Applicability of other regulations in this chapter (Items 1-6): 1. Building site. Verizon Wireless acknowledges this exemption from the standard building site requirements for Personal Wireless Service Facilities. 2. Vehicular access. The longest stretch of access to the proposed facility will pass over the travel ways that are appurtenant to the church's existing parking lot. From there, the grassed area over which the access road will be extended is level and has no areas of critical slopes that will be disturbed. Verizon Wireless PWSF Page 4 Greenbrier Park(City Church) 3. Setbacks. Verizon Wireless has selected a monopole location that is approximately 73 feet (102.8% of its height) away from the southern property line shared with the CATEC property. This exceeds the standard, minimum required setback distance for towers and similar structures, which is equal to 100% of the monopole's height from all parcel lines shared with adjoining lots. There are no specified setbacks from the boundary lines shared with the right-of-way for Rio Road East or the Norfolk Southern Railway. 4. Area, bulk, and minimum yards. Although, Verizon Wireless acknowledges this exemption from the standard area, bulk and minimum yard requirements for Personal Wireless Service Facilities, it should be noted that the proposed facility will greatly exceed the standard setbacks that are established for the R4 District. 5. Required yards. Verizon Wireless acknowledges this exemption that allows relief to Personal Wireless Service Facilities from the required yard standards. 6. Site plan. Please refer to the attached construction drawings and antenna/equipment specification demonstrating compliance with the Tier II PWSF criteria, set forth in Section 5.1.40(a)(4) - Plans and Supporting Documents, as well as any of the other relevant requirements set forth in Section 32 of the zoning ordinance for site plans. Conclusion: Verizon Wireless is confident that the proposed Personal Wireless Service Facility will meet the design criteria necessary for approval of a Tier II facility, and that it does not conflict with any of the goals and objectives set forth in the Albemarle County Comprehensive Plan. Approval of this PWSF application will contribute to the expansion of Verizon Wireless' coverage to residents and nearby businesses in the relatively new neighborhoods just north of Rio Road East. This facility will also help to reinforce network capacity and relieve some of the high level of traffic that has be experienced at existing neighbor sites due to the increased demands for service in this rapidly growing development area. Sincerely, iffeacbae,-- Stephen Waller, AICP GDNsites Site Development Consultants to Verizon Wireless Verizon Wireless PWSF Page 5 Greenbrier Park(City Church) IIIWAIBRIARAWINC CGC/3.7.14 Prepared by and Upon Recording, Return to: Pennington Law Firm, L.L.C. Post Office Box 2844 Columbia, South Carolina 29202 VA Code§58.1-807. F. Notwithstanding the other provisions of this section,the tax on the recordation of aleaseofacommunicationstoweroracommunicationstowersiteshallbe$75;the tax COMMONWEALTH OF VIRGINIA on the recordation of each lease to afllx any communications equipment or antenna to any such tower or other structure shah be S15. COUNTY OF ALBEMARLE TAX MAP PARCEL NUMBER: 06100-00-00-153A1 MEMORANDUM OF LAND LEASE AGREEMENT This Menndum of Lan ease Agreement ("Memorandum") is made this day of 201_ between the TRUSTEES OF CITY CHURCH (AKA H RLOTTES FI ST ASSE LY OF ALBEMARLE COUNTY, VIRGINIA), with offices at 1010 East Rio Road, Chari ttesville, Virginia 22901, an unincorporated church affiliated with and a part of the Potomac District Council and the General Council of the Assemblies of God with headquarters at Springfield, Missouri, hereinafter designated LESSOR, and CELLCO PARTNERSHIP D/B/A VERIZON WIRELESS, a Delaware general partnership with its principal office located at One Verizon Way, Mail Stop 4AW100, Basking Ridge, New Jersey 07920, hereinafter designated LESSEE. 1. LESS And LESSEE entered into a Land Lease Agreement (the "Agreement") on IA Y.(201 for an initial term of five (5) years, commencing on the Commencement Date. The Agreement shall automatically be extended for four (4) additional five (5) year terms unless the LESSEE terminates it at the end of the then current term by giving the LESSOR written notice of the intent to terminate at least six (6) months prior to the end of the then current term. If at the end of the fourth (4th) five (5) year extension term the Agreement has not been terminated by either Party by giving to the other written notice of an intention to terminate it at least three (3) months prior to the end of such term, the Agreement shall continue in force upon the same covenants, terms and conditions for a further term of five (5) years and for five (5) year terms thereafter until terminated by either Party by giving to the other written notice of its intention to so terminate at least three (3) months prior to the end of such term. 2. Pursuant to the Agreement, LESSOR has leased to LESSEE a portion of that certain parcel of property (the entirety of LESSOR's property is referred to hereinafter as the Property), located at 1010 East Rio Road, Charlottesville, Virginia, and being described as a 24' by 50' parcel containing 1,200 square feet the "Land Space"), together with the grant of a non-exclusive right (the "Right of Way") for ingress and egress, Monday through Saturday twenty-four (24) hours a day, and Sundays only in Emergency situations (as defined herein), on foot or motor vehicle, including trucks over or along a variable width right-of-way extending from the nearest public right-of-way, East Rio Road, to the Land Space, and for the installation and maintenance of utility wires, poles, cables, conduits, and pipes over, under, or along one or more rights of way from the Land Space, together with the grant of a ten (10') foot non-exclusive easement for the installation and maintenance of utility wires, poles, cables, conduits, and pipes (the Utility Easement"); said Land Space, Utility Easement, and Right of Way hereinafter collectively referred to as the "Premises") being substantially as described herein in Exhibits "A" and "B" attached hereto and made a part hereof. The Property is also shown on the Tax Map of the County of Albemarle as Parcel ID Number 06100-00-00-153A1 and is further described in Deed Book 1990 at Page 503 as recorded in the Office of the Clerk of Circuit Court of Albemarle County. In the event any public utility is unable to use the Right of Way, the LESSOR hereby agrees to grant an additional right-of-way either to the LESSEE or to the public utility at no cost to the LESSEE. It is expressly acknowledged and agreed that independent third party providers of utility services to the Property, including but not limited to, fiber, electric and telephone, may utilize the above- referenced Right of Way for the installation of overhead and/or underground equipment, and all necessary appurtenances, necessary for the operation of LESSEE's or its subtenants' facilities without the execution of any further documentation. However, if required by the third party provider, LESSOR agrees to execute a separate recordable document evidencing such rights without the payment of additional consideration. 3. The Commencement Date of the Agreement, of which this is a Memorandum, is based upon the date LESSEE commences installation of the equipment on the Premises. In the event the date LESSEE commences installation of the 2 equipment on the Premises falls between the 1st and 15th of the month, the Agreement shall commence on the 1st of that month and if the date installation commences falls between the 16th and 31st of the month, then the Agreement shall commence on the 1st day of the following month (either the Commencement Date"). 4. The terms, covenants and provisions of the Agreement, the terms of which are hereby incorporated by reference into this Memorandum, shall extend to and be binding upon the respective executors, administrators, heirs, successors and assigns of LESSOR and LESSEE. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] SIGNATURES ON THE FOLLOWING PAGE] 3 IN WITNESS WHEREOF, hereunto and to a duplicate hereof, LESSOR and LESSEE have caused this Memorandum to be duly executed on the date first written hereinabove. LESSOR: TRUSTEES OF CITY CHURCH (AKA CHARLOTTESVILLE FIRST ASSEMBLY N ' OF ALBEMARLE COUNTY,VIRGINIA) NOTaRyPUBLIC REG. #713 1/ p MY COMMISSION * =EXPIRES SHEILA WILLIAMS i ••.7/31/2015 •.•''„ :`O Lip ()%•. 7/31/2015 ...**,„ ::::* OF R•`• I,,,,,,,,,,,,\ ACKNOWLEDGMENT STATE OF V i 9;,-% ; •` COUNTY/CITY OF A-I lo .c,. rl I, t V n, a Notary Public for said County and State, do hereby certify that SHEILA WILLIAMS personally came before me this day and acknowledged that she is a TRUSTEE OF CITY CHURCH (AKA CHARLOTTESVILLE FIRST ASSEMBLY OF ALBEMARLE COUNTY, VIRGINIA) and that she, as a Trustee, being authorized to do so, executed the foregoing Memorandum on its behalf. Witness my hand and official seal,this 27.14 day of j4p I 201 `i . Print Name: 'RA%_41 1 011O4TARNYtn' 4p Publicublic a....... RT''% 42; mg7 r 4_ k REG.# 2ai5 5-17 0MYCOMMISSION = .z EicEkm.NOVONAL VAMP-SEAL] 7/31/2015 .gyp •••....•••'J. 4 LESSOR: TRUSTEES OF CITY CHURCH AKA CHARLOTTESVILLE FIRST ASSEMBLY OF ALBEMARLE COUNTY, GINI ) ermit Anderson STATE OF 1h r5iniri ACKNOWLEDGMENT OUN /CITY OFWbf(e- ) 1,Shetld.. g I lttLiaNS , a Notary Public for said County and State, do hereby certify that KERMIT ANDERSON personally came before me this day and acknowledged that he is a TRUSTEE OF CITY CHURCH (AKA CHARLOTTESVILLE FIRST ASSEMBLY OF ALBEMARLE COUNTY, VIRGINIA) and that he, as a Trustee, being authorized to do so, executed the foregoing Memorandum on its behalf. Witness my hand and official seal, this day of Olt 2018 P of Name: et 1 ttat'iS Notary Public My Commission Expires: 3uiL -40Jc/40a AFFIX NOTARIAL STAMP-SEAL] so, . 1 r v PLt• .4. Y A; r * '•.. J' 5ra 4 LESSOR: TRUSTEES OF CITY CHURCH AKA CHARLOTTESVILLE FIRST ASSEMBLY OF ALBEMARLE CO TY, VIRGINIA) a44 aa4z ce41— Larry Burruss STATE OF V I(G 1`i k ACKNOWLEDGMENT r OUN r /CITY OF Pd 1GL1ig–) I,i al, a Notary Public for said County and State, do hereby certify that LARRY BURRUSS personally came before me this day and acknowledged that he is a TRUSTEE OF CITY CHURCH (AKA CHARLOTTESVILLE FIRST ASSEMBLY OF ALBEMARLE COUNTY, VIRGINIA) and that he, as a Trustee, being authorized to do so, executed the foregoing Memorandum on its behalf. Witness my hand and official seal, this I_` day ofjli' ' , 204 1/60,-- P nt Name: 7ihe (cl 114015 Notary Public My Commission Expires: 3D)o2O1(O AFFIX NOTARIAL STAMP-SEAL] y;'' ,1 r .r...6 c roti 47 1'O M 0 0`1,,, t,,, noso LESSEE: CELLCO PARTNERSHIP D/B/A VERIZON WIRELESS By: rin".1"...."."4 David R. Heverling Its: Area Vice President Network STATE OF MASSACHUSETTS ) ACKNOWLEDGMENT COUNTY OF WORCESTER ) I,pias (.aZ10 tfit , a Notary Public for said County and State, do hereby certify that DAVID R. HEVERLING personally came before me this day and acknowledged that he is the Area Vice President Network of CELLCO PARTNERSHIP D/B/A VERIZON WIRELESS, and that he, as Area Vice President Network, being authorized to do so, executed the foregoing Memorandum on its behalf. Witness my hand and official seal, this R1 day of 11)11 , 201 a , a I Print Name:ler GI 2r.c.) Notary Public My Commission Expires: t' AFFIX NOTARIAL STAMP-SEAL] tijy rWEA°N o?Ub ccot_ OF ASSACNU sSEt.* S 7 EXHIBIT "A" METES AND BOUNDS DESCRIPTION OF PREMISES 8 Exhibit A Page 1 of 1) a UPI PIO 111 I:1%1A q 1Wal41040R11P405111181 -' P 61 Al pi' %lir 12P alr. g 2 gm agrliMr4WI% kr 11 dA ga514i q A " re ql * Mn 1 ° 5V5i 4 11 - 0k 1 lli T q. Pen ilx-ag wegir % xilg. N 911R r! 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My” ii 11 7c,i 12 c.< ,V1 •-“1,1 1oc i cl r.!, III:: rovN w1 p= :11:i i Iliii, ,,,, 6.--1:-: , 1 4 Vt1 ' A m RECORDED IN CLERKS OFFICE OF ALBEMARLE ON AUGUST 5,2014 at 12:07:09 PM AS REQUIRED BY VA CODE §58.1-802 STATE:$0.00 LOCAL:$0.00 ALBEMA- E COUNTY,VA DEBRA M.SH -P N U I T CLERK c GDN P' Consultants to Verizon Wireless 536 Pantops Center-PMB#405 Charlottesville, Virginia 22911 June 22, 2015 TO: County of Albemarle Department of Community Development 401 McIntire Road,North Wing Charlottesville, Virginia 22902 RE: Verizon Wireless- Greenbrier Park/City Church Tier II PWSF Application Site Photos Package To whom it may concern: In accordance with Section 5.1.40(a)(5) of the Albemarle County Zoning Ordinance, enclosed you will find photographs that were taken of the above-mentioned site that is being proposed for the development of a Personal Wireless Service Facility. In order to avoid the unnecessary expenses I am only providing three (3) sets of these photos, because with past applications it has been observed that these initial photos are no longer being provided in Planning Commission packets and most Site Review Committee members have never provided any comments regarding the photos. However, please note that I can provide any additional hard copies and/or access to the electronic files if needed upon request. Additionally, I can also provide as many copies of balloon test photos and simulations as needed once the balloon test has been scheduled and performed for County staff. Please do not hesitate to contact me at your earliest convenience if you should have any questions or will require any additional information or support from myself and/or my clients at Verizon Wireless. Sincerely, Stephen Waller, AICP Director of Zoning and Permitting Services Phone: 434-825-0617 Fax: 434-8250617 stephen.waller@gdnsites.com Verizon Wireless- Greenbrier Park- Tier II Personal Wireless Service Facility 4111* I 4• K ay 4, 000101111111 I ' ziy.r r,. f ti View west toward trees surrounding the proposed facility site from Rio Road East along the northeast side of the church A 2 * ri 1111111111rgal Zoomed view from Rio Road along the northeastern side of the church Verizon Wireless - Greenbrier Park-Tier II Personal Wireless Service Facility 11 11 I I I I r d _i `I i 4 . y'A n...,,,,, .std h View west toward trees surrounding the proposed facility site from Rio Road East along the northwest side of the church 10101111 ft: ,, s • p1i •1+ ty alp .Y ;f, I. 4..,,,,,,..imsr.,.. , ', c Zoomed view from Rio Road along the northwestern side of the church Verizon Wireless - Greenbrier Park- Tier II Personal Wireless Service Facility aI 4411110111. 1-. 1 t. ":. '''''''.. '` a Irz: T a vu g a..,^” Y, a?t rzMt*. t " # i t t r 1 lc 3 4 1 .a ?. View east toward Rio Road East from the church parking providing primary access to the proposed facility t 71, qhs t W,ti" y. 440,14.i.„. _y 11 ills* i 1.1.11.!1!1.lifiiiiii#,,,,, :.., Aki e Y,ti 4.=,.....„;,,-- 1--v4,,,,,„1„,,, r a p t - ;. '',ta;,t x gyp, ,-„ zazt ",.– y " m +.1 1` am; iu s*7' fie tX wxw .- ', . n1.o'h 41. °4 ase=k1.+- o.. — .: .''''' Iv'''''havr.'ver,1.-r., er..+;,....»..._. .,.4 .-...':a w,z+'e...." View west toward the mobile classroom from the church parking providing primary access to the proposed facility r Verizon Wireless - Greenbrier Park-Tier II Personal Wireless Service Facility 0 dielii., I 16ru it11404, ' ioThi le IN 1 . SII i 1.1 i fir a# v 1_ 4,1 View east in the path of the access road leading to the proposed facility I7;42,: r... 0„... t.41160 , Q1 0+.. k'...'v'SR , } '.*.Y: ... ,,-,q, ra :,.5 r s ..`.';4 c ,,,,, . x ix ,,, f..*'t''''. View west in the path of the proposed access road leading to the facility site Verizon Wireless - Greenbrier Park - Tier II Personal Wireless Service Facility Ils 4 ±. . 1i so_ k' t NI f/r4 llt I di~ 1 l View south in the path of the access road leading to the proposed facility 4'.tirh j SII 4. t d t w li A,,,- fi ri t 5 c R.._ fi View north in the path of the access road leading to the proposed facility Verizon Wireless - Greenbrier Park - Tier II Personal Wireless Service Facility Waw i 1111.1111P—'7 w View west from behind the church and toward site of the proposed facility Y - H f....:71oraksi. , 1111115* ihict rtY t g- { # k 4 '` 'fig 1.:1 ;4''',,i x q d*iy,''"a giro.. 3 ti* k.xc 73 ". av `.: ZAP!'''...' + mo p a,q nYy w k1,•N, .+°awpw*gt'&^ S -.1f"''''""!'..+xrk r 'a n . a x- s,.;... View north from behind the CATEC and toward site of the proposed facility Verizon Wireless - Greenbrier Park-Tier II Personal Wireless Service Facility Yy,ap: . ++1` , 11111 A1 ,o. •, • tiff' A rS..`..t T,,,' , A.,. x ; r u. t, '' ' ',,,:,'° ih f0.v 4- w, .. 1uA• ,„ w RFS W'r}"`f fir'ee '' ,# View toward the east and outward from the site of the proposed facility r 4s1 sem+= t l yl •Y . R 1Y u mr't° 11t`. „.. ii,'::.'----'-': ''. 13: ':': e Ali j -a4') 11. 4 f: ' 4*.'° : ili:....,". IS EP t•i 4 u y i t#41set. L. .. : 71'b , ... r"' 4". M10,..411110"..! ifi View toward the south from the site of the proposed facility Verizon Wireless -Greenbrier Park- Tier II Personal Wireless Service Facility s• 11-rx A y c., d - r r Pbyr r f fi it - l1 wl! ,.. s • v„ why /'.. _-- • b View toward the west from the site of the proposed facility t ms— F 14','" + .rte 4•Vr i/ '. c I.N. J/ 144 y q y , 11TH'"• ii L fir A t ii .+ 1t < o +.c , 44.Y pp ap, •4y` w .. ;,:iN•dr+'X 'T b&s"pp" ,''1,,, t: y t ''` y,, j•• fir *' S r ` y%,, „a• A t/ , t. . A • r t• 'r f is v'y ti h V,i:. y I„\f„.I 4. b Y9 civ,t--+.`\ ipiltitr44.-4c,1/r. PDLLL ... "t - { 1 3 fir ' t.jl•', View toward the west from the site of the proposed facility f. 4 Y ,. Y'• nom 4er.,:„. r irlitisis,_ iI ' fn °• 4+ rt IPr` 1,11/4F r' I W•r 3 Y iR t.. i jN Y ae y}.. `_. .''.. j o ''' bi° •' • J-,,, ,. " .' i _ • ' -'4.4. -•e-7"1"0-'- fyXAa„} K' 4f ` '': l r fir` ,. htr~F " K '', , ,*'1 aA Yrs b K pr d 1 f ham 4 f'N s r '" bb ,..".!,.,-V s• ' r.ray : 4 I t• ;• s :y. `. J 41;..."1-414 s 4= 1 • ,..„, "-- r,,,, f kit gip M-.,'Fi.l „.,;0,... 7 4 .4 s t .it Y A:4:q AF V 141, X f.•'' 't a * tiR.. f g 'd a+. r y.,R. a' e* I, Y y•ti. ... t, I Verizon Wireless - Greenbrier Park - Tier II Personal Wireless Service Facility r SAt4 t---,,- .4-----.y 77 Ite: ia rx r** . l4R ntk''4 - `A r - tct r , ti A 41 87 1- \ r L 4314' 4' ‘ W\ c"IL . ?*. 00/..;• 4: ff":; St:'. 11' t-a g"d L Ye 1 i 4a Li iy,r:..rY 4. yy W l A K .r x,..-1, x' A'' 4...*14t 44,-,4- r'f a"+ xl " y z ffa Verizon Wireless - "Greenbrier Park" Paint Chip: Sherwin Williams Java - SW 6090