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SDP201500007 Checklist Final Site Plan and Comps. 2015-12-29
Finalte Development Plan •..00 Checklist /RAN�P Project Name: Sb1' 1.42)`5 0JOO7 - O►V elk. 1 Z. Firm: 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-20 CI satisfied satisfied all of the requirements of section 32.6 below; and ❑ 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. ❑ 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. ❑ 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. U Provide the number of copies as directed in the Initial Site Plan approval letter U One(1)reduced copy of the plan no larger than eleven(11)by seventeen(17)inches in size. ❑ Scale 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. ❑ Other scale approved -one(1)inch equals ( )feet,by ❑ No sheet exceeds forty-two(42)inches by thirty-six(36)inches in size. ❑ 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. U The top of each sheet is approximately ❑ North or ❑ East ❑ Dimensions. The plan is dimensioned to at least the following standards for accuracy: ❑ Boundary,setback and zoning lines: Within one one-hundredth(0.01)of a foot. U Existing contours: Within one-half(1/2)of the contour interval required in section 32.6.2(c). U Proposed contours: Within one(I)foot horizontally and vertically. ❑ Spot elevations:Within one-tenth(0.10)of a foot. U 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. U 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 'bemarle County-Final Site Plan Checklist Site Plan Ordinance Section 32.6 Notentents of final site plan sari ri 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: ❑ Demonstrate compliance with chapter. Specific written schedules or notes as necessary to demonstrate that the requirements of this chapter are satisfied. ❑ Proposed grading. ❑ Proposed grading(up to twenty[20] percent slope,maximum two [2] foot contours; over twenty [20] percent slope,maximum five [5] foot contours). ❑ Water and sewer facilities. ❑ Detailed plans for proposed water and sewer facilities, including all pipe sizes,types and grades; ❑ proposed connections to existing or proposed central water supplies and central sewage systems; ❑ location and dimensions of proposed easements and whether they are to be publicly or privately maintained; ❑ profiles and cross sections of all water and sewer lines including clearance where lines cross; ❑ all water main locations and sizes;valves and fire hydrant locations; ❑ all sewer appurtenances by type and number; ❑ the station on the plan to conform to the station shown on the profile and indicate the top and invert elevation of each structure. ❑ Drainage and grading plans. ❑ Detailed construction drainage and grading plans: ❑ Profiles 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; ❑ 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 allow field stake out of all proposed work from the boundary lines; ❑ 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 ❑ A 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 'bemarle County-Final Site Plan Checklist ❑ Street sections. ❑ Typical street sections together with specific street sections where street cut or fill is five(5) feet or greater; ❑ centerline curve data; ❑ 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; ❑ symmetrical transition of pavement at intersection with existing street; ❑ the edge of street surface or face of curb for full length of proposed street; ❑ 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. ❑ 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. ❑ Signature panel. ❑ Signature panel for signature by each member of the site review committee. ❑ Parking and loading areas. ❑ 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 ❑ Outdoor lighting. ❑ Outdoor lighting information including ❑ a photometric plan with ❑ location,description, and photograph or diagram of each type of outdoor luminaire. ❑ Recreational facilities. ❑ 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) ❑ 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) ❑ 4. Provide copies of off-site easements, or letters of intent to grant them from off-site property owners. (Albemarle County Engineering Policy) REVISED 06/10/2015 Page 3 of 4 • • 'bemarle County-Final Site Plan Checklist • ❑ 5. Show and label stream buffer limits. (Water Protection Ordinance,WPO) ❑ 6. Indicate the deed book and page reference for all existing utility easements located on the property. (Albemarle County Service Authority) ❑ 7. Tier 3 -Draft or Final Groundwater Management Plan(WPO Section 17-403) ❑ 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. Signature of Owner,Contract Purchaser,Agent Date Print Name Daytime phone number of Signatory REVISED 06/10/2015 Page 4 of 4 si. iitial Site Plan c#A Checklist '$`a isg. Project Name: Firm: 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. Plans which lack the information required by this checklist shall be deemed to be incomplete and shall be denied by the agent with ten(10) calendar days after the applicable submittal deadline[Section 32.4.2]. An Initial Site Plan shall contain the following: U [32.5.1 a]Number of copies. ❑ Sixteen(16) clearly legible copies in blue or black ink of the plan shall be submitted. U [32.5.2 lb] Scale and size. U The plan shall be prepared to the scale of one(1) inch equals twenty(20)feet or to another scale approved by the agent in a particular case.No sheet shall exceed forty-two(42)inches by thirty-six(36)inches in size. ❑ The plan may be prepared on one(1)or more sheets. If prepared on more than one(1) sheet, match lines shall clearly indicate where the several sheets join. U The top of the sheet shall be approximately either north or east. ❑ [32.5.1c] Dimensions. U The plan shall be dimensioned to at least the following standards for accuracy: U Boundary, setback and zoning lines: One foot in one thousand(1:1,000) feet. ❑ Existing contours: One-half(1/2)of the contour interval required in section 32.5.2(d). ❑ Proposed contours: Within five(5)feet horizontally and vertically. ❑ Existing structures,utilities and other topographic features: Within five(5)feet. ❑ Proposed structures,roads,parking lots and other improvements: Within five(5) feet. U [32.5.2 a] General information. U The name of the development; ❑ names of the owner, ❑ developer and individual who prepared the plan; U tax map and parcel number; ❑ boundary dimensions; U zoning district; ❑ descriptions of all proffers, special use permits and conditions thereof, special exceptions and conditions thereof, variances and conditions thereof, application plans, codes of development and bonus factors applicable to the site; U magisterial district; ❑ county and state; U north point; U scale; one datum reference for elevation(where section 30.3, flood hazard overlay district, is involved,United States Geological Survey vertical datum shall be shown and/or correlated to plan topography); U the source of the topography; ❑ departing lot lines; ❑ minimum setback lines,yard and building separation requirements; ❑ the source of the survey; ❑ sheet number and total number of sheets; and U the names of the owners,zoning district, tax map and parcel numbers and present uses of abutting parcels. County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126 REVISED 06/10/2015 Page 1 of 4 • • C' *y of Albemarle-Initial Site Plan Checklist Sole ❑ [32.5.2 bJ Information regarding the proposed use. ❑ Written schedules or data as necessary to demonstrate that the site can accommodate ❑ the proposed uses, ❑ including proposed uses and maximum acreage occupied by each use; ❑ maximum number of dwelling units by type including the number of bedrooms for multifamily dwellings; ❑ gross residential density; ❑ square footage of recreational areas; ❑ the percentage and acreage of open space; ❑ maximum square footage for commercial and industrial uses; ❑ maximum floor area ratio and lot coverage for industrial use; ❑ maximum height of all structures; ❑ schedule of parking including the maximum amount required and the amount provided; ❑ the maximum amount of impervious cover on the site; and ❑ if a landscape plan is required,the maximum amount of paved parking and other vehicular circulation areas. ❑ [32.5.2 c] Phase lines. ❑ If phasing is planned,phase lines and the proposed timing of development. ❑ [32.5.2 dJ Topography and proposed grading. ❑ Existing topography(up to twenty [20]percent slope,maximum five [5] foot contours,over twenty [20]percent slope,maximum ten [10] foot contours) for the entire site with sufficient offsite topography to describe prominent and pertinent offsite features and physical characteristics,but in no case less than fifty(50) feet outside of the site unless otherwise approved by the agent; ❑ proposed grading(maximum five [5] foot contours) supplemented where necessary by spot elevations; ❑ areas of the site where existing slopes are critical slopes. ❑ [32.5.2 el Landscape features. ❑ The existing landscape features as described in section 32.7.9.4(c). ❑ [32.5.2fl Watercourses and other bodies of water. ❑ The name and location of all watercourses and other bodies of water adjacent to or on the site; ❑ indicate whether the site is located within the watershed of a public water supply reservoir. ❑ [32.5.2 g/Onsite sewage system setback lines. ❑ The location of onsite sewage system setback lines from watercourses including intermittent streams and other bodies of water. ❑ [32.5.2 hJ Floodplain and related information. ❑ The boundaries of the flood hazard overlay district,the base flood elevation on the site,the elevation of the lowest floor, including any basement, and for any structures to be flood-proofed as required by section 30.3, the elevation to which the structures will be flood-proofed. ❑ [32.5.2 i] Streets, easements and travelways. ❑ The existing and proposed streets, including ❑ proposed bike lanes, ❑ access easements, ❑ alley easements and rights-of-way, and travelways, ❑ together with street names, ❑ state route numbers, ❑ right-of-way lines and widths, ❑ centerline radii and pavement widths. REVISED 06/10/2015 Page 2 of 4 C' ty of Albemarle-Initial Site Plan Checklist orf ❑ [32.5.2 jJ Existing sewer and drainage facilities. ❑ The location and size of ❑ existing water and sewer facilities and easements, ❑ the storm drainage system, ❑ drainage channels, and ❑ drainage easements. ❑ [32.5.2 kJ Proposed sewer and drainage facilities. ❑ The proposed conceptual layout for ❑ water and sewer facilities and ❑ the storm drainage system, indicating the direction of flow in all pipes and watercourses with arrows. ❑ [32.5.2 1] Existing and proposed utilities. ❑ The location of other existing and proposed utilities and utility easements, ❑ including existing telephone, ❑ cable, ❑ electric and ❑ gas easements. ❑ [32.5.2 m] Ingress and egress. ❑ The location of existing and proposed ingress to and egress from the property, ❑ Show the distance to the centerline of the nearest existing street intersection from the proposed ingress and egress. ❑ [32.5.2 n] Existing and proposed improvements. ❑ The location and dimensions of all existing and proposed improvements including ❑ buildings(maximum footprint and height)and other structures; ❑ walkways; ❑ fences; ❑ walls; ❑ trash containers; ❑ outdoor lighting; ❑ landscaped areas and open space; ❑ recreational areas and facilities; ❑ parking lots and other paved areas; ❑ loading and service areas; ❑ signs; and ❑ the proposed paving material types for all walks,parking lots and driveways. ❑ [32.5.2 of Areas to be dedicated or reserved. ❑ All areas intended to be dedicated or reserved for public use under sections 32.7.1.1, 32.7.1.2 and 32.7.1.3, and ❑ shall include a note on the plan stating that the land is to be dedicated or reserved for public use. ❑ [32.5.2 pJ Landscape plan. ❑ A landscape plan that complies with section 32.7.9, if it is required to be submitted with the initial site plan. ❑ [32.5.2 q]Traffic generation figures. ❑ If deemed appropriate by the agent due to the intensity of the development, estimated traffic generation figures for the site based on current Virginia Department of Transportation rates; ❑ indicate the estimated number of vehicles per day and the direction of travel for all connections from the site to a public street. ❑ [32.5.2 IJ Symbols and abbreviations. ❑ A legend showing all symbols and abbreviations used on the plan. REVISED 06/10/2015 Page 3 of 4 • C( ty of Albemarle-Initial Site Plan Checklist ❑ [32.5.2 sJ Additional informatiSiaso `.,I' ❑ The agent may require additional information to be shown on the initial site plan as deemed necessary to provide sufficient information for the agent and the site review committee to adequately review the plan. Grading Permit Requirements—If you will be looking to obtain a grading permit and the initial plan is approved and you have satisfied the conditions of approval identified by the agent in the letter required by section 32.4.2.5(c)then a separate Water Protection Ordinance Application for an Erosion and Sediment Control Plan must be submitted for review and approval In addition to the items required by the ordinance,Albemarle County Engineer, Groundwater Program Authority, the Virginia Department of Transportation,the Albemarle County Service Authority, and the Thomas Jefferson Health District require these items on plans submitted for initial 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 initial comments. ❑ 1. Reference the benchmarks used for surveys. (Albemarle County Engineering Policy) ❑ 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) ❑ 4. Provide copies of off-site easements,or letters of intent to grant them from off-site property owners. (Albemarle County Engineering Policy) ❑ 5. Show and label stream buffer limits. (WRPA Ordinance) ❑ 6. Indicate the deed book and page reference for all existing utility easements located on the property. (Albemarle County Service Authority) ❑ 7. Tier 3 -Draft Groundwater Management Plan (17-403) ❑ 8. Tier 4—Aquifer testing work plan (17-403) Read and Sign In representing the above referenced firm submitting this plan for initial approval,I hereby sate that,to the best of my knowledge,the attached plat contains all information required by this checklist. Signature of Owner,Contract Purchaser,Agent Date Print Name Daytime phone number of Signatory REVISED 06/10/2015 Page 4 of 4 Final'ite Development Plan Checklist } Project Name: Sim 12.) Ql1a,st- 2. R. (so? 201 s 0000/ Firm: 6.464A t (,ca.,. 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 fipal site plan has: a an initial site plan that was approved for the development and it remains valid; SDP-20 IR - 0006 ❑ satisfied all of the requirements of section 32.6 below;and ❑ 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. LTJ Author}'2ed preparer. Q 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. L�( A professional engineer licensed to practice in the Commonwealth of Virginia. ❑ A land surveyor licensed to practice in the Commonwealth of Virginia. J ❑ A certified landscape architect licensed to practice in the Commonwealth of Virginia. Lf� Number of copies when first submitted. Provide the number of copies as directed in the Initial Site Plan approval letter ise One(1)reduced copy of the plan no larger than eleven(11)by seventeen(17)inches in size. Scale 9nd size. El 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. �/ ❑ Other scale approved -one(1)inch equals ( )feet,by L7 No sheet exceeds forty-two(42)inches by thirty-six(36)inches in size. ❑1 The plan IS prepared on one(1)sheet. OR IJ The plan IS prepared on more than one(1)sheet and match lines clearly indicate where the several sheets join. "The top'each sheet is approximately North or ❑ East ▪ Dimensions. The plan is dimensioned to at least the following standards for accuracy: ❑ Boundary,setback and zoning lines:Within one one-hundredth(0.01)of a foot. ❑ Existing contours:Within one-half(1/2)of the contour interval required in section 32.6.2(c). ❑ Proposed contours: Within one(1)foot horizontally and vertically. ❑ Spot elevations:Within one-tenth(0.10)of a foot. ❑ 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. 4/10/2013 Page 1 of 4 Noire r„,/emarle County-Final Site Plan Checklist Site Plan Ordinance Section 32.6-Contents of final site plan 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: ❑ Demonstrate compliance with chapter. Specific written schedules or notes as necessary to demonstrate that the requirements of this chapter are satisfied. ❑ Proposed grading. ❑ Proposed grading(up to twenty [20] percent slope,maximum two [2]foot contours;over twenty [20] percent slope,maximum five [5] foot contours). ❑ Water and sewer facilities. ❑ Detailed plans for proposed water and sewer facilities,including all pipe sizes,types and grades; ❑ proposed connections to existing or proposed central water supplies and central sewage systems; ❑ location and dimensions of proposed easements and whether they are to be publicly or privately maintained; ❑ profiles and cross sections of all water and sewer lines including clearance where lines cross; ❑ all water main locations and sizes;valves and fire hydrant locations; ❑ all sewer appurtenances by type and number; ❑ the station on the plan to conform to the station shown on the profile and indicate the top and invert elevation of each structure. ❑ Drainage and grading plans. ❑ Detailed construction drainage and grading plans: ❑ Profiles 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; ❑ 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 allow field stake out of all proposed work from the boundary lines; ❑ 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-i 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 ❑ A 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 4/10/2013 Page 2 of 4 marle County-Final Site Plan Checklist ❑ Street sections. ❑ Typical street sections together with specific street sections where street cut or fill is five(5)feet or greater; ❑ centerline curve data; ❑ 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; ❑ symmetrical transition of pavement at intersection with existing street; ❑ the edge of street surface or face of curb for full length of proposed street; ❑ 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. ❑ 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. ❑ Signature panel. ❑ Signature panel for signature by each member of the site review committee. ❑ Parking and loading areas. ❑ 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 ❑ Outdoor lighting. ❑ Outdoor lighting information including ❑ a photometric plan with ❑ location,description,and photograph or diagram of each type of outdoor luminaire. ❑ Recreational facilities. ❑ 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) ❑ 2. Indicate the available sight distance for entrances and left turn lanes. (Albemarle County Engineering Policy) U 3. Label the maximum height of all retaining walls. (Albemarle County Engineering Policy) ❑ 4. Provide copies of off-site easements,or letters of intent to grant them from off-site property owners. (Albemarle County Engineering Policy) Revised 4/10/2013 Page 3 of 4 ‘arre Svoiemarle County-Final Site Plan Checklist ❑ 5. Show and label stream buffer limits. (Water Protection Ordinance,WPO) ❑ 6. Indicate the deed book and page reference for all existing utility easements located on the property. (Albemarle County Service Authority) ❑ 7. Tier 3 -Draft or Final Groundwater Management Plan(WPO Section 17-403) ❑ 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. 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