HomeMy WebLinkAboutSP-24-001 - Supplemental - 0403 Queen City Park Road (2)180 Market Street South Burlington, VT 05403 tel 802.846.4106 www.southburlingtonvt.gov
Application #___-____-_____
(office use only)
SITE PLAN / CONDITIONAL USE / MISCELLANEOUS / VARIANCE
APPLICATION FOR DEVELOPMENT REVIEW
All information requested on this application must be completed in full. Failure to provide the requested
information either on this application form or on the site plan will result in your application being rejected and a
delay in the review before the Development Review Board or Administrative Officer, as applicable.
Type of application (check):
( ) Site Plan Application
( ) Includes request for conditional use
( ) Stand-alone request for a conditional use (Form Based Code, single family and duplex residential
properties only)
( ) Miscellaneous Application
( ) Request for a variance. If you believe you are seeking a variance, please reach out to Planning and
Zoning Staff first.
1. PROJECT STREET ADDRESS:
2. OWNER(S) OF RECORD (Name(s) as shown on deed, mailing address, phone)
3. APPLICANT (Name, mailing address, phone)
4. CONTACT PERSON (person who will receive all correspondence from Staff. Include name, address, phone):
4a. Contact email address:
6. TAX PARCEL ID # (can be obtained at Assessor’s Office):
✔
403 Queen City Park Road
Champlain Water District
403 Queen City Park Road, South Burlington, VT 05403
(802) 861-4833
Champlain Water District
403 Queen City Park Road, South Burlington, VT 05403
(802) 861-4833
Nathan Pion, PE, Director of Engineering
403 Queen City Park Road, South Burlington, VT 05403
(802) 861-4833
nathan.pion@champlainwater.org
1430-00403 & 1430-00503
2 Site Plan Application Form. Rev. 01-2020
7. PROJECT DESCRIPTION
a. General project description (explain what you want approval for):
b. Existing Uses on Property (including description and size of each separate use):
c. Proposed Uses on property (include description and size of each new use and existing uses to remain):
d: Are Transfer of Development Rights (TDRs) being utilized? Yes No
If yes, please identify how many and from which parcel (street address)
e. Total building square footage on property (proposed buildings and existing buildings to remain):
f. Height of building & number of floors (proposed buildings and existing buildings to remain, specify if
basement and mezzanine):
g. Number of residential units (if applicable, new units and existing units to remain):
h. Number of employees (existing and proposed, note office versus non-office employees):
i. Type of existing or proposed encumbrances on property (easements, covenants, leases, rights of way, etc.)
Construction of a new 1.0 million gallon precast prestressed concrete filtered water storage
tank and the removal of an existing 1.0 million gallon glass-fused-to-steel filtered water storage
tank along with associated sitework, waterline and stormwater piping and appurtenances, and a
communication tower with an 8'x8' shed/building.
The existing use is a water treatment facility
There are no proposed changes to the existing use of the property
✔
Existing buildings = 60,281 sf
Proposed shed/building = 64 sf
The existing buildings will not be impacted. The proposed communication shed/building is a
single floor structure with dimensions of 8'(L) x 8'(W) x 8'(H).
Not applicable
Not applicable. No new employees will be added in association with these improvements
Existing GMP easement (transformer on building roof); existing GMP easement (50 feet wide for
electric lines of GMP, VELCO, and others); existing VELCO easement (0.5 acre +/-)
3 Site Plan Application Form. Rev. 01-2020
j. Other (list any other information pertinent to this application not specifically requested above, please note
if Overlay Districts are applicable):
8. LOT COVERAGE (ALL information MUST be provided. For Planned Unit Developments involving multiple
parcels, attach additional sheets)
Total Parcel Size: acres / sq. ft.
a. Building: Existing % / sq. ft.
Proposed % / sq. ft.
b. Overall impervious coverage (building, parking, outside storage, etc)
Existing % / sq. ft.
Proposed % / sq. ft.
c. Front setback non-building coverage (along each street, commercial properties only)
Existing % / sq. ft.
Proposed % / sq. ft.
d. Total area to be disturbed during construction (sq. ft.) *
* Projects disturbing more than one-half acre of land must follow the City’s specifications for erosion
control in Article 16 of the Land Development Regulations. Projects disturbing more than one acre
require a permit from the Vermont Department of Environmental Conservation.
9. NATURAL RESOURCE INFORMATION
a. Are there any Natural Resources (as defined in the Land Development Regulations Article 12) on the
subject property?
Yes No
b. If yes, is the proposed development encroaching into any of these natural resources (list area of resource
encroachment by type)
c. If yes, please submit the following with this application:
i. A site specific or GIS based natural resource mapping or delineation of the entire property as required by
Table 12-01.
ii. Response to the standards described in the relevant section of Article 12 for the impacted Natural
Resource (applicant is strongly encouraged to have a resource expert respond to these criteria).
8. COST ESTIMATES
a. New Building or Addition, including initial fit-up (if initial fit-up cost not available, contact Department
staff): $
The Transit and Floodplain Overlay Districts cross through the property. There are no impacts to
these Districts
605,484
10 60,281
10 60,345
28.1 169,884
29.2 176,554
9
9
54,560
54,560
70,000
✔
The property borders the Potash Brook. The proposed project will not impact this Natural
Resource.
0
4 Site Plan Application Form. Rev. 01-2020
b. Landscaping: $
c. Other site improvements (please list with cost):
9. ESTIMATED TRAFFIC
a. Land Use Code(s) Used, Independent Variables, Calculations:
(attach additional sheets as necessary)
b. P.M. Peak hour for entire property (In and out):
10. PEAK HOURS OF OPERATION:
11. PEAK DAYS OF OPERATION:
12. ESTIMATED PROJECT CONSTRUCTION SCHEDULE AND DATE OF COMPLETION:
13. SITE PLAN AND FEE A site plan shall be submitted which shows the information required by the City’s Land
Development Regulations. All application materials listed in LDR Appendix E, with plans provided as individual
sheets and named to include sheet number and latest revision date, must be submitted digitally. An application
fee shall be paid to the City at the time of submitting the application in accordance with the City’s fee schedule.
NOTE: NOTIFICATION of ADJOINING PROPERTY OWNERS: Notification of adjoining property owners, in
accordance with 24 V.S.A. §4464(a) and Section 17.06(B) of the South Burlington Land Development
Regulations, is the responsibility of the applicant. After deeming an application complete, the Administrative
Officer will provide the applicant with a draft meeting agendas or public hearing notice and sample certificate of
service. The sworn certificate of service shall be returned to the City prior to the start of any public hearing.
I hereby certify that all the information requested as part of this application has been submitted and is accurate
to the best of my knowledge.
SIGNATURE OF APPLICANT DATE OF SUBMISSION
SIGNATURE OF PROPERTY OWNER PRINTED NAME OF PROPERTY OWNER
___________________________________________________________________________
Do not write below this line
I have reviewed this site plan application and have taken the following action:
Date of Complete Application:
0 (No new landscaping is proposed.)
Site work including waterline piping and appurtenances, stormwater piping and
appurtenances, paving, earthwork, demolition of the existing water storage tank, new
water storage tank, and new communication tower with shed/building: $3,500,000
No change from existing
No change from existing
7:00AM - 5:30PM
Monday - Friday
16 months. Start construction in August 2024 with an estimated completion in December 2025.
Champlain Water District
5 Site Plan Application Form. Rev. 01-2020
Date Issued Decision: or Date Referred to Development Review Board:
_______________________________________________________
Administrative Officer Date
The applicant or permittee retains the obligation to identify, apply for, and obtain relevant state permits for this
project. Call (802) 879-5676 to speak with the regional Permit Specialist.