A. General Information

Name, address, phone number of applicant (where the applicant is a partnership, a
corporation or other association, this information shall be provided for all partners, officers,
and directors):

Name:

Address:

 

Location of gathering (exact location of the premises at which the outdoor gathering is
planned, including all land to be used for parking or other uses incidental to the
gathering):

 

Name, address, phone number of property owner of the premises. Be sure to attach a
lease, license, or contract from the owner of such property authorizing or permitting such
use.

 

Description of the type of outdoor gathering; including the names and addresses of the
expected performers:

 

Date(s) and time(s) for gathering - please provide a detailed schedule of events:

 

An estimate of the minimum and maximum number of customers, spectators,
participants, and other persons expected to attend the outdoor gathering for each day
it is conducted. Also include the total number of tickets to be offered for sale.

 

Promoters, liability insurance. The applicant shall provide evidence of liability insurance
of not less than $1 million dollars as approved by the county attorney. The certificate of
insurance shall show the date(s) of the event and James City County as a certificate
holder of the policy.

 

B. Site Plan

Attach a site plan showing:

 

(a) The areas for performances or activities and grandstands or seats, showing the
location of all aisles for pedestrian travel and other crowd-control measures.

 

(b) All physical facilities existing or to be constructed on the premises, including, but not
limited to, fences, ticket booths, grandstands, and stages.

 

(c) The location, capacity and nature of all temporary lighting, sound and public address
systems. Include estimate Db(A) at perimeter of premises.

 

(d) The location, capacity, and nature of all temporary water, toilet, and all other public
health-related facilities.

 

(e) Vehicle ingress, egress, and parking plan. Attach maps or plans showing means of
access to the premises, including freeways and local roads and parking areas.
Demonstrate the feasibility of handling the projected amount of vehicular and
pedestrian traffic entering or leaving the premises. Be sure to show emergency vehicle
access routes.

 

APPROVAL: Chief of Police

APPROVAL: Fire Chief

 

C. Service Plan

(a) Security and Protection Plan. At least one off-duty County Sheriff's deputy or policemen
shall be in attendance during all performances for each 500 expected attendees approved
in permit. Describe the plan for adequate security and protection.

APPROVAL: Chief of Police

(b) Fire Protection Plan. The applicant shall at his/her own expense take adequate steps
as determined by the Fire Chief to ensure fire protection. Describe the plan you
propose.

APPROVAL: Fire Chief

(c) Sanitation Facilities Plan

APPROVAL: County Health Department

(d) Waste Disposal Plan

APPROVAL: County Health Department

(e) Water Supply/Facilities Plan

(f) Food Supply/Facilities Plan

(g) Medical and First-Aid Facilities Plan

(h) Communications Plan

(i) Consistency with Zoning Ordinance

Date Application Received: Reviewed by Development Manager:
Date:

E-Mail (optional)