0 DEPARTMENT OF PLANNING & SUSTAINABILITY DeKalb County SPECIAL LAND USE PERMIT APPLICATION for PCH or CCI (with no new construction) Amendments will not be accepted after 5 working days after thc filing deadline. SLUP Request for: OVER 18 X or UNDER 18 years of age (check one) 4077 Flat Shoals Parkway Decatur, GA 30034 Subject Property Address: 2731 feet Distance to the closest Personal Care Home/Child Care Institution: 1509001011 Parcel ID Number(s): 1 3&6 6&7 Acreage: Commission District(s): Super District: oning District(s): Neighborhood Land Use: Special Land Use Permit Theresa H Walcot-Ceesay Applicant Name: theresa@stdominicsaviomp.org Applicant Email Address: 5734 Winchester Place Lithonia, GA 30038 Applicant Mailing Address: 404-859-3216 Applicant Phone Number: Alex Stubbs Owner Name: (If more than one owner, attach list of owners and contact information.) Owner Email Address: alstub@yahoo.com 2390 Glendale Drive 30032 Address: GA Owner Decatur, Mailing 404-309-2539 Owner Phone Number: I hereby authorize the staff of the Planning and Sustainable Department to inspect the property that is the subject of this application. Owner: Agent: Signature of Applicant: U CR a PyPiGNL LETTER OF APPLICATION St Dominic Savio Motivational Place (DSMP), Inc 4077 Flat Shoals Parkway, Decatur, GA 30034 1. The reason for the Special Land Use Permit (SLIP) request Renewing SLUP due to single dwelling in a Neighborhood Shopping Zone. A single dwelling home in a Neighborhood Shopping zone cannot housed three Residents. As per zoning, a CLA residential home must have 4 Residents instead of three in a Neighborhood Shopping which required a SLUP. 2. What are your qualifications? lam a Registered Nurse and a Mental Health Nurse Practitioner Board-Certified. I have been working with the DD population since 2013. Prior to opening a CRA home, I was the Director for a CCI home for five years and was the owner. 3. Please list three (3) key functions in order for you to operate your business successfully. (1) Providing a standard of care that one will expect for their own family member. (2) Maintaining adequate and qualified staff through continued education, staff training and development (3) Maintaining compliance with the state and county rules and regulation for a CRA home 4. What will the impact be on neighbors? How will you ensure that concerns are addressed? There have been no concerns with the neighbors since 2018 and wish to continue with the protection and respect of our neighbors by ensuring our Residents are always with staff. Should concerns arise, every effort will be made to resolve the concern (s) amicably. 5. Detailed characteristics of the proposed use, for example Number of bedrooms - 4 Number of persons to be served - 4 Number of employees 10 = it is a shift work; they will not be at the residence the same time. Two staff per shift. We are currently staffing 24/7 in the CRA home. We are approved for four Residents. The ratio is one staff to 3 Residents per shift. If the Residents have high risk for fall, then the ratio is one staff to one Resident. We also have night staff to monitor the Residents at night and requires one staff at night and one staff to the high risk for fall Residents. Despite the required staffing, we do use our professional judgement for staffing because of safety. Our Residents can never be by themselves because of their disabilities. We strive for them for living a healthy lifestyle just like us and provide a safe environment including mental health and physical well-being. Residents' needs - Special needs. Single dwelling home Manner of operation: (example, internal or external education/nstruction, recreational needs, food service, etc) and The Resident will be going to the day program five day a week except for holidays or bad weather. Most of their recreational will be in the community. Food will be cooked at the residence. Hours of operation: The residence provides 24 hours residential care. However, family visitation ends at 8pm. Will there be cameras/surveilance/security There will be no camera or surveillance inside the residence. The goal is to install wireless camera around the perimeter of the residence for safety. How many off street parking space The carport holds two cars and the driveway holds 4 plus cars Floor Area 2094 = four bedrooms, two baths and living room, dinner room and kitchen. Height of the house - Ranch on an unfinished basement. There is also a carport that holds two vehicles and a pavement parking with lots of extra parking. Number of Unit - Single family home Mix of Unit types - N/A IMPACT ANALYSIS A. Adequacy of the size of the site for the use contemplated and whether or not adequate land area is available for the proposed use including provision of all required yards, open space, off-street parking, transitional buffer zones, and all other applicable requirements of the zoning district in which the use is proposed to be located. The current dwelling is sufficient according to the defined rules and regulations of Healthcare Facility Regulation Department (HFRD) and the Department of Behavioral Health & Developmental Disabilities (DBHDD). According to both requirements, there must be a kitchen, dining area, living room, and each individual (client) must have their own personal bedrooms. The home has been approved and received licensing since the temporary approved was effective. B. Compatibility of the proposed use with adjacent properties and land uses and with other properties and land uses in the district, and whether the proposed use will create adverse impacts upon any adjoining land use by reason of traffic volume/congestion, noise, smoke, odor, dust, or vibration generated by the proposed use. The proposed continued use is not expected to cause any adverse impacts. The home is for adults with intellectual and developmental disabilities (I/DD) and will be considered their home. There is adequate parking for caregivers and visitors to the home. There is an extensive file review of referred individuals (clients) to determine if the individual is a good match for the home and the neighborhood. We want our residents to fit into the community and help them live as most people without I/DD would. C. Adequacy of public services, public (or private) facilities, and utilities to serve the proposed use. The residence is adequate such that a CRA or Community Residential Alternative is expected to be the clients' home and requires no more than a family would require in terms of public services, facilities, and utilities. D. Adequacy of the public street on which the use is proposed to be located and whether or not there is sufficient traffic-carrying capacity for the use proposed SO as not to unduly increase traffic and create congestion in the area. There is sufficient traffic-carrying capacity. The residence will not change the current traffic flow in either direction. E. Adequacy of ingress and egress to the subject property and to all proposed buildings, structures, and uses thereon, with particular reference to pedestrian and automotive safety and convenience, traffic flow and control, and access in the event of fire or other emergency. The subject property's current ingress and egress will not change and is accessible to emergency assistance. When exiting the property, there is space to maneuver a vehicle on the property before attempting to exit onto Flat Shoals Parkway. There is a sidewalk on the street in front of the property for safe walks to and from. For safety of our residents, walks shall take place at local parks, etc. IMPACT ANALYSIS F. Whether the proposed use will create adverse impacts upon any adjoining land use by reason of the manner and hours of operation ofthe proposed use. The dwelling is a Home for I/DD Adults who will live just like anyone else in the community. Although hours of operation are 24 hours, 7 days per week there will be no outdoor activities in the night hours. Visitations end at 8pm. G. Whether the proposed use is otherwise consistent with the requirements of the zoning district classification in which the use is proposed to be located. The residence is consistent with the requirements of the zoning district classification. H. Whether the proposed use is consistent with, advances, conflicts, or detracts from the policies of the comprehensive plan. None I. Whether there is adequate provision of refuse and service areas. The residential refuse services are adequate, no special servicing needed. J. Whether the length of time for which the special land use permit is granted should be limited in duration. It is preferred that the permit become unlimited as residence for I/DD adults are supposed to mirror what home life is like for the average person and it would be preferred to provide consistency in respect to the individual's home location. Change of location is not always good for people with I/DD and can make it difficult for them to maintain friendships within the surrounding community. K. Whether the size, scale and massing of proposed buildings are appropriate in relation to the size of the subject property and in relation to the size, scale and massing of adjacent and nearby lots and buildings; and whether the proposed use will create any shadow impact on any adjoining lot or building as a result of the proposed building height. The current dwelling is adequate. There is no need for construction/Duilding. L. Whether the proposed use will adversely affect historic buildings, sites, districts, or archaeological resources. The current dwelling is adequate. There will be no construction/Duldling necessary. M. Whether the proposed use satisfies the requirements contained within the supplemental regulations for such special land use permit. The residence meets requirements. IMPACT ANALYSIS N. Whether the proposed use would be consistent with the needs of the neighborhood or the community as a whole, as expressed and evidenced during the review process. The community needs residences for people with I/DD. Families care for their loved ones and at times are forced to make the decision to transfer their loved one to a CRA residence. Unfortunately, if the residence is too far, family involvement is minimal. 6/15/25, 5:12 PM Mail - Theresa Walcot-Ceesay Outlook Sent Items V € To: phthompsons@msmn.om X = Home View Help 3 - Delete V Archive Report Swecp C Move to 6 Reply 6 Reply all Forward C Favorites All Mail Files People Has attachments Unread d0 Drafts 173 All results Sent Items 3 Re-SLUP for 4077 Flat Shoals Parkway Peggy Hobdy Decatur, GA 30034 mbyan276@msn.com Re: SLUP Mon 6/9 You welcome Sent from... Sent Items 60 Theresa Walc 6 66, Folders TW phthompsons@msn.com To: canglin@anglin Tue 5/20/2025 8:46 PM 92 Inbox 7002 SLUP Fri 6/6 Cc: Sam Ceesay Good evening Ms. Tho... Sent Items Store emails C Theresa Walcot-. Drafts 173 05/20/2025 A Sent Items 3 cangin@anglngrowp.om: bam3dst@. Re: Renewal of Land Use Permit Re-SLUP for 4077 Flat Shoal... Tue 5/20 Special at Snoozed 05/20/2025 Re: Renewa... Sent Items 4077 Flat Shoals Parkway, Decatur, GA 30034 Dear Property Owner & Neighbors: Deleted Items 1977 We would like you to join our Zoom L Meeting Junk Email 11 on. June 6, 2025, from 7:00 pm to 8:00 pm to Notes 34 discuss the renewal of SLUP for the property located at 4077 Flat Shoals Parkway, Decatur, Archive 1 GA 30034 for the purpose of use as a 4- person Community Residential Alternative Conversation History home for adults with Intellectual and/or la Search Folders Developmental Disabilities. We are currently in operation and have been in the same location C Go to Groups for almost seven years. Belowy you will find meeting instructions. There are multiple ways for you to join the meeting, including via your computer, tablet, cell phone with or without video. Ify you are unable to make it, but would like to learn more, please contact Theresa Walcot-Ceesay, Director at 404-859-3216 or by email at mamsbatbuniasmamas You are invited to a Zoom meeting. When: June 6, 2025 Information to Join: Zoom Link: ----N .wawN d/Bomn-8262681427 Meeting ID: 388 021 6935 Passcode: 660256 Join by phone (audio only): 305 224 1968 US Please contact me if you have any questions regarding the meeting. 1/1 - 6/15/25, 5:13 PM Fw: Re-SLUP for 4077 Flat Shoals Parkway Decatur, GA 30034 - Theresa Walcot-Ceesay- Outlook Delete Archive Report V € Reply 6 Reply all * Forward V 3 Zoom OR Fw: Re-SLUP for 4077 Flat Shoals Parkway Decatur, GA 30034 Theresa Walcot-Ceesay 6 55 o TW To: Theresa Walcot-Ceesay Sun 6/15/2025 5:13 PM From: Theresa Walcot-Ceesay Sent: Tuesday, May 20, 2025 8:46 PM To: cangin@angingoup.com cameineameingoupcomabamsdimepmilcom <bam3dst@gmail.comp; elfreda227@att.net <elreda227@attineb; alsommileregmal.com alisommiler@gmalcom, Pitbwrenceragemailcon spat.lawrencecraig@gmail.com>; pntmompsonsemsn.com Phtiomponjemsncom, netielackson@me.com netielacson@mecomy pdk-poweli@comastnet <pdk- powell@comcastneb>; tolp209@gmail.com <tolp209@gmal.com>, regeniarobertsone@gmail.com gregeniarobertsone@gmail.com>; aheldstayor@gmail.com aelsyor@gmai.com,; Tommy/lceabegmalcon dommplseaibepmaliom, Cc: Sam Ceesay samestomincamompor Subject: Re-SLUP for 4077 Flat Shoals Parkway Decatur, GA 30034 05/20/2025 Re: Renewal of Special Land Use Permit at 4077 Flat Shoals Parkway, Decatur, GA 30034 Dear Property Owner & Neighbors: We would like you to join our Zoom Meeting on June 6, 2025, from 7:00 pm to 8:00 pm to discuss the renewal of SLUP for the property located at 4077 Flat Shoals Parkway, Decatur, GA 30034 for the purpose of use as a 4-person Community Residential Alternative home for adults with Intellectual and/or Developmental Disabilities. We are currently in operation and have been in the same location for almost seven years. Below you will find meeting instructions. There are multiple ways for you to join the meeting, including via your computer, tablet, cell phone with or without video. If you are unable to make it, but would like to learn more, please contact Theresa Walcot-Ceesay, Director at 404-859-3216 or by email at hamseasamintsmsamaate You are invited to a Zoom meeting. When: June 6, 2025 Information to Join: Zoom Link: htbps/usoweb.zoom.s/V3880216357 aboutblank 1/1 zoom View - X Workplace iPhone (404)966... iPhone (404)9667641 VPhone (404)966... iPhone (404)9667641 04 2 More End Audio Video Searching meetings. chats, emails, or files using keywords attendeès, or dates questions Summarizing or answering files about meetings. chats, emails, or meetings with . Preparing for upcoming relevant materials Finding people based on relationships like team members or managers Geiting someone 5 profile detaiis such as emait location orob utle A 1s eston a a PHOBDY u - - UNITEDSTATES POSTAL SERVICE. WESLEY CHAPEL 2724 WESLEY CHAPEL RD DECATUR, GA 30034-9998 05/16/2025 (800)275-8777 02:27 PM Product Qty Unit Price Price Priority Med FR Box Maile 1 $19.15 Bowie, MD 20715 Flat Rate Expected Delivery Date Mon 05/19/2025 da)e Klko Majed Tracking #: Insurance 9505 5110 0142 5136 4364 56 Total Up to $100.00 included $0.00 $19.15 Grand Total: $19.15 Debit Card Remit Card Name: MasterCard $19.15 Account #: XXXXXXXXXXX4996 Approval #: 977755 Transaction #: 084 Receipt #: 103836 Debit Card Purchase: $19.15 AID: A0000000042203 AL: US Debit Chip PIN: Verified Visit TO FILE AN INSURANCE CLAIM https://www. If unable to 7TmC-.h file online, call 1-800-332-0317 for a paper form PREVIEW YOUR MAIL AND PACKAGES Sign up for. FREE at SS Refunds All sales final on stamp-and for guaranteed postage. Thank youtor servioes only. yoursusines Go to: Tellus about your experièce. or scary/this code (Wes ESS dom/Ros with your mobile Bale aijua dev/ce, or sall 1-800-410-7420 UFN: 122444-0452 Receipt #: Clerk: 10 MD-5ROOB2-10NBIBA 0 DEPARTMENT OF PLANNING & SUSTAINABILITY DeKalb County AUTHORIZATION The owner should complete this form or a similar signed and notarized form ift the individual who will file the application property with the County is not the property owner. Date: June l6, aoa5 TO WHOM IT MAY CONCERN: INC / ALEx STUBBS VWE: REAL/NET TNVESTMENTS Name ofOwner(s) being owner(s) oft the subject property described below or attached hereby delegate authority to: Name of Agen! or Represcntative to file an application on my/our bchalf. AnaeyPBallad Owner Notary Pullic Tracy R Ballard NOTARY PUBLIC DeKalb County GEORGIA My Commission Expires 08/06/2027 5 0 DeKalb County EO DEPARTMENT OF PLANNING & SUSTAINABILITY DISCLOSURE OF CAMPAIGN CONTRIBUTION In accordance with the Conflict of Interest in Zoning Act, OCGA Chapter 36-67A, the following questions must be answered. Have you, the applicant, made $250.00 or more in campaign contribution to a local government official within two immediately preceding the filling of this application? years Yes: No: Ifthe answer is yes, you must file a disclosure report with the governing authority of DeKalb County showing: 1. The name and official position ofthe local government official to whom the campaign contribution was made. 2. The dollar amount and description of each campaign contribution made during the two years immediately preceding the filing of this application and the date of each such contribution. The disclosure must be filed within 10 days after the application is first filed and must be submitted to the C.E.O. and to the Board Commissionèrs of DeKalb County, 1300 Commerce Drive, Decatur, GA 30030. of eecens Notàry Signature 6/16/2025 of Applicant /Date CRYSTAL T JONES NOTARY PUBLIC Rockdale County Check one: Owner - State of Georgia Agent My Comm. Expires March 21, 2027 ylabw (ness Marnl 21 2027 Expiration Datel Seal *Notary seal not needed if answer is "No". 4077 AaShoss forkung Decolw GA 30034 C AA + 1 4071 FId8hols PKwy Decalagber 30034 Windoes Betin, Rw - wad De - tK Mekawye Windgws Mandar winde Dtess yool M n's"x M'g & 14'"x 12 o Cockervoot H- Livinsroon Clent Slicuns Bcck IpcNks Tsorge door 183 X16 1'6 X KH' Hell wy & Glenk becl OPFICe Hx119 L Door 2x lo's 2 Fayer orciient cekct Fcleset * - - Bçdl # Font 3 4' - < 1o'n indess Winde cual enyonte E. Windau Clens Gccl anusleA s ow Government Services Center 0 178 Sams Street Decatur, GA 30030 AIANDERANS DeKalb County 404-371-2155 (0); 404-371-4556(0 A Chief Executive Officer DEPARTMENT OF PLANNING & SUSTAINABILITY Interim Director Lorraine Cochran-Johnson Cedric G. Hudson, MCRP PRE-APPLICATION FORM REZONE, SPECIAL LAND USE PERMIT, MODIFICATION, AND LAND USE (Required prior to filing application: signed copy of this form must be submitted at filing) Theresa Walcot-Ceesay 404-859-3216 ersa@sdomincaMompag Applicant Name: Phone: Email: 4077 Flat Shoals Pkwy, Decatur 30034 Property Address: 3 &6 1.00 Tax Parcel ID: Comm. District(s): Acreage: CLA, up to 3 PCH for up to 6 clients. Use: Use: (six) Existing Proposed a Residnus 4 Reslanss I-20, Tier 2 Supplemental Regs: Overlay District: DRI: X Rezoning: Yes No NS NS Existing Zoning: Proposed Zoning: Square Footage/Number of Units: N/A Rezoning Request: X Land Use Plan Amendment: Yes No NC X Existing Land Use: Proposed Land Use: Consistent Inconsistent X Special Land Use Permit: Yes No Article Number(s) 27- Increase existing CLA to to six. Special Land Use Request(s): up Corrocpan - fepewSlup 4r SCBA Residens Major Modification: SLUP-24-1246746, CZ-89036 Existing Case Number(s): Condition(s) to be modified: SLUP-24-1246746 will not be "modified". A new SLUP case will be created upon approval for this request to increase up to 6. W AC a4 614205 B Google Calendar June 2025 MFWSLUP-P Pre-appf follow up tomsdangegagouNRox 4077F Flat Shoals Parkway, Deca 9 History, a s fommidengeogagpwHROGAMap.Crehem: * Ca & B8 Gogle Forms a EmployGA b Safety-Care 9 Google Maps 83 Carelon Behavioral. 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