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SITE PLAN APPLICATION
- Office Use Only -
Date Application Received: Application
a�
Fees Received: Receipt #: `2 �lot%g Initials:
Project Title: 7-Eleven Fuel Service Site Plan
Location of Property
(Street address)
1026 Millwood Pike
Winchester, VA 22602
3. Applicant/Designer:
Name: Bowman Consulting Group
Address: 101 South St. SE
Leesburg, VA 20175
4. Property Owner (if different than above):
Name: Winchester Millwood Ave LLC
Address: P.O. Box 8
Mount Jackson, VA 22842
5. Property Information:
a. Property Identification Number:
b. Total acreage of the parcel to be developed:
C. Total disturbed area of the parcel:
d. Present Use:
e. Proposed Use:
f. Magisterial District(s)
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Telephone: (703) 443 -2400
Telephone: (540) 447 -2686
22663 & q-A - /0
0.76 Acres
0.70 Acres
Fuel Service Center
Fuel Service Center
Shawnee
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6. Site Plan Type:
a. Is this an original or new site plan?
b. is this a revised site plan?
If yes provide all previous site plan numbers:
C. Is this a minor site plan?
If yes provide all previous site plan numbers:
7. Zoning Information:
Yes n
Yes n
Yes II
No
No -lam
No V
a. Current Zoning: B2
b. Was this property Rezoned? Yes El No
C. If yes provide the rezoning number for this property:
d. Are there any proffers for this property? Yes
e. Has a MDP been approved for this property? Yes
No
No
V(
n
f. If yes provide the MDP number for this property:
8. Adjoining property zoning and use:
USE ZONING
North Hotel B2
East Restaurant B2
South Retail B2
West Fuel Service Center B2
I have read the maternde'rstaun ed in this package and understand what is required by the Frederick County Planning
Department. I also u that all regyrired`material will be complete prior to the submission of my site plan.
Signature: C
Date: r I q
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Special Limited Power of Attorney
County of Frederick, Virginia
Frederick Planning Website: www.co.frederick.va.us
Department of Planning & Development, County of Frederick, Virginia
107 North Kent Street, Winchester, Virginia 22601
Phone (540) 665 -5651 Facsimile (540) 665 -6395
Know All Men By These Presents: That I (We)
(Name) Winchester Millwood Avenue, LLC
(Phone) (540) 447 -2686
(Address) P.O. Box 8, Mount Jackson, VA 22842
the owner(s) of all those tracts or parcels of land ( "Property ") conveyed to me (us), by deed recorded in the
Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by
Instrument No. 050029247 on Page , and is described as
Parcel: Lot: Block: Section:
do hereby make, constitute and appoint:
(Name) Bowman Consulting Group, Ltd.
Subdivision: Map #: 64 -A -103
(Phone) (703) 443 -2400
(Address) 101 South Street SE, Leesburg, VA 20175
To act as my true and lawful attorney -in -fact for and in my (our) name, place and stead with full power and
authority I (we) would have if acting personally to file planning applications for my (our) above described
Property, including:
_ =Rezoning (including proffers)
Conditional Use Permit
Master Development Plan (Preliminary and Final)
Subdivision
Site Plan
Variance or Appeal
My attorney -in -fact shall have the authority to offer proffered conditions and to make amendments to previously
approved proffered conditions except as ,follows:
N/A / 1
This authorization' _ all pire one year from the day it is signed, or until it is otherwise rescinded or modified.
In witness thereo , w ave h e ' et m (our) hand and seal this i 3�day of t , 20�,
Signature(s) J
State of Virginia, City County f , To -wit:
I, _ a Notary Public in and for the jurisdiction aforesaid,; -_'�-
certify that the person(s) who 's the foregoing instrument personally appeared before —me and has -
ackno ed the same before mein the jurisdiction aforesaid this 1Z/"-dayofCJQ, 20 (�
My Commission Expires:
otary blic my M. MO, mson- -
puy
Commonwealth of Virginia
Commission No. 7037569
"My Commission Expires 6 "3I_!`} 1
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REQUEST FOR SITE PLAN COMMENTS
Frederick County Department of
Planning & Development
Mail to:
Frederick County
Department of Planning & Development
107 North Kent Street,
Winchester, Virginia 22601
Phone: (540) 665 -5651
Hand deliver to:
Frederick County
Department of Planning & Development
107 North Kent Street, 2nd Floor
Winchester, Virginia 22601
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the agency with their
review. Please attach two (2) copies of the Site Plan with this sheet.
Applicants Name: Bowman Consulting Group
Telephone: (703) 443 -2400
Mailing Address: 101 south St. SE
Leesburg, VA 20175
Name of development and/or description of the request:
Request for site plan comments for demolition of existing fuel service center and construction of a proposed fuel service center.
Location of Property:
1026 Millwood Pike
Winchester, VA 22602
Department of Planning & Development Comments:
Date Received _
Date Reviewed _
Revision Required
Signature & Date:
- PLANNING DEPARTMENT USE ONLY -
Review Number 1 2 3 4 5 (circle one)
Date Approved
** Please Return Form to Applicant **
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SITE PLAN APPLICATION CHECKLIST
The checklist shown below specifies the information which is required to be submitted as part of the site
plan application. The Department of Planning & Development will review the application to ensure that
it is complete prior to accepting it. If any portion of the application is not complete, it will be returned to
the applicant(s).
(1) One (1) set of approved comment sheets are required from each relevant
review agency prior to final approval of a site plan. It is recommended that
applicants contact the Department of Planning & Development to determine
which review agencies are relevant to their site plan application. A list of
potentially relevant review agencies is shown below:
�✓ (2)
-� (3)
�✓ (4)
(5)
❑ (6)
J v _L Frederick County Department of Planning & Development
Virginia Department of Transportation (VDOT)
Department of GIS (Geographic Information Services)
Frederick County Sanitation Authority
gFrederick County Building Inspections Department
Frederick County Department of Public Works
Frederick County Fire Marshal
Virginia Department of Health
❑ Frederick County Department of Parks & Recreation
❑ City of Winchester
❑ Town of Stephens City
❑ I Town of Middletown
gWinchester Regional Airport Authority
❑ Frederick County Public Schools (for residential plans)
One (1) copy of the Site Plan application form.
Payment of the site plan review fee.
Two (2) copies of the site plan for review.
Completed Special Limited Power of Attorney (original).
Traffic Impact Analysis (if applicable).
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SITE PLAN CHECKLIST
The Site Plan Checklist, shown below, lists the information which is required to be on each site plan. Site plans
which are incomplete or missing information will be returned to the applicant (s) for revision.
Project Information Section
F71(1)
A title that includes the name of the proposed or existing business and a subtitle which
describes the proposed development.
(2)
The name, address, and phone number of the land owner, developer, and designer.
(3)
The Frederick County Property Identification Number (PIN) of all lots included on the
site plan.
_F-1
(4)
The number and type of dwelling units included on the site plan for residential uses.
(5)
The total land area and total developed land area of all lots included on the site plan.
(6)
A detailed description of the proposed use or uses of the development, as well as a
description of the existing use or uses.
(7)
A reference to any other site plan, master development plan approved by the county
for the site.
(8)
The date the site plan was prepared and a list of all revisions made, including the date
and a description of why the site plan was revised.
(9)
A table of contents including all pages of the site plan.
(10)
A list of all proposed utility providers, with their address, name and phone number.
(11)
A location map showing the location of the site, along with the location of streets,
roads and land uses within five hundred (500) feet of the property.
(12)
A statement listing all requirements and conditions placed on the land included in the
site plan resulting from approval of conditional zoning or a conditional use permit.
(13)
A description of setbacks or conditions placed on the site as a result of an approved
variance.
(14)
The name of the Magisterial District the property is located within.
Calculations Section
(15)
Calculations showing the Floor Area Ration (FAR) of the site, including the maximum
allowed FAR, total ground floor area, total floor area, and total lot area.
(16)
Calculations showing the total number of required and proposed parking spaces,
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W— (25) A North arrow.
W(26) A graphic scale and statement of scale.
— W]— (27) A legend describing all symbols and other features that need description.
(28)
including the total number of existing and proposed spaces.
(17)
Calculations showing the total number of required handicap spaces, including the total
(29)
number of existing and proposed spaces.
(18)
Calculations showing the total number of required loading spaces, including the total
number of existing and proposed spaces.
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(19)
Calculations showing the total number of required perimeter and interior trees
_W—
required, including the number of provided trees.
(20)
Calculations showing the percentage of the property that will be landscaped and the
percentage of woodlands disturbed.
(19)
Calculations showing the total number of required perimeter and interior trees
required, including the number of provided trees.
Site Plan & Details Section
F71(21)
The location of all adjoining lots with the owner's name, specific use, zoning, and
zoning boundaries shown.
(22)
The location of all existing or planned right -of -ways and easements that are located on
or adjoin the property, with street names, widths, and speed limits shown.
(23)
All nearby entrances that are within two hundred (200) feet of any existing or
proposed entrances to the site.
(24)
All existing and proposed driveways, parking and loading spaces, parking lots and a
description of surfacing material and construction details to be used. The size and
angle of parking spaces, aisles, maneuvering areas, and loading spaces shall be shown.
W— (25) A North arrow.
W(26) A graphic scale and statement of scale.
— W]— (27) A legend describing all symbols and other features that need description.
(28)
A boundary survey of the entire parcel and all lots included with distances described at
least to the nearest hundredth of a foot.
(29)
The present zoning of all portions of the site, with the location of zoning boundaries.
(30)
The location of all existing and proposed structures, with the height, specific use,
ground floor area, and total floor area labeled.
(31)
The location of all existing and proposed outdoor uses, with the height, specific use,
and land area labeled.
(32)
Existing topographic contour lines at intervals acceptable to the Zoning Administrator.
Proposed finished grades shall be shown by contour.
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(33) The location of the front, side, and rear yard setback lines required by the applicable
zoning district.
(34) The location and boundaries of existing environmental features, including streams,
floodplains, lakes and ponds, wetlands, natural stormwater retention areas, steep
slopes, and woodlands.
(35) The location of outdoor trash receptacles.
(36) A Photometric Plan per § 165- 201.07.
_® (37) The location, dimensions, and height of all signs.
(38) The location of required buffers, landscaping buffers, and landscaped screens,
including examples, typical cross sections or diagrams of screening to be used. The
location and dimensions of required fencing, berms, and similar features shall be
specified.
(39) The location of recreational areas and common open space.
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(40)
The location of all proposed landscaping with a legend. The caliper, scientific name,
and common name of all deciduous trees. The height at planting, scientific name, and
common name of all evergreen trees and shrubs.
(41)
The height at planting, caliper, scientific name, and common name shall be provided
for all proposed trees. The height at planting, scientific name and common name shall
be provided for all shrubs.
(42)
The location of sidewalks and .walkways, including all sidewalks or bicycle paths
required along any road right of way.
(43)
The location and width of proposed easements and dedications.
(44)
A stormwater management plan describing the location of all stormwater management
facilities with design calculations and details.
(45)
A soil erosion and sedimentation plan describing methods to be used.
(46)
The location and size of sewer and water mains and laterals serving the site.
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(47) Facilities necessary to meet the requirements of the Fire Code.
(48) A signed seal of the certified Virginia land surveyor, architect, or engineer who
prepared the plan. The seal and signature of the engineer, surveyor or architect shall
be on each sheet of the site plan.
(49) A space labeled "Approved by the Frederick County Zoning Administrator" for the
signature of the Zoning Administrator, approval date, and a statement that reads "site
plan valid for five (5) years from approval date."
(50) All requirements specified elsewhere in the County Code, including but not limited to
the Subdivision Ordinance.
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