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REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Winchester Regional Airport
Mail to:
Winchester Regional Airport
Attn: Executive Director
491 Airport Road
Winchester, Virginia 22602
540) 662 -2422
Hand deliver to:
Winchester Regional Airport
Attn: Executive Director
491 Airport Road
Rt. 645, off of Rt. 522 South)
Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information.
Applicant's Name: Heather Rubinstein of SCE for Cellco Partnership dm /a Venzon Wireless Telephone: 443 546 0014
Mailing Address: 9305 Gerwig Lane, Suite M
Columbia, MD 21046
Name of development and /or description of the request:
Applicant seeks conditional use permit under sections 165 - 103.01 through 165- 103.08 of the Frederick County Zoning Ordinance
in order to construct a wireless telecommunications consisting of a 150' monopole with capacity for at least 3 carriers (applicant included)
and 50'x 50' equipment compound at its base.
Location of Property:
143 Greenwood Road, Winchester, VA 22602
Winchester Regional Airport Comments:
See attached letter for WRAA comment
Digitally signed by Serena Manuel
Serena Manuel ON cn =Serena Manuel, an, l@co er Regional Airport Authori y, ou= Airport, email= okvmanuel@comcastnet. < =USWinchesterRegionalAirport - Signature & Date: Date: 2016.03.0216:41:55 -05'00'
Notice to Winchester Regional Airport - Please Return Form to Applicant
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REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Virginia Department of Transportation
Mail to:
Virginia Department of Transportation
Attn: Resident Engineer
14031 Old Valley Pike
Edinburg, Virginia 22824
Hand deliver to:
Virginia Department of Transportation
Attn: Resident Engineer
2275 Northwestern Pike
Winchester, Virginia 22603
The local office of the Transportation Department is located at 2275 Northwestern Pike in
Winchester if you prefer to hand deliver this form.
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the f
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information.
Applicant's Name: kuhaRp0.%I.h f SCE brC.wPanmanhodrwava wwnjS Telephone: 4435460014
Mailing Address: 9305 Gerwig Lane, Suite M
Columbia, MO 21046
Name of development and/or description of the request:
Applicant seeks conditional use permit under sections 165- 103.01 though 165- 103.08 of the Frederick County Zoning Ordinance
in order to construct a wireless teiecommunications cons.shrng of a 150' monopole with capacity for at least 3 carriers (applicant inCuded)
and 50'x 50' equipment compound at its base.
Location of Property:
143 Greenwood Road, Winchester VA 22602
Virginia Department of Transportation Comments:
The application for site plan for this prop L°
would proyide access to the property. Present entranci is
adequate for proposed Improvemen W
need to be upgraded.
Thank you for ITowtng usttz-oppurturftyto c=ment• -
V IOT Signature & Date: L i, l0, ;(OI
Notice to VDOT - Please
1
rn Form to Applicant
0
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Frederick County Inspections Department
Mail to:
Frederick County Inspections Department
107 North Kent Street, 2nd Floor
Winchester, Virginia 22601
540) 665 -5650
Hand deliver to:
Frederick County Inspections Department
Attn: Building Official
107 North Kent Street, 2nd Floor
Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information.
Applicant's Name:...... Rubinstein of SCE fbr Cellm Partnership ero a VBn=on Wireless Telephone: 443 546 0014
Mailing Address: 9305 Gerwig Lane, Suite M
Columbia, MD 21046
Name of development and /or description of the request:
Applicant seeks conditional use permit under sections 165- 103.01 though 165 - 103.08 of the Frederick County Zoning Ordinance
in order to construct a wireless telecommunications consisting of a 150' monopole with capacity for at least 3 carriers (applicant included)
and 50'x 50' equipment compound at its base.
Location of Property:
143 Greenwood Road, Winchester VA 22602
Building Official's Comments:
C'/Lk- n L 1 f ( 7JriY
Building Official's Signature & Date:
Notice to Inspections D rtment - Please Return This Form to the Applicant
l/
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Structure shall comply with The Virginia Uniform Statewide Building Code and Section 312, use
group U (Utility and Miscellaneous) of The International Building Code 2012.
Per the Section 102.3 of the Virginia Uniform Statewide Building Code, 2012 edition,
Section 102.3 VUSBC exempts equipment, related wiring, and poles and towers supporting the related
wiring installed by a provider of publicly regulated utility service.....The exemption shall apply only if
under applicable federal and state law the ownership and control of the equipment and wiring is by the
service provider or its affiliates. Such exempt equipment and wiring shall be located on either public
rights -of -way or private property for which the service provider has rights of occupancy and entry;
however, the structures, including their service equipment, housing, or supporting such exempt equipment
and wiring shall be subject to the USBC. The installation of equipment and wiring exempted by this
section shall not create an unsafe condition prohibited by the USBC.
Prefabricated shelters /canopy exceeding 150 sq ft require a building permit. Plans submitted
shall be sealed by a Virginia Registered Design Professional
Please note the requirements in Chapter 17 of the IBC for special inspections for this type of
structure.(soil, concrete, bolts, etc.)
Soil investigation/testing is required due to the potential sink holes located on site prior to
placement of concrete slab
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Winchester- Frederick County Health Department
Mail to:
Frederick - Winchester Health Department
Attn: Sanitation Engineer
107 North Kent Street
Winchester, Virginia 22601
540) 722 -3480
Hand deliver to:
Frederick - Winchester Health Department
Attn: Sanitation Engineer
107 North Kent Street, Suite 201
Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information.
Applicant's Name: Heather Rubinstein of SCE for Cellco Partnership d/b /a Vehzon Wireless
Mailing Address: 9305 Gerwig Lane, Suite M
Columbia, MD 21046
Telephone: 443 546 0014
Name of development and/or description of the request:
Applicant seeks conditional use permit under sections 165 - 103.01 though 165 - 103.08 of the Frederick County Zoning Ordinance
in order to construct a wireless telecommunications consisting of a 150' monopole with capacity for at least 3 carriers (applicant included)
and 50'x 50' equipment compound at its base.
Location of Property:
143 Greenwood Road, Winchester VA 22602
Frederick - Winchester Health Department's Comments:
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ro xIS 1'ngwe ,r, sly( SevJapi UI SOU: a, y rt rr 5; rr, vt' 6 q;!ci
15'T:+
Health Dept. Signature & Date:
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Notice to Health Department - Please/Return This Form to the Applicant
13
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9
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Frederick County Sanitation Authority
Mail to:
Frederick County Sanitation Authority
Attn: Engineer
P.O. Box 1877
Winchester, Virginia 22604
540) 868 -1061
Hand deliver to:
Frederick County Sanitation Authority
Attn: Engineer
315 Tasker Road
Stephens City, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information.
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Applicant's Name : H- th.,NW.1W SCE f. CNt. " dbiV«+MW.I." Telephone: 443 5460014
Mailing Address: 9305 Gerwig lane, suite M
Columbia, MD 21046
Name Name of development and/or description of the request:
Applicant seeks conditional use permit under sections 165- 103.01 though 165 - 103.08 of the Frederick County Zoning Ordinance
in order to construct a wireless telecommunications consisting of a 150' monopole with capacity for at least 3 carders (applicant included)
and 50'x 50' equipment compound at its base.
Location of Property:
143 Greenwood Road, Winchester VA 22602
Sanitation Authority Comments:
Tiif %2/f,y Si LJaJL RIOT R,600« -
s G AZ D/ 77o^r,9Z-
Sanitation Authority Signature & Date:
Notice to Sanitation Authority - Please Return This Form to the Applicant
i
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Frederick County Fire Marshal
Mail to: Hand deliver to:
Frederick County Fire Marshal Frederick County Fire & Rescue Dept.
1800 Coverstone Drive Attn: Fire Marshal _
Winchester, Virginia 22602 Public Safety Building
540) 665 -6350 1800 Coverstone Drive
Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information.
Applicant's Name: He---, Rubinstein of SCE for Calico Partnership d/b /a Verizon wireless
Mailing Address: 9305 Gerwig Lane, Suite M
Columbia, MD 21046
Telephone: 443 546 0014
Name of development and/or description of the request:
Applicant seeks conditional use permit under sections 165 - 103.01 though 165- 103.08 of the Frederick County Zoning Ordinance
in order to construct a wireless telecommunications consisting of a 150' monopole with capacity for at least 3 carriers (applicant included)
and 50'x 50' equipment compound at its base.
Location of Property:
143 Greenwood Road, Winchester VA 22602
Fire Marshal's Comments:
FIRE MARSHAL, FREDERICK sir N
Fire Marshal's Signature & Date:
I
Notice to Fire Marshal - Please Return This Form to the Applicant
0 •
Frederick County
Department of Fire and Rescue
Office of the Fire Marshal
1080 Coverstone Drive Winchester, VA 22602
540) 665 -6350 Fax: (540) 678 -4739 Euiai1. fino(afeva. us
Plan Review & Comments
Date Received
Date Reviewed2/5/2016
2/16/2016
Plan /Permit Type Conditional Use Permit
Name Verizon Wireless Tower - Grace Brethren Church
Address 143 Greenwood RD Winchester VA 22602
Project Name Wireless Tower and Equipment Building
Applicant Name & Number
RE#
Permit Number
Emergency Vehicle Access: A¢ to Inadequate N/A
Hydrant Location: Adequate Inadequate NA
Siamese Location: Adequate Inadequate
Fire Lanes Required: Yes No
Plan Approval Status
Approve
Comments
Plan Approved provided that the fire department access road shall be a minimum of 20' wide as per the 2012
Frederick County Fire Prevention Code section 503.2.1 Demensions
Signature:
Reviewed By: Kenneth Scott, Jr.
Title: - / s
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
City of Winchester
Mail to:
Winchester City Planning Department
Attn: Planning Director
15 North Cameron Street
Winchester, Virginia 22601
540) 667 -1815
Hand deliver to:
Winchester City Planning Department
Attn: Planning Director
Rouss City Hall
15 North Cameron Street
Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
agency with their review. Also, please attach two (2) copies of your application form, location map and
all other pertinent information.
Applicant's Name: Heather Rubi ^ste ^ or SCE fbr Ce im Partnership d/Wa VanZw wtralem Telephone: 443 546 0014
Mailing Address: 9305 Gerwig Lane, Suite M
Columbia, MD 21046
Name of development and/or description of the request:
Applicant seeks conditional use permit under sections 165- 103.01 though 165 - 103.08 of the Frederick County Zoning Ordinance
in order to construct a wireless telecommunications consisting of a 150' monopole with capacity for at least 3 carriers (applicant included)
and 50'x 50' equipment compound at its base.
Location of Property:
143 Greenwood Road, Winchester VA 22602
City of Winchester Comments: •,I ++
No C er , •.-
City of Winchester - Signature & Date: 2 1(v
i»s oam'tn-S r
Notice to City of Winchester - Please Re urn This Form to the Applicant"
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