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HomeMy WebLinkAbout05-01 CommentsREQUEST FOR CONDITIONAL USE PERMIT COMMENTS Frederick County Fire Marshal ATTN: Fire Marshal 107 North Kent Street Winchester, Virginia 22601 (540) 665-6350 The Frederick County Fire Marshal is located at 107 North Kent Street, 1st floor of the County Administration Building in Winchester, if you prefer to hand deliver this review form. Applicant's name, address and phone number: County of Frederick 107 N Kent Street, Winchester, VA 22601 -5-4.9-665-5618 Name of development and/or description of the request: Location: At top of mountain, Shawnee land, Timber Ridge Tr, between Elmwood Tr. & Flamewood. Tr. Fire Marshal Comments: Fire Marshal Signature & Date (NOTICE TO FIRE MARSHAL - PLE NOTICE TO APPLICANT TO 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 a copy of your application form, location map and any other pertinent information. REOUESf FOR CONDITIONAL USE PERMIT COMMENTS Winchester Regional Airport Attn: Executive Director 491 Airport Road Winchester, Virginia 22602 (540) 662-2422 The Winchester Regional Airport is located on Route 645, off of Route 522 South, if you prefer to hand deliver this review form. Applicant's name, address and phone number: Name of development and/or description of the request: Shawnee Land Sanitary District Location: At top of mountain, Rhawnr-c- land, Timber Rlag= Tr. hQtUXA6n Elmwood Tr. & Flamewood Tr_ :Winchester Regional Airports Comments: e ck' o n L 1 Ni �o �- Ru-�ho c � � V -m s n� �'� s C" A, mr,,N � `)e <*N,m%i eff - c 1 9 C�' TG? n, -)(t i eo 1 e L) cu)d -t a Airport Signature and Date: . u:'� (NOTICE TO AIRPORT. * PLEASE RETURN THIS FORM TO APPLICANT.) NOTICE TO 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 a copy of your application form, location map, proffer statement, impact analysis, and all other pertinent information. Please TVDe or Print on This Form Form Approved OMB No. 2120-0001 © Failure To Provide All Requested Information May Delay Processing of Your Notice U.S.DeoaarnentofTimKpoAgdm Notice of Proposed Construction n or .Iteration Federal Avldlon Admikoku lon FOR FAA USE ONLY Aeronautical Study Number _ 1. Sponsor (person, company, etc. proposing this action) : Ga A. DuBrueler Attn.of: 39 0 11.579. ff 9. Latitude: 78 o 22.311, 10. Longitude: 11. Datum: ❑ NAD 83 ❑ NAD 27 )M Other WGS 84 12. Nearest: City: Winchester state: VA 13. Nearest Public -use (not private -use) or Military Airport or Heliport: Winchester Regional Airport county O e eric — -- - - - Address: 107 Na Kent Street Winchester VA 22601 City: State: Zip: Telephone: (S40) 66S-5618 Fax: 540 678 -4739 2. Sponsor's Representative (if other than #1) Attn.of: 14. Distance from #13. to Structure: 13 miles (air) 16. Direction from #13. to Structure: West 16. Site Elevation (AMSC): 2322 ft. 17. Total Structure Height (AGL): 190 g 18. Overall Height (#16. + #17.) (AMSC): 2 S 12 19. Previous FAA Aeronautical Study Number (if applicable): N/A – OE Name: Address: City: State:—Zi p: Telephone: Fax: Z. Notice of: XX +ew Construction ❑ Alteration ❑ Existing 4. Duration: XR Permanent [__1 Temporary (—months,—days) June 2001 5. Work Schedule: Beginning End Type: [ 'ntenra Tower ❑ Crane E] Building FJ Power Line Landfill ❑ Water Tank ❑ Other 7. Marking/Painting and/or Lighting Preferred: ❑ Red Lights and Paint ® Dual - Red and Medium Intensity White ❑ White - Medium Intensity ❑ Dual - Red and High Intensity White ❑ White - High Intensity ❑ Other 8. FCC Antenna Structure Registration Number (if applicable): N/A 20. Description of Location: (Attach a USGS 7.5 minute Quadrangle Map with the precise site marked and any certified survey) 21. Complete Description of Proposal: 1901 Communications Tower for public safety Primary Fire Primary Police Frequency/Power (kW) 1S4.220 0.1 KW lSS.010 0.1 KW Notice is required by 14 Code of Federal Regulations, part 77 pursuant to 49 U.S.C., Section 44718. Persons who knowingly and willingly violate the notice requirements of part 77 are subject to a civil penalty of $1,000 per day until the notice is received, pursuant to 49 U.S.C., Section 46301 (a). I hereby certify that all of the above statements made by me are true, complete, and correct to the best of my knowledge. In addition, I agree to mark and/or light the structure in accordance with established marking & lighting standards as necessary. Date C M J S'r ,' 001 Typed or Printed Name and Title of Person Filing Notice Signatur (�:r A" PC. O L B Me. ELL& r L7YR FI RC/Q11TC QO, FAA Form 7480-1 (11-98) Supersedes Previous Edition ` NSN: 0052-00-nt2-0009 REQUEST FOR CONDITIONAL USE PERMIT COMMENTS Frederick County Inspections Department Attn: Building Official 107 North Kent Street Winchestar, Virginia 22601 (540) 665-5650 The Frederick County Inspections Department is located at 107 North Kent Street, 4th Floor of the County Administration Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: County of Fredd'rick, 107 N. Kent Street, Winchester, Va. 22601 S40-66SS618 Name of development and/or'description of the request: Shawneelhnd-Sanitary District Location: At top of the monutain off Timber Ridge Tr. between Elmwood Tr, and Flamewood Tr. Inspection Department Comments: Structures shall compy with the Virginia Uniform Statewide Building Code and section 312, use croup U (Uitility and Miscellaneous) of The BOCA National Building Code / 1996. Plans suhmi.tted for tower shall have seal by a Va. Lic. design professional. Special Inspections per chap ,Pfr 17 (�f BOCA shall be required. Code Administrator Signature & Date: (1At, / V? (NOTICE TO INSPECTIONS DEPT.*PLEASE WMRN THIS FORM,00 AP IC T.) NOTICE TO 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 a copy of your application form, location map and all other pertinent information.