HomeMy WebLinkAbout04-00 CommentsREQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Virginia Department of Transportation
Attn: Resident Engineer
14031 Old Valley Pike
Edinburg, Virginia 22824
(540)984-5600
The local office of the Transportation Department is located at 1550 Commerce St. in Winchester
if you prefer to hand deliver this form.
s name, adgess and phone np#nber:
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Name of development and/or description of the request:
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Va. Dept. of Transportation Comments:
No objection to a conditional
prior to operation of the business a commercial entrance rn„ct be rn,strurteri to
our minimum standards to allow for safe egress and ingress of thf, },roperru - Any
work performed on the SratA'c r;ght-Qt=w%j m„cr ha covered under a land use perniit.
The permit is issued by this office and requires an inspection fee and surety bond
coverage.
VDOT Signature and Date:
(NOTICE TO RESIDENT ENGINEER
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 two (2) copies of your application form, location map and all
other pertinent information.
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Frederick County Inspections Depar-anent ,-F,
Attn: Building official
107 North Rent Street
Winchester, 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:
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Name of development and/or description of the request:
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Local3on :
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Inspec?ion Department�;��:t Comments. :
Continents are on the back of this form.
Code Administrator Signature & Date:
(NOTICE TO INSPECTIONS DEPT.*PLEASE
NOTICE TO APPLICANT
FORM
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.
FREDERICK CO.
PUBLIC WORKS & INSPECTIONS
Existing Building and addition shall comply with The Virginia Uniform
Statewide Building Code and section 310 use group R (Residential) of
the BOCA National Building Code.
Note; Ilease be aware that a change of use Building Permit shall be
required if more than five Ledger or Boarders are housed with in a
single/one family dwelling. If the number requested is to remain at
six please submit a floor plan of the building at the time of Change of
Use permit application.
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REQUEST FOR CONDITIONAL USE•PERMIT COMMENTS Q�O
Frederick County Fire Marshal
ATTN: Fire Marshal
107 North Rent 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 forme
Applicant's name, address and phone number:
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Name of development and/or description of the request:
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Location:
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Fire Marshal Comments:
Fire Marshal Signature & Date
(NOTICE TO FIRE MARSHAL - PLEASE F
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 and any
other pertinent information.
Clea? -geW 1-111a
COUNTY OF FREDERICK, VIRGINIA
FIRE MARSHAL'S OFFICE
LAND DEVELOPMENT COMMENTS
Control No. CUP00-0002 Date Received 1/14/00 Date Reviewed 1/18/00
Applicant Crystal & Robert Repine
Address 200 Riverdale Circle
Stephenson, Va. 22656
Project Name Assisted Living Phone No. 540-665-0232
Type of Application Conditional Use Current Zoning RP
1st Due Fire Co. 13 1st Due Rescue Co. 13 Election District Stonewall
Tax I.D. No. 56-4-2-8
RECOMMENDATIONS
Automatic Sprinkler System Residential Sprinkler System XX
Automatic Fire Alarm SystemXX Other Portable Fire Extinguishers
REQUIREMENTS
Emergency Vehicle Access
Adequate XX Inadequate Not Identified
Fire Lanes Required Yes No XX
Comments : Smoke detectors and yVable fire extinguishers on each floor.
Roadway/Aisleway Widths Adequate XX Inadequate Not Identified
Special Hazards Noted Yes No XX
Comments
Hydrant Locations Adequate Inadequate Not Identified XX
Siamese Location Adequate Inadequate Not Identified XX
Additional Comments Attached? Yes No XX
Plan Approval Recommended? Yes XX No
Title
Signature �<;�� (-4_ ,���
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Winchester -Frederick County Health Department
107 North Dent Street, Suite 201
Winchester, Virginia 22601
(540) 722-3480 E
)EPT, OF F I� ' r`d-OPiVIENT
The Winchester -Frederick County Health Department is located in the County Administration
Building at 107 North Kent Street in Winchester, if you prefer to hand delivered this form.
Applicant's name, address and ph number:
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Name of development and/or description of the request:
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Location:
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Health Department Comments:
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Signature and Date:
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.
Lori Fai'riax Environmental Health. District
107 N. Kent St.
�1'. O. Pox 2056
Winchester, Virginia 22604
® (540) 722-3480 FAX (540) 722-3479
Counties of- Clarke, Frederick, Page, Shenandoah, Warren, and City of Winchester
January 18, 2000
RE: Conditional Use Permit Comments
TM # 56-4-2-8
Robert and Crystal Repine
200 Riverdale Circle
Stephenson, VA 22656
Dear Mr. and Mrs. Repine:
Your conditional use permit application for an assisted living home has been reviewed
and applicable comments are listed below:
SEWAGE -A copy (letter enclosed) of your application has been forwarded to the
Department of Environmental Quality. As this office will not be commenting on sewage
disposal, the comments will have to come from DEQ.
WATER -it appears that the existing well at your property will be adequate to meet
current Virginia Code requirements. It will be necessary for this office to evaluate your
well location to confirm that there are not any environmental hazards that may impact
your well. You will be required to submit water sample reports as listed below:
Sampling Frequency -
Bacteriological Quality: One time per year for coliform bacteria.
Nitrate/Nitrite (Total Nitrogen): The first year and every 3 years thereafter.
FOODSERVICE -This office will be coordinating with the Virginia Department of Social
Services and will be supplying comments regarding your Foodservice as requested. We
will inspect the Foodservice facilities as requested by Social Services.
If all of the above items are found to be suitable and in compliance with applicable codes
and regulations, we have no objections to your proposal. If you have any questions,
please call.
rSincerely,
Karl E. Evans
Environmental Health Supervisor
Ford Fairfax Environmental Health District
107 III. lent St.
P. O. Box 2056
Winchester, Virginia 22604
(540) 722-3480 FAX (540) 722-3479
Counties of: Clarke, Frederick, Page, Shenandoah, Warren, and City of Winchester
January 18, 2000
RE: Conditional Use Comments
Crystal & Robert Repine
Tax Map # 56-4-2-8
Department of Environmental Quality
C/O Keith Fowler
P.O. Box 1129
Harrisonburg, VA 22801
Dear Mr. Fowler:
This office has received a request for "Conditional Use Permit Comments" from Mr. and
Mrs. Repine regarding the construction of an assisted living home at their residence. This
process is required by the Frederick County Office Planning and Development.
Frederick County is requesting the complete application from the Repine's by February
4, 2000.
Our office has worked with Mr. and Mrs. Repine in an effort to find an area for onsite
sewage disposal, but we did have negative results. It is my understanding that Mr. Pat
Racey will be submitting an application for a discharging permit to your attention. As the
local health department will not be involved in the evaluation or approval of the
discharging system, we will not be able to make comments regarding the sewage disposal
for the project. It is my hope that you will be able to draft comments and forward them to
Mr. and Mrs. Repine, so that they can continue the condition use process. I have
included a copy of their application with this letter. If you have any questions, please
call. Thanks for your assistance with this matter.
Sincerely,
ff.-'e7 z .
Karl E. Evans
Environmental Health Supervisor
COMMONWEALTH ®f VIRGINIA
DEPARTMENT OF ENVIRONMENTAL QUALITY
Valley Regional Office
James S. Gilmore, III
Governor Street address: 4411 Early Road, Harrisonburg, Virginia 22801
Mailing address: P.O. Box 3000, Harrisonburg, VA 22801-3000
Telephone (540) 574-7800 Fax (540) 574-7878
John Paul Woodley, Jr. http://www.deq.state.va.us
Secretary of Natural Resources
March 28, 2000
Mr. & Mrs. Robert & Crystal Repine
200 Riverdale Court
Stephenson, VA 22656
Re: Prvt - Repine Assisted Living Facility
VPDES General Permit No. VAG401928
Dear Mr. & Mrs. Repine:
Dennis H. Treacy
Director
R. Bradley Chewning, P.E.
Valley Regional Director
We have reviewed the permit application referenced on the attached Facility Information
Form and determined that it qualifies for coverage under the General Permit for Small Sewage
Discharges. If our determination of the applicable Part I.A. page is incorrect, please let me know.
Please submit a revised Registration Statement to this office if any of the information on your original
submittal changes or is found to be incorrect. For a property transfer, please submit a completed copy
of the enclosed Transfer of Ownership form at least 30 days prior to the transfer.
Coverage under the General Permit does not relieve you of your responsibility to obtain
authorization from the Virginia Department of Health (VDH) for the construction and operation of
the sewage treatment facilities. For this facility, the appropriate VDH office is Office of Water
Programs, Rockbridge Square Shopping Center, 131 Walker Street, Lexington, Virginia 24450
(phone: 540-463-7136).
Sincerely,
Deputy Director
Department of Environmental Quality
Enclosure
cc: John Schofield, VDH-Lexington
Karl Evans, Frederick Co. Health Dept.
Don Kain, DEQ-VRO
ETA/File
COMMONWE-ALM of VIRGINIA
DEPARTMENT OF ENVIRONMENTAL QUALITY
General Permit No.: VAG401928
Effective Date: August 1, 1996
Expiration Date: August 1, 2001
GENERAL PERMIT FOR DOMESTIC SEWAGE DISCHARGES
LESS THAN OR EQUAL TO 1,000 GALLONS PER DAY
AUTHORIZATION TO DISCHARGE UNDER THE
VIRGINIA POLLUTANT DISCHARGE ELIMINATION SYSTEM
AND
THE VIRGINIA STATE WATER CONTROL LAW
In compliance with the provisions of the Clean Water Act, as amended and pursuant to
the State Water Control Law and regulations adopted pursuant thereto, owners of
domestic sewage discharges with a design flow of less than or equal to 1,000 gallons per
day on a monthly average are authorized to discharge to surface waters within the
boundaries of the Commonwealth of Virginia, except those specifically named in Board
Regulations or Policies which prohibit such discharges.
The authorized discharge shall be in accordance with this cover page, Part I - Effluent
Limitations and Monitoring Requirements, Part II - Monitoring and Reporting
Requirements, and Part III - Management Requirements, as set forth herein.
Facility Information Form
VPDES General Permit No. VAG401928
Tax Map ID # 56-4-2-8
County Health Department ID # N/A
Property: Prvt — Repine Assisted Living Facility
Owner: Robert & Crystal Repine
Telephone: (540) 665-0232
Mailing Address: 200 Riverdale Court
Stephenson, VA 22656
Property Location: Lot 8, Opequon Estates
County: Frederick (069)
Application Complete: 14 -Mar -00
Approved for GP Coverage: 28 -Mar -00
Previous Owner:
Date of Transfer:
Receiving Stream: Opequon Creek, U.T.
Classification: D
A = Stream 7Q10 > 0.200 MGD
B = Stream 7Q10 < 0.200 MGD, but is not dry.
C = Stream is dry for < 500 feet before reaching a permanent stream.
D = Stream is dry for > 500 feet from the discharge point.
This facility is subject to the effluent limitations specified in Part I.A., Page 2 of 3 (Disregard other Part I.A.
page).
Part I.A. l (PAGE 1) = Effluent dechlorination and post -aeration ARE REQUIRED.
Part I.A.2 (PAGE 2) = Effluent dechlorination and post -aeration ARE NOT required.
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
CITY OF WINCHESTER
Attn: Planning Director
15 North Cameron
Winchester, Virginia 22601 rnc7f
(540) 667-1815�`� -
The City of Winchester Planning Dept. is located&a-Ss,City Hall
at 15 North Cameron St. in Winchester, if yo% pl' efer to hand
deliver this form.
Applicant's name, address and phone number:
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Name of development and/or description of the request:
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Location:
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City of Winchester Comments:
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Director Signature and Dater
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(NOTICE TO DIRECTOR * PLEASE RETUP4N THtS F04M TO THE P CANT.)
NOTICE TO APPLICANT' --j
It is your responsibility to complete this form as accurately as
possible in order to assist the agency with their review. Please
also attach a copy of your application form, location map, proffer
statement, impact analysis, and all other pertinent information.