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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
agency with their review. Also, please attach two (2) copies of your application form, location map andallotherpertinentinformation.
Applicant's Name: Q 1'n bc.i h,41", Telephone: 5Y6-3.2 7 • —NZ5 3
Mailing Address: .2 L iJet, e-!'JO
Name of development and /or description of the request:
Location of
Hark-
LoT # 13 (o
a
Virginia Department of Transportation Comments:
The application for a conditional use permit for this property is incomplete and in a
private subdivision. I herefore, V DO I has no comments.
VDOT Signature & Date:
No4toDOrT - Please Return Fo rm. to Applicant
1D
0 9
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 Covetstone Drive
Winchester, Virginia
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the
1 agency with their review. Also, please attach two (2) copies of your application form, location map and 1
all other pertinent information. ?
Applicant's Name: Darin Hockman
Mailing Address: 201 Darterjo Dr.
Middletown, VA 22645
Name of development and/or description of the request:
80' Telecommunications tower on property owners lot
Location of Property:
Darkwood Trail in Shawnee Land
Fire Marshal's Comments:
Telephone: (540) 327 -1953
Fire Marshal's Signature & Date:
Notice to Fire Marshal - Please Return This Form to the Applicant
11
PLANS APPROVEuFIREMARSHAL, FREDERICK COUNTY
Frederick County Fire and Rescue Department
Office of the Fire Marshal
e CK o 1080 Coverstone Drive
Winchester, VA 22602
Phone: 540-665-6350 Fax: 540-6784739
a` fmo@fcva.usRESC
Plan Review
Conditional Use
Status: Approved
Main Contact
Darin Hockman
Darkwood Trail
Darkwood Trail
Winchester, Virginia 22602
Phone: 540- 327 -1953
Printed Date: 05/05/2020
Received Date: 05/01/2020 Occupancy Type:
Review Begin Date: 05/05/2020 Property Use:
Review End Date: 05/05/2020 Activity Number: 105BJ002
Hours: 0.5000
Project Name
A 4 14644-a
Adam Hounshell
Lieutenant/Assistant Fire Marshal
80' Telecommunications Tower
Page 1 of 1
RECEIVED
MAY 212020
REQUEST FOR CONDITIONAL USE PE"
e
NTS
PUT"T""
Frederick County Inspections Department
Mail to:
Frederick County Inspections Department
107 North Kent Street, 2 "d 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: Darin Hockman
Mailing Address: 201 Darterjo Dr.
Middletown, VA 22645
Name of development and/or description of the request:
So'; Telecommunications tower on property owners tot
Location of Property:
Darkwood Trail in Shawnee Land
Telephone: (540) 327 -1953
Building Oliicial's Comments:
s- R r M
Building Official's Signature & Date: 2U
Notice to Inspections Department - Please Return This Form to the Applicant
12
Conditional Use Permit for installation of a communication tower shall be designed per the 2015
Virginia Building Code (VBC), U- Utility Use Group.
Tower installation requires permits. Plans submitted for permits may require the design to be
sealed by a Registered Design Professional licensed in the State of Virginia. Antennas, if
applicable, shall be designed for the applicable loads as required in Chap 16 VBC.
Tower shall be located such that guy wires and other accessories shall not cross or encroach upon
any street or other public space, or over above ground electric utility lines, or encroach upon any
privately owned property without written consent. Tower shall be equipped with climbing and
working facilities in compliance with T1A -222. Access to the tower sites shall be limited as
required by applicable OSHA, FCC and EPA regulations.
Special Inspections may be required, please note the requirements in Chapter 17 of VBC for
special inspection requirements on the type of structure. (Soils, concrete etc..).
S: \Site Plan comments \2015 \CUP Tower Private.doc
0
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
Winchester Regional Airport
Mail to'
Winchester Regional Airport Hand deliver to:
Attn: Executive Director Winchester Regional Airport
491 Airport Road Attn: Executive Director
Winchester, Virginia 22602
540) 662 -2422
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
agcy with their review. Also, please attach two (2) copies of your application form, location map andallotherpertinentinfomnationl,
Applicant's Name: Darin Hockman .r
Mailing Address
elephone: (saol a2f -rasa
201 Darterjo Dr. m'k` i c h c (hti a,1 {yt/ A-18 M Z, C 73 fYi
Middletown, V 222645
Name of development and/or description of the request:
S 0' Telecommunications tower on property owners lot
Location of Property.
Darkwood Trail In Shawnee Land
Winchester Regional Airport Comments:
Y
Winchester Regional Airport - Signature & Date:
Notice to Winchester Regional Airport - Please, eturn Form to Applicant
16