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Home My WebLink About018-94 Exxon -Millwood Pike - Shawnee District - BackfileRECEIPT M2 024170 AMUUNI UUE �1 cn AMOUNT PAID $ c5u BALANCE DUE ' // PAID BY CASH CHECK OTHER FREDERICK COUNTY DEPT. OF PLANNING AND DEVELOPMENT P. 0. BOX 601, 9 NORTH LOUDON ST. WiNCHESTER, VIRGINIA 22601 ,_--_DATE l 1 RECEIVED FROM ADDRESS ADDRESS �" `-� —�� 1 Y _ -. 7— THE SUM OF ` �/�/ S../OLLARS $ LA_rl FOR --�� BY t/-k -\� Z DAYTIMERSREORDER No 3221 — Printed In USA A w * STAFF SITE PLAN CHECKLIST * This application is not complete if the following are not included: 1. One set of comment sheets from the following agencies along with any marked copies of the plan; V VDOT City of Winchester Sanitation Authority V Inspections Dept. V Fire Marshal County Engineer Airport Authority 2. One copy of the Site Plan application. ___V/3. Five copies of the Site Plan. 4. One reproducible copy of the Site Plan (if required). 5. One 35mm. slide of the Site Plan (if required). TRACKING Date Ctj Application received. All necessary agency comments received. r)f �� 1 Fee Paid (amount $ 5(5-0 ). �4 Site Plan to Planning Commission via bi-monthly. Town of Stephens City Town of Middletown Health Dept. Parks & Recreation Soil & Water Conservation Dist. Site Plan heard by Planning Commission (if required). Revisions received (if required). Date of approval. Info added to cet e. i3cjs COUNTY OF FREDERICK, VIRGINIA DEPARTMENT OF INSPECTIONS Caller Time Called 3 `00PM Date Called 15 g� Phone No. 465 — 7, So Time Requested AS" Date Requested ASA1-P Received By �VA+- A • h� ya'!"r. Date of Inspection t / L %q5 PERMIT HOLDER NAME JOHN900.':' FxxO+J RT. NO. 5� Lot No. nn SEC. No. SUBDIVISION STREET NAME I �LLmD t- 1 K�=- DIRECTIONS Fm -90 Cam'^ ; 10 Ewa BUILDING NO. 3-7-7 - cf!t or PLA-ZA PLUMBING NO. PERMIT FOR: t- PsQQv M n-42--r 1 I�_ Y Y.OtJ Type of Inspection Residential Footers Setbacks: FR Slab Draintile Water Service Sewer Rough Electric Rough Plumbing Rough Mechanical Groundworks 11r Gas Piping/Test Other: ELECTRICAL NO MECHANICAL NO. SIGN NO. DISTRICT S"_,'ji...' Commercial V BK Gas Fire -up Framing Final Final Building Final Plumbing L Time In: ' 4-0 &r j Temperature �g'56 F: Cut in No. Time Out: R_^T+ A-i Weather 6'J R Final Electrical Final Mechanical —_ Site Plan Fire Marshall Special/Complaint Results: Approved Rejected 6 - Comments: U I SSuC r1t.,,1q-t,.._ C , 0 . 0xie )j M Psi kn Signature _ Date / (0 P t f DATE "1 - j I - 94, APPLICATION 1. Development Uj-Y-014 Cp , US -A - 2. Location of Property: I \O25 M(U-6J0''0Ies P((c-C (by street name) ii�1 i AC weSrfk __ V 4- ., Z Z60 3. Property Owner: 6)ckc N COR010119110Ai Address: P-01 130k �3 F K . '7 70r)1 Telephone: 4. Applicant/Agent: 4f,-->2E Ai(AN r our-, Address: O BAkc Z t„q-�1G: (�c mcj+- e-STcf �(L .yl� 2,z(OO Telephone: 42(p2 - 4(fb5 5. Designer: SWp Address: Telephone: Contact: 6. Is this an original or revised Site Plan? / Original Revised V -5- a • 7. Total area of parcel to be developed: 3cx 69Z sa, r1" _ 8. Property Information: a) Property ID #: b) Current Zoning: c) Present Use: d) Proposed Use: e) Adjoining Property Zoning: f) Adjoining Property Use: g) Magisterial District: _ ,4 - ffA cos B- Z -��s S1Ario►�1 �A� Sri4�ctil � c c�►yir�Uc� S`o � BZ I have read the material included in this package and understand what is required by the Frederick County Planning Department. I also understand that all required material will be complete prior to the submission of my site plan. Signature: Date: 0 A ?=CANT,*S c-w.c��i,iST S I�bl a , �l.Q AJ 7—(p , IcO+ Your site plan S:--=I d include t:�e followi c• -•.tat; or Y N _ 1• Na_-e of proposed development _ (D Na--e and address of owner •3- M`7e and address of develacer - Na_-e , address, and phone number of designer 6 Ca- -== icata of Surveyor, engineer, or architect ✓ • 7. Date plan prepared and data cf revisians 3 1-sting of all conditions placed on the site as a r=_smlt of a conditional usa —Pe—it or conditional zcrapproval A space labeled - "approved by the Zoning AdW *inistrator" for the approval signature and data o= approval General Site Tn=r„^,at�on Y N = 9. Location map (scale 1.2000 ) 10. Macs serial District of site _ 11. Scale of site plan (not to exceed 1:5o ) 12. Ncr--h 13. Zoning of site ✓ _ 14. Use and zoning of adjoining properties Tots/Uses/Build; n+cs & StructuZoes Y N ✓ ' 13. Su --veered boundaries for all lets and parcels 16. Acreace of all lots included in the plan 1 The location and dimensions of all required setbacks t and yard areas @,�! Location of all buildings, suctures, and uses The proposed use of each building, structure, and area 20. The location and type of all duelling units u Ground floor area and total floor area of all buildings u4ith FAR calculations for commercial and industrial zoning districts -The height of all buildings and structures 23 The location and dimension of all signs LOtS�jSe5�BLI1.j C__ CS & Ste.=L2C..II_ZS �C^.^ � `� Y N _ ✓ 24. 25. Lccaticn of outdoor li ci;tTngfixtures Lccaticn and _ Z6. nature of Lcc,t_on and area outdoor storage arias of _ � 27. Ccmmen open szace' Lccaticn and description of 7 _ 28. alf recreation facilities LCCation of sidewajks and pedestrian ways _ 29. Lccaticn of outdoor trash recaptacles + 7K SHOULD Br- EtJQLo5�..D ' ad - Y/ N - ✓ _ / 30. Name and number of e � l;n and planned and adjoining x+.s armed s;seets c:� oining the J _ 31. sit- Location of existing and planned streets on and n�' 32. adjoining the site _ Dimensions, �� boundaries, width, pavement, and cons t,-uction of planned roads 33 - Location and dimensions of all proposed rm�a entrances from public right-Ci-waVS utilities Y N _ 34. Location of all utilities , including sewer and crater lines with the size of lines, mains, and laterals Location and width of all easements, including access, utility and drainage easements J 36 Location and nature of fire lanes, fire hydrants, and all other facilities necessarya o to meet th_ Fir` Ccde rec_ui ? ements ZY Y N — 37. Calculations describing the .required number of J parking and loading spaces _ — 38. Location and dimensions of all parking and loading spaces, driveways, parking aisles, curbing, and Other feature ts�— e used 39 Location _. and dimension of all handicapped spaces 9 Natural - eatur=s i N 40. and -finished centaur, lines &WA 41. Lcca.t'_en of staep slopes, woodlands, flcodplains, -7- wetlands, sinkdol as , and other envircnmenr-a? fe��.:res Z-A 42. Lcc`t_en of streams and drainage ways Landscan rc Y N La dscaping plan descr i�i.*zg lccation and t,,rp es of Plants to be used 1 44. Location of recui^ed buffers and screening with c_css Sections or profiles Erosion and Sed?-eTt cont=-cI 45. 3 stormwater management plan with ran of c�.Icu? atians and lee ation and desc: ictien of Q.- lccat-icn,acilities to be used _ oil erosion and sedimentation cantrol plan with types, and examples of provisions to be sed 9 0 October 20, 1994 Mr. Robert Claytor, President H.N. Funkhouser & Company 2150 South Loudoun Street Winchester, VA 22601 COUNTY of FREDERICK Department of Planning and Development 703 / 665-5651 Fax 703 / 678-0682 RE: Millwood Pike Exxon Gas Station/Convenience Store Site Plan Addendum Dear Mr. Claytor: The Frederick County Planning Department administratively approved an addendum to Site Plan #018-94 for the Millwood Pike Exxon Station on October 20, 1994. The approved site plan has been revised to create the addition of a drive-thru window which is 90 square feet, a 12 foot asphalt access drive with curb and gutter, an order board for the restaurant use, a raised island to separate the drive-thru traffic from the parking lot, and the relocation of the dumpster pad which will be completely enclosed by a six foot high opaque wooden fence with a latched gate. The improvements specified in my letter dated August 9, 1994 will need to be complete as well. I have enclosed two copies of the approved site plan for your records. Please provide an approved copy to the contractor to be maintained on -site. Please have the contractor contact this office to schedule an on -site inspection once all improvements are complete. Please contact me if I may answer any questions regarding this letter. Sincerely, l Z Evan A. Wyatt, lanner II enclosure cc: W. Harrington Smith, Jr., Shawnee District Supervisor T. Roy Jennings, Frederick County Real Estate Keith Burr, Greenway, Inc. 9 North Loudoun Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 LA 0 I COUNTY of FREDERICK Department of Planning and Development 703 / 665-5651 Fax 703 / 678-0682 August 9, 1994 Mr. Robert Claytor, President H.N. Funkhouser & Company 2150 South Loudoun Street Winchester, VA 22601 RE: Millwood Pike Exxon Gas Station/Convenience Store Site Plan Approval Dear Mr. Claytor: The Frederick County Planning Department administratively approved Site Plan #018-94 for the Millwood Pike Exxon Station on August 9, 1994. The approved site plan calls for the construction of a new 2,948 square feet building to be used as a gas station and convenience store (the original structure was razed), the installation of a canopy and gasoline pumps, improvements to the existing entrance area to include additional curb and gutter and resurfacing, the removal of existing underground fuel tanks, the installation of two new underground fuel tanks, the enclosure of the dumpster with a six foot high opaque wooden fence with a latched gate, the provision of a van accessible disabled parking space with appropriate signage, the installation of a pedestrian walkway with a disabled ramp, and all appropriate erosion and sedimentation control measures. I have enclosed two copies of the approved site plan for your records. Please provide an approved copy to the contractor to be maintained on -site. Please have the contractor contact this office to schedule an on -site inspection once all improvements are complete. Please contact me if I may answer any questions regarding this letter. Sincerely, jCJ'J; . Evan A. Wyatt, Planner II enclosure cc: W. Harrington Smith, Jr., Shawnee District Supervisor T. Roy Jennings, Frederick County Real Estate Keith Burr, Greenway, Inc. 9 North Loudoun Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 0 COUNTY of FREDERICK Department of Planning and Dcvclopmcnt 703 / 665-5651 Fax 703 / 678-0682 June 23, 1994 Mr. Keith Burr Greenway, Inc. 970 Baker Lane Winchester, VA 22603 RE: Preliminary Site Plan Review of Exxon Company USA Addition Dear Keith: I have had an opportunity to review the above referenced site plan. The following comments need to be addressed prior to final approval of this site plan: 1) Please provide the address of the owner. 2) Please provide a signature for the Land Surveyor Certificate on the final site plan copies. 3) Please provide the acreage for the parcel. 4) Please provide the location of the required front property setback line. 5) Please revise the use of the proposed improvements to state: Convenience Store with Gasoline Pumps. 6) Please indicate if the proposed storage tank will be located above or below ground. If it is located below ground, please provide the location of the filler cap. 7) Please provide the FAR calculations for this site. 8) Please provide the height of the building and the proposed canopy. 9) Please provide the dimension of all signs on the property. The site plan indicates that an existing sign will be relocated from the western side of the property. Where is the proposed relocation for this sign? 10) Please provide the use for all adjoining properties. (Convenience Store with Gasoline Pumps, Retail Shopping Center, Federal Express Office - or is this structure vacant?) 11) It appears that an existing light pole is located within an area designated as a parking space along the western side of this property. Please provide a new location for this light pole. 12) A note is provided on this plan which states that the existing service bays (three total) will be removed and the area will be converted to retail. There should be a continuous pedestrian walkway along the entire front of this building to provide access to this use. 13) The outdoor trash receptacle should be enclosed by a six foot high opaque fence with a latched gate. This site is adjacent to one of the primary road improvement corridors identified by the Corridor Appearance Task Force and the Chamber of Commerce. 9 North LOLO011n StI'CCt P.O. llo\ 001 Winchester, VA 22601 Winchester, VA 22004 Page -2- Burr Letter June 23, 1994 14) Please provide all easements that are on, or adjoin this site. It appears that there should be a water and sewer easement along the southern property line. Also, are there any laterals that extend from these mains into the site? Please provide the location and easements for these as well. 15) Please provide the dimension of the proposed disabled parking space. Please indicate the location and dimension of the van accessible disabled sign, and the location of a disabled ramp to access the pedestrian walkway. 16) Please provide the location, number, and species of any plants that will be used for landscaping on this site. 17) Please work with VDOT to determine how the entrance to this site can be approved. It would be nice to extend the island curbs to protect the proposed parking lot areas that are indicated on this plan. 18) Please indicate the areas that will be repaved on this site. Also please provide a detail of this application. 19) Please provide calculations that indicate the landscaped percentage on this site. These calculations should not include any of the grass islands in the front, as they are not located on -site. The area designated as gravel and grass is all grass. Please provide our department with the site plan application, the site plan review fee, and all review agency comments. This will enable our department to place this site plan on the Planning Commission's Bimonthly Report. Please provide our department with five copies of the final site plan that reflect all outstanding comments, and approval letters from all review agencies. Once this information is provided, I will recommend final approval of this site plan. Please contact me if I may answer any questions regarding this letter. Sincerely, Evan A. Wyatt Planner II EAW/slk enclosure COMMONWEALTH of VIRQ1NIA DEPARTMENT OF TRANSPORTATION P. O. BOX 278 RAY D. PETHTEL EDINBURG, 22824 COMMISSIONER August 22, 1994 Mr. Martin R. Hodgson, Vice President H & W Construction Company, Inc. P. O. Box 2468 Winchester, VA 22601 Dear Ronnie: 4W WILLIAM H. BUSHMAN RESIDENT ENGINEER TELE(703)984-5600 FAX (703) 984-5607 Ref: Route 17/50 Frederick County Enclosed is your approved Land Use Permit #855-02662 to cover the reconstruction and maintenance of the entrance curb island and pavement overlay at the Exxon Service Station at the referenced location. Please ensure a copy of the approved permit assembly is kept at the job site whenever working within the Route 17/50 right-of-way. I would like to remind you of the need to erect and maintain proper traffic control in accordance with our Virginia Work Area Protection Manual. Please give Mr. S. A. Melnikoff a call at (703) 722-3460 at least 48 hours in advance of the start of construction to arrange for necessary inspections. If you have any questions concerning the permit requirements or during construction, please let me know. Sincerely, William H. Bushman Trans. Resident Engineer By: Robert B. Childress Hwy. Permits & Subd. Spec. Sr. RBC/rf Enclosure xc: Mr. S. A. Melnikoff (w/ copy of plan) Mr. R. W. Watkins r TRANSPORTATION FOR THE 21 ST CENTURY +hx t-Nj+ COMMONWEALTH of VIRGINIA DAVID R. GEHR COMMISSIONER Mr. Keith H. Burr Greenway, Inc. 970 Baker Lane Winchester, VA 22603 Dear Keith: DEPARTMENT OF TRANSPORTATION P. 0. BOX 278 EDINBURG, 22824 (703) 984-5611 July 11, 1994 WILLIAM H. BUSHMAN, P.E. RESIDENT ENGINEER TELE (7031984 5600 FAX (703) 984-5607 Ref: Exxon Company U.S.A. Route 50 East Frederick County We have received your revised site plan dated June 28, 1994 for the referenced project. It appears all of our earlier comments have been satisfactorily addressed. Please advise the owner of our approval. Prior to the initiation of any work on VDOT's right-of-way, the owner will be required to apply for a land use permit from this office to cover said work. The permit will require a minimal processing fee and surety bond coverage. A permit of this nature normally takes approximately thirty days to process and issue once satisfactory application has been made. If you have any questions, please let me know. Sincerely, William H. Bushman Trans. Resident Engineer By: Robert B. Childress Hwy. Permits & Subd. Spec. Senior RBC/rf Attachment xc: Mr. S. A. Melnikoff Mr. R. W. Watkins Mr. Bob Claytor w/ H. N. Funkhouser TRANSPORTATION FOR THE 21 ST CENTURY i Virginia Department of Transportation Attn: Resident Engineer ..P.O. Box 278 Edinburg, Virginia 22824-0278 (703) 984-4133 The local office of the Transportation Department is located at 1550 Commerce St. in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: G,(„2- 45 Name of development and/or description of the request: Gx xo ►,4 0 o . - i o 2S AA I u, '-OOC�D P � ),-% Location: w� TI�LI• �C��1Tll.?IiJy n1l-: f�'X, Lr) %4Uk- TS 1nhUj- -:Qn.` - lTiA Va. Dept. of Transportation Comments: See attached letter from W. H. Bushman to Greenway. Inc. dated Julw 11 }, 1994 VDOT Signature and Date: W • d. G 7111194 (NOTICE TO RESIDENT ENGINEER*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 three copies of your plans and/or application form. -10- • �^tea r�r.r COMMONWEALTH of VIRG INIA DAVID R. GEHR COMMISSIONER Mr. H. Bruce Edens, L.S. Greenway, Inc. 970 Baker Lane Winchester, VA 22603 Dear Bruce: DEPARTMENT OF TRANSPORTATION P. O. BOX 278 EDINBURG, 22824 (703) 984-5611 June 9, 1994 WILLIAM H. BUSHMAN, P.E. RESIDENT ENGINEER TELE17031984.5600 FAX 1703)984.5607 Ref: Exxon Company, U.S.A. Route 50 East Frederick County As requested, we have reviewed the above referenced project's site plan dated May 13, 1994. The current entrance's pavement surface is in bad repair. Also, the existing island does not meet our current minimum design standards for commercial entrances. The island curb does not extend back to the State's right-of-way line; as a result this area is being used illegally for parking. We therefore offer the following comments: The entire entrance surface will need to be overlaid with a minimum 1.5" Type SM-2A Asphalt Concrete. 2. The existing entrance island will need to be modified/reconstructed as shown in red on the enclosed site plan. The curb on the back of the existing island will need to be removed and the resulting larger island topsoiled, seeded and mulched. 3. Any other cracked or deteriorated entrance curbing will need to be replaced. Please revise and resubmit four (4) copies for final approval. Should any changes be deemed necessary, please design them to meet or exceed the above recommendations. If you have any questions, please let me know. RBC/rf Enclosure xc: Mr. S Mr. R Sincerely, William H. Bushman Trans. Resident Engineer �a� 16. C—d By: Robert B. Childress Hwy. Permits & Subd. Spec. Senior A. Melnikoff W. Watkins TRANSPORTATION FOR THE 21ST CENTURY COUNTY OF FREDERICK, VIaIA 4b DEPARTMENT OF INSPECTIONS Caller RoN l -Time Called I Q 4 S ►-1 Date Called Phone No. (� G7 - 3752 Time Requested A-M Date Requested Received By 2A-t3 A . W yhT Date of Inspection I) PERMIT HOLDER NAME CDTA Si X_-TT ON RT. NO. f!- Lot No. SEC. No. SUBDIVISION STREET NAME I'l Iu_U_)U4_T_) P1</ DIRECTIONS �'r - SU E-A' - BUILDING NO. b DELe..i�. 11.A-=_a, PLUMBING NO. __ ELECTRICAL NO. MECHANICAL NO. SIGN NO. DISTRICT or--r— PERMIT FOR: J11 wtisArs S &Xo t, Type of Inspection Residential Commercial V Footers Setbacks: FR BK L R Slab Draintile Gas Fire -up Final Electrical Water Service Framing Final Mechanical Sewer Rough Electric Final Site Plan Rough Plumbing Rough Mechanical Final Building Fire Marshall Groundworks �/ Gas Piping/Test Final Plumbing Special/Complaint Other: Time In: to '- Uz- Temperature %G.� Cut in No. Time Out: )C)f a Weather Results: Approved fk :M.Fof'±tY Rejected -I) Comments: l MPLZ71 6z0.._rz, G� `OMP��iCwD�� nXE?�tr19 �xtP-�Yz �� C��►� is Srn-61 O Z Ae:)° _ Signature Date �4 k4 REQUEST FOR SITE PLAN COMMENTS Frederick County Inspections Department Attn: Building Official P.O. Box 601 Winchester, Virginia 22601 (703) 665-5650 The Frederick County Inspections Department is located at 9 North Loudoun St., 2nd Floor of the Hammon Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: Name of development and/or description of the request: Location: Inspection Department Comments: The Restaurant or food service use if under 50 occupants is considered part of the main Mercantile use, so no additional comment is required. Code Administrator Signature & Date: (NOTICE TO INSPECTIONS DEPT.*PLEASE RN T I TO APP CANT.) 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 plans and/or application form. -14- REQUEST FOR SITE PLAN COMMENTS Frederick County Inspections Department Attn: Building Official P.O. $ox 601 Winchester, Virginia 22601 (703) 665-5650 The Frederick County Inspections Department is located at 9 North Loudoun St., 2nd Floor of the Hammon Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: Name of development and/or description of the request: Location: III a�L� �l�l •' �[a ��.�� ti��= Ild� �sr--&Ed �1:�� • H Z Z,-, Inspection Department Comments: Building shall comply with Virginia Uniform Statewide Building Code and Section 309, Use Group M (Mercantile) of the BOCA National Building Code/1993 Other codes that apply are title 28 Code of Federal Regulation, Part 36 Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities. NOTE: ADA 20% rule for additions and renovations. Canopy shall have eng. design and question on clearance of PX _ near hezid electric. Code Administrator Signature & Date: (NOTICE TO INSPECTIONS DEPT. +PLEASE 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 plans and/or application form. -14- • 0 COUNTY OF FREDERICK, VIRGINIA FIRE MARSHAL'S OFFICE LAND DEVELOPMENT COMMENTS Control No. 0526941376 Date Received 052694 Date Reviewed 061294 Applicant Name Greenway Inc. Address 970 Baker Lane Winchester, VA 22603 Project Name Exxon Company Phone No. 703-662-4185 Type of Application Site Plan Current Zoning B-2 1st Due Fire Co. 18 1st Due Rescue Co. 18 Election District Shawnee RECOMMENDATIONS Automatic Sprinkler System X Residential Sprinkler System Automatic Fire Alarm System X Other Emergency Vehicle Access; Adequate X Inadequate Fire Lanes Required; Yes Comments Roadway/Aisleway Widths; Adequate X Inadequate Special Hazards Noted; Yes Comments Not Identified No X Not Identified No X - Continued - n Hydrant Locations; See Notes Adequate Inadequate Siamese Connection Location; Approved Not Approved Not Identified X Not Identified X Additional Comments: 1) If 304 sq. ft. addition is to be used for storage the area must be protected by automatic sprinkler system Ensure adequate water supply for this system. 2) Access to building by emergency vehicles must be maintained at all times during construction. 3) Existing hydrants on Delco property are not shown but should be adequate for coverage. Rev' w Timms—. hr. Douglas A. Kiracofe Fire Marshal 6 Frederick County Engineering Department Attn: Director of Engineering •• P.O. Box 601 Winchester, Virginia 22601 (703) 665-5643 The Frederick County Engineering Department is located at 9 North Loudoun St., 2nd Floor of the Hammon Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: G-12E�--N�Et. , ItiC. 9'70 eAk c.L L44NG U.1 uC.r+YSt IZ. i,,(o2- 41 t:55 Name of development and/or description of the request: 1�XOO.D N� Location: 1L—z� QL) - P�uv _�oQ--- n tz CLT. ZC) AoPK,�iL dsr 0 C lTS 1 fV 1 L5 k.CTI O Is uJlT 4 2-7- 15ZZ, Engineers Comments: L Cot Engineers signature & Date:. 7 9 (NOTICE TO ENGINEERING DEPT.*PLEASE RETIkP4i THIS FORk T AP L .) 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 copies of your plans and/or application form. -13- GREENWAY, INC. 970 •AVER LANE WINCMEsTER, VIRGINIA 22607 702 as •4185 . N ■RVCE EDENS. L.S. PRESIDENT LrEjrcT[Euu O� ULMV vV:C RL EiJ 04C) G -1(/7-z EME1t / i'VE 41C'E SEiI/U/�t/G YOU T/�E ATTAC//E D P,e/�VTS co/ieS 0A7E NO. Z2C5C,C1P7-101-1 p .: _ 4 T/1ESE A eE 7-,e4A15A,07'TED AS 6E,10,W FOZ 4IWOV4,1 ❑ C'OP/ES foe IMAIWV4-1 ❑ FO,C' YOUR' USE ❑ AS ,eEQUESTEO ❑ FO,C' ,f'E!�/E�i' € COMMEiVT ,eEM,4 R.'.S ❑ SUBM/rTEU COP/ES FO C' 0/S7;eI5UT/01t1 ❑ PRIW7�5 ❑0 �'/G�tJED GREENWAY, INC. 070 BAKER LANE WINCMESTER. VIRGINIA BROOD moos s0D •4105 M BRUCE EDENS. L S PRESIDENT LL[EUcjrLSMD W �Lf �WGti1LI�1�lMJ��Gti1L� �'� � (�.:►�� Alt ttb D�.(� i Ace: uo G E,t/TL EME.V ' ,4'VE Ale6- SEA401116 YOU 7,41E 477ACI-/E'D P.e/.V7S COO/CS OATC NO. DESCoe IR7'/ON xu - R.T.150 7f41ESE AeE 7,e,41(/5M/77'E0 AS CHEESED BELOW S( FOB' 4,P"0)14L FO,e m,-,PeoV4L ❑ FOle )Vele USE ❑ SUBM/TTEU LOP/ES FO.e D/S>,e/BUT/ON ❑ AS eCQ6ES7CO ❑ ,2E7U,e.(/EO caeeEC'TEO Pem,17S ❑ FOR ,avlzv € commewl- ❑ , C1W,4,Ce,5 S/G AVEO : GREENWAY, INC. 970 •AKSR LANE WINCNSSTER, VIRGIN'• ::e03 702 602 -4105 N •RVCE WDENS. L S PRESIDENT 1LEETTFU (11F CI UZR1Kn UVU OUMR. TC t%-12-� JOB O• ATTEN7'1,I AIr n e�- Gv�� Ave': ENE AR 6- ST/VO//VG YOU T//T AT TA CI-16 / .e/.tV TS Co,v/CS OATS" A10. DESC.C/PT/O.V RM EXto ki S . 7;41 ES E A e C TZ A,t/SAi(I rT ED AS CA1EC.e ED B TC O`1/ ❑ FO,e 4 ,P"0I%9 L a mplL-S FO e 4B�POI%4L ❑ FO,e yO6,e USE ❑ SUBM/TTEU COP/ES FO � D/S7,e/BUT/O V ❑ AS ,eEQUTSTED ❑ �'ErUet/ED CO.eeECTED P.e//VTS ❑ f 0,C E CO1Y"6W7- ❑ ,eEM,4 R.eS GREENWAY, INC. 970 uAKER LANE WINCNSSTER, VIRGINIA *2603 702 •02-alto N •RUCE SDENS. L S PRESIDENT LLCECTITCEW O7 CIMIDU r Cam, qua w i w- E i- l -94 JOB O. .4TTENT/O N ATT ,QE•. G E,t/TL EME/V • WE SEEti/O//t/G YOU THE ATTWCf/ED P.e//VTS - mi • I ri • 7'XIC, 6- AZC Te,4/t/SM/TIED AS CNECeZW BECO`V •• VFOB A //PO{'9L ❑ ,QESUBM/T7E0 COP/ES FO,e 4�P�01%JL ❑ FO,e USE 0 AS e`CQUESTEO ❑ FO,e ,e6Y11'& € COMAolez- /T ,eEMA,e. ,5 ❑ SUBM/TTEU COP/ES TO,e O/STX/BUT/ON ❑ ,eETU.eXX/ W COZZCCTED P.e/it/TS ❑■ J16WeD : 0 0