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HomeMy WebLinkAbout18-07 Children's Services Office - Shawnee - Backfile5 11 5 SITE PLAN TRACKING SHEET Date: 3L/07 File opened 7 Reference Manual updated/number assigned D-base updated - • (0 File given to Renee' to update Application Action Summary QvL/ CLOSE OUT FILE: —�Z% Approval (or denial) letter mailed to applicant/copy made for file -.7 File stamped "approved„ „denied" or "withdrawn„ 5� 7 Reference Manual updated j D7 D-base updated EIN107 File given to Renee' for final update to Application Action Summary U:\3cv\Common\Tracking shccts\Sitc Plan Tracking wpd Reviscd 02/07/03 SITE PLAN APPLICATION OJECKLIST The checklist shown below specifies the information which is required to be submitted as part of the site plan application. The Department of Planning & Development will rcn iew the application to ensure that it is complete prior to accepting it If any portion of the application is not complete, it will be retuiued to the applicant(s). (1) One (1) set of approved comment sheets are required from each relevant review agency prior to final approval of a site plan. It is recommended that applicants contact the Department of Planning & Development to detem7ine -which review agencies' are relevant to their site plan application. A list of potentially relevant review agencies is shown below: Frederick County Department of Planning & Development X Department of GIS (Geographic Information Services) Frederick County Sanitation Authority Frederick County Building Inspections Department ✓ Frederick County Departraevt of Public Worhs ✓ Frederick County Fire Marshal X FrDdakh County Elealth Department Frederick County Department of Parks & Rp-creation Virginia Departracnt of Transportation (VDOT) City of VVmchester X Town of Stephens City Town of Middletown Frederick County / Winchester Airport Autbority c� (2) One (1) copy of the Site Plan application form. (3) Payment of the site plan review fee. (4) One (1) reproducible copy of the Site Plan (if requir(-,d). m O Lo Ir 0 LL 0 � o Y Q o C/] N Q) Q) CV � Q -. 0 wa�3� A 'T. OF CASH ACCOUNT AhIT. PAID 1�� CHECK BALANCE MONEY DUE ORDER eN DATE �I 7IC)2 NO. 5 8 9 2, RECEIVED FROM + LS`J C i1� t�l� �C.Q jl ' rl ag C,-2 s SChba C/ `'% ADRESS S'1i1Y10�1 Cf- �`;rlC�(�r t''f'. c�a�C� DOLLARS S I 20 Cl FOR RENT / �I ❑FOR 1/ ��2(Z �i �l �G BY ��2c TRANSMITTAL LETTER GREYWOLFE, INC. 1073 REDBUD ROAD • WINCHESTER, VA 22603- (540) 667-2001 9 (540) 545-4001 FAX GREYWOLFEINC@a AOL.COM Frederick County Planning & Development March 28, 2007 107 North Kent Street Winchester, VA 22603 Attn: Candice Perkins Subject: Children's Services Dear Ms. Perkins: Attached are two revised copies of the site plan that reflect your comments. 1. The 18" Cotoneaster's have been replaced with 36" Chinese Holly's. 2. The zoning buffer has been revised to reflect your calculations and the appropriate number of trees added. 3. The existing trees that are to be removed have been labeled as such. 4. The buffer labeling has been corrected. 5. An enclosed dumpster pad site has been added. I noticed that you missed the Airport as a required agency to comment on this plan. The Airport's initial review stipulated that a FAA form 7460-1 must be filled out and sent to New York for review. I will wait until approval from the FAA has been obtained before submitting the plan to you for final approval. Thank you, x r �` --- Gary R. Oates, LS-B, PE GreyWolfe, Inc COU �iL2�ll +DICK Department of Planning and Development S40/665-5651 FAX: S40/66S-639S May 11, 2007 Mr. Gary Oates GreyWolfe, Inc. 1073 Redbud Road Winchester, Virginia 22603 Re: Approval of Site Plan 818-07; Chlldi-en Sei-vices Property Identification Number (PIN): 64-A-45G Dear Gary: The above -referenced site plan was approved on May 11, 2007. The site plan is approved for the expansion of the existing Children Services facility located on Airport Road in the Shawnee Magisterial District. Required site improvements consist of the following: A 4,043sf office expansion. Construction/expansion of a parking lot with a total of 34 spaces (including two handicap accessible), including sidewalks, landscaped Islands, striping, and handicap access. Construction of a diunpster pad with a six (6) foot wooden fence for screening. i am providing you with four (4) copies of the approved site plan. Please forward these copies to the appropriate representative(s). Furthermore, advise the owner(s) that a copy should be kept for future reference, and an approved copy must be kept on the construction site throughout the development process. Once site development is complete, the owner(s) should contact this off ice to schedule an on -site inspection. Do not hesitate to contact me if you have any questions or concerns. Sincerely, Candice E. Perkins Planner II CEP/bad Attachments cc: Jane Anderson, Real Estate Gene Fisher, Shawnee District Supervisor George Kriz and Charles Triplett, Gainesboro District Planning Commissioners Bassani Sabbagh, 311 Airport Road, Winchester, VA 22603 Commissioner of Revenue 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 f4ylcrc`c-i-o'dei'ick County `s" 6'f? `s'Zosc;t.lc 111^Illl y O— ice O` Lrlc: Fire Vli 3i` ,:aai =i_?�;!.inU;� I�i�itl iaf-'.ViE�Ull ca6�0.� �t3ti�t>,tC;ill.a 'VIRGINIA Control number sP07-0014R Project Name Children's Services Address 1073 Redbud Rd. Type Application Site Plan Resubmit Current Zoning B Automatic Sprinkler System Yes Other recommendation Emergency Vehicle Access Adequate Siamese Location Not Identified Emergency Vehicle Access Comments Access Comments Additional Comments Date received Date reviewed 3/29/2007 3/30/2007 Applicant GreyWolfe, Inc. City State Zip Winchester VA 22602 Date Revised 3/29/2007 Applicant Phone 540-667-2001 Tax ID Number Fire District Rescue District 64-A-45G 21 21 Recommendations Automatic Fire Alarm System Yes Hydrant Location Adequate Roadway/Aisleway Width Adequate Election District Shawnee Residential Sprinkler System No Fire Lane Required Yes Special Hazards No Plan Approval Recommended Reviewed By Signature�y�(] Yes J. Neal Title -R r+' �iCl;fr. - - March 20, 2007 Mr. Gary Oates Grey Wolfe, Inc. 1073 Redbud Road Winchester, Virginia 22603 RE: Site Plan Comments - Children's Services Frederick County, Virginia Dear Mr. Oates: COUNTY of FIDE➢ ERICK Department of Public Works 540/665-5643 FAX: 540/678-0682 Upon review of the site plan dated March 6, 2007, from Greywolfe, Inc., we offer the following comments: On sheet 3, indicate the type of inlet and grate that is proposed on the side branch of the storm run. Show the proposed tee in the profile on sheet 4. Because these comments are minor, we recommend approval of the subject project. All remaining comments shall be addressed prior to the Land Disturbance Permit Application. Please submit one set of the revised plan for our records. Sincerely, �'J �,.Jde C. Wilder Deputy Director JCW/mlr cc: Planning and Development file CADocuments and Settings\A1RMiy DucumenlslRevicw Formats\CnILDIZENSS6RVICCS.ivpd Request for Site Plan Comments Virginia Department of Transportation Mail to: Virginia Department of.Transportation Attn: Resigent Engineer 14031 Old Valley Pike Edinburg, Virginia 22824 (540) 984-5600 Hand deliver to: Virginia Department of Transportation 1550 Commerce Street Winchester, VA (540) 722-3460 Please fill out the information as accurately as possible in order to assist the Virginia Department of Transportation with their review. Please attach five (6) copies of the site plan with traffic generation data and drainage calculations with this sheet. Applicant's Name: GreyWolfe, Inc. _ Address: 1073 Redbud Road - Phone Number: �40) 667-2001 (Contact: Gary Oates) Name of development and/or description of the request: Children's Services Location of property: 2200' east of Route 522 South on Airport Road (Rt 645) in Frederick County, VA Virginia Department of Transportation's Comments: See attached email from VDOT to Grevwo]fe, Inc dated 04/1U07 14 Children's Services Offj,Addition • Page 1 of 1 Subj: Children's Services Office Addition Date: 4/12/2007 8:46:58 AM Eastern Daylight Time From: Lloyd.ingram@VDOT.Virginia.gov To: greyWolfelnc@aol.com CC: Lloyd.Ingram@VDOT.Virginia,gov, elawrenc@co.frederick,va.us We have received your revised site plan dated March 6, 2007 for the referenced project. It appears all of our earlier review comments have been satisfactorily addressed. Please advise the owner of our approval. Also please provide four (4) sets of approved construction plans with signed seal for VDOT distribution. The appropriate land use permit may now be applied for to cover work within the Route 645 right-of-way. The permit is issued by this office and will require a minimum processing fee, surety bond coverage, and the salary & expenses of a State assigned Inspector. A copy of any/all recorded plats of dedication for drainage easements or additional right-of-way required for implementation of this proposed project should be provided to VDOT prior to issuance of any land use permits. Dedication should be made to the Commonwealth of Virginia. Once satisfactory application has been made, a permit will normally take approximately thirty days to process and issue. Should you have any questions, do not hesitate to call. Lloyd A. Ingrain, Transportation Engineer VIrginia Department ofTranspoi"tat/on Edinbnlg Residency — Land Development 14031 Old Vallee/ Pike Edinbnlg, Vllginia 22824 Phone #(540) 984-5611 Fax #(540) 984-5607 Thursday, April 12, 2007 America Online: GreyWolfeInc ■ • Request For Site Plan Comments Frederick County Inspections Department Mail to: Frederick County Inspections Dept. Attn: Building Official 107 North Kent Street Winchester, VA 22601 (540) 665-5650 Hand deliver to: 107 N Kent Street Fourth Floor Winchester, VA (540) 665-5650 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one (1) copy of the site plan with this sheet. Applicant's Name: Address: Phone Number. GreyWolfe, Inc. 1073 Redbud Road Winchester, VA 22603 (540) 667-2001 (Contact: Gary Oates) Name of development and/or description of the request: Children's Services Location of property: 2200' east of Route 522 South on Airport Road Inspections Department's Comments: S,, rn,��tizS .n �� 4R Dept use only Date r%=vcd fncamp;= Date rcvictivcd ~_ — Sipature and Date Signature and Date (revi Date approved • • office building shall comply with The Virginia Uniform Statewide Building Code, International Existing Buiding Code, and section 304, use group B (Business), of the International Building Code/2003. Other Code that applies is IBC/ANSI Al 17.1-03 Accessible and Usable Buildings and Facilities. Proposed new 4043 sq ft office building shall comply with height and area Table 503 with applicable increases. Minimum of two but not less than 50% of the required egress shall meet ANSI Handicap. Sidewalks shall maintain 5% slope or a ramp shall be installed that meets ANSI Handicap. Section 506.2 IEBC shall apply to this addition (ADA 20% rule) This type structures shall be subject to special inspections according to chapter 17 of the IBC., (soils, concrete, etc.). RECEIVED FREDERICK COUNTY 'UBUC WORN, a INSPECT W FREDIOCK COUNTY SANITATION �j�jTT ORITY SITE PLAN REVIEW COMN�I� S PO Box 1877, Winchester, VA 22604 315 Tasker Road, Stephens City, VA 22655 540.868.1061 Voice 540.868.1429 Fax Project Applicant Z r�?1151V � REVIEW STATUS review number W1 correct & resubmit (,..'approved as noted number of items to be corrected approved DRAWINGS / fir� , / l send me by ! i! A/ 1. one full set of prints 2. two separate CD's of plan sheets F-2 a) one CD of above noted sheets in PDF format, with one sheet per file, landscape orientation, and with a name for each file that describes the project name and the sheet number b) one CD of above noted sheets in DWG format, with one sheet per file, landscape orientation, and with a name for each file that describes the project name and the sheet number c) each CD shall be labeled with its format and project name, and placed in a CD sleeve EASEMENTS (Y)/ N I need a copy of the recorded onfite ater and -.or —sewer easement(s). Y /6) I need a copy of the recorded offsite water and / or sewer easement(s). I need a copy of the recorded deed(s) of easement before service will be authorized. • 01 ' Y This project also requires DEQ - Valley Region approval. 4411 Early Road, P.O. Box 3000, Harrisonburg, VA 22801 (540-5 74- 7814) Y I This project also requires VDH — Lexington Office approval. Q-11131 Walker St., Lexington, VA 24450 (540-463-7136) Date: :� dr1 R 6)� John G. Whitacre - Senior Engineer .".,O� 1)h N 1 n?ratei- A 1 rport 5406622396 r 1 • 06/08/07 09131e m • MAN 19: WincYiester Regional Airport Attm Executive Diredor 491 Airport Road Winchester, VA 226C2 (540)OW 2422 R_equest_Fo Site an Comments Wir,Chester Reglonat_AI q t Fiend de0ver to, 491 Airport Road (RaAa 645, off of Route 522 South) k540) SM2422 1154s6e fill out the information as aeccxatety as Poasibkr in cyder to assist the agency with their review Please attach 2pe (1) COpy of the site plan with this sheet_ Applicant's Name GreyWolfe, Inc ..�__ 1073 Redbud Road Phone Number 545-7823 Fax 545-4X1 Name of development ano/or description of the request. Children's Services Location of property, 2200' east of Route 522 South on Purport Road Winchester Regional Airport Comments ��ee Q �� d 1PA- R is 7 Winchester Airport 0 �P pEC�7oryq� WNW,, ME tC4 CF V7""A May 3, 2007 I'� I lu WINCHESTER REGIONAL AIRPORT GreyWolfe, Incoporated 1073 Redbud Road Winchester, Virginia 22602 491 AIRPORT ROAD WINCHESTER, VIRGINIA 22602 (540) 662.2422 Re: Final Review Site Development Plan Comment Children's Services — Office Addition Shawnee Magisterial District To Whom It May Concern: We are in receipt of the FAA Determination of No Hazard to Air Navigation dated April 25, 2007, that the proposed expansion does not exceed height limitations of the Winchester Regional Airport. In addition, plans submitted for final review do include and address prior comments from the Winchester Regional Airport Authority on page two as requested. As a reminder, crane operators must file the 7460-1 form with the FAA and must receive a determination from them prior to start of construction. On behalf of the Winchester Regional Airport Authority, we sincerely appreciate your cooperation in ensuring continued safe operations of the Winchester Regional Airport. If you have any questions or need additional information, please do not hesitate contacting my office. Sincerely, f-,3 Pf C�amu- Serena R. Manuel Executive Director 0 Federal Aviation0ministration • Air Traffic Airspace Branch, ASW-520 2601 Meacham Blvd. Fort Worth, TX 76137-0520 Issued Date: 04/25/2007 BASSAM SABBAGI-I CI-IILDREN'S SERVICES OF VIRGINIA 102 SI-IANNON COURT WINCI-IESTER, VA 22602 Aeronautical Study No. 2007-AEA-1950-OE ** DETERMINATION OF NO HAZARD TO AIR NAVIGATION ** MAY 2 200Y The Federal Aviation Administration has conducted an aeronautical study under the provisions of 49 U.S.C., Section 44718 and if applicable Title 14 of the Code of Federal Regulations, part 77, concerning: Structure: Building Location: WINCHESTER, VA Latitude: 39-8-41.93 N NAD 83 Longitude: 78-9-8.20 W Heights: 24 feet above ground level (AGL) 750 feet above mean sea level (AMSL) This aeronautical study revealed that the structure does not exceed obstruction standards and would not be a hazard to aiI- Ilavigation provided the following condition(s), if any, is(arc) met: See attachment for additional condition(s) or information. Based on this evaluation, marking and lighting are not necessary for aviation safety. However, if marking aIld/or lightiIlg are accomplished on a voluntary basis, we recommend It be Installed and I11aintaiIled in accordance with FAA Advisory circular 70/7460-1 K Change 2. This determination expires on 10/25/2008 unless: (a) extended, revised or terminated by the issuing office. (b) the construction is subject to the liceIlsing authority of the Federal Communications Commission (FCC) and an application for a construction permit has been filed, as required by the FCC, within 6 IlloIlths of the date of this determinatioIl. In such case, the determination expires on the date prescribed by the FCC for completion of construction, or the date the FCC denies the application. NOTE: REQUEST FOR EXTENSION OF THE EFFECTIVE PERIOD OF THIS DETERMINATION MUST BE POSTMARKED OR DELIVERED TO THIS OFFICE AT LEAST 15 DAYS PRIOR TO THE EXPIRATION DATE. This dcterminatioIl Is based, in part, on the foregoing description which includes specific coordinates, heights, frcquency(ies) and power. Any changes in coordinates, heights, and frequencies or use of greater power will void this determination. Any future construction or alteration, including increase to heights, power, or the addition of other transmitters, requires separate notice to the FAA. Pagel of 3 r This determination does incliocinporary construction cgUip111C11t SUCIA rai1CS, derricks, etc., which Illay be used during actual construction Of the structure. HowcvCI', this cquipincilt shall not exceed the overall heights as indicated above. Equipment which has a height greater than the studied Structure requires Separate notice to the FAA. This determination conceIrns the effect Of this structure on the safe and efficieIlt use of navigable airspace by aircraft and does not relieve the sponsor of compliance responsibilities relating to any law, ordinance, or regulation of any Federal, State, Or local government body. A Copy Of this determination will be forwarded to the Federal Communications Commission if the Structure is subject to their licensing authority. If we can be of further assistance, please contact Our office at (817) 838-1995. On any future correspondence concerning this matter, please refer to Aeronautical Study Number 2007-AEA-1950-0E. Signature Control No: 513721-100020181 Alice Yett Technician Attachincrit(S) Additional Information Page 2 of 3 (DNE) 0ional information for ASN 2007-AEAWSO-OE No frcqucncics submittcd, studicd or approvcd. Page 3 of 3 • 0 ANAR SERVING THE 1OP OF VIRGINIA / March 13, 2007 GreyWolfe, Incoporated 1073 Redbud Road Winchester, Virginia 22602 491 AIRPORT ROAD WINCHESTER, VIRGINIA 22602 (540) 662-2422 Re: Site Development Plan Comment Children's Services — Office Addition Shawnee Magisterial District To Whom It May Concern: On behalf of the Winchester Regional Airport Authority, the following comments are provided oil d ie t eferenced site plan: 1. Due to the proximity of the site to the runway centerline, applicant must file a 7460-1 with the Federal Aviation Administration for review and approval. A separate 7460-1 must be filed for any temporary construction equipment to include cranes, derricks, etc. and a copy of the determination study must be received in this office for final comment by the Airport Authority before that type of operation can begin. In accordance with the Code of Virginia, Section 15.2-2294, and the Federal Aviation Administration, a Notice of Proposed Construction, FAA Form 7460-1 is required to be filed with the Federal Aviation Administration with a copy forwarded to this office for review and record. Upon completion of the aeronautical study by the FAA, a copy must be forwarded to this office for final review comment. Any temporary construction equipment exceeding the overall height of the structure including all appurtenances will require filing of a separate 7460-1 form with the FAA before construction begins. The form can be filed online at the FAA's website littp://forms.faa.gov/. 2. During the construction phase of the buildings, all cranes will be required to have an aviation obstruction flag and/or obstruction light visible during operations and must be lowered at night unless lit. Intended hours and dates of operation should be coordinated with David Foley, Operations Supervisor Winchester Regional Airport Authority no less than forty-eiqht hours prior to start. 3. Outdoor lighting should be shielded and amber in color in order to minimize light pollution to pilots approaching the Winchester Airport. 4. Any trees planted as part of the landscaping should be of the type that are slow growing with a maximum mature height not to exceed the elevation of the proposed building to avoid future airspace obstructions. 5. Controlled burning should be prohibited due to the close proximity to the runway and since the property is within the flight pattern of the Winchester Airport. Unsuitable materials should be hauled away from the construction site appropriately. We are requesting that these comments be considered as a condition of approval for this site plan. The Airport Authority is withholding final comment pending receipt of the filed and completed aeronautical study by the FAA. If you have any questions or need additional information, please do not hesitate contacting my office. Sincerely, Serena R. Manuel Executive Director I March 20, 2007 Mr. Gary Oates Grey IA'olfc, Inc. 1073 Rcclbucl Road Winchester, Virginia 22603 RE: Site Plan Comments - Children's Services Frederick County, Virginia Dear Mr. Oates: COUNTY of 11: REDERIC K I)epartment of Public Worj-,s 540/665-5(.;' FAX: 540/678-0;)5•.: Upon review of the site plan dated March 6, 2007, from Greywolfe, Inc., we offer the folloxving Comments: I . On sheet 3, indicate the type of inlet and grate that is proposed on the Side branch Of the storm run. Show the proposed tee in the profile on sheet 4. Because these comments are ]Minor, We recollllllelld 11)1)1'OVal of the SUblect pr'o ect. All remaining comments shall be addressed prior to the Land Dlstur'ballec Permit Application. Please submit one set of the revised plan for our records. Sincerely, C. wilder Deputy Director .IC��T/mlr Cc: Planning and Development FiIc C:\Documents and Settings\,NIR\\ly Documents\Reriew Fornims\CIIILDRENSSE.RVIt:'F,S.np(I 107 North Kent Street It Winchester, Virginia 22601-5000 --iq� COUNTY of FREDERICK Department of Planning and Development 540/665-5651 FAX: 540/ 665-6395 March 22, 2007 Mr. Gary Oates GreyWolfe, Inc. 1073 Redbud Road Winchester, Virginia 22603 Re: Review Comments for Site Plan #18-07; Children Services Property Identification Number (PIN): 64-A-45G Dear Gary: Planning Staff has reviewed the above -referenced site plan to determine if administrative approval can be granted. At this time, administrative approval cannot be granted. This site plan is denied until the issues in this letter, as well as all issues of the other review agencies, have been adequately addressed. Please review Staffs comments listed below and then prepare a revised site plan which adequately addresses each concern. Review Comments 1. Shrub Type and Size. The shrubs are listed as 18 inch Cotoneaster; this plant type is only allowed for ornamental landscaping. Provide a shrub type listed for screening and provide a height of 36 inches. 2. Zoning Disti-iet Buffer. The buffer at the rear of the property should contain a total of 68 plants. The buffer shown only contains 28 evergreen trees and nine deciduous trees. While it appears that additional evergreens may be difficult to place in this area, additional deciduous trees should be provided. The remaining trees for this buffer should be placed along the side property line to achieve the buffer that would have been required along the M 1 property. 3. Trees to be Removed. Label all trees being removed. 4. Buffer Labeling. The inactive buffer labeling is located within the active buffer and the active buffer is not labeled. 5. Dumpstei- Site. Provide a dumpster site for the development. 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 Page 2 10 Mr. Gary Oates, GreyWolfe, Inc. Review Comments for S. P. #18-07 March 22, 2007 After you have revised the site plan, please resubmit two copies so that I may verify the information contained on the plan. I will need all approved review agency corrunent sheets and at least five copies of the final plan for approval. Comment sheets are required from the following agencies: the Frederick County Inspections Department, the Frederick County Department of Public iforks (County Engineei), the Frecerick County Fire Marshal, the Frederick County Sanitation Authoi-ily, and the Virginia Department of Transportation. Sincerely, l Candice B. Perkins Planner II cc: Bassani Sabbagh, 311 Airport Road, Winchester, VA 22603 CEP/bad Attaclunent SITE PLAN APPLICATION Children's Services 1. Project Title: 311 Airport Road 2. Location of Property (street address) Winchester, VA 22602 3. Property Owner: Bassam Sabbagh Address: 311 Airport Road Winchester, VA 22602 Telephone: 540-667-0259 4. Applicant/Agent GreyWolfe, Inc Address 1073 Redbud Road Winchester, VA 22603 Telephone: (540) 667-2001 Contact: Gary Oates Same 5. Designer: Address: Telephone: Contact: 6 • u 7a. 7b. 8. a) b) c) d) e) f) g) Is this an original or revised site plan? Total acreage of parcel to be developed: Total acreage of parcel: Property Information: Property Identification Number: Current Zoning: Present Use: Proposed Use: Adjoining Property Use(s) Adjoining Property Identification Number(s) Magisterial District(s) Original X Revised 1.50 acres 1.50 acres 64-(A)-45G B-2 Office Office Residential and Commerical 64-(A)-40C,' 40K, 45i, 45L, 47, 48, & 49 Shawnee District 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: 2d,�a / Date: ✓� — �� O 7 7 Special Limited Power of Attorney County of Frederick, Virginia Planning Office, Comty of Frederick, V q*x, 197 North Kent Street, Winchester, Virginia 22601 Phone 54►-6b5-WI Facsimile 54"54395 Know All Men By These Presents: That I (We) (Name) Bassam Sabbagh (Phony) (540) 667-0259 (Address) 311 Airport Road, Winchester, VA, 22602 the owncr(s) of all those tracts or parcels of land ("Property") conveyed to me (us), by deed recorded in the Cleric's Office of the Circuit Court of the County of Frederick, Virginia, by Instrument No. DB 829, PG 402 and is described as Parcel: 64 Lot: A Block: Section: Subdivision: 459 do hereby make, constitute and appoint: (Name) GreyWolfe, Inc - Gary R. Oates, LS-B, PE (phone) 667-2001 (Address) 1073 Redbud Road, Winchester, VA 22603-4757 To act as my true and lawful attorney -in -fact for and in my (our) name, place and stead with full power and authority I (we) would have if acting personally to file planning applications for my (our) above &senbed Property, including: ❑ Rezoning (Incladiog proffers) ❑ Conditional Use Permits ❑ Master Development Plan (Preliminary aad Rikal) ❑ Sabdivisioa R Site Plan My attorney -in -fact shall have the authority to offer proffered conditions and to make amcrAments to previously approved proffered conditions except as follows: This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or modified. bb In witness thcreo I (we) have hereto set my (our)hand and scat this � day of ��- _ 200, Signature(s) State of Virginia, C' 1County'2f CA— To -wit -- lei , a Notary Public in and for the jurisdiction aforesaid, certify that the person(s) who signed to the fo oing instrunxnt and who is (are) known to me, personally appeared before me and h acknowledged the same before me in the jurisdiction aforesaid this I day of ,AArcly 2000-�? . 6, t' My Commission Expires: — i/ 1+- lD Notary Public 0 • _Request For Site Plan Comments Department of Planning and Development Mail to: Hand deliver to: Department of Planning and Development 107 N. Kent Street Attn: County Planner Fourth Floor 107 North Kent Street Winchester, VA Winchester, VA 22601 (540) 665-5651 (540) 665-5651 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two (2) copies of the site plan with this sheet. Applicant's Name: GreyWolfe, Inc Address: 1073 Redbud Road Winchester, VA 22603 Phone Number: (540) 667-2001 (contact: Gary Oates) Name of development and/or description of the request: Children's Services Location of property: 2200' east of Route 522 South on Airport Road Planning and Development's Comments: 16 7 2007 Document Approval Form PLEASE REVIEW THE ATTACHED DOCUMENT. IF THIS DOCUMENT MEETS YOUR APPROVAL PLEASE INITIAL AND PROVIDE THE DATE AND TIME OF YOUR APPROVAL. IF THIS DOCUMENT DOES NOT MEET YOUR APPROVAL PLEASE PROVIDE COMMENTS AS TO WHAT YO U WOULD LIKE TO HA VE COMPLETED. INITIALS DATE & TIME Candice Bernie Mark Susan Eric Mike Kevin John Lauren COMMENTS: Received by Clerical Staff (Date & Time): U:\Pam\Common\Document Approval Form.wpd