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HomeMy WebLinkAbout16-07 NB Market - Country General Store - Back Creek - Backfile (2)SITE PLAN APPLICATION CHECKLIST The cbecklist shown below specifies the information which is required to be submitted as part of the site plan application. The Department of Planning & Development will rrnicw the application to ensure that it is complete prior to accepting it. If any portion of the application is not complete, it will be returned 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 determine which review agencies' are relevant to their site plan application_ A list of potentially relevant review agencies is shaven below: Frederick County Department of Planning & Development Department of GIS (Geographic Information Services) Frederick County Sanitation Authority Frederick County Building Inspections Dcpartinent Frederick County Department of Public Wxl:s ✓ Frederick County Fire Marshal ✓ Y, Frederick County Health Department Y Frederick County Department of Parks & Recreation Virginia Department of Transportation (VDO'1) �c City of Vy'mchester i� Town of Stephens City '7, Town of Middletown Frederick County / VEnchester Airport Authority L%- (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 required). DATE AMT. OF CASH ACCOUNT AMT. PAID 1 �y�; CHECK BALANCE MONEY DUE ORDER BY NO. 5871 p It tDERICK Department of Planning and Development 540/ 665-5651 FAX: 540/ 665-6395 September 25, 2007 Mr. Gary Oates GreyWolfe, Inc. 1073 Redbud Road Winchester, Virginia 22603 Re: Approval for Site Plan #16-07, NB Market Property Identification Number (PIN): 39-A-39 Dear Mr. Oates: The Frederick County Department of Planning and Development administratively approved the above -referenced site plan on September 25, 2007. The site plan is approved for improvements to the country store located at 5057 Northwestern Pike (intersection of Northwestern Pike and Hayfield Road) in the Back Creek Magisterial District. This construction includes the following: Construction of paved parking areas with a total of 19 spaces, (including one handicap accessible). Closure of one of the existing entrances on Northwestern Pike. Landscaping and screening as indicated on the plan. The site plan meets all conditions and requirements placed on this property by Conditional Use Permit #08-06. All relevant review agencies have approved the project at this time. I am providing you with five (5) 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 office to schedule an on -site inspection. Do not hesitate to contact Inc should you have any questions or concerns. Since Cam- N -_�- Candice E. Perkins, AICP Senior Planner CEP/bird Attachments cc: Jane Anderson, Real Estate Commissioner of Revenue Barbara Van Osten, Back Creek Magisterial District Supervisor Greg Unger and Cordell Watt, Back Creek Magisterial District Planning Commissioners The Easy Chair Company, 124 Cougar Trail, Winchester, VA 22602 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 NB Market - VDOT Site PI Approval • Page I of I Candice Perkins From: Funkhouser, Rhonda [Rhonda.Funkhouser@VDOT.Virginia.gov] on behalf of Ingram, Lloyd [Lloyd.Ingram@VDOT.Virginia.gov] Sent: Wednesday, April 18, 2007 10:50 AM To: greyWolfelnc@aol.com Cc: Ingram, Lloyd; cperkins@co.frederick.va.us Subject: NB Market - VDOT Site Plan Approval We have received your revised site plan dated April 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 six (6) 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 50 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. Ingram, Transportation Engineer Virginia Depm•tment of Transportation Edinburg Residency — Land Developurent 14031 Old Valley Pike Edinburg, Virginia 22824 Phone #(540) 984-5611 Fax #(540) 984-5607 5/I/2007 • 070014961. THIS DEED OF DEDICATION, made and dated this 14 day of September, 2007, by and between THE EASY CHAIR COMPANY (Grantor) and the COMMONWEALTH OF VIRGINIA, Grantee. RECITALS A. The Grantor is the owner of a certain tract or parcel of land containing 1.206 acres, more or less, at Hayfield, in Back Creek Magisterial District, Frederick County, Virginia (the "Property"), having acquired said parcel from Gail M. Nail, et al, by deed dated June 22, 2000, of record in the aforesaid Clerk's Office in Deed Book 968, at Page 1819 and by deed of boundary line adjustment, dated June 25, 2007, with Stuart M. Perry, Inc., of record in the aforesaid Clerk's Office as Instrument No. 070010650; and B. The Grantor desires to dedicate to public use for street purposes that portion of the Property identified as a 25' R.O.W. DEDICATION TO TIME COMMONWEALTH OF VIRGINIA on that certain plat titled "Final Survey of A Right of Way Dedication to the Commonwealth of Virginia from The Easy Chair Company" dated June 29, 2007, drawn by Gary R. Oates, L.S., a copy of which is attached hereto and made a parl hereof. C. The Grantor desires to dedicate a 10'X85' Drainage Easement to the Commonwealth of Virginia, as more particularly shown as the hatched area on the aforesaid plat. NOW, THEREFORE, WITNESSETH: That for and in consideration of the premises, and other good and valuable consideration deemed adequate at law, the receipt of which is hereby acknowledged, the Grantor grants and conveys to the Commonwealth of Virginia and ORFoany F. 11 dedicates for public street purposes that portion of the Property set forth on the Plat as 25' HUTCHINSOfd aT M'Zk —LAW 124 0. ORnD000C fs T. wn,a+turva, vn zzuoi • R.O.W. Dedication to the Commonwealth of Virginia. The dedication of this public rigl t-of- way is with the free consent and in accordance with the desire of the undersiped Gra ito- as o evidenced by the signature set forth below and with the consent and approval of tho LJ to Commonwealth of Virginia as evidenced by its signature on the plat. The Grantor further grants, bargains, sells and conveys to the Cotnmouwealth of Virginia a 10'X85' drainage easement as shown on said plat. WITNESS the following signature and seal: THE EASY CHAIR COMP Y By:`� (SEAL; Holon L N , Presiden STATE OF VIRGINIA, CITY/COUVTY OF F( eAPC; Ci . , to -wit: .06 The foregoing instrument was acknowledged before me in my City/County and St.tte this day of September, 2007, by Helcn L. Nardick, President orthe'rhe Easy Ch. it Company. I My Commission Expires: oa laq NO' Y PUBLIC 3 t_, Cp OF �: R n r.nn, Epp �°aa TV °tee �a Hayfield `++, SITE 0 C��°� p �aa ��s��•� �a�to dpi,o � cAt� at �x Mt Olive Church VICINITY MAP 1 " = 2000' FINAL SURVEY OF RIGHT OF WAY DEDICATION TO THE COMMONWEALTH OF VIRGINIA FROM THE EASY CHAIR COMPANY BACK CREEK MAGISTERIAL DISTRICT, FREDERICK COUNTY, VIRGINIA JUNE 29, 2007 OWNER'S CERTIFICATE THE ABOVE AND FOREGOING RIGHT Of WAY DEDICATION SURVEY OF THE LAND OF THE EASY CHAIR COMPA , AS APPEARS ON THE ACCOMPANYING PLAT IS WITH THE CONSENT OFAND IN ACCORDANCE WITH E DESIRES TIE UNDERSIGNED OWNERS, PROPRIETORS, AND TRUSTEES, IFANY. SIGNATUR AUTH RJ AGENT OF THE EASY CHAIR CO. !Q EALTIyOFVIRGINIA Cnke2L��OFELe TO WIT, THE FORGOING OWNERS CER77FIG1 TE WAS ACKNOWLEDGEt7........... '' , BEFORE ME THIS DAY OF ,Tuj U 2007 BY: `r •r Ems{ � i PRI 02 PRINTED NOTARYPUBLIC v0J S 114TURf NOTARY PUBLIC MYCOMMISSlON EXPIRES , &y ,,'''hgynnuiu,. 3a SURVEYOR'S CERTIFICATE I HEREBY CERTIFY THAT THE PARCELS CONTAINED IN THIS RIGHT OF DEDICATION SURVEY IS THE LAND CONVEYED TO THE EASY CHAIR COMPANY, LC, BY DEED OF RECORD IN THE FREDERICK COUNTY CIRCUIT COURT CLERK'S OFFICE IN DEED BOOK 968 ON PAGE 1819, S � GARYR. ATES, LAND SURVEYOR APPROVAL Z3,QiK FREDERICK COUNTY SUBDIVISION ADWINISTRA TOR DATE TH OFY tf, O'er VIRGINIA DEPARTMENT OF TRANSPORTATION ATE 0WD 1073 Redbud Road No. 1518-B GreyWolfe, Inc. Winchester, VA22603 629-o7 Land Surveying and Consulting GreyWolfelnc@aol.com Q 540.667-2001 OFC qN0 S U R`1 y0 540-545-4001 FAX DRAWN BY: GRO FILE NO: 0185 1 SHEET 1 OF 2 NORTHWESTERN PIKE -ROUTE 50 EASTBOUND VARIABLE WIDTH R. 0. W. % 7RF C-1 T O S 4105622' E - 249,15' %'IRFC�- 0 EX. WELL • o o al, N FEX. STORE y m w { v'•rn \ EX HOUSE 60' BRL a o rn A 10.00,��' � 40-(A)-43 39 (A)39100'BRL - Qr^ELIZABETH F. ___ • �C� NAYAI -- ; Wiz • n PALMER • a ZONED; RA e, DB 968, PG 1819 i DRAINfIELD AS i o \o STAKED BY z USE.• RES. N 8 1070010650 i ZONED; RA i CONTRACTOR i o fI ACRES USE; COUNTRY i __ -' SEEEASEMENT $_ \ MARKET j_--- NOTEBELOW ."' `o v 1.108ACRES Z§' • o g _ RE FENCE 100 YEAR FLOOD ZONE AS SCALED Iy� E \ EX. CORNER FROM FIRM 510063-0100-8 DATED JULY POST x \ 17, 1978 \ 39-(A)-41 5TUART M. PERRY, INC. V DB 126, PG 190 ZONED; RA USE.•AGRICULTURE f47ACRES v1 60' 0' 60' GRAPHIC SCALE EASEMENT NOTE HATCHED AREA DENOTES A 10 X85' DRAINAGE EASEMENT HEREBY DEDICATED TO THE COMMONWEALTH OF VIRGINIA CURVE TABLE O = FENCE POST PROPERTY CORNER SET 5/8'X24"REBARWITH YELLOW PLASTIC CAP f RADIUS DIRECTION LENGTH DELTA TANGENT BEARING CHORD C-1 1 1939.86' 1 C-CW 1 542' 1 0"0936' 1 2.71' 541001'10'E I 5.41' NOTES 1, A FIELD SURVEY WAS PERFORMED BY GREYWOLFE, INC. 2. BASIS OF MERIDIAN IS GRID NORTH BASED ON STATE PLANE COORDINATES, 3. A TITLE REPORT HAS NOT BEEN FURNISHED; THEREFORE, OTHER EASEMENTS OR ENCUMBRANCES MAY EXIST THAT ARE NOT SHOWN ON THIS PLAT. 4. THE PURPOSE OF THIS SURVEY 15 TO DEDICATE A 25' STRIP OF LAND ALONG THE WESTERN SIDE THE ROAD CENTERLINE TO THE COMMONWEALTH OF VIRGINIA FOR TR4NSPORTA7ION IMPROVEMENTS AND MAINTENANCE. 5. A BOUNDARY LINE AGREEMENT PLAT BETWEEN STUART M. PERRY, INC. AND THE EASY CHAIR COMPANY WAS RECORDED ON JUNE 19, 2007AT INSTRUMENT 070010650 IN THE FREDERICK COUNTY CIRCUIT COURT CLERK'S OFFICE. FINAL SURVEY OFA r�-TH OF RIGHT OF WAY DEDICATION TO THE COMMONWEALTH OF VIRGINIA FROM THE EASY CHAIR COMPANY BACK CREEK MAGISTERIAL DISTRICT, FREDERICK COUNTY, VIRGINIA U 1073 Redbud Road Inc. Winchester, VA22603 _GreYWolfe Land Surveying and Consulting GreyWo/felncpao/.com 540 667 2001 OFC 540-545-4001 FAX FILE NO; 0185 1 DATE; JUNE 29 2007 1 SCALE: 1 " = 60' SHEET 7 OF 2 • • VIRCINIA: FREDERICK COUNTY.SCT. This instrument of writing was produced to me on 1-1g -a os1 `— at ID" a-[ P m and with certificate acknowledgement thereto annexed was admitted to record. Tax imposed by Sec. 58.1-802 of $4), , and 58.1-801 have been paid, if assessable. 4e,4 �O , Clerk 0 i COU - 1 iZ �I)`> ICK Department U Planning and Development 540/665-565I FAX: 540/665-6395 April 19, 2007 1\/Ir. Gary Oates GreyWolfe, Inc. 1073 Redbud Road Winchester, Virginia 22603 RE: 2°d Review for Site Plan 916-07, NI3 Market Property Identification Number (PIN): 39-A-39 Dear Mr. Oates: 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 issue in this letter, as well as any issues of the other review agencies, has been adequately addressed. Please review Staffs comments listed below and then prepare a revised site plan which adequately addresses this concern. 1. Landscaping. The site plan does not match the number of proposed trees. One tree is missing from the plan. The calculations for the types of trees do not correlate with the site plan. After you have revised the site plan, please resubmit two copies so that I may verify the information contained on the plan. All agency comments have been received, except the Virginia Department of Transportation. Sincerely, ell Kevin T. 'I-Ienry 7 Planning Technician KTI-I/bad cc: Mr. Davy Del-Iavcn, 2135 Chestnut Grove Rd., Winchester, VA 22603 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 .. APR 1 7 ?_OOr ?C Frederick County Fire, and Rescue q !�. Department b Office of the FireMarshal Platy Review and Conimet L � VIitGINIA Control number Date received Date reviewed Date Revised S P07 -000 9 2/20/2007 2/22/2007 Project Name Applicant NB Market Grey Wolfe INC. Address City State Zip Applicant Phone 1073 Redbud road Winchester VA 22603 540-667-2001 Type Application Tax ID Number Fire District Rescue District Site plan 39-A-39 14 14 Current Zoning Election District RA Recommendations Back Creek Automatic Sprinkler System Automatic Fire Alarm System Residential Sprinkler System Yes Yes No Other recommendation Emergency Vehicle Access Hydrant Location Fire Lane Required Adequate Not Identified Yes Siamese Location Roadway/Aisleway Width Special Hazards Not Identified Adequate No Emergency Vehicle Access Comments Access Comments Additional Comments Plan Approval Recommended Reviewed By Signature �� "t 'f Q., �� •,; �y� "� J 1 u,X,'•=J •�u Yes Mark Showers Title _ _...._ _ • • Mr. Gary R. Oates, LS Greywolfe, Inc. . 1073 Redbud Road Winchester, Virginia 22603 RE: Site Plan Comments - NB Market Frederick County, Virginia Dear Mr. Oates: COUNTY of Il+ R DERICK ,. n11 1 '1 )n,) March 1, 2007 Department of Public 'Works 540/665-5643 FAX: 540/ 678-0682 Upon review of the site plan received February 20, 2007, from Greywolfe, Inc.; we offer no comrrnents at this time, therefore we recommend approval of the subject site plan. Sincerely, Joe C. Wilder Deputy Director JCW/mlr cc: Planning and Development file C:\Documents and SettingAMR\My Documents\Review Formats\NBMARKGT.wpd APR 1 7 200Y Request For Site plan Comments Frederick County Inspections Department Mail to: Hand deliver to: Frederick County Inspections Dept. 107 N. Kent Street, Suite 200 Atln: Building Official North Building, 2°d Floor 107 North Kent Street Winchester, VA Winchester, VA 22601 (540) 665-5650 (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: - r1- 1 Phone Number: i -7-7 ` -1 -7 33 Name of development and/or description of the request: kc.-f- _ Location of property: __ 5o r1 'I�a fl,u C��� rn ► �Il.� Inspections Department's Comments: _ Le APR 12,2007 12:34 5408889383 Page 1 1 AN required egress shall be handicap accessihic. ] lan.dicap accessible rumps shall comply with ANtil handicap. Ramps equipped with landings shall maintain a 5' x 5' area. h B Y: -------------- Request For Site Plan Comments Frederick County -Winchester Health Department Mail to: Frederick -Winchester Health Department Attn: Sanitation Engineer 107 North Kent Street, Suite 201 Winchester, VA 22601 (540) 722-3480 Hand deliver to: 107 North Kent Street, Suite 201 Winchester, VA (540)722-3480 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 667-2001 Name of development and/or description of the request: NB Market Location of property: Route 50 West and Hayfield Road (Rt 600) Health Dept's Comments aH0'.1 � 0_2-/2z °� Health Dept use only Date MC&VOC! 641r, rev w,, ed _ Mpubu+e mid Sigma= wA Date (mvisim) D-atc rtvision reccitived Incomptot Datc rtvicwed ^ Date apprtwect M Lord Fa7rfax Environmental Ialth District 107 N. Kent St. Winchester, Virginia 22601 All ''J (540) 722-3480 FAX (540) 722-3479 Counties of Clarke, Frederick, Page, Shenan(loah, 1,11arren, and Cif)l of 6Ninchester February 22, 2007 Applicant: GrcyWoife, Inc. 1073 Redbud Road Winchester, VA 22603 RE: Request for Site Plan Comments Tax Map Number: 39-A-39 To Whom It May Concern: On February 21, 2007 this office received a set of site plans along with a request for site plan comments. This office has no objections to this proposal so long as the following conditions and comments are met and understood. I. As previously stated on the Conditional Use Request Form on 08/1 1/06, there can be no increase in water use. 2. A permit for the existing well can not located in our files, and the well is located less than 50' from the existing building. Any buildings or new construction within 50' of the well can not be chemically termite heated. 3. The well water can not be served to the public. The Health Department also suggests that the well be tested for E-Coli and Total Coliform . 4. The Health department will not approve any food preparation. 5. The existing drainfield was permitted in 1958 and the Health Department can not guarantee the system will continue to function properly. Also be aware that the department never received a walkover request of the existing system. 6. It is the owner and contractors responsibility to mark and protect the existing drainfield. Any damage to the field will require a repair permit from the Health Department; however, there is never a guarantee that a field can always be repaired. • • If you have any questions or if I can be of further assistance, please call me at (540) 722- 3480. Sincerely, Scott Fincham Steve Lee Environmental Health Specialist Senior Environmental I-Iealth Manager Pc: GreyWolfe, Inc. Ronald Dellaven I-Iealth Dcpartment File NB Market Site Plan Page 1of1 Subj: NB Market Site Plan Date: 4/5/2007 2:41:06 PM Eastern Daylight Time From: Lloyd.Ingram@VDOT.Virginia.gov To: greyWolfelnc@aol.com CC: Lloyd.ln.gram@VDOT.Virginia.gov Your site plan dated February 16, 2007 for the referenced project has been reviewed by VDOT. We have the following comments: . Proposed entrance asphalt was not legible. . Stop bar and sign will be required. . Should use ever expand in the future, the entrance may have to be upgraded to VDOT commercial standards. When all the above comments have been addressed, please resubmit one set of plans for review. If there are any questions, do not hesitate to contact me. Lloyd A. Ingram, Transportation Engineer Virginia Department of Transportation Edinburg Residency — Land Development 14031 Old Valley Pike Edinburg, Virginia 22524 Phone #(540) 934-5611 Fax #(540) 984-5607 Tuesday, April 17, 2007 America Online: GreyWolfeInc CO ERICK Department of Planning and Development 540/665-5651 FAX: 540/665-6395 March 15, 2007 Mr. Gary Oates GreyWolfe, Inc. 1073 Redbud Road Winchester, Virginia 22603 Re: Review Comments for Site Plan 816-07, NB Market Property Identification Number (PIN): 39-A-39 Dear Mr. Oates: 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 Staff s comments listed below and then prepare a revised site plan which adequately addresses each concern. Review Comments: 1. Proposed Use. The proposed use on the cover sheet should not include office. Also, below that, the CUP file number is incorrect. 2. Parking Calculations. The proposed business should be displayed correctly within the parking calculations. 3. Business Sign. The existing sign height is taller than five feet. If a new sign is proposed with a five foot height, please note that on the plan. 4. Landscaping. The site plan does not match the number of proposed trees. One tree is missing from the plan. I-Iedgerows are required along parking spaces that face adjoining properties. 5. Building Restriction Lines. Please provide the appropriate BRL's to the project site. 6. Adjoining Properties. Provide the PfNs and legal references for the properties adjoining this property. This includes properties across right-of-ways. 7. Speed Limit. Please provide the speed limit for adjoining S. Hayfield Road. 8. Stop Sign. Stop signs are needed at each exit. 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 0 0 Mr. Gary Oates Re: NB Market Site Plan 416-07 March 15, 2007 Page 2 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 continent sheets and at least five copies of the final plan for approval. Comment sheets are required from the following agencies: the Frederick Coma), Inspections Department, the Frederick County Fire Marshal, the Health Department, the Frederick County Sanitation Authority and the Virginia Department of Transportation. Sincerely, Kevin T. Henry Planning Technician KTI-I/bad Attachment cc: Mr. Davy DeHaven, 2135 Chestnut Grove Rd., Winchester, VA 22603 MAR 1 2007 COUN'ry of >E±REDERI('' llepartment of Public V or. S40/665-�: FAX: 540/673-1;C, March 1, 2007 Mr. Gary R. Oates, LS Greywolfe, Inc. 1073 Redbud Road Winchester, Virginia 22603 RE: Site Plan Comments - NB Market Predcrick County, Virginia Dcar Mr. Oates: Upon review of the site plan received February 20, 2007, from Greywolfe. Inc.; we offer no comments at this time, therefore \ve recommend approval of the subject site plan. Sincerely, .toe C. Wilder Deputy Director JCW/mlr cc: Planning and Development file C:\Documents and Settings\,11R\Uy Documenls\Revicw Rornuilc\NIi11ARlil:'I.+vpd 107 North Kent Strect a Winchester, Virginia 22.601-5000 SITE PLAN APPLICATION Department of Planning and Development Use only. 7 Date application received -� Application # % f Complete. Date of acceptance Incomplete. Gate of return. NB Market 1. Project Title: 5057 Northwestern Pike 2. Location of Property (street address) Winchester, VA 22602 3. Property owner: The Easy Chair Company Address 124 Cougar Trail Winchester, VA 22602 Telephone: Contact Davy DeHaven 877-4733 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: 2 • M 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 1.20 acres 1.20 acres 39-(A)-39 RA Vacant Country General Store Agricultural 39-(A)-41 & 40-(A)-43 Back Creek District 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: _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: NB Market Location of property: Route 50 West and Hayfield Road (Rt 600) Planning and Development's Comments: 16 H-2s 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 YOU WOULD LIKE TO HA VE COMPLETED. IMTIALS DATE & TIME i Candice 1 Bernie J ( IXPIV - �v Susan Eric Mike Kev' John Lauren COMMENTS: Received by Clerical Staff (Date & Time): PS D I �] / U U:\Pam\Co=on\Document Approval Form.wpd