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HomeMy WebLinkAbout013-95 Church of Christ at Mt. View - Back Creek - Backfile* 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; - 0K- slggs� VDOT 10K- 414 19 S ✓ Sanitation Authority 1K- +11'7lg5 Inspections Dept. OK- Gtl�?lq ✓ Fire Marshal -OK- 512+hs✓ County Engineer Airport Authority _�_ 2. One copy of the Site Plan application. 3. Five copies of the Site Plan. 5- 4. One reproducible copy of the Site Plan (if required). 5. One 35mm. slide of the Site Plan (if required). TRACKING Date 5 3 Application received. All necessary agency comments received. S - Z Fee Paid (amount $ 1153.OU ) -:�,17 Site Plan to Planning Commission via bi-monthly. Site Plan heard by Planning Commission (if required). Revisions received (if required). Date of approval. fo added to a ,ette. 13gs City of Winchester Town of Stephens City Town of Middletown Health Dept. Parks & Recreation Soil & Water Conservation Dist. 'RECEIPT M= 024491 AMOUNT DUE AMOUNT PAID $ k BALANCE DUE PAID BY CASH i CHECK 0 OTHER FREDERICK COUNTY DEPT. OF PLANNING AND DEVELOPMENT if P. 0. BOX 601, 9 NORTH LOUDON ST. WINCHESTLR, VIRGINIA 22601 DA"-- RECEIVED FROM ` -h `, -� c l \t . t ■ A.- - ,�,_.�Lk 00 RS = MFRS RF '--L!FA N — G..—n :,SSA COUNTY of FREDERICK Department of Planning and Development 703i665 5651 FAX 703i678-0682 June 12, 1995 Church of Christ at Mountain View Attn: Terry Bishop P.O Box 2702 Winchester, VA 22604 RE: Church of Christ at Mountain View Addition Site Plan Approval Dear Mr. Bishop: The Frederick County Planning Department administratively approved Site Plan #013-95 for the Church of Christ at Mountain View on June 9, 1995. The approved site plan calls for the construction of a new gymnasium and school addition that will be 18,125 square feet, the creation of a new asphalt parking lot that will contain 10 regular parking spaces, a future paved parking lot that will contain 14 regular spaces, the provision of a paved lane for day care drop off and bus access, the relocation of eight disabled parking spaces with appropriate signage, the provision of concrete sidewalks to provide access from the parking lot to the building, the installation of a fire hydrant and a fire lane access drive that will be 20 feet in width, and all appropriate erosion and sedimentation control measures. I have provided you with two copies of the approved site plan. This will allow you to maintain an on -site copy and provide the church a copy for their records. Please 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, Evan A. Wyatt Planner II EAW enclosure cc: James L. Longerbeam, Back Creek District Supervisor T. Roy Jennings, Frederick County Real Estate Joe C. Wilder, Engineering Technician Timothy G. Painter, P.E. 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 SITE PLAN APPLICATION,��' �• 1�, Complete the following application: 31. DATE APPLICATION 1• Development CH�,.c,N or CN.L�S1 ,,; f`�1o��rn�.► �,Lu `_�cNoc�flab,nGW 2 • Location of Property: ���, ;,�� cr- C.aa►s� �r �a:n►TA�.t J„_�; (by street name) C-a8 3. Property P Y Owner: T —�. CA�vu� �:F Address: i�. a Telephone: g c°,(,I- Z.'44 4. Applicant/Agent: '��ti��,y CZ Address: 2,4„ Telephone: t7 ( i> L. U Z- C: 5. Designer: Address: Telephone: Contact: 'f� r1 7,�,,., ; ►"ti 6. Is this an original or revised Site Plan? Original ✓ Revised -5- 7. Total area of parcel to be developed: 2,`l.3iL4 Ac 1.15 A,- b 6(- 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: ti �A � \ (3J� N.itSi 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: x�. Date: �_ �_ COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703/678-0682 March 13, 1995 Timothy G. Painter, P.E. 24 East Piccadilly Street Winchester, Virginia 22601 RE: Church of Christ at Mountain View Addition - Site Plan Review TA)mr T:I^.: I have had an opportunity to review the above referenced site plan received by our department on February 28, 1995. The following information needs to be provided to our department prior to final site plan approval: Please revise the site plan to change the zoning of the Virginia Pride Fruit Packers, Inc. tract from B-2 to B-3. Our tax maps indicated that this was B-2; however, we have recently discovered that the zoning classification was incorrect. 2) Please advise the owners that it would be prudent to indicate the new location of the existing dwelling at this time. The setback requirements for this structure will need to comply with the current setback requirements for the RA, Rural Areas Zoning District. 3) It is my understanding that no new outdoor lighting fixtures, outdoor storage areas, or outdoor trash receptacles are proposed. Therefore, please disregard the notations on the applicant's checklist. 4) Please provide our department with the site plan application, the site plan review fee, all approved review agency comments, and five copies of the final plan for approval. I would like to take this opportunity to commend you on your efforts for this project. Your site plan is the only design that I have reviewed in my six years with Frederick County that has been suitable for approval on the first submission. I look forward to receiving future plans from you that are of this quality. Sincerely, Evan I Wyatt, anner II enclosure cc: Frederick County Board of Supervisors 107 North Kent Street Winchester, VA 22601 P.O. Box 601 Winchester, VA 22604 REQUEST FOR SITE PLAN COMMENTS A J Frederick County Department G Attn: wan► W -T-r l ,2h 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: T��T►�y �, �pNTi--L r� 0o3) UU 15�s Z4 F. ST c jr-sw-j, Name of development and/or description of the request: 0HVZ-c,4 of C14Z1ST- A— MO Jr.Jn--)IM \,/i ,F"J 5cV100L G'��1►.i115�ur� ��D�Ti0rJ Location: yL M �l C �ucu�-► L< C-��rJy ruLF. Inspection Department Comments: Code Administrator Signature & Date: I Z . ►�9 S 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- M-r. Y I Et.J Ctiokcm ADD i'> o-L: S t -r : PLA,J KE V t e2J M AQc++ I� i99 5 ? Nye cf orcpcsad develcc_ment 2. Nare a_:d add --ass af, cWTie= 3 - Na=e a_r-d add= ess of develcre nc•cne nimhe_r- of des_ -r- C�.- -- _C_..ta Ci SIZ.'Vey Cr , e-^.GV:ee= , or a=id dat8 ci i�cv?.S=Cris 7. _S �_� g Cf al • CCrIC= `=0I75 CIaCa- On t-a S? . - as a c- a C ci d-i= Ci_a L uSa : e-r= t or CCnH 4 CMa T zcr_- c an=rc z i s_ aca Ia%:eled "apprcvad - by 3c ee*z� da _ Y N • Your S? t-2 ela_r 5.= d ?_:CIL'de tie fa CwF.C: Ad- Y N P,4 9 • I.cca�_cr_ WaT (scale ? :2000 ) cf �L= ? 2 • Sce.le a-.si �e a T a_r (ric '. to `excaed ? . 50 ) Ncr- --=. w Zcr_c cf s' to Y Use a.^_d zcn_ng ci adjoLn ng prcce;-ties r.4ts, /t;ses v_ N for all Ics and parcels ? 5 . mac= eace of all jets included ? n t„e ?-7 . ` to lcca _i cn and All Qplaned d--me21.Sions ci a-_ rec-u-_ setrac_x s a__d va_ d areas = ?8: Lccat=cn of all buildings, st.:,fctures, and uses '_9 ' T e prccosed use of each bcL?ding, st.-,zct,ire, and. / a, -ea _Y_ ® T ze l ccaticn and type of all dwelling units NEIZ L o�►J . 2I . 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DKA6L rye SIGNr1•G-sr'^` W i 0 g N _ 40 . rx=S -4.0 and ----ishaC 41. asZaen s?cmes, wccc?`ncs, �_ccc�la�Ts, S �C? as a-nd Otte-- e=-fr4—.^.:..:ue_ =a , d." -ge ways L2rcscan4^c v_ N — 43 . L z==sca.,; .c �_.r cesc= =.;_c ? c: zt_cn z.c r es a= Zs to Ce us ad VA 44. Ci- ra---u -e f hilf-a_-S r: Sw eeT._.? �iC = cs crt and Seod; -y ccrtrc 7 `r / N � sic �wz�a_ Mz-:a.cemen� ,:'?.r and l CCZt; cm. Z.':^_. G25� � _ � .C;• C= �C=?e5 `C Ce uSZC _ a Sc-4-1 e_res aii a.-':C Sc�G' :Ie^ `��='JR C^.I�� ^.? C l ,. W= _. ccat�cr_, �_r_ces, a-nd exammles c- prCv=s_c:.s tc Ce us- ad ^ -ro BE APPRQvED lay cAL)N-y lN.omz, 9 0 COMMONWEALTH of VIRGINIA DEPARTMENT OF TRANSPORTATION 14031 OLD VALLEY PIKE DAVID R. GEHR PO BOX 278 COMMISSIONER EDINBURG, 22824.0278 September 28, 1995 Mr. Charles W. Doughty c/o Church of Christ at Mountain View P. O. Box 2702 Winchester, VA 22604 Dear Mr. Doughty: JU110 l +4 � V � � WILLIAM H. BUSHMAN, P. E. RESIDENT ENGINEER TEL (540) 984.5600 FAX (540)984.5607 I am writing in response to our recent telephone conversation and the letter you sent me dated September 19th. You have also, apparently, sent an identical letter to our Governor, the Honorable George Allen. Our telephone conversation and this correspondence is related to the Department's requirement for a right -turn taper to serve the entrance to vour church and the multiple use fellowship hall recently constructed. To reiterate what I indicated in our telephone conversation, and to confirm here in writing to you, is the fact that we understand how the finances are with a church and that funds are not always readilv accessible nor available for expenses such as this entrance work. Our position is that the entrance would be put under permit with the understanding the work would be performed when it was financially possible Nvithin the framework of our penmitting process. Ideally, this would be within one (1) vear from the date the permit is issued.lf the time frame is going to expire before the necessary funds can be accumulated to do the work, then %ve will work with the church and extend the permit deadline appropriately to insure construction of the entrance modifications. Our one purpose in requiring anv kind of commercial entrance permit and its features is of safety: for the users of the entrance and the users of the road the entrance abuts. We are not asking your church to provide any more to your entrance than is absolutelv, minimally necessary to provide adequate safety for the users of vour entrances and the motorists of Route 1 1. r Mr. Charles W. Doughty September 28, 1995 Page Two We are committed to worldng with you and your congregation in providing an adequate entrance for your church and its facilities. 1f our part of this is unclear, please let us know. We will be glad to meet with You and members of your church community to fully explain what we are requesting vour church to provide. Sincerely, William H. Bushman, P.E. Transportation Resident Engineer WHBAvcz Cy: Mr. R. B. Childress Mr. S. A. Melnikoff Ja COMMONWEALTH H of VIRCIhTLA DEPARTMENT OF TRANSPORTATION 14031 OLD VALLEY PIKE DAVID R. GEHR P.O. BOX 278 WILLIAM H. BUSHMAN, P.E. COMMISSIONER EDINBURG, 22824.0278 RESIDENT ENGINEER TELE(703)984.5600 PAX (703)984.5607 May 5, 1995 Mr. Timothy G. Painter, P.E. Ref: Mountain View Church of Christ C/O Painter, Lewis & Associates Route 11 24 East Piccadilly Street Frederick County Winchester, VA 22601 Dear Tim: We have received your revised site plan dated April 21, 1995 for the referenced project. It appears all of our previous review comments have been satisfactorily addressed. Please advise the owners of our approval. A land use permit may now be applied for to cover the required entrance improvements within the Route 11 right-of-way. Said permit is issued by this office and will require a processing fee and surety bond coverage. A permit of this nature may take approximately thirty days to process and issue once satisfactory application has been made. If you have any questions concerning the above, please let me know. RBC/rf Enclosure xc: Mr. S. A. Melnikoff Mr. R. W. Watkins Sincerely, William H. Bushman Trans. Resident Engineer By: Robert B. Childress Trans. Permits & Subdivision Specialist Supervisor RD A, C TRANSPORTATION FOR THE 21 ST CENTURY W r, REQUEST FOR SITE PLAN COMMENTS 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: 24 E. \jA ZV-c= Name of development and/or description of the request: c-kUZL1A c�- C-V1 %ST Nr j lt�l; tlT(a Y.S viE,-j - /a1,t n o td Location: V VY'i1LPL\ ��Yr*. S\tw1)lsl.t�.i. LL:. VN M►�E r� �r�a o� Q/�0..rC,N. v� �-i..ii, v ty �.5. ��� Nb � YIXL t.-14r TZ) t7 MJ Va. Dept. of Transportation Comments: See attached letter from W. H. Bushman to Mr. Tim Painter dated 05/05/95. VDOT Signature and Date:6t /� C, .n / u .4G (NOTICE TO RESIDENT ENGINEER*PLEASE RETLWTHIS 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 ap r5 c 7_, EDINBURG RESIDENCY FEB 23 1995 - 10- U WHB ❑ JAG WLS C. KDW 51 REC 0 K S H KriC = RLF 0 VC7_ Conies to COMMONWEALTH of VIRQINIA DAVID R. GEHR COMMiSS-ONEH Mr. Tim Painter, P.E. C/O Painter, Lewis & Associates 24 East Piccadilly Street Winchester, VA 22601 Dear Tim: DEPARTMENT OF TRANSPORTATION 14031 OLD VALLEY PIKE PO BOX 278 EDINBURG,22824-0278 March 31, 1995 WILLIAM H. BUSHMAN, P.E. RESIDENT ENGINEER TELEI7031984.5600 FAX(7031984-5607 Ref: Mountain View Church of Christ Route 11 Frederick County As requested we have reviewed the above referenced project site plan dated January 25, 1995. Our comments may be found on the enclosed plans marked in red and as follows: 1. The northern curb and gutter radius (Standard CG-7) will need to be removed and replaced to match the proposed southern radius. Also, a standard 12' pavement offset from the edge of pavement to face of gutter pan will be required. 2. A 150' taper will need to be provided on the southbound approach to the entrance. It appears this can be accomplished with relatively little grading on the Route 11 right-of-way. Also a standard 36' taper will need to be provided on the south side of the entrance. 3. A half typical section of the proposed entrance improvements will need to be added to the plan. 4. After the entrance widening and taper improvements occur the entire entrance will need to be overlaid with 2" of Type SM-2A asphalt concrete. 5. In addition to the proposed pavement striping, appropriate signage will be required. 6. Existing sight distance, speed limit, and reference will need to be added to the plan. 7. The enclosed copy of our standard CG-7 curb & gutter specification will need to be incorporated into the plan. Please revise and resubmit six 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 or would like to discuss any of our comments, please let me know. Sincerely, Robert B. Childress � 77 Trans. Permits & Subdivision Specialist Supervisor \ 1 RBC/rf Enclosure xc: Mr. S. A. Melnikofl; Mr. R. W. Watkins TRANSPORTATION FOR THE 21ST CENTURY r COMMONWEALTH of VIRGINIA DEPARTMENT OF TRANSPORTATION 14031 OLD VALLEY PIKE DAVID R. GEHR PO. BOX 278 COMMISSIONER EDINBURG. 22824.0278 March 6, 1995 Mr. Tim Painter, P.E. C/O Painter -Lewis & Associates 24 East Piccadilly Street vvinchester, LEA 22601 Dear Tim: �14 J 11 7 �1I WILLIAM H. BUSHMAN, P.E. RESIDENT ENGINEER TELE17031984-5600 FAX (703)984.5607 Ref: Mountain View Church of Christ Route 11 Frederick County We have received your site plan dated January 25, 1995 for the referenced project. It has been forwarded to our District Office in Staunton for review. Once we have received any comments we will forward same to you. For your information a review of this nature normally takes approximately sixty days. In the meantime if you have any questions, please let me know. RBC/rf xc: Mr. S. A. Melnikoff Mr. R. W. Watkins Sincerely, William H. Bushman Trans. Resident Engineer By: Robert B. Childress Trans. Permits & Subdivision Specialist Supervisor TRANSPORTATION FOR THE 21 ST CENTURY FROM FREDERICK CO. SANITF*"' AUTHORITY 06.07.1 08:11 REQUEST -FOR SITE _PljA i COMMEM Frederiok county Sanitation Authority Attn: Engineer Director 199 Front Royal pike P.O. Box 618 Winchester, Virginia 22604 (703) 663-3690 rra�rt��r �.0L.i r L- The Fraderick county Sanitation Authority is located on U.S. 522 South, one tenth of a mile from the U.S. 50 North intersection, if you prefer to hand deliver this review. Applicant's name, address and phone numbe►rt. Jr C, PjCrAo0,%--1 S,-MX vet t4gIL-&Tp, o�, t Name of development and/or description of the requeett 4 C441je&tj C)f C�40-Jb,r 4T t�NorAvj Vif,.4 � � � � ri� a 6v�,MI���vM �Da� no►� Location: 4-11 1fi�t�.�r1 �IK� �o i NA L4' 1-w# Tu o F a'MM v, u..(, Sanitation Authority Comments: $7"' Re' V oFW -- L / rx,� C0�,t�'0 Wj MI-F-9901 .4 9�M - I --I Sanitation Authority Signature & Date: . (NOTION TO SANITATION AUTHORITY * RN THIS FORM TO APPLICANT.) /14*4,V ;? fr NOVICE 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. ,8y 7^Hv�fi J ak Tr �r ***END*** • 0 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: TM�T�ayc�u2 I5,.5 Name of development and/or description of the request: Gf+V Z,G,4 C F C141z I s r ,a - Mc ►%J r7) , As \%j &,J Location: 4 If Inspection Department Comments: Building shall comply with Virginia Uniform Statewide Building Code and Section 303, Use Group A (Assembly) for the Gym and SPrtion 304Use Croup E (Educational) for the school of the BOCA National Building Code/1993. Other codes that apply are title 24 Code of Federal Regulation, Part 36 Nnndicrrimination on the RasiS of Disahility by Public Accommodations and in Commercial Facilities. NOTE: Demolition permit is required to remove Ex. Mobil Tlnit Ana parkingpnrking shall have a min 8'-8' van accessible space Phase check *A4.6 Page 35 679 ADA. .",/ Code Administrator Signature & Date: Z� � X���1ss (NOTICE TO INSPECTIONS DEPT. *PLEASE�tETURN T M TO �'LI S FOR . ) 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 0, COUNTY CF FREDE==C , VIRGINiA FIRE MARSHPL' S OFFICE LAND DE',IELOFME JT COMMENTS Control No. 0606952548 Data Recz i,ed 060695 Daze Re,/ i ewed 9S Applicant Name _ Timothy G. Painter, P.E. Address 24 E. Piccadilly Street Winchester, er, VA 22601 Project Name Mt. View Church of Christ Phone No. 703-662-1565 Tvpe of Application ✓/-22'-- pLgc/ Current Zoning 1st Due Fire Co. 1st Due Rescue Co. 1// Election District RC.COMMENDATIONE Automatic Sprinkler System Residential Sprinkler System Automatic Fire Alarm System A_ Other Emergency Vehicle Acczss; Acecuate �_ Inadequate Nct Identified Fire Lanes Requ i rec ; Yes �_ No Comments: LOc�iT%D,(/S Rcadwav/Aislewav Widt~s; Adequate X I nadecua c` No z Iden t i f i ed Special Hazures ,vo tzc ; Yes Nc Comments: - Ccnc:nuec - 11 COUNTY OF FREDERICK, VIRGINIA FIRE MARSHAL'S OFFICE LAND DEVELOPMENT COMMENTS Control No. 0228952147 Date Received 022895 Date Reviewed 032395 Applicant Name Timothy G. Painter, P.E. Address 24 E. Piccadilly Street Winchester, VA 22601 Project Name Church of Christ at Mt. View Phone No. 703-662-1565 Type of Application Site Plan Current Zoning RA 1st Due Fire Co. 11 1st Due Rescue Co. 11 Election District Back Creek RECOMMENDATIONS Automatic Sprinkler System X Residential Sprinkler System Automatic Fire Alarm System X Other Emergency Vehicle Access; Adequate X Inadequate Not Identified Fire Lanes Required; Yes X No Comments Posted fire lanes required at all hydrant locations and at F.D. siamese connection. Roadway/Aisleway Widths; Adequate X Inadequate Special Hazards Noted; Yes Not Identified No X Comments d Continued = • W COUNTY of FREDERICK Public Works Department Harvey E. Strawsnyder, Jr., P.E. Director 703/665-5643 Fax:703/678-0682 May 24, 1995 Mr. Timothy G. Painter, P.E. Painter -Lewis and Associates 24 East Piccadilly Street Winchester, Virginia 22601 RE: School and Gymnasium Addition Church of Christ at Mountain View Frederick County, Virginia Dear Tim: The site plan proposed for the school and gymnasium addition to the Mountain View Church of Christ has adequately addressed stormwater management and erosion and sediment control measures. Therefore, we grant our approval for construction. Sincerely, oak�u� E. , ,P , Harvey E. Strawsnyder, Jr., P.E. Director of Public Works HES:rls cc: Planning Department file 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 COUNTY of FREDERICK i Public Works Department Harvey E. Strawsnyder, Jr., P.E. Director 703/665-5643 Fax:703/678-0682 April 21, 1995 Mr. Terry Bishop Valley Building Systems, Inc. Front Royal Business Park 490-G South Commerce Avenue Front Royal, Virginia 22630 RE: Land Disturbance Permit Gymnasium and School Addition Church of Christ at Mountain View Frederick County, Virginia Dear Mr. Bishop: We have reviewed the subject erosion and sediment control plan and offer no comments. Consequently, we recommend approval of the subject land disturbance permit. We request that you contact this office when phase one of the erosion and sediment control is in place to schedule a site inspection. If you have any questions, do not hesitate to contact me. JCW:rls cc: file Sincerely, oe C. Wilder Engineering Technician Department of Public Works 107 North Kent Street Winchester, VA 22601 P.O. Box 601 Winchester, VA 22604 • • ISSUED TO: LAND DISTURBING PERMIT n I who has met all requirements of the Frederick County Erosion and Sedimentation Control Ordinance as certified by the Frederick County Department of Public Works. AGREEMENT This agreement, made this �jl day of 19a� by and between I 9 party(s) of the first part, and the County of Frederick , Virginia, party of the second part. Whereas, in consideration of the approval by the party of the second part of this Virginia land disturbance plan and permit for the Ox(f C h 4 Chru:)t ccl:� t"IC� I_. Cal ►'1 V V �_L of I.� (actual disturbed acres) and the party of the second part requiring the following work to be completed during the land disturbance construction and before final occupancy, the party(s) of the first part or his heirs/assigns agree to do the following work: 1. Provide for the adequate control of erosion and sedimentation by temporary and permanent control practices and measures which will be implemented during all phases of clearing, grading and construction and to provide for conformity with the Virginia Erosion and Sediment Control Law, Title 21, Chapter 1, Article 6.1 of the Code of Virginia and local code laws. 2. To provide Erosion and Sediment Control as per the Erosion and Sedimentation Control Plan. • 0 W= The party (s) of the first part does further agree that an agent of Frederick County shall be permitted entry to the site of the land disturbing activity to inspect the control measures shown in the approved plan. In testimony whereof, the party of the first part has hereunto caused its corporate names and seals to be hereunto affixed, for and in its behalf, by and caused this agreement to be acknowledged and delivered for and in its behalf. l ORAT)ON BY: In testimony whereof, the party of the second part has hereunto caused its body corporate names and seal to be hereunto affixed, for and in its behalf by b-rle r L J ounty of F ederick, Vir inia BY: \ Freder' k County Dep rtm t of Public Wrks NOTE: Issuance of this permit does not constitute approval of a site plan. This permit is for land disturbance only. • 0 -3- STATE OF VIRGINIA COUNTY OF FREDERICK I, , a Notary Public in and for the State and County aforesaid, do hereby certify that this day personally appeared before me in my said County, (name) of (company) and of the Frederick' County Department of Public Works whose names are signed to the foregoing agreement dated �� 1 did personally appear before me and acknowledged the same. Given under my hand this 1ST day of (]LQy- k 1 , 1� Notary Public My Commission expires on L] APPlication for Land Dluturbance Permit page 5 �j ILMD DT9TVItnMVe'%R p�uur A � DATE s = 9 PROJECT PROPERTY OWNER: TEL.MIONE:. 745�b(e-j AbDRX$St PA TELEPHOHla t PLAN DEMNERt4� ,sItc, to, PKvaECle nuli.. t 6YMuA:tuM 1Sc+teolr /'�(�b�zt'�tJ MAGISTERIAL D16TRICT; PROPERTY IDENTIFICATION NUMBZR:,.�.�� TCTAL ARF...A OF PROPERTY: *7d , ,s164 Ac. "S'P ►G+S OF ARIaA TO 13E DISTMEDs 1, ZOVING OF PROPERTY, I s TI?4 c.Y'