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HomeMy WebLinkAbout26-10 Verizon Wireless Winchester East - Telecommunication Facility - Stonewall - BackfileSITE PLAN TRACKING SHEET Comment Sheets: GIS VDOT Sanitation Authority Winchester Inspections V Stephens City Public Works Middletown, Parks & Ree Airpoi Health Dept. Fire V One copy of Site Plan application form Payment of site plan review fee One reproducible copy of Site Plan OPEN FILE: 1D /v File Opened Reference Manual updated/number assigned D-base updated Application Action Summary updated CLOSE FILE: Approved (or denied) letter mailed to applicant/copy to file and cc's ?L File stamped "approved", "denied" or "withdrawn" Reference Manual updated D-base updated aq t Application Action Summary updated Sys ID # ay �) O RECEIVED FROM a v ADDRESS � � N t o � v ali E O ❑ FOR O o N ❑ FOR ON+� v _ Oil Q pAtv1TC I O C�6 C N � ACCOU Y N +--' AMT. P/ v aD Y N .i .0 QJ lD BALAN( v C Z U l0 DUE N C 0 (B > c} o O LL > u) COUNTY of FREDERICK Department of Planning and Development. 540/665-5651 FAX: 540/ 665-6395 January 24, 2011 Ms. Stephanie PetAvay Verizon Wireless 7380 Coca Cola Drive, Suite 106 Hanover, Maryland 21019 RE: Approval of Site Plan 926-10; Verizon Wireless (Winchester East) Property Identification Number (PIN): 54-7-7A Dear Ms. Petway: The Frederick County Department of Planning and Development administratively approved the above -referenced site plan on January 24, 2011. The site plan is approved for an expansion of an existing telecommunication tower site located at 220 lmboden Drive (Schrock Facility) in the Stonewall Magisterial District. This expansion includes the following: • Fifteen antennas mounted on the existing tower (does not increase height). • New 20' x 1 1'-7" equipment shelter and relocated evergreen plantings. • New propane tank and fence expansion (partial chain link and partial board -on -board). All requirements of the Frederick County Zoning Ordinance have been met in the approved site review agency comments from all relevant review agencies. I am providing you plan, including rev with three (3) copies of the approved site plan. Please forward these copies to the appropriate representat ive(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 me if you have any questions or concerns. Sincerely, Candice E. Perkins, AICP Senior Planner Enclosures CEP/blhd cc: Jane Anderson, Real Estate Charles DeHaven Jr., Stonewall Magisterial District Supervisor Gary Oates and Stan Crockett, Stonewall District Planning Commissioners commissioner of Revenue 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 JAN 1 4 2011 January 6, 2010 Ms. Candice Perkins, AICP Senior Planner County of Frederick VA - Department of Planning and Development 107 North Kent Street, Winchester, VA 22601 RE: Verizon Wireless- Winchester Cast Site Plan #26-10 Dear Ms. Perkins: `NETWORK BUILDING & CONSULTING, LLD Over 25 years experience Regarding your review of the above referenced Verizon Site plan application the following revisions to the plan have been completed: 1. Limited Power of Attorney- Property has signed the enclosed plan, in lieu of signing the Limited Power of Attorney form. 2. Project Information- revisions have been made on the Coversheet of the enclosed plan to include poperty owner phone number and CUP Number (CUP 410-02). 3, Lightning: Note has been added to sheet C-2 concerning the lighting proposed for the shelter In addition to the revision made to plans the following approvals are enclosed with this package: Winchester Regional Airport Authority Frederick County Fire Marshall Frederick County Department of Inspections Please feel to contact me if you have any additional questions or concerns. Sincerely, Step 'anie M. Petway Zoning Consultant to Verizon Wireless 240-401-0907 73BO COCA COLA DR., SUITE 1116, HANOVER, MD 21 076 P 41 0.71 2.7092 0 F 41 0.71 2.4056 0 WWW.NETWORKBUILDING.COM • COUNTY of FREDERICK Department of'Planning and Development 540/665-5651 FAX: 540/665-6395 November 12, 2010 Ms. Stephanie Petway Verizon Wireless 7380 Coca Cola Drive, Suite 106 Hanover, Maryland 21019 Re: Review Comments for Site Plan #26-10; Verizon Wireless (Winchester East) Property Identification Number (PIN): 54-7-7A Dear Ms. Petway: 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. 'hhis site plan is denied until the issues in this letter, as Nvell 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 C0111111e11ts: 1. Special Limited Power of Attorney Form. Please have the property owner sign the attached Special Limited Power of Attorney Dorm prior to further review or approval. This form should be notarized and completed to grant the applicant (you) with authorization to represent them for this site plan. 2. Proiect Information. On the coversheet under the project information provide the follo-oling: Property Identification Number, a phone number for the property owner and the appoved Conditional Use Permit Number for the facility (CUP#10-02). 3. Lighting. Indicate if there is any lighting proposed on the new building, if' wallpack lighting is proposed it needs to consist of full cutoff fixtures. After you 1-iave revised the site plan, please resubmit one copy so that I may verify the information contained on the plan. I will need all approved review agency comment sheets and at least live copies of i11e final plan for approval. Comment sheets are required from the following agencies: the h)-cclerich County MspectiOns Department, the Frederick County fire klarshal, and the Winchester Regional Airport ,41,i1,01•i%y. Do not hesitate to contact me if you have any questions or concerns regarding this letter. Sincerely, Candice E Perkins, AICP Seni a Planner Attr.chment Cl�'P;alw 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 COUNTY of FREDERICK Department of Planning and Development 540/665-5651 FAX: 540/665-6395 November 12, 2010 Ms. Stephanie Petway Verizon Wireless 7380 Coca Cola Drive, Suite 106 Hanover, Maryland 21019 Re: Review Comments for Site Plan #26-10; Verizon Wireless (Winchester East) Property Identification Number (PIN): 54-7-7A Dear Ms. Petway: 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. Special Limited Power of Attorney Form. Please have the property owner sign the attached Special Limited Power of Attorney Form prior to further review or approval. This form should be notarized and completed to grant the applicant (you) with authorization to represent them for this site plan. 2. Project Information. On the coversheet under the project information provide the following: Property Identification Number, a phone number for the property owner and the approved Conditional Use Permit Number for the facility (CUP#10-02). 3. Lighting. Indicate if there is any lighting proposed on the new building, if wallpack lighting is proposed it needs to consist of full cutoff fixtures. After you have revised the site plan, please resubmit one copy so that I may verify the information contained on the plan. I will need all approved review agency comment 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 Fire Marshal, and the Winchester Regional Ail port Authority. Do not hesitate to contact me if you have any questions or concerns regarding this letter. Sincerely, Candice E. Perkins, AICP Senior Planner Attachment CEP/dlw 107 North Kent Street, Suite 202 ' ■ Winchester, Virginia 22601-5000 1 E 3 m 5 (C 2 9 MM SITE PLAN APPLICATIO , bepaatment:of PI'anning and`DveioprrlehtUse orals ;'. r> Date'.appli�ation receive•,, r (i •� •% � , }application # c�C� %(� Fees recelyed �2 s6 :( Ihitlals Project Title: _Up ( I -� CY) UPI Y() (.n S - 1�)) n ch(lst�r- Location of Property U C myf) Of AC,ha��L� (street address) Property Owner: U,P� I n •� ��� Ilsd�na Lv 1 Address: rd Telephone: Applicant/Agent Address knDJe(- - I f ;) I � i c� Telephone: J Q 0.1 Q 01 60 O ) Designer: fly- w o� (`" ( j Address: &v,,(� ,SQ ► le I lbosm t 14,0 Telephone: �( 0- � � � � �D - - Contact:L�✓��il.� 6 6a. Is this a standard or'minor' site plan? Standard Minor V 6b. Is this an original or revised site plan? Original Revised 7a. Total acreage of parcel to be developed: �? 7b. Total acreage of parcel:�- 8. Property Information: a) Property Identification Number: (� b) Current Zoning: I — c) Present Use: TA dust), iccl [(S e- w i V-/ 1 d) Proposed Use: � C_ (_l�l'il (Yl � (1 ��G �� O(� ��1 � � � �� KIK e) Adjoining Property Use(s) Twh( 7�lyl(t i f) Adjoining Property Identification Number(s) 71 CL+ I g) Magisterial District(s) 5I-0 NO(), 17 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: &-- A1,1_ ( (IA(v-0 Date: )D NETWORK BUILDING & CONSULTING, LLC Over 25 years experience On behalf of Verizon Wireless, this request for Site Plan approval is submitted to Frederick County, Virginia for a proposed Verizon Wireless telecommunication facility on an existing 146 feet monopole located at 220 Imboden Drive, Winchester, VA. The proposed facility will consist adding of installing 12 antennas at height of 136 feet. Near the base of the monopole within the existing fenced area, there will be one 12'x20'x10' equipment shelter and on backup generator on a 10'x4' concrete pad. Currently, Verizon Wireless has a building permit application into the County for the proposed facility and was informed by Mr. Mark Cheran, that our request also required a site plan approval. The proposed facility will be unmanned and will only require periodic routine maintenance visits by one technician to the site, no more than 4-6 times per year and as required for emergencies. There will no offensive odor emitted by the equipment or antennas. There will no harmful emissions, nor electrical interference from the antennas. There will be no adverse impact to the use and development of the surrounding properties. The size, scale and density of this proposal will not adversely impact the character of the area and as proposed; Verizon has designed this site so that the visual impacts of the have been minimized. Verizon Wireless will operate this facility in frill compliance with federal, state and county ordinances. Verizon Wireless therefore respectfully request approval of this site plan application. Copies of the site plan have been sent to following agencies: Fire Marshall Frederick County Engineering Department Winchester Regional Airport Frederick County Inspections Department 73BO COCA COLA DR., SUITE 1 06, HANOVER, MD 21076 P 41 0.7 12.7092 0 F 41 0.7 12.4056 0 WWW.NETWORKBUILDINF..COM • ,,NETWORK BUILDING & CONSULTING, LLD Over 25 years experience The following items have been included with this request • 1 signed application form • 2 sets of site plans with elevation view and antennas specifications. • Filing fee Please contact Stephanie Petway, Agent for Applicant (Verizon Wireless) if there any questions, concerns or additional information is needed concerning this site plan application and request. Stephanie M. Petway Network Building & Consulting 7380 Coca Cola Drive Suite 106 Hanover, MD 21076 240-401-0907 (mobile) spetway@nbcllc.com 7380 COCA COLA DR., SUITE 1 06, HANOVER, MD 21 076 P 41 0.71 2.7092 0 F 41 0.7 1 2.4056 0 WWW.NETWORKBUILDIN(3.C❑M Request For Site Plan Comtents Department of Planning and Development Mail to: Department of Planning and Development Attn: County Planner 107 North Kent Street Winchester, VA 22601 (540) 665-5651 Hand deliver to: 107 N. Kent Street North Building, 2"d Floor Winchester, VA (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: VQ (IZ dYl t i� ��� S�qn�Yt Address: � �> C(� C CL ('()�li, `r "SoOe Ib Ha h oiu- lut 0 1 on Phone Number: � q 0- ��) ) - CGO� Name of development and/or description of the request: �= n ���d k (v� o `��If('c�rnrn�lni�a�I1 uh ��kU_cc�� ��c, I�.(- ►ns)a(�a h6�n c�E �ht, le� ��, . 'X'_O.n err 11 Y rf r (A, &V l5 h f) C� >?YU(_ I-tiv Location of property: � O V TM bdS-n I Planning and Development's Comments: planning and Devclopmeiit.iise only Date received Date revision received Date approved Incomplete Incomplete Date. reviewed Date reviewed Signature and Date Signahire and Date (revision) 15 SITE PLAN APPLICATION CHECKLIST The checklist shown below specifies the information which is required to be submitted as part of the site plan application. The Department of Plamiing & Development will review 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 shown below; Frederick County Department of Planning & Development Frederick County ,Sanitation Authority Frederick County Building Inspections Department Frederick County Department of Public Works _ Frederick County Fire Marshal Frederick County Health Department Frederick County Department of Parks & Recreation Virginia Department of Transportation (VDOT) City of Winchester Town of Stephens City Town of Middletown Frederick County / Winchester Airport Authority GIS (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). SITE PLAN CHECKLIST The Site Plan Checklist, shown below, lists the information which is required to be on each site plan. Site plans which are incomplete or missing information, will be returned to the applicant (s) for revision. Project Inrfoi-m atiou Section (1) A title that includes the name of the proposed or existing business and a subtitle which describes the proposed development. t/ (2) The name, address, and phone number of the land owner, developer, and designer. (3) The Frederick County Property Identification Number (PIN)ofall lots included oil thesite plan. (4) The number and type of dwelling units included on the site plan for residential uses. IT (5) The total land area and total developed land area of all lots included on the site plan. (6) A detailed description of the proposed use or uses of the development, as well as a r1 description of the existing use or uses. (7) A reference to any other site plan or master development plan approved by the county for the site. (3) The (late the site plan was prepared and a list of all revisions made, including the date and a description of why the site plan was revised. (9) A table of contents including all pages of the site plan. (l 0) A list of all proposed utility providers, with their address, name and phone number. (1 1) An insetmap showing the location oftlte site, along with the location of streets, roads and land uses within five hundred (500) feet of the property. (12) A statement listing al I requirements and conditions placed on the land included in the site plan resulting from approval of conditional zoning or a conditional use permit. (13) A description of setbacks or conditions placed on the site as a result of an approved variance. (14) The name of the Magisterial District the property is located within. 9 Calculations Section (15) Calculations showing the Floor Area Ration (1-AR) of the site, including the maximum allowed FAR, total ground floor area, total floor area, and total lot area. (16) Calculations showingthe total numberof required and proposed parking spaces, including the total number of existing and proposed spaces. (17) Calculations showing the total number of required handicap spaces, including the total ❑umber of existing and proposed spaces. (18) Calculations showing the total number of required loading spaces, including the total number of existing and proposed spaces. V _ I (19) Calculations showing the total number of required perimeter and interior trees required, including the number of provided trees. p\' y h" (20) Calculations showing the percentage of the property that will be landscaped and the percentage of woodlands disturbed. Site Pkin & Details Section l� (21) The location of all adjoining lots with the owner's name, specific use, zoning, and zoning boundaries shown. (22) Tile location of all existing or planted right-of-ways and easements that adjoin the property, with street navies, widths, and speed limits shown. I/ (23) All nearby entrances that are within two hundred (200) feet of any existing or proposed entrances to the site. (24) All existing and proposed driveways, parking and loading spaces, parking lots and a description of surfacing material and construction details to be used. The size and angle / of parking spaces, aisles, maneuvering areas, and loading spaces shall be shown. (25) A North arrow. i� (26) A graphic scale and statement of scale. (27) A legend describing all symbols and other features that need description. I� (28) A boundary survey of the entire parcel and all lots included with distances described at least to the nearest hundredth of a foot. (29) The present zoning of all portions of the site, with the location of zoning boundaries. (30) The location of all existing and proposed structures, with the height, specific use, ground floor area, and total floor area labeled. (31) The location of al l existing and proposed outdoor uses, with the height, specific use, and land area labeled. 10 (32) Existing topographic contour lines at intervals acceptable to the Zoning Administrator. Proposed finished grades shall be shown by contour. (33) The location of the front, side, and rear yard setback lines required by the applicable zoning district. \ I (34) The location and boundaries of existing environmental Features, including streams, floodplains, lakes and ponds, wetlands, IlatUral stor►llwater retention areas, steep slopes, and woodlands. \ / ! (35) The location Of OUt1001- trash receptacles. (36) The location of all outdoor lighting fixtures. (37) The location, dimensions, and beight of all sig►ls. (38) The location of required buffers, landscaping buffers, and landscaped screens, including examples, typical cross sections ol• diagrams of screening to be used. The location and dimensions of required fencing, berms, and similar features shall be specified. r1 /lL �U V� (39) The location of recreational areas and common open space. (40) The location of all proposed landscaping with a legend. The caliper, scientific name, and common name ofall deciduous trees. The height atplanting, scientific name, and common name of all evergreen trees and shrubs. (41) The height at planting, caliper, scientific name, and common name shall be provided for all proposed trees. The height at planting, scientific name and common name shall be provided for all shrubs. (42) The location of sidewalks and walkways. _- (43) The location and width of proposed easements and dedications. ��— (44) A stornlwater management plan describing the location of all stornlwater management /1- facilities with design calculations and details. Y 1 (45) A soil erosion and sedimentation plan describing methods to be used. I� (46) The location and size of sewer and water mains and laterals serving the site. (47) Facilities necessary to meet the requirements of the Fire Code. (48) A signed seal of the certified Virginia land surveyor, architect, or engineer who prepared the plan. (49) A space labeled "Approved by the Frederick County Zoning Administrator" for the signature ofthe Zoning Adm inistrator, approval (late, and astatement that reads "site plan valid for five (5) years from approval date." • • WINCHESTER REGIONAL AIRPORT '��Ak SUMNG TIC TOP OF VIRGNIA January 7, 2011 491 AIRPORT ROAD WINCHESTER, VIRGINIA 22602 (540) 662-5786 Stephanie Petway Verizon Wireless 7380 coca Cola Drive, Suite 106 Hanover, Maryland 21076 Re: Site Plan Comments Install Unmanned Equipment Shelter Stonewall Magisterial District Dear Ms. Petway: FILE COPY The above referenced site plan has been reviewed and it appears that the proposed site plan will not have an impact on operations at the Winchester Regional Airport. The proposed development does lie within the airport's airspace however it falls outside of the airport's Part 77 close in surfaces. Thank you for your cooperation and consideration in the continuing safe operations of the Winchester Regional Airport. Sincerely, Serena R. Manuel Executive Director 0 Mail to: Winchester Regional Airport Attn: Executive Director 491 Airport Road Winchester, VA 22602 (540) 869-2422 Request For Site Plan Comments Winchester Regional Airport Hand deliver to: 491 Airport Road (Route 646, off of Route 522 South) (540) 869-2422 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: N,�me of development and/or description of ti7,e request: .1 ?-- fi �Q� icy h 4 4e1-e pl -t'lL(. [S l "�l (L� h1J �!' MA W k S W ill )-e. Y -Mal— u),�f'.s Location of property: Winchester Regional Airport Comments: 24 • Request For Site Plan Comments Frederick County Fire Marshal Mail to: Frederick County Fire Marshal Attn: Fire Marshal 1080 Coverstone Drive Winchester, VA 22602 (540) 665-6350 Hand deliver to: Public Safety Building Attn: Fire Marshal 1080 Coverstone Drive Winchester, VA 22602 (540) 665-6350 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: V O It qO�) W i YO 10'-S - N ` M1 3 �1'(2, r-ou)�tLj Address: Cry- a. ( 61101 Phone Number: j q 0 -- 0 1 -Da Cl Name of development and/or description of the request: Qj 0 (cam M j) (Y-1 F4 (-i &I N t f 1 t - o � YL :v► s� �1 n,��� - U ►I-,) F 1 lj\S , i - \.� ��xU - (��_ Location of property: -D xy, n(hP�i-r VA Fire Marshal's Comments: Fire and Rescue Dept, use only Date received Hit 110 Incomplete Date reviewed !l /G Go Signature and Date Signature and Date (revisi Date revision received Incomplete Date reviewed 18 RECCI`Y'110Y 01 2010 Date approved l ! /I t./to • L�J �lo(h(-��Ife-( UCl.S*L DGI Control number sP10-0023 Project Name Verizon Wireless 220 Imboden Dr. Address 7380 Coca Cola Dr. Type Application Site Plan Current Zoning B Automatic Sprinkler System No Other recommendation Emergency Vehicle Access Siamese Location Emergency Vehicle Access Comments Access Comments Additional Comments l"i�•dom it.!: t'i.inen 0: i,it.,e oIf drin, Fivo i:, l i i'��',il Date received 11/1/2010 City Hanover Tax ID Number 54-7-7A Date reviewed Date Revised 11 /16/2010 Applicant Verizon Wireless Attn:Stehnanie Peway State Zip Applicant Phone MD 21076 240-401-0907 Fire District 18 Recommendations Automatic Fire Alarm System No 11.1it' eI'11CA11t Hydrant Location Roadway/Aisleway Width Rescue District 18 Election District Stonewall Residential Sprinkler System No Fire Lane Required No Special Hazards No Plan Approval Recommended Reviewed By Signature '� 2 Yes S. Mark Showers Title /i��— • E Request For Site Plan Comments Frederick County Inspections Department Mail to: Hand deliver to: Frederick County Inspections Dept. 107 N. Kent Street, Suite 200 Attn: Building Official ,f North Building, 2"d Floor 107 North Kent Street Winchester, VA Winchester, VA 22601/rs4nry (540) 665-5650 (540) 665-5650 cons Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one,1(1) copy of the site plan with this sheet. Applicant's Name: v �ypl�:�5 �} �1f�'. S4 N-m k Address: I `, r� , (� ( 0- I i Phone Number. �`'Jf�►' �� 7 Name of development and/or description of the request: 101- Ql1 of iejUt 1 fn0O1( r t rl i ("YA O ) 11 to dv ftw Att S e 1191 n C T-- 's r'G-) iilCn, S}tt t - a r N.�PAe-YtL Location of property: Y i1 1 A Inspections Department's Comments: Inspections Dept. use only Date received 111co111pIcte Date reviewed Signature and Date 3iwiature and Date (revision) Date approved q42 0 �(_, i;� / /V 16 9 ! Structure shall comply with The Virginia Uniform Statewide Building Code and Section 312, use group U (Utility and Miscellaneous) of The International Building Code 2006. The structure is required to comply with Chap 15 & 16 of the IBC 2006 for structural load, as well as, Section 3108 for Towers. The tower shall be located and equipped with step bolts and ladders so as to provide ready access for inspection purposes. The tower shall not cross or encroach upon any street or other public space, or encroach upon any privately owned property without written consent of the owner of the encroached -upon property (Sec 3108.2, Location and Access) Special inspections per Chap 17 IBC 2006 apply to this structure. Snow bridging requires a building permit. Relocation/additional antennas require a building permit. Plans submitted for review shall be sealed by a Virginia Registered Design Professional. Fences greater than 6' require a building permit 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 COMIIMNTSAS TO RMT YOU WOULD LI%E TO HAVE COMPLETED. INITIALS DATE & TEME Candice Mark Dana Eric Mike John x1 ulul�-1 9 A Received by Clerical Staff (Date & Time): ), y-) 16Pwho U:\Pam\Common\Document Approval Form.wpd