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Home My WebLink About27-10 Busy Beez Daycare - Daycare - Stonewall - BackfileSITE PLAN TRACKING SHEET Comment Sheets: GIS Sanitation Authority ✓ Inspections ✓ Public Works ►/ Parks & Rec_ Health Dept._ VDOT Winchester Stephens City tiC Middletown X Airport Fire One copy of Site Plan application form Payment of site plan review fee One reproducible copy of Site Plan OPEN FILE: C� File Opened ( o Reference Manual updated/number assigned c� D-base updated D3i Application Action Summary updated CLOSE FILE: I 0 Approved (or denied) letter mailed to applicant/copy to file and cc's q//6 File stamped "approved", "denied" or "withdrawn" U Reference Manual updated 1 Lo D-base updated Application Action Summary updated Sys ID # v- 0 .FJ Qi E o Lro N o a E Q1 0 0 a cn k.0 p + N � � QJ N C > _� Q O 0 u� Lfl �C v 2 Ll L CLO Y Lo -OO C Z u O \u Lo RECEIVED FF ADDRESS/ ❑ FOR RENT ❑ FOR DATE!' :3 -(,n,� l� rtcl,'�e�- - oa�� AMT.OF CASH ACCOUNT AMT. PAID "—'— CHECK pc BALANCE I �aONEY I DUE ORDER BY 2UU•x 0.40= 2��)uu•uu U • UU • 0 i r r� r, �; ,-� •,,1 f • 4y of\ I+ �L' ERICK Department of Planning and Development 540/665-5651 FAX: 540/665-6395 November 29, 2010 Mr. Jeremy Tweedie Greenway Engineering, Inc. 151 Windy Hill Lane Winchester, VA 22609 RE: Approval of Site Plan #27-10; Busy Beez Daycare Facility Property Identification Number (PIN): 33-A-93 Dear Jeremy: The above -referenced site plan was approved on November 29, 2010. The site plan is approved for the construction of a new 2,205 square foot daycare facility located at 4489 Martinsburg Pike in the Stonewall Magisterial District. Required site improvements include the following: • Construction of a parking lot with 14 spaces (including one handicap accessible), including curb and gutter, striping and handicap access. • A fenced outdoor play area. • A ten foot paved bicycle path along Martinsburg Pike. • Buffers and screening as indicated on sheet 4. All requirements of the Frederick County Zoning Ordinance have been mct in the approved site plan, including review agency comments from all relevant review agencies. I am providing you with seven (7) 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 me if you have any questions or concerns. Sincerely, e0kR. Chera►n Zoning Administrator Attachments CEP/MRC/bad cc: Jane Anderson, Real Estate Charles DeHaven, Jr., Stonewall District Supervisor Gary Oates and Stan Crockett, Stonewall District Planning Commissioners Commissioner of Revenue Clearbrook Rentals, LLC, 4491 Martinsburg Pike, Clearbrook, VA 22624 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 0 SITE PLAN APPLICATION Department of Planning and Development Use Only. Date application received �0 Application #r%--�� ❑ Complete Date of Acceptance ❑ Incomplete Date of return 1. Project Title: 2. Location of Properly (street address) 3. Property Owner: Address: Telephone 4. Applicant/Agent Address Telephone 5. Designer: Address: Telephone: Contact: Busy Beez Daycare Facility 4486 Martinsbtn-g Pike Clearbrook Rentals, LLC 4491 Martinsburg Pike Clearbrook, VA 22624 540-662-7878 Greenway Engineering_ Inc. 151 Wincly Hill Lane Winchester, VA 22602 540-662-4185 Greenwav Engineering,Inc. Same Same Jeremy Tweedie 6. Is this an original or revised site plan? 7a. Total acreage of parcel to be developed 7b. Total acreage of parcel: 8. Property Information: a) Property Identification NUmber: b) Cl11-1'e11t Zonlrlg: c) Present Use: (1) Proposed Use: e) Adjoining Property Use(s) f) Adjoining Property Identification Numbers) g) Magisterial District(s) Original ® Revised ❑ 0.40 acre 0.6152 acre 33-A-93 132 Church Da care Residential Vacant, Auto Repair 33-A-92 33-A-94, 33A-1-18, 33A- I -19, 33-A-91 Stonewall 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 s mission of' m site plan. Signature: Date: " Z Z 0 7 • Request For Site Plan Comments Department of Planning and Development Mail to: Department of Planning and Development Attn: COUIlty Planner 107 North Kent Street Winchester, VA 22601 (540) 665-56.51 Hand deliver to: 107 North Kent Street FOurth 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 slieet. Applicant's Name: Greenway Engineering Address: 151 Windy Hill Lane Winchester, Virginia 22602 Phone Number: (540) 662-4185 Name of development and/or description of the request: 13usy I3eez Daycare Site Plan Location of property: 4486 MartinSbul'g Pike Planning and Development's Comments: Plannine and Development use only Date received Date revision received Date approved Incomplete Incomplete Date reviewed Date reviewed Signature and Date Signature and Date (revis 16 A Special Limited Power of Attorney County of Frederick, Virginia Frederick Planning Web Site: www.co.frederick.va.us Department of Planning & Development, County of Frederick, Virginia, 107 North Kent Street, Suite 202 Winchester, Virginia 22601 Facsimile 540-665-6395 Phone 540-665-5651 Know All Men By These Presents: That i (We) (Name) Clearbrook Rentals LLC (Phone) (540) 662-7878 (Address) 4491 Martinsburg Pike Clearbrook, VA 22624 the owner(s) of all those tracts or parcels of land ("Property") conveyed to Ille (us), by deed recorded in the Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by Instrunlent No. 000061525 on Page and is described as Parcel: 33 Lot: 93 Block: A Section: Subdivision: do hereby make, constitute and appoint: (Name) Greenway Engineering, Inc. (Phone) (540) 662-4185 (Address) 151 Windy Hill Lanc Winchester, VA 22602 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 application fbr Illy (our) above described Property, including: ❑ Rezoning (Including proffers) ❑ Conditional Use Permit ❑ Master Development Plan (Preliminary and Final) ❑ Subdivision ® Site Plan ❑ Variance or Appeal ❑ Comprehensive Policy Plan Amendment My attorney -in -fact shall have the authority to offer proffered conditions and to make amendments 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. ill witness thereof, II have Signature(s) (our) hand and seal this 2. day of No�20 Virginia, City/ ' unt f �-V_CC(CV- k- To -wit v. :•• 'vier/' ;�d��: o •0� aQ s z: Notary Public in and for the jurisdiction aforesaid, certify that the person(s)u;L : �'0YtV1�0 signed to the foregoing instrument and who 1 (are) known to mc, personally appeared before me and I t4y� : VNI-10 •• acki wledged (lie same before Ille in the jurisdiction aforesaid this Lvl&day of �� , 20 t ,,�• i106-y� My Commission Expires: 2-cl , 2012 - Notary Public Registration It: 2-( I C) (a Revised 3/17/08 Request For Site Plan Comments. Frederick County Engineering Department Mail to: Frederick County Engineering, Dept. Attn:' Director'of Engineering 107 North Kent Street Winchester, VA 22601 (540) 665-5643 Harid•deliver to: 107 North Kent Street Fourth Floor Winchester, Virginia (540) 665-5643 Please fill•out the information.as accurately'as possible imorder•to assist the agency with their review. Please attach two (2) copies of •the -site plan-with.this sheet. Applicant's Name: Greenway Engineering .Address:- 1'5 i Windy Hill Lane" `Winchester, Virginia 22602 Phone Number: (540) 662-4185 Name of development and/or.desci•iption of the request: Busy Beez Daycare Site Plan Location of property: 4486 Martinsburg Pike nat6receivedf . 1 ,Dawrevisionireceived + '• z . Dpt approved�� " Incomplete • . >+" ilncomplete� . :DaMreviewCd •.ti `_� o �_,y te'.'reviewed' w �•, fp'-�,��>� '. Sigiiature-and Date.` ,. rat. •. `-C�onahire•,nnd Aate�(�evici� • f,-- "-, r,�,. ' � - . , e • .. : • _ t � - ' IM Request For Site PIpn Comments Virginia Department of Transportation Mail to: Virginia Department of Transportation Attn: Resident Engineer 14031 Old Valley Pike Edinburg, Virginia 22824 (540) 984-5600 Hand deliver to: Virginia Department of Transportation 2275 Northwestern Pike Winchester, VA 22603 (540) 535-1828 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach rive (5) copies of the site plan with traffic generation data and drainage calculations with this shut. Applicant's Name: Greenway Engineering Address: IS 1 Windy Hill Lane Winchester, Virginia 22602 Phone Number: (540) 662.4185 Name of development and/or description of the request: Busy Beez Daycare Site Plan Location of property: 4486 Martinsburg Pike Virginia Department of Transoration Comments: The application for site plan for this property apVearn to iave a meas a e- impact on Route entrance is ad trance may need to be upgraded. 14 0 -nd Frederielk 'ounty Fire a Rescue G. Department EAih Office of, the Fire Nlarshai V G Plan Review and Comments Control number Date received Date reviewed . ......... Date Revised SP10-0017 9/27/2010 9127/2010 Project Name Applicant Busy Beez Daycare Greenway Address City State Zip Applicant Phone 4486 Martinsburg Pk. Clearbrook VA 0 540-662-4185 Type Application Tax ID Number Fire District Rescue District Site Plan 33-((A))-93 13 13 Current Zoning Election District 82 R .4 4.; Automatic Sprinkler System No Other recommendation Emergency Vehicle Access Adequate Siamese Location Not Identified Emergency Vehicle Access Comments Access Comments Additional Comments vq� 11111111111ull aW1111.2 Automatic Fire Alarm System Yes Hydrant Location Adequate Roadway/Aisleway Width Adequate Stonewall Residential Sprinkler System No Fire Lane Required Yes Special Hazards No Plan Approval Recommended Reviewed By Signature Yes J. Bauserman Z" a S Title -PLAN ' - ------ ---Fl n 1--- 4) A0, D IC K-C 0 U NUA • Request For Site Plan Comments Frederick County Inspections Department Mail to: Frederick County Inspections Department Attn: Building Official 107 North Kent Street Winchester, VA 22601 (540) 665-5650 Hand deliver to: 107 North 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: Greenway Engineering Address: 151 Windy Hill Lane, Winchester, Virginia 22602 Phone Number: (540) 662-4185 Name of development and/or description of the request: Busy Beez Daycare Site Plan Location of property: 4486 Martinsburg Pike Inspections Department's Comments: M Inspections Department use onlv Date received Date revision received _ Date approved nc Incomplete iomplete T ID Date reviewed ate sewed f c, t,..•- ,a Dal,-✓� %ice/ CL �/� l�% M Signature and Date (r ision) !7L�L�- 15 • • Ret nest For Site Plan Comments. Frederick County Engineering Department Mail to: Frederick County-Engineering,Dept. Attn:. Director -of Engineering 107 North Kent Street Winchester, VA 22601 (540)665-5643 Harid.delhkx to 107 North Kent Street Fourth Floor. Winchester, Virginia (W) 665-W. 3 P. lease: fil Fout the informat on.as accurately'as possible in<or&Mo assist the agency with their review. Please attach.two (2) copies of ithe;site'plan'With:this sheet. Applicant's Name: GreenwayEn ineering Address:' 1'5i Windy Hill Lane'Winchestef, Virginia 22602 Phone. Number: (540) 662-4185 Name of development aJfi&d description of the request: Busy. Beez Daycare Site Plan Location of property: 4486 Martinsburg Pike Nte-vfeceived(•�'., : L 'Date;rev►sion�received_ r.� � ;; a • • Date apPr e � '"a .Y; x ti • Inconiplete ' `',' ctr gt � :i' :'ittlC m lete. f' y ♦ �''xn N .Deelr8v►eWCd, 1' �Z J 7a,.y trevleW 'r yr : }s�s• ( , S►gnature and''1?ate�` .�L�. �..•`�� 4� � • ^it '� ►' • * ire r . ` ,2 , 1 • i "a, ` ' x "Si, ureland Date (revisio s FREDERICK COUNTY SANITATION AUTHORITY SITE PLAN IZEVIEW COMMENTS PO Box 1877, Winchester, VA 22604 540.868.1061 Voice 315 Tasker Road, Stephens City, VA 22655 540.868.1429 Fax Project 13 ." ) 1---l1 zz a - Applicant B71rz-4ww 61,Pz,—Imog, - 4 REVIEW STATUS review number / correct &resubmit QpproVcdas noted,) number of items to be corrected -, approved DRAWINGS You may submit just cover sheet and the revised sheets. send me b679 . yG� 1. print of sheets �, � . � /,c�A A._ / q •.✓ f�,1w 2. two CDs: each disc shall contain the following plan sheets_ a) One CD (containing all of tl e above noted sheets) shall be in PDF format. Each sheet shall be in its own file and/ e i lands ape orientation. Each file shall be titled with the project name and appropriate site t nu✓nl� r. b) One CD (contah► ng all`�f de/above noted sheets) shall be in DWG format. Each sheet shall be in its own `File and each sheet shall be titled with the project name and with the appropriate sheet number. Each sheet shall (1) be in landscape orientation, (2) be without border, (3) be in state plane coordinate system NAD 83, and (4) be compatible with AutoCAD 2006. c) Each of the two CDs shall be labeled with its format and project name, and placed in its own paper CD envelope. EASEMENTS Y/N,? I need a copy of the recorded onsite water and/or sewer easement(s). Y &? 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. OTHER Y /(Q, This project also requires DEQ - Valley Region approval. 4411 Early Road, P.O. Box 3000, Harrisonburg Vil 22801 (540-5 74- 7814) Y /GO This project also requires VDH — Lexington Office approval. 131 Walker St., Lexington, VA 24450 (540-463-7136) Y /�N� This project has a sewer pump station that FCSA will own. Title to the pump station site shall be granted to the Authority in fee simple absolute. Also, I require (1) a copy of DEQ's Certificate to Construct, (2) a copy of DEQ's Certificate to Operate, and (3) two copies of the station's O & M manual. These documents must be received before water meters will be released. Date: 2e;59 /rl� �:�/ /� -��%�•��i��r P� c'� 10111 ,6 Whitacre - Senior 1?11gincer � I I \OV 011> GREENWAY ENGINEERING 151 Windy Hill Lane Founded in 1971 Winchester, Virginia 22602 TRANSMITTAL Project Name: Busy Beez Daycare File No: 2624 Date: Tue, Nov 23, 2010 To: FC Planning Department Attn: Candice Perkins Copied From: Jeremy Tweedie/cls GREENWAY ENGINEERING Phone: 540-662-4185 Fax: 540-722-9528 Delivery: ❑ Fed Ex ❑ U.S. Mail Courier ❑ Pick Up ❑ Other ❑ Urgent ❑ For Your Review ❑ As You Requested ❑ Please Comment Message Please find attached 9 copies of the site plan for Busy Beez Daycare for final county signature. Feel free to contact us with any questions. Thanks, Jeremy Tweeche L j Hand Delivery and Pick Ups Only: Received by: Date: Please Print Name: E • GREENWAY ENGINEERING 151 Windy Hill Lane Founded in 1971 Winchester, Virginia 22602 TRANSMITTAL Project Name: Busy Bees Daycare -Site Plan File No: 2624 Date: Mom, Nov 22, 2010 To: FC Planning Attn: Candice Perkins Copied From: Jeremy Tweedic/dlm GREENWAY ENGINEERING Phone: 540-662-4185 Fax: 540-722-9528 Delivery: ❑ Fed Ex ❑ U.S. Mail Courier ❑ Pick Up ❑ Other 2 ❑ Urgent F For Your Review 0 As You Requested ❑� Please Comment Message Candice, Per your request, attached is the following: -2 copies of the revised site plan per Planning comments. Thank you for your assistance. Contact us with any questions. Hand Delivery and Pick Ups Only: Received by: Date: Please Print Name: 1 • rl, GREENWAY ENGINEERING, INC. �t11 151 \Vindy I lilt na 9 \\'inchcstcr, Virginia 22602 1 rounded in 1971 November 22, 2010 County of Frederick Department of' Planning and Development 107 North Kent Street, Suite 202 Winchester, VA 22601 Attn: Candice Perkins, AICP, Senior Planner Re: Busy Beez Daycare —Site Plan #27-10 Comment Response Letter Dear Ms. Perkins: C� We are in receipt of the comments dated November 9"i, 2010 and offer the following responses: Continents from Frederick County Planning Comment 1: Setbacks. Die side and rear setbacks sholvii on the c•oversheet are incorrect. Response: Revised as noted. Continent 2: Bike Path. The bike path needs to be shown as constructed on the site, not designed by others and bonded. Response: Revised as noted Connnrent 3: Zoning District Bn/• er. Ae existing building is located approximale(), 25 feet from the southern properl>> line. While the iieiv building may be placed in the same area Ivhere the existing sti-iictnre is located, the parklllg area Cannot hi.ftinge on the hiactive buffer area. Response: Revised as noted. Please note this con1111ent had resulted in a redesign of the parking lot Co11f1gUration which in U11.11 altered the grading concept. Per Frederick COu11ty Z011111g Ordinance Section 165-202.01.D.3.b we are implementing LID design technique had have been approved by both Frederick County Public Works and the Zoning administrator. Comment 4: Curb and gutter. Curb and gutter (CG-6) needs to be provided; CC-2 is not permitted. Response: CG-2 with still be utilized on a portion if the front parking and around the building. Engineers Surveyors Planneis I?nvironnuntal Scientists Telephone 5,10-662- 1185 FAX 5d0-722-9528 Pile 112624/PITI/cls www.grecnwayeng.com 0 0 Comment 5: Lighting. hidicale if there will be airy building -mounted lighting on the new st rucll ire. Response: Typical Residential Wall Latern's will be provided at each cloor way. Sec detail on sheet 5. Comment G: I3nF%er fence. Pie bit i!r fence needs to be extended ns indicated oil Sheet 4 Response: Revised as noted see detail sheet 5. Comment 7: Buf fei-PlaiitNtiiiibei-aiidLoc(itioii. It appecirs lhal the bufki- distance is 2271f and, therefore, 68 plants are required. The tree located in the bike path needs to be relocaled. Response: Revised as noted. Comment 8: Hedge Row. Evergreeii Shrubs need to be provided av md/caled oil Sheet 4. Response: Revised as noted. Thank you for your assistance with this project. Contact uS with any questions or need for additional Information. Sincerely, Greenway Engineering, Inc. Jereli y Tweedie EncloSul-eS File #2624FIll/cls 2 9 • Candice Perkins From: Jeremy Tweedie Otweedie@greenwayeng.com) Sent: Tuesday, November 23, 2010 9:31 AM To: Candice Perkins Subject: RE: Busy Beez Candice, Good Morning Thank you for the prompt response...... as you are correct LID is not being utilized for the front parking area due to the design intent, the water is pitching away from the curb sheet flowing north into the grass swale on the opposite side of the travel way, therefore the curb (CG-2) is only needed. If we put CG-6 (curb with standard Gutter) the water will not drain properly, we would have to use a CG-6R design which is a reverse gutter pan, which really serves no purpose. As for the rear parking were are utilizing concrete bumpers(wheel stops) along the perimeter of the asphalt area as shown on the plan view and per the trench detail, this is in lieu of having to put the concrete bumpers (whieel stops) in each parking stall. Further I just want to clarify, If you still require the CG it will have to be a CG-6R and I just want to confirm that you are only asking for it along the perimeter of the front parking, meaning in front on the building we can still utilize CG-2 correct? Please do not hesitate to give me a call should you have any questions. Thank you for your assistance. Jeremy From: Candice Perkins[ma iIto: cperkins@co.frederick.va.us] Sent: Tuesday, November 23, 2010 8:22 AM To: Jeremy Tweedie Subject: Busy Beez Jeremy, In response to your voicemail, the curb and gutter requirement along the front parking area cannot be waived. LID is not being utilized in this area and it is inside of the SWSA, therefore a waiver is not possible (CG-6 is required). I spoke with Mark and he only recalls talking about the rear portion of the parking area. Waiving the curb and gutter in the rear is possible due to the infiltration trench being utilized — please note that wheelstops need to be installed along the parking spaces. I should complete my review of the revised plan today and will let you know if I have anymore comments. Candice Perkins, AICP Senior Planner Frederick County Department of Planning & Development 107 North Kent Street Winchester, Virginia 22601 (540) 665-S651 (540) 665-639S (fax) cperkins(@co.frederick.va.us www.co.frederick.va.us • p l 1 F r �� COUNTY of FREDERICK Department of Planning and Development 540/ 665-5651 FAX: 540/ 665-6395 November 9, 2010 Mr. Jeremy Tweedie Greenway Engineering, Inc. 151 Windy Hill Lane Winchester, VA 22602 Re: Review Comments for Site Plan #27-10; Busy Beez Daycare Property Identification Number (PIN): 33-A-93 Dear Jeremy: 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. Setbacks. The side and rear setbacks shown on the coversheet are incorrect. 2. Bike Path. The bike path needs to be shown as constructed on the site, not designed by others and bonded. �. Zoninn District Buffer. The existing building is located approximately 25 feet fi•om the southern property line. While the new building may be placed in the same area where the existing structure is located, the parking area cannot infringe on the inactive buffer area. 4. Curb and nutter. Curb and gutter (CG-6) needs to be provided; CG-2 is not permitted. 5. Linlitinn. Indicate if there will be any building -mounted lighting on the new structure. 6. Buffer Fence. The buffer fence needs to be extended as indicated on sheet 4. 7. Buffer Plant Number and Location. It appears that the buffer distance is 2271E and, therefore, 68 plants are required. The tree located in the bike path needs to be relocated. 8. Hedne Row. Evergreen shrubs need to be provided as indicated on sheet 4. 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 comment sheets and at least five copies of the final plan for approval. Sincerely, Candice E. Perkins, AICP Senior Planner cc: Clearbrook Rentals, LLC, 4491 Martinsburg Pike, Clearbrook, VA 22624 CEP/bad Attachment 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 ►0 i il. u Founded in 1971 GREENWAY ENGINEERING 151 Windy Hill Lane Winchester, Virginia 22602 TRANSMITTAL Project Name: Busy Beez Daycare -Site Plan File No: 2624 Date: Tue, Nov 2, 2010 To: FC Planning Attn: Candice Perkins Copied Delivery: ❑ Fed Ex ❑ Other_ ❑ U.S. Mail From: Jeremy Tweedie/dlm GREENWAY ENGINEERING Phone: 540-662-4185 Fax: 540-722-9528 R Courier ❑ Pick Up ❑ Urgent❑ For Your Review ❑ As You Requested❑ Please Comment Message Candice, Attached is the following for your review and approval: -Site Plan Application -Application fee check for $2,580.00 -Signed/notarized Special Limited Power of Attorney form -Planning comment sheet -2 copies of the site plan -Agency approval letters from Fire Marshal, Public Works, Inspections, VDOT, and FCSA Thank you for your assistance. Contact us with any questions or need for additional information. Hand Delivery and Pick Ups Only: Received by: Date: 2 Please Print Name: i 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 COALUENTSAS TO WHAT YOU WOULD LI%E TO HAVE COMPLETED. INITIALS DATE & TIME \� 0 Mark Dana Eric Mike John COMMENTS: Received by Clerical Staff (Date & Time): P�,D 1 J h 0 U:\Pam\Common\Document Approval Form.wpd