HomeMy WebLinkAbout13-11 Flying J Travel Center - Gas Station - Stonewall - BackfileE
IA
RECEIVED FPO
ADDRESS
❑ FOR RENT
❑FOR_
NO. r, �
5 Gi
�d
AMT.OF CASH
ACCOUNT
AMT PAID 1 I [CHECK
BALANCE 670NEY
DUE F ORDER
SITE PLAN TRACKING SHEET
Comment Sheets:
G I S & ', VDOT ),,,'
Sanitation Authority Winchester
Inspections Stephens City (-
Public Works Middletown
Parks & Rec Airport
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:
File Opened
Reference Manual updated/number assigned
ds� / D-base updated
Application Action Summary updated
CLOSE FILE:
Approved (or denied) letter mailed to applicant/copy to file and cc's
File stamped "approved", "denied" or "withdrawn"
AS Reference Manual updated
/ D-base updated
Application Action Summary updated
Sys ID # �0
RE: Pilot Winchester - Gas Canopy Addition
Page 1 of 2
RE: Pilot Winchester - Gas Canopy Addition
Candice Perkins
To: Hinson, Paul
CC: Mark Cheran
Sent On: Tuesday, July 19, 2011 11:15:07 AM
Archived On: Tuesday, July 19, 2011 11:16:20 AM
Identification
eml:b347534e-f502-4e92-9bad-aaaf9dac3cbf-2147421 124
Code:
Folders: Sent Items
Paul,
I don't think we need to go through the formal site plan process. If you can just provide us
with a full sized updated site plan sheet we will put it in the file and sign the permit. So just
mail that to us and we can sign the building permit when it comes in.
Let me know if you have any questions.
Candice Perkins, AICP
Senior Planner
Frederick County Department of
Planning & Development
107 North Kent Street
Winchester, Virginia 22601
(540) 6 65 -5 65 1
(540) 665-6395 (fax)
cperkins@co.frederick.va.us
www.co.frederick.va.us
From: Hinson, Paul[mailto:phinson@koontzbryant.com]
Sent: Tuesday, July 19, 2011 10:58 AM
To: Candice Perkins
Cc: Brad Alsup
Subject: Pilot Winchester - Gas Canopy Addition
Candice,
Thank you for discussing this project with me today. Attached is a PDF of the proposed gas
island addition for your review. The addition will disturb less than 2,500 S.F. and will not
require any grading, drive lane or parking modifications.
Please review and advise whether a site plan is required. We understand that a building
permit will be needed.
We are also adding a new fuel tank. The building official asked us to confirm whether a site
plan is required for this as well.
Please call me if you have any questions.
Paul F. Hinson, P.E., LEED AP
Director of Engineering
KOONTZ-BRYANT, P.C.
1703 North Parham Rd., Suite 100
http://fredarch/MailArcliiver/niailview.aspx?id=-2147421 124&conncctionld=b347534e-f5... 2/17/2012
1
RE: Pilot Winchester - Gas Canopy Addition
Page 2 of 2
Richmond, VA 23229
804-200-1914 (Direct)
804-874-9309 (Cellular)
804-740-9200 (Office)
804-740-7338 (Fax)
http://fi-edarcli/MailAI-cliive1'/lllallvicw.aspx?id=-2147421 124&connectionld=b347534e-f5... 2/17/2012
i
KOONTZ-BRYANT, P.C.
Site Development Solutions
TRANSMITTAL
TO: Department of Planning and Development
Attn: Candice Perkins
107 North Kent Street
Winchester, VA 22601
PHONE: 540-665-5651
FROM: Paul Hinson, P.E., LEED AP
PHONE: 804-200-1914
cc:
Transmitted By:
® Mail/UPS ❑ Overnight ❑ Courier
DATE: July 20, 2011
REFERENCE: Flying J Travel Center #752
PROJECT NO: 09098-011
❑ Hand Deliver ❑ Client Pickup ❑
COPIES
DATE
DESCRIPTION
5
5/2/11
Auto Fueling Island and Canopy Addition Plan
These items are transmitted as checked below
❑For approval ®As requested ❑Information returned after loan
®For your use ❑Review & comment rl
Additional Comments:
Candice,
I have attached 5 copies of the site plan showing the proposed auto fueling island and canopy addition to
the Pilot/Flying J travel center north of Winchester we discussed. Pilot will obtain a building permit for the
proposed work prior to construction.
Please call with any questions.
Sincerely,
i 2 1 2d11
Paul Hinson, P.E., LEED AP
Koontz -Bryant, P.C.
I
1703 North Parham Road ■ Suite 100 ■ Richmond, VA 23229 ■ (804) 740-9200 ■ Fax (804) 740-7338
j .�
s o
COUNTY of FREDERICK
Department of Planning and Development
540/ 665-5651
FAX: 540/665-6395
July 5, 2011
Mr. Paul Hinson, P.E.
Koontz -Bryant, P.C.
1703 N. Parham Road, Suite 100
Richmond, Virginia 23229
RE: Approval of Site Plan #13-11; Flying J Travel Center #752
Property Identification Number (PIN): 33-9-1
Dear Mr. Hinson:
The above -referenced site plan was approved on July 5, 2011. The site plan is approved for modifications
to the existing Pilot Travel Center (Flying J) located at 1530 Rest Church Road in the Stonewall
Magisterial District. Required site improvements include the following:
Widening and reconfiguration of the entrance on Zachary Ann Lane.
Replacement of the existing water -oil interceptor.
Pavement overlay on Zachary Ann Lane and relocation of existing storm inlet.
All requirements of the Frederick County Zoning Ordinance have been met in the approved site plan,
including review agency comments from all relevant review agencies. I am providing you with three (3)
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. �L
Candice E. Perkins, AICP
Senior Planner
Attachment
CEP/bad
cc: Charles DeHaven, Stonewall District Supervisor
Gary Oates and Stan Crockett, Stonewall District Planning Commissioners
Jane Anderson, Real Estate
Commissioner of Revenue
Pilot Travel Centers, LLC, Attn: Brad Alsup, 5508 Lonas Drive, Knoxville, TN 37909
107 North Kent Street, Suite 202 - Winchester, Virginia 22601-5000
•
•
2
SITE PLAN APPLICATION
- Office Use Onlr- /
Date Application Received: Application #: �!
-� �� /
Fees Received: / 00 ' Receipt #:.,2O f O3- 3 Initials:
Project Title: Flying J. Travel Center #752
Location of Property
(Street address)
3. Applicant/Designer:
Name: Koontz -Bryant, P.C.
1530 Rest Church Road
Clear Brook, Virginia 22624
Address: 1703 N. Parham Rd., Suite 100
Richmond, VA 23229
4. Property Owner (if different than above):
Name: Pilot Travel Centers, LLC
Address: 5508 Lonas Dr.
Knoxville, TN 37909
5. Property Information:
a. Property Identification Number:
b. Total acreage of the parcel to be developed.
C. Total disturbed area of the parcel:
d. Present Use:
e. Proposed Use:
f. Magisterial District(s)
Telephone: (804) 740-9200
Telephone: (865) 588-7488
3391
24.98 ac.
0.36 ac.
Flying J Travel Center / Gas Station
Flying J Travel Center / Gas Station
Stonewall District
i MAY 1 2 2011
L J
R r
• 9
6. Site Plan "Type:
Y F/1.
No
a. Is this an original or new site plan? c s
b. Is this a revised site plan? Yes
No
_a_
If yes provide all previous site plan numbers:
n
No
C. Is this a minor site plan? Yes
t•
If yes provide all previous site plats numbers: SP#01-10; SP#26-96;
SP#54-04
%. Z011illg Il1101111ation:
a. Current Zoning: B3
Yes
E1
No
b. Was this property Rezoned?
C. If yes provide the rezoning number for this property:
d. Are there any proffers for this property? Yes
No
C. Has a MDP been approved for this property? Yes
_Q
No
F v I
f. If yes provide the MDP number for this property:
8. Adjoining property zoning and usc:
USE
North Farmland
East State right-of-way
South Private Buisness
West Farmland
ZONING
RA
N/A (stale right-of-way)
B3
RA
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: May 11, 2011
9
REQUEST FOR SITE PLAN COMMENTS
Frederick County Department of
Planning & Development
Mail to: Hand deliver to:
Frederick County Frederick Count,
Department of Planning & Development Department of Planning & Development
107 North Kent Street, 107 North Kent Street, 2nd Floor
Winchester, Virginia 22601 Winchester. Virginia 22601
Phone: (540) 665-5651
Applicant: It is %otir respiaisihilitN to complete this forin as accurateIN as possible in order to assist the agetx:) \pith their
retie\\. Please attach tANo (2) copies of the Site Plan � ith this sheet.
Applicants Name: Paul Hinson, P.E. (Koontz -Bryant) Telephone: (804) 740-9200
Mailing Address: 1703 N. Parham Rd
Suite 100
Richmond, VA 23M
Name of development and/or description of the request:
Flying J Travel Center #752
Site Improvement Construction Plans for review
Location of Property_
1530 Rest Church Rd.
Clear Brook, VA 22624 ---
Department of Planning & Development Comments. -
Date Recen ed _
Date Rey ieN\ed _
ReN-ision Required
Signature & Date:
-PLANNING: DEPARTMENT USE ONLY-
Re\ie%% Number 1 '_ ? 4 5 1 circle o e 1
Date Approved
• • Please Return Form to Applkant• •
1(
y
SITE PLAN CHECKLIST
The Site Plan Checklist. shown below, lists the information which is required to be on each site plan. Site plans
which arc incomplete or missing information will be returned to the applicant (s) for revision.
Project Inf6rmation .Section
W(1)
A title that includes the name of the proposed or existing business and a subtitle which
describes the proposed development.
(2)
The name. address, and phone number of the land owner, developer, and designer.
(3)
The Frederick County Property Identification Number (PIN) of all lots included on the
site plan.
(4)
The number and type of dwelling units included on the site plan for residential uses.
(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
description of the existing use or uses.
(7)
A reference to any other site plam master development plan approved by the county
for the site.
(8)
The date 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.
(10)
A list of all proposed utility providers. with their address. name and phone number.
(11)
A location map showing the location of the site, along with the location of streets.
roads and land uses within five hundred (500) feet of the property.
W(12)
A statement listing all 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.
(1.1)
The name of the Magisterial District the property is located within.
Calculations .Section
(15) Calculations showing the Floor Area Ration (FAR) of the site, including the maximum
allowed FAR, total ground floor area, total floor area, and total lot area.
1
F(16) Calculations showing the total number of required and proposed parking'. spaces.
II
including the total number of existing and proposed spaces.
(17)
Calculations showing the total number of required liandicap spaces, including the total
number of existing and proposed spaces.
(18)
Calculations showing the total number of required loading spaces, IIlellldlllg the total
_❑_
number of existing and proposed spaces.
(19)
Calculations showing the total number of required perimeter and interior trees
required, including the number of provided trees.
(20)
Calculations showing the percentage of the property that will be landscaped and the
percentage of woodlands disturbed.
(19)
Calculations showing die total number of required perimeter and interior trees
required, including the number of provided trees.
Site Plan & Details Section
(21)
The location of all adjoining lots with the owner's name, specific use, zoning, and
zoning boundaries shown.
(22)
The location of all existing or planned right-of-ways and easements that arc located on
or adjoin the property, with street nannes, widdns, and speed limits shown.
(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.
Fy/I_
(26)
A graphic scale and statement of scale.
(27)
A legend describing all symbols and other features that need description.
_❑
(28)
A boundary survey of the entire parcel and all lots included with distances described at
least to die nearest hundredth of a fool.
(29)
The present zoning of all portions of the site, with the location of zoning boundaries.
F—
(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 all existing and proposed outdoor uses, with die height, specific use,
and land area labeled.
(32)
Existing topographic contour lines at intmals acceptable to the Zoning Administrator.
Proposed finished grades shall be shown by contour.
12
❑ (33) The location of the front, side, and rear yard setback lines required by the applicable
zoning district.
(34) The location and boundaries of existing environmental features, including streams,
floodplains, lakes and ponds, wetlands, natural storniwater retention areas, steep
slopes, and woodlands.
—Q (35) The location of outdoor trash receptacles.
❑_ (36) A Photometric Plan per §165-201.07.
_F_ (37) The location, dimensions, and height of all signs.
F(38) The location of required buffers, landscaping buffers, and landscaped screens,
including examples, typical cross sections or diagrams of screening to be used. The
location aIld dimensions of required fencing, berms, and similar features shall be
specified.
_❑ (39) The location of recreational areas and common open space.
F�I _ (40) The location of all proposed landscaping with a legend. The caliper, scieiltiflC name,
and common name of all deciduous trees. The height at planting, scientific name, and
common name of all evergreen trees and shrubs.
(41) The height at planting, caliper, scientific nanic, and common Manic shall be provided
for all proposed trees. The height at planting, scientific nanic and common nanic shall
be provided for all shrubs.
MV�— (42) The location of sidewalks and walkways, including all sidewalks or bicycle patlis
required along any road right of way.
F— (43) The location and width of proposed easements and dedications.
F(44) A storniwater management plan describing the location of all storniwater management
facilities with design calculations and details.
(45) A soil erosion and sedimentation plan describing methods to be used.
(46) The location and size of sewer and water mains and laterals serving the site.
13
•
•
-7 (47) Facilities necessary to meet due requirements of the Fire Code.
_FYI/_ (48) A signed seal of the certified Virginia land surveyor, ircliitcct, or engineer who
prepared the plan. The seal and signature of the engineer, surveyor or architect shall
be on cacti sheet of the site plan.
(49) A space labeled "Approved by the Frederick County Zoning Administrator" for the
signature of the Zoning Administrator, approval date, and a statement that reads "site
plan valid for five (5) years from approval date."
FVI— (50) All requirements specified elsewhere in the County Code, including but not limited to
the Subdivision Ordinance.
14
Cr, Special Limited Power of Attorney
` County of Frederick, Virginia
Frederick Planning Web Site: Ny-Ns--,N.co.i"rederick.va.us
Department of Planning & Development, County of Frederick, Virginia,
107 North Kent Street, Suite 202 Winchester, Virginia 22601
Phone 540-665-5651 Facsimile 540-665-6395
Know A11 Men By Those Present: That I (We)
(Name) S3 a lsue for Pi,oj Tragel Cr-vA s t---Lc— (Phone) BtPS-Vey-2y17_
(Address) OM Lo�4s &d, Poxv1'Jk T.y '3790
the owner(s) of all those tracts or parcels of land ("Property") conveved to me (us), by deed recorded in the
Clerk's Office of the Circuit Court of the County of Frederick. Virginia, by
Instrument No. DB : 8 6 7 _ on Page 670 _ , and is described as
PARCEL ID: 33 9 1 TAX MAP: 33 1530 REST CHURCH ROAD
Parcel: Lot: Block: Section: Subdivision: _
do hereby make, constitute and appoint.
(Dame) Paul Hinson, P.E. (Koontz -Bryant, P.C.) (Phone) (804)200-1914
(Address) 1703 N. Parham _Road, Suite_ 100, Richmond, VA 23229_ .
To act as my truee and lawful attorney -in -fact for and in my (our) name, place, and stead with full power and
authority 1 (%ve) would have if acting personally to file planning applications for my (our) above described
Property, including:
❑ Rezoning (including proffers)
❑ Conditional Use Permits
❑ Master Development Plan (Preliminary and Final)
❑ Subdivision
12' Site Plan
❑ 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 otlteruise rescinded or
modified.
In witness thereof, 1 (we) have hereto set my (ou )handand seal this y `- day of 1uat 20O it ,
Signature(s)
't erv�tsS[li
State of u, girria, Ci ounty of IN O►11utfylt��, To -wit:
��``�```�\(G•$UEy Public in and for the jurisdiction
aforesaid, certify that the person(s) who si re e) tir P uN :r .aument personally appeared before me
a d has acknowlede-ed the same before mi in t: i�'):emld this day oQ"_, 2(}0 11 .
11OJAW
Notary Public - �'i���� • ••• ````��` ---
'���1f111111N11�1
• 0
Special Limited Power of Attorney
County of Frederick, Virginia
Frederick Planninh VVeb Site: NN-)«v.co.l'rederick.va.us
Department of Planning & Development, Count}' of Frederick, Virginia,
107 forth Kent Street, Suite 202 Winchester, Virginia 22601
Phone 540-665-5651 Facsimile 540-665-6395
Know All Men By Those Present: That 1 (WO
(Name) (3rwd tAlsue �C-r�k. L-C- (Phone) 8105- N74- Z417
(.Address) `gam L°"4s ,2a1, Knoxv, T,J 77fP1
the owner(s) of all those tracts or parcels of land ("Property') com eyed to me (us), by deed recorded in the
Clerk's Office of the Circuit Court of the County of Frederick. Virginia, by
Instrument No. DB : 867 on Page 670 _ and is described as
PARCEL ID: 33 9 1 TAX MAP: 33 1530 REST CHURCH ROAD
Parcel: 1_01: Block: Section: Subdivision: _-
do hereby make, constitute and appoint:
(Hanle) Paul Hinson, P.E. (Koontz -Bryant, P.C. ) (Phone) ( 804 ) 200-1914
(Address) 1703 N. Parham Road Suite 100 Richmond, VA 23229
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 (\ve) would have if acting personally to file planning applications for my (our) above described
Property, including:
❑ Rezoning (including proffers)
❑ Conditional Ilse Permits
❑ Master Development Plan (Preliminary and Final)
❑ Subdivision
C;' Site Plan
❑ Comprehensive Policy Plan Amendment
My, attontey-in-fact shall have the authority to offer proffered conditions and to make amendments to
previously approved proffered conditions except as follows:
_ N_14�,
This authorization shall expire one year from the day it is sieved, or until it is otherwise rescinded or
modified.
In witness thereof, 1 (we) have hereto set my (ou ) hand and sea] this 6j'�- day of 7ur,t 20m tt ,
Signatures)_
'�(,ItntsSc�i
State of �lirg+nia, Ci County of (� `A1111-1uIY114 To -wit:
II SUE 'i "
`t�i Sup, 1�___ ����! •����9hJ` Public in and for the jurisdiction
aforesaid, certlfiy that the person(s) who s �1ec7h'i th ci, el s� anent personally appeared before me
a d as acknowledeed the sae before Ein tG 1�11rcid this/
hmmimday of,, , 2(}6 .
IiaTN:Y .
'•
Notary Public '�i • •••••• ���
0 0
REQUEST FOR SITE PLAN COMMENTS
Frederick County Public Works Comment
Mail to: Hand deliver to:
Frederick County Public Works Department Public Works Department
Attn: County Engineer 107 North Kent Street, 2nd Floor
107 North Kent Street, Winchester, Virginia 22601
Winchester, Virginia 22601 Phone: (540) 665-5643
\'OUC rCS1)p])slhlht\' l0 complete this lOI7)) as accurately as possible in order to assist the agency %vith their
Applicant: It 1S
re\'ie\e. I'lelsee, attach three (3) copies of the Site Plan \\'ith this sheet.
Applicants Name: Paul Hinson, P.E. (Koontz -Bryant)
Mailing Address: 1703 N. Parham Rd.
Suite 100
Richmond, VA 23229
Name of development and/or description of the request:
Flying J Travel Center #752
Site improvement Construction Plans for review
Location of Property:
1530 Rest Church Rd.
Clear Brook, VA 22624
Telephone: (804) 740-9200
Public Works Department Comments: � �� --.L
-FREDERICK COUNTY PUBLIC WORKS DEPARTMENT USE ONLY -
Date Received Re\'ie\t Number 1 2 3 4 5 (circle one)
Date Re\-ie\\-ed
Revision Required a
e Approved
01
Sipature & Date:
Please Return Form to APPWant"
19
REQUEST FOR SITE PLAN COMMENTS
Frederick County Sanitation Authority Comment
Mail to: Hand deliver, to:
Frederick County Sanitation Authority FCSA
Attn: Engineer 315 Tasker Road
P.O. Box 1877 Stephens City, Virginia 22655
Stephens City, Virginia 22655 Phone: (540) 868-1061
Applicant: It is your responsibility to conlplcte this form as accurately as possible in order to assist the agency N\-itli their
re\•ieiNr. Please attach tAyo (2) conies of the Site Plan Nvith this sheet.
Applicant's Name: Paul Hinson, P.E. (Koontz -Bryant)
Mailing Address:
1703 N. Parham Rd.
Suite 100
Richmond, VA 23229
Name of development and/or description of the request:
Flying J Travel Center 4752
Site Improvement Construction Plans for review
Location of Property:
1530 Rest Church Rd.
Clear Brook, VA 22624
Telephone: (804) 740-9200
-FREDERICK COUNTY SANITATION AUTHORITY USE ONLY -
Date ReceiN-ed Rcvie\\'Number 1 2 3 4 5 (circle one)
Date ReN-ieived
Reeision Required Dat .Approt ed
Signature & Dater
Please Return Form,to Applicant"
21
1.1HT-1b-d1011 14;J4
�a ralrtax Healtn Llstr
•
r.11�L1
:>4b rg:fe _%4f7�ft
V VniTVNT FOR SI
PLAN COMMENTS
Virgitnia Department of Health
11 to, Hand deriver to:
Virginia Department of Health 2 Floor - Suite 200
Attn. Samtation Engimmr 107 North Kent Street
107 North Kent Street Winchester, Virginia 22601
Winchester, Virginia 22601 Phone: (540) 722-3480
ApplicaliC It is your respo ibility to
revitw. ka ooe of
this form as 3ccurstel., as possible in order to assist the ageaey %%ith their
Applicant's Name: Psul irtsxr, P.E. (K
Mailing Address: )7133 N, P.11 +
$ufte 100
Name of development
FWg J Trevel Carder 0752
Site Improvemerrl Contt xuw
Location of Property
1630 Red Church Rd.
peer Brook, VA 22624
Health
�
r. J r512
Datc Re
Date Re
PLEV Sio1
'a
�]�Yy�
Ot f", 7
VA 23229
tnd/or description of the request:
I
plans for review
Telephone: (W4) 740-9200
REQUEST FOR SITE PLAN COMMENTS
Request for Street Name Comment IMF
Mail to: Hand deliver to:
Frederick Count-* Frederick- County
Information Technologies, GIS Division Information Technologies. GIS Division
Attn: GIS Manager 107 North Kent Street, 1't Floor
107 North Kent Street, Winchester, Virginia 22601
Winchester, Virginia 22601 Phone: (540) 665-5614
Applicant: It is %our respoasihiliR to complete this form as accurateh as possible in order to assist the agew %Nit11 their
re%-ieiN. Please attach hNo (2) copies of the Site Plan With this sheet.
Applicant's Name: Paul Hinson, P.E. (Koontz -Bryant) Telephone: (804) 74a9200
Mailing Address: 1703 N. Parham Rd
Suite 100
Richmond, VA 23M
Name of development and/or description of the request:
Flying J Travel Center #752
Site Improvement Construction Plans for review
Location of Property:
1530 Rest Church Rd.
Clear Brook, VA 22624
GIS Manager Comments:
Date Receh-ed
Date RevieNved 1
Re%-ision Requir
Signature & Date
-GIs MANAGER USE ONLY-
RcN-iex1 Number 1 2 3 4 5 (circle one)
Date Appmx,ed _—
Please Return Form to Applicant*
MAY 1 5 2011
B Y: ---- �----------
j co tire To:918047407338P0277116 06/02011 08:28 #768 P.003/003
REQUEST FOR SITE PLAN COMMENTS
Frederick County Fire Marshal Comment
Mail to:
Frederick County Fire Marshal
Attn: Fire Marshal
1800 Coverstone Drive
Winchester, Virginia 22602
Hand deliver to:
Public Safety Building
1800 Coverstone Drive
Winchester, Virginia 22602
Phone. (540) 665-6350
Applicant: It is your responsibility to complete this f(jrra as accuratetv as possible in order to assist the agent} with their
.rej,je\\-_:please ntfachbvo (2) -copies of.the Sitc.Ejawwith'this sheet,
Applicant's Name: Paul Hinson, P.E. (Koontz -Bryant) — Telephone: (804)740-9200
Mailing Address:
1703 N. Parham Rd.
suite 100
Richmond, VA 23229
Name of development and/or description of the request:
Flying J Travel Center #752
site Improvement Construction Plans for review
Location of Property:
1530 Rest Church Rd.
Clear Brook, VA 22624
Fire Marshal Comments:
qwriveel 4"�
-FREDERICK COUNTY FIRE MARSHAL USE ONLY -
Date Receix-ed ReviewNumber 1 2 3 4 5 (circle one)
Date Reviewed G210
Revision Required
20
From:fred co fire
0 To:918047407338P0277116 06/02/110 08:28 #768 P.002/003
Control number Date received Date reviewed Date Revised
SP11-0013 5/12/2011 5/24/2011
Project Name Applicant
Flying J Koontz -Bryant, P.C.
Address City State Zip Applicant phone
1703 N. Parham Rd,, Suite 100 Richmond VA 23220 804-740-9200
Type Application Tax ID Number Fire District Rescue District
Site plan 33.9-1 13 13
Current Zoning Election District
B3 Recommendations Stonewall
Automatic Sprinkler System Automatic Fire Alarm System Residential Sprinkler System
Yes Yes No
Other recommendation
Requirements
Emergency Vehicle Access Hydrant Location Fire Lane Required
Adequate Adequate Yes
Siamese Location Roadway/Aisleway Width Special Hazards
Adequate No
Emergency Vehicle Access Comments
Access Comments
Additional Comments
P iSns Approved As Sailbr?itted,
Plan Approval Recommended Reviewed By Signature
Yes S. Mark Showers Tide/ ��•��5��.�
05/13/2011 15:21 54067806820 is PAGE 02
r
Buildings shall comply with The 2009 Virginia Uniform Statewide Building Code and The 2009
International Plumbing Code and 2009 National Electric Code
Replacement of existing oil/water separator requires a building permit
{
f
1
REQUEST VOR SITE PLAN COMMENTS
Frederick County lospections
Department Comment
---Ail HaUjAdiulr t�a:
Fredexick County Inspections Department Frederick- County Inspections Dept,
Attn: Building official 107 North Kent Street, god Floor
107 North Kent Street; Winchester, Virginia 22601
Winchester, Virginia 22601 Phone: (540) 665-5650 wry
At
Applicant: It is }'ow responsibility to complete this A= as accurately as possible in order to aj$ist tide &gcncy ,vittw their
review, Fka,4c liqncll two (21 conies
Applicant's Name: Paul Hinson, P,E, (Koontz -Bryant) Telephone: (804) M-9200
Mailing Address: 1703 N. Parham Rd,
Suite 100
Richmond, VA 23229
Nww of development and/or description of the request:
Flying J Travel Conter 0752
Site Improvement Cbrwhiown P)Anp for revieW
Location of Property:
1530 Rasa Church Rd.
Clear Bruck, VA 22624
Inspections Department Corumtrits:
-FUDERICK COUNTY INSPIEC'"ONS DEPARTMENT US.E ONLY -
Date Receh* Review Nuaibex 1 2 3 4 5 (circle one)
Art
a Rcvic%iVcd Rm,isiojiP,equked DoW Approved
siguatum & Date;.
0 0
REQUEST FOR SITE PLAN COMMENTS
Frederick County Public Works Comment
Mail to: Hand deliver to:
Frederick County Public Works Department Public Works Department
Attn: County Engineer 107 North Kent Street, 2n' Floor
107 North Kent Street, Winchester, Virginia 22601
Winchester, Virginia 22601 Phone: (540) 665-5643
Applicant: It is your responsihilit%- to complete this form is necurately as possible in order to assist the agency with their
review. Please- +tt attach three (3) conies of tile Site Plan with this sht el.
Applicant's Name: Paul Hinson, P.E. (Koontz -Bryant) Telephone: (804) 746-9200
Mailing Address: 1703 N. Parham Rd.
Suite too
Richmond, VA 23229
Name of development raid/or description of the request:
Flying J Travel Center #752
Site tmprovement Construction Plans for review
Location of Property:
1530 Rest Church Rd.
Clear Brook, VA 22624
Public orks Department Comment , _ ���
-FREDERICK COUNTY PUBLIC WORKS DEPARTMENT USE ONLY- �
Review Ntantxrr 1 2 3 4 5 (circle one)
ONLY -
Date Received i
Date Reviewed
Revision Required ) e Approved
Signature & Data
C/i ll
Please Return Form to Applicant'"
19
Candice Perkins
From: Funkhouser, Rhonda [Rhonda.Funkhouser@VDOT.Virginia.gov] on behalf of Ingram, Lloyd
[Lloyd.ingram@VDOT.virginia.gov]
Sent: Wednesday, June 22, 2011 8:24 AM
To: JMurray@koontzbryant.com
Cc: Candice Perkins; Ingram, Lloyd; Smith, Matthew, P.E.
Subject: Flying "J" Travel Center - VDOT Plan Approval
We have received your revised site plan dated June 16, 2011 for the referenced project. It appears
all of our earlier review comments have been satisfactorily addressed. Please advise the owner of
o u r a p p rova I . Also please provide three sets of approved construction plans with signed seal for
VDOT distribution and one CD containing individual plan sheets in PDF format.
The appropriate land use permit may now be applied for to cover work within the Route 11 right-of-
way. The permit is issued by this office and will require a minimum processing fee and surety bond
coverage. Once satisfactory application has been made, a permit will normally take approximately
thirty days to process and issue.
After completion of the entrance and observation of the truck movements onto Zachary
Ann Lane, additional pavement marking and/or signage may be required to ensure safe
and efficient movement of the trucks.
Should you have any questions, do not hesitate to call.
Lloyd A. Ingram, Land Development Engineer
VA Department of Transportation — Land Development
Clarke, Frederick, Shenandoah & Warren Counties
14031 Old Valley Pike
Edinburg, Virginia 22824
Phone #(540) 984-5611
Fax #(540) 984-5607
0 •
REQUEST FOR SITE PLAN COMMENTS
Frederick County Sanitation Authority Comment
Mail to: Hand deliver to:
Frederick County Sanitation Authority FCSA
Attn: Engineer 315 Tasker Road
P.O. Box 1877 Stephens City, Virginia 22655
Stephens City, Virginia 22655 Phone: (540) 868-1061
i -
Applicant: It is your responsibility to complete tins tbnn as accurately as possible in order to assist the agencN \vith their
reyie%N-. Please attach t\yo (2) conies of the Site Plan With this sheet.
Applicant's Name: Paul Hinson, P.E. (Kuontz-Bryant)
Mailing Address:
1703 N. Parham Rd.
Suite 100
Richmond, VA 23229
Name of development and/or description of the request
Flying J Travel Center 4752
Site Improvement Construction Plans for review
Location of Property:
1530 Rest Church Rd.
Clear Brook, VA 22624
Telephone: (604) 740-9200
FCSA:
-FREDERICK COUNTY SANrrATION AUTHORITY USE ONLY -
Date Received Rex-ie\%-Numbcr l 2 3 4 5 (circle one)
Date Revie\yed
Revision Required 1)nt Approved i
//� " L.r�
i
Signature &Date: 2II ./%pia
Please Return Form to Applicant^"
21
From:fred co fire To:918047407338P0277116 06/02/2011 08:28
Ir—_ ..
>r, Fredet•ick County Lire and Rescue
>_ p Dep rtinent
is Office of:the,t ire-Mai•shat
Dian Review and Comments
'v-I�fi-T�r'C
Control number
Date received
SP11-0013
5/12/2011
Project Name
Flying J
Address
City
W03 N. Parham Rd., Suite 100
Richmond
Type Application
Tax ID Number
Site plan
33-9-1
Current Zoning
Dale reviewed
5/2412011
Applicant
Koontz -Bryant, P.C.
Slate Zip
VA 23229
Fire District
13
B3 Recommendations
Automatic Sprinkler System
Yes
other recommendation
Emergency Vehicle Access
Adequate
Siamese Location
Emergency Vehicle Access Comments
Access Comments
Additional Comments
Sl!L)MiUEfl
Automatic Fire Alarm System
Yes
Requivernents
Hydrant Location
Adequate
Roadway/Aisieway Width
Adequate
i#768 P.002/003
Date Revised
Applicant Phone
804-740-9200
Rescue District
13
Election District
Stonewall
Residential Sprinkler System
No
Fire Lane Required
Yes
Special Hazards
No
Plan Approval Recommended Reviewed By Signature
Yes S. Mark Showers Title
.a co f i re
To:918047407338P0277116 06/02/2011 08:28 #768 P.003/003
REQUEST FOR SITE PLAN COMMENTS
Frederick County Fire Marshal Comment
Mail to:
Frederick County Fire Marshal
Attn: Fire Marshal
1800 Coverstone Drive
Winchester, Virginia 22602
Hand deliver to:
Public Safety Building
1800 Coverstone Drive
Winchester, Virginia 22602
Phone: (540) 665-6350
1 Applicant: It is Four responsibility to complete this form as accuratel\as possible in order to assist the agency with their t
ease attach two (2) conies of the Site Plan•«'ith this sheet,
Applicant's Name: Paul Hinson, P.E. (Koontz -Bryant) Telephone: (804)740-9200
Mailing Address: 1703 N. Parham Rd.
Suite 100
Richmond, VA 23220
Name of development and/or description of the request:
Flying J Travel Center 4752
Site Improvement Constnrction Plans fur review
Location of Property:
1530 Rest Church Rd.
Clear Brook, VA 22624
Fire Marshal Comments:
If
-FREDERICK COUNTY FIRE MARSHAL USE ONLY-
i Dale Received 51,21 (l Review Number 1 2 3 4 5 (circle one)
j Date Reviewed 5 ;;Flt
Revision R-equired. Dale Approved
Sigtiatlire :Dal
�i
fi
-tlA Plc "sel2etit' `.Foxiin -
I?
J
4
20
REQUEST FOR SITE PLAN COMMENTS
Request for Street Name Comment
Mail to:
Frederick Count -
Information Technologies, GIS Division
Attn: GIS Manager
107 North Kent Street,
Winchester, Virginia 22601
Hand deliver to:
Frederick County
Information Technologies. GIS Division
107 North Kent Street, I" Floor
Winchester, Virginia 22601
Phone- (540) 665-5614
Applicant: It is ,our responsibihtN to complete this form as aecuratel,, as possible in order to assist the agent) 'Kith their
review Please attach two (2 ) copies of the Site Plan "ith this sheet.
Applicant's Name: Paul Hinson. P.E. (Koontz -Bryant)
Mailing Address: 1703 N. Parham Rd
Suite 100
Richmond, VA 23229
Name of development and/or description of the request:
Flyino J Travel Center #752
Site Improvement Construction Plans for review
Location of Property:
1530 Rest Church Rd.
GIS Manager Comments:
1'5
Telephone: (804) 740-9200
-GIS MANAGER USE ONLY -
Date Received It RevienNumber 1 2 t 4 5 (circle tine)
Date Rey wiNed /
Rey ision Requu Date Apprm ed
Signature & Date
Please Return Form to Applicant""
17
g Y: ray----------
05/13/2011 15:21
5406780 Is PAGE 01
REQUEST FOR SX FE PLAN COMMENTS
Frederick County Inspections
Department Comment
Mail to: hand deliver to:
Frederick County Inspections Depwiment Frederick County Inspections Dept.
Attn: Building Official 107 North Kent Street, tad Floor
107 North rent Street, Winchester, Virginia 22601
Winchester, Virginia 22601 Phone: (540) 665-5650(.s
-`7
Applicant: It is your ra-porisibility to complete this form as acemately as possible in order to assist the agcncy with tlrelr
rtWlelv. Elense atinrJ1 two (2) copies of the Site phtui %vith this sheet
Applicant's Name: Paul Hinton, P.E. (Koontz -Bryant) Telepbone: (aa) 7411-9200
Mailing Address: 1703 M. Parham Rd,
Sulto 100
Richmond, VA 232a
Name of developme li and/or description of the request:
Flying J Travel Comer A752
Sito Impmvernent Conctruc-san Plans for ruvi6w
Location of Property:
1530 Rori Church Rd.
Clear Brook, VA 2—n21
Inspections DeTartment Corwnent5:
ra LP r! S �ft1� C CT _ . "r\
-WEDERICK COUNTY INSP.EcTAONS DEPARTMENT USE ONLY -
bate Received l l Run iew Nuoiber 1 2 3 4 5 (circle one)
Dolt Rcvic5vcd S
Revision Requimd �r Dato Approved 511, )/
5ignatura & Date- l
' 1
05/13/2011 15:21 5406700682 PAGE 02
r
Buildings shall comply with The 2009 Virginia Uniform Statewide Building Code and The 2009
Intemational Plumbing Cade and 2009 National Electric Code
Replacement of existing oil/water separator requires a bitilding permit
r
i
IIAY-16-2011 14:54
Cord Fairfax Health Distr
0 540 722 3479 P.01/01
REQUEST FOR
MR !I t°:
Virginia Department c
Attn: Sanitation EnO
107 North Kent Street
Winchester, Virginia
Applicant's Name: Peul
Mailing Address:
Name of development
Flying J Travel CBntur#152
Sib Improvement conatructlo
Location of Property:
1630 Rust Church Rd.
2° Floor — Suite 200
107 North Kent Street
Winchester, Virginia 22601
Phone: (540) 722-3480
Telephone: (BN) Tao-s2oo
TOTAL P.O1
REQUEST FOR SITE PLAN COMMENTS
Frederick County Public Works Comment
Mail to: Hand deliver to:
Frederick County Public Works Department Public Works Department
Attn: County Engineer 107 North Kent Street, 2"d Floor
107 North Kent Street, Winchester, Virginia 22601
Winchester, Virginia 22601 Phone: (540) 665-5643
Applicant: It is N'our responsibilitN to complete this lium as accurately as possible in order to assist the ageuc\ �\ilh their i
review. Please nthich three (3) Copies of tlx: Site Plan With this slx:et.
Applicant's Name: Paul Hinson, P.E. (Koontz -Bryant) Telephone: (804) 740-9200
Mailing Address: 1703 N. Parham Rd.
Suite 100
Richmond, VA 23229
Name of development and/or description of the request:
Flying J Travel Center tt752
Site Improvement Construdion Plans for review
Location of Property:
1530 Rest Church Rd.
Clear Brook. VA 22624
Public orks Department Comments:
r e
-FREDERICK COUNTY PUBLIC WORKS DEPARTMENT USE ONLY- k
i
Dale Received Reviety Number 1 2 3 4 5 (circle one)
Dale Reviewed
Revision Required ) e Approved
Signature &-, Dale:
^" Please Return Form to Applicant"
19
•
u
F-IZ,h KOONTZ-BRYANT, P.C.
���� Site Development Solutions
TRANSMITTAL
TO: Department of Planning and Development
Attn: County Planner
107 North Kent Street
Winchester, VA 22601
PHONE: 540-665-5651
FROM: Paul Hinson, P.E., LEED AP
PHONE: 804-200-1914
cc:
DATE: June 27, 2011
REFERENCE: Flying J Travel Center #752
PROJECT NO: 09098-011
Transmitted By:
® Mail/UPS ❑ Overnight ❑ Courier ❑ Hand Deliver ❑ Client Pickup ❑
COPIES
DATE
DESCRIPTION
5
5/2/11
Construction Plans (revised 6/16/11)
1
6/16/11
Comment Response Letter
1
Completed Power of Attorney form
1
Copy of approval letters from VDOT, Inspections, Fire, Public Works, Sanitation,
Health, and GIS
These items are transmitted as checked below:
®For approval []As requested
❑For your use ❑Review & comment
Additional Comments:
JUN 2 8 2011; _.
[]Information returned after loan
n
1703 North Parham Road ■ Suite 100 ■ Richmond, VA 23229 ■ (804) 740-9200 ■ Fax (804) 740-7338
• 0
P�Z,A KOONTZ-BRYANT, P.C.
1S'A Site Development Solutions
June 16, 2011
Candice E. Perkins, AICP
Senior Planner
107 North Kent Street
Winchester, VA 22601
Reference: Flying J Travel Center #752
Project No: 09098-011
Dear Ms. Perkins:
Please find our responses to your comment letter dated June 1, 2011 numbered in accordance with your
letter below:
1. The completed special limited power of attorney form is attached.
2. The specified approved site plans were listed on the cover sheet previously submitted in addition
to 01-10. The project information section has been reorganized for clarity.
3. Parking calculations have been provided on the cover sheet. In addition a note has been added
to C3.0 pointing to that location.
4. The Flying J Travel Center does not have control over trucks parking on the public road. Pilot
would have no issue with VDOT or the County placing "No Parking" signs along Zachary Ann
Lane as they deem necessary.
5. The project boundaries and metes and bounds have been added to the applicable sheets.
We are hopeful that we have addressed all of your comments to your satisfaction. If you have any
questions please contact me at 804-200-1914
Sincerely yours,
K ntz-Bryant, P.,LEED
Paul Hinson, AP
Director of Engineering
Enclosure: Completed special limited power of attorney form.
cc: (Brad Alsup, Pilot Travel Centers, LLC.)
1703 North Parham Road ■ Suite 100 ■ Richmond, VA 23229 ■ (804) 740-9200 ■ Fax (804) 740-7338
Flying "Y' Travel Ccntcr - OPT flan Approval 0 Pagc 1 of 1
Murray, Jonathan
From: Funkhouser, Rhonda [Rhonda,Funkhouser@VDOT.Virginia.gov] on behalf of Ingram, Lloyd
[Lloyd.ingram@VDOT.virginia.gov]
Sent: Wednesday, June 22, 2011 8:24 AM
To: Murray, Jonathan
Cc: Candice Perkins; Ingram, Lloyd; Smith, Matthew, P.E.
Subject: Flying "J" Travel Center - VDOT Plan Approval
We have received your revised site plan dated June 16, 2011 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 three sets of approved construction plans with
signed seal for VDOT distribution and one CD containing individual plan sheets in PDF format.
The appropriate land use permit may now be applied for to cover work within the Route 11
right-of-way. The permit is issued by this office and will require a minimum processing fee
and surety bond coverage. Once satisfactory application has been made, a permit will
normally take approximately thirty days to process and issue.
After completion of the entrance and observation of the truck movements onto
Zachary Ann Lane, additional pavement marking and/or signage may be required
to ensure safe and efficient movement of the trucks.
Should you have any questions, do not hesitate to call.
Lloyd A. Ingram, Land Development Engineer
VA Department of Transportation — Lmid Development
Clarke, Frederick, Shenandoah & 1Narrerr Counties
14031 Old Valley Pike
Edinburg, Virginia 22824
Phone #(540) 984-5611
Fax #(540) 984-5607
6/27/201 1
KOONTZ-BRYANT, P.C.
site Development solutions
June 16, 2011
Candice E. Perkins, AICP
Senior Planner
107 North Kent Street
Winchester, VA 22601
Reference: Flying J Travel Center #752
Project No: 09098-011
Dear Ms. Perkins:
Please find our responses to your comment letter dated June 1, 2011 numbered in accordance with your
letter below:
1. The completed special limited power of attorney form is attached.
2. The specified approved site plans were listed on the cover sheet previously submitted in addition
to 01-10. The project Information section has been reorganized for clarity.
3. Parking calculations have been provided on the cover sheet. In addition a note has been added
to C3.0 pointing to that location.
4. The Flying J Travel Center does not have control over trucks parking on the public road. Pilot
would have no issue with VDOT or the County placing "No Parking" signs along Zachary Ann
Lane as they deem necessary.
5. The project boundaries and metes and bounds have been added to the applicable sheets.
We are hopeful that we have addressed all of your comments to your satisfaction. If you have any
questions please contact me at 804-200-1914
Sincerely yours,
K //ntz-Bryant, P
Paul Hinson, LEED AP
Director of Engineering
Enclosure: Completed special limited power of attorney form.
cc: (Brad Alsup, Pilot Travel Centers, LLC.)
1703 North Parham Road a Sulte 100 a Richmond, VA 23229 ■ (804) 740-9200 ■ Fax (804) 740-7338
• •
EILECQPY
CofFREDERICK
Department of Planning and Development
540/665-5651
FAX: 540/ 665-6395
June 1, 2011
Mr. Paul Hinson, P.E.
Koontz -Bryant, P.C.
1703 N. Parham Road, Suite 100
Richmond, Virginia 23229
Re: Review Comments for Site Plan #13-11; Flying J Travel Center 4752
Property Identification Number (PIN): 33-9-1
Dear Mr. Hinson,
Planning Staff has reviewed the above -referenced site plan to determine if administrative approval can be
granted. At this time, administrative approval cannot be granted. This site plan is denied until the issues
in this letter, as well as all issues of the other review agencies, have been adequately addressed. Please
review Staffs comments listed below and then prepare a revised site plan which adequately addresses
each concern.
Review Comments:
1) 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.
Plan #01-10, provide the following approved site plan
2) Approved Site Plan. In addition to Site
numbers SP# 26-96, 54-04.
3) Parkine Spaces. Provide the total number of truck parking spaces that will exist once this
proposed entrance revision has been completed.
4) Truck Parkine. Indicate if the removal of additional truck parking spaces (in addition to the
spaces removed with SP#01-10) will create issues due to the number of trucks typically present
on the site (as currently seen with trucks parking on Zachary Ann Lane).
5) Surveyed Boundaries. On sheet C1.0 provide the surveyed boundaries for the property; the area
along Zachary Ann Lane needs to be provided as indicated. The boundary along Zachary Ann
Lane needs to be shown on sheet C3.0.
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, the Frederick County Public Works
Department and the Virginia Department of Transportation.
107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000
1]
is
Mr. Paul Hinson, P.E.
Koontz -Bryant, P.C.
Re: Site Plan 9 13-11
June 1, 2011
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/bad
cc: Pilot Travel Centers, LLC, Attn: Brad Alsup, 5508 Lonas Drive, Knoxville, TN 37909
•
•
P��,& KOONTZ-BRYANT, P.C.
"�'N Site Development Solutions
TRANSMITTAL
TO. Department of Planning and Development
Attn: County Planner
107 North Kent Street
Winchester, VA 22601
PHONE: 540-665-5651
FROM: Paul Hinson, P.E., LEED AP
PHONE: 804-200-1914
cc:
Transmitted By:
® Mail/UPS ❑ Overnight ❑ Courier
A+#ort—A nrn }hn fnllnuvinn ifomc•
DATE: May 11, 2011
REFERENCE: Flying J Travel Center #752
PROJECT NO: 09098-011
❑ Hand Deliver ❑ Client Pickup ❑
COPIES
DATE
DESCRIPTION
2
Construction Plans
1
Site Plan Application
1
Site Plan Checklist
1
Site Plan Review Fee Check
1
Request for Site Plan Comments
These items are transmitted as checked below:
❑For approval ❑As requested
❑For your use ®Review & comment
Additional Comments:
❑Information returned after loan
n
1703 North Parham Road ■ Suite 100 ■ Richmond, VA 23229 ■ (804) 740-9200 ■ Fax (804) 740-7338
•
Document Approval ForIIi
PLEASE REVIEW TEE ATTACHED DOCUMENT. IF THIS DOCUMENT MEETS YOUR
APPROVAL PLEASE NITIAL AND PROVIDE THE DATE AND TLYiE OF YOUR
APPROVAL.
IF TMS DOCUMENT DOES NOT MEET YOUR APPROVAL PLEASE PROVIDE
CObIME M AS TO WSAT YOU WOULD LI%E' TO SA YE COMPLETED.
ENr rIALS
Candice
Mirk
Dana
Eric
Mike
John
COMMIIr'TS:
Received by Clerical Staff (Date & Time): I
DATE & TEAE
Please note: The Site Plans associated with this Zile arc
located in the file room.