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HomeMy WebLinkAbout26-11 Round Hill Water Tank - Booster Station - Gainesboro - BackfileQ) ai LL Ln DATE N0. RECEIVED FROM ADDRESS 0 FOR RENT ❑ FOR AMT OF ACCOUNT CASH AMT. PAID CHECK BALANCE I I MONEY DUE ORDER BY SITE PLAN TRACKING SHEET Comment Sheets: GIS / VDOT '-/, Sanitation Authority ✓ Winchester Inspections !/ Stephens Ci Public Works Middletown Y\ Parks & Ree Airport Health Dept. �Y _ Fire !/ One copy of Site Plan application form L/ Payment of site plan review fee One reproducible copy of Site Plan OPEN FILE: (D)l e File Opened D / �//J_ Reference Manual updated/number assigned f / D-base updated Application Action Summary updated CLOSE FILE: a Approved (or denied) letter mailed to applicant/copy to file and cc's File stamped "approved", "denied" or "withdrawn" Reference Manual updated D-base updated Application Action Summary updated Sys ID #� �� • O CW.ERICK Department of Planning and Development 540/665-5651 FAX: 540/ 665-6395 May 14, 2012 Mr. Randy Kepler, PE Greenway Engineering, Inc. 151 Windy Hill Lane Winchester, VA 22602 RE: Approval of Site Plan #26-11; Round Hill Booster Pump Station Property Identification Number (PIN): 53-A-Al Dear Randy: The above -referenced site plan was approved on May 1 1, 2012. The site plan is approved for the construction of a booster pump station located off of future Petticoat Gap Lane (located behind the Round Hill Crossing shopping center off of Northwestern Pike) in the Gainesboro Magisterial District. 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 four (4) 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. Sincerely, Candice E. Perkins, AICP Senior Planner CEP/bad cc: Ross P. Spicer, Gainesboro District Supervisor Charles Triplett and Kevin Kenney, Gainesboro District Planning Commissioners Commissioner of the Revenue Jane Anderson, Real Estate FCSA, P.O. Box 1877, Winchester, VA 22604 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 T 'SCOUNWAUC01 K Department of Planning and Development 540/ 665-5651 FAX: 540/665-6395 November 18, 2011 Mr. Randy Kepler, PE Greenway Engineering, Inc. 151 Windy Hill Lane Winchester, VA 22602 Re: Review Comments for Site Plan #26-11; Round Hill Water Tank and Booster Station Property Identification Number (PINS): 52-A47,54-A-63, 54-A-50A, 52-A-C Dear Randy: �Dr'�� � 3• �- Ail 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 provide Special Limited Power forms for each property owner. This form should be notarized and completed to grant the applicant (you) with authorization to represent them for this site plan. 2. Project Information. Revise the following on the coversheet: • Waterline — remove the BRL's as the waterlines will be underground. • Booster Pump Station — indicate if this parcel has been created (if not the site plan cannot be approved until the plat is recorded); the zoning of this property is B2 not RA; the setbacks shown on the coversheet don't match what is shown on sheet C401 (provide the minimum shown on the plat as well as the actual); provide the height of the pump station structure. \• Water Tank — provide only the PIN for the tank; provide the actual setbacks for the structure; provide only the acreage for the tank parcel. 3. ROW Easement. On sheets C202 and C401 provide a legal reference for the ROW. 4. Light Detail. Ensure the light detail for the booster station shown on sheet C421 complies with the outdoor lighting requirements. Proposed Landscaping. The landscaping plan for the tank and the pump station are listed as "proposed". The site plan cannot show improvements that may not take place; revise the plan to show the landscaping that will be provided with these improvements. 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 ~ Mr. Randy Kepe'lr • RE: Site Plan #26-11 November 18, 2011 Page 2 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 Virginia Department of Transportation, the Frederick County Inspections Department, the Frederick County Engineer, the Frederick County Fire Marshal, and the Frederick County Sanitation Authority. Sincerely, (�u ; J Candice E. Perkins, AICP Senior Planner CEP/dlw Attachment cc: Silver Lake, LLC, 13 South Loudoun Street, Winchester, VA 22601 I April 24, 2012 Mr. Randy Kepler Grcenway Cngineering 151 Wincly Hill Lane Winchester, Virginia 22602 RE: rCSA — Round Hill Booster Pump Station — Site Plan Continents rrederick County, Virginia Dear Rancly: COUNTY of FREDERICK Department of Public Works 540/665-5643 FAX: 540/678-0682 Upon review of the revised site plan elated March 30, 2012, It appeal's that all of oul' previous continents have been addressed. Therefore, we recommend approval of the subject site plan. Sincerely, Joe C. Wilder Deputy Director of Public Works JCW/1'Is cc: Planning and Development file T:\Rhondn\'rE\,IPCO\1MEN'rS\1-'CSA ROUNUIIILLIV'1'R'1'ANK&IIOOS'I'ERS'rN3rdREVSPCONl.doc r� u COMMONWEALTH of VIRGINIA DEPARTMENT OF HEALTH Karen HealtRemlh C, mmiMD, MBA, FAAP OFFICE OF DRINKING WATER Madison Building State Health Commissioner 109 Governor Street. 61 Floor J. Wesley Kleene, PhD, PE Richmond, VA 23219 Director, Office of Drinking Water Phone: 804-864-7500 Fax: 804-864-7521 Processing Office: Lexington Field Office SUBJECT: Frederick County 131 Walker Street WATERWORKS: Frederick County Sanitation Lexington, VA 24450 Authority Phone: 540463-7136 P W SID: 2069250 WATERWORKS CONSTRUCTION PERMIT Permit No.: 201012 Effective Date: April 13, 2012 Expiration Date: April 12, 2017 Issued to: Frederick County Sanitation Authority P.O. Box 1877 Winchester, VA 22604 ATTN: Uwe Weindel, P.E., Engineer -Director Revised plans and specifications for the construction of modifications to the Frederick County Sanitation Authority community waterworks located in Frederick County, prepared by Greenway Engineering, Inc., Winchester, Virginia, have been reviewed by this Office. The plans titled "Frederick Co Sanitation Authority, Round Hill Booster Pump Station, Gainesboro Magisterial District, Frederick County, VA" are dated May 28, 2010 with revisions dated March 16, 2012 and include sheets C001, C101, C201, C202, C401, C402, C410, C420, and C421. The specifications titled "Frederick County Sanitation Authority, Silver Lake Development - Water System Improvements, Silver Lake Booster Station, Specifications" are dated March 16, 2012. The revised project consists of the construction of a water booster pump station and the installation of a standby emergency generator set. The revised plans and specifications are technically adequate and are approved by this Office in accordance with 12VAC5-590 of the Commonwealth of Virginia Waterworks Regulations. This approval does not suspend, minimize, or otherwise alter the waterworks obligation to comply with federal, state, or local laws and regulations or permits. V'Dr7 OF VIRGINIA PHEALTHNT Fn*r tit You and Yaw hWWM ffW WW W.VDH.VIRGINLA.GOV RECEIVED; 1 r r—� "j ',1 ,_ V Frederick County Sanitation Authority Waterworks Construction Permit No. 201012 April 13, 2012 Page 2 This Waterworks Construction Permit is issued in accordance with Title 32.1 of the Code of Virginia and 12VAC5-590 et seq. of the Watei-ivorks Regulations. This is your authorization from the State Health Commissioner to construct additions to the subject waterworks in accordance with the approved documents. Any deviations from the approved documents affecting capacity, hydraulic conditions, operating units, the functioning of the treatment processes, or the water quality delivered, must be approved by this Office before any such changes are made. Revised plans and specifications shall be submitted to the Lexington Field Office in time to permit review and approval before construction. Upon completion of construction, the owner shall submit a statement signed by a professional engineer licensed in. Virginia certifying that the work was completed in accordance with the approved documents. Upon receipt of this statement, satisfactory results of bacteriological analyses and final inspection by an Office representative, the State Health Commissioner will amend the Authority's waterworks operation permit in accordance with the Regulations. If we can be of additional assistance, please contact Harold T. Eberly, District Engineer in our Lexington Field Office, at 540-463-7136, Ext. 108. Sincerely, . Wesley een ,PhD, PE Director, Office of Drinking Water HTE: bt cc: Greenway Engineering, Inc. - Attn: Randy L. Kepler Frederick County Health Department - Attn: Charles Devine, MD, MPH Frederick County Administrator - Attn: John Riley Frederick County Building Official - Attn: John Trenary VDH - Lexington Field Office VDH - ODW — Central Office FAx f rnn S414 `aS iHti • B3-30-12 09:33 Py: 1 • Control number Protect Name Round W{1 Booster Pump Stal"I Address 151 Wmdy HJI Lane Type Appscabo, Site Plan Current Zoning RA Automatic Spnnkw Syslem Yes other recommendal�on F mwgency 'vehicle Access 5 smese Local,on Emergency Vehicle Access Comments Access CAmments AcdMonal Comments P!sn Approval Recommended Yes Frederick County Fire and Rescue Department Office of the Fire Marshal Plan Review and Comments Deb reserved Diste reviewed Dale Revised 3I1 WX 12 3133RC Applunt Groedway F^g'nee'^G Coy State Zip Applrcan! Pnone Winchester VA 226C2 $40-6624185 Tax ID Number Fare Dwtnct Rescue District 53-A-A 1 15 15 Recommendations Autdma110 Fite Alum Syal.,. yes Requirements Yeydtanl Locabon RoodwaylAralerwy Width E 6W'on Drs!nct Garnestwro Resnentral Spnnkbt System No c ne '-are Reduced Vo Special Hazards No ReVWwed By Signature S Marw Snowers Tide ff 'L �(/bk/ �+j RECEIVED Mt 7 10 2012 GREENWAY ENGINEERING 0 • Request For Site Plan Comments Winchester Regional Airport Mail to: Winchester Regional Airport Attn: Executive Director 491 Airport Road Winchester, VA 22602 (540) 662-2422 Fax — (540) 722-9335 Hand deliver to: 491 Airport Road (Route 645, off of Route 522 South) (540)662-2422 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: Greenway Engineering Address: 151 Windy Hill Lane. Winchester, Virginia 22602 Phone Number: (540) 662-4185 Name of development and/or description of the request: Frederick County Sanitation Authority -Round Hill WaterTank and Booster Station Location of property: Lutheran Home Boulevard Winchester Regional Airport's Comments: P r000neA �ocaA oro -nV oi&,l no-� imQae- onecaz ions «kJAQ n'k-p4-11 ''Anr,1 5i-�c ,5e\e(Aicr) IW-F5 �'c'om���s .Sic�nl��a)P 1-r'nues•� D v-i-rani- � �v re�lie�.J ��ns, Winchester Regional Airport use only —771 Date received Date revision received Date approved 1210 Incomplete Incomplete Date reviewed Date reviewed Signature and Date. � --t ° Q Signature and Date (revision) 25 0 0 Request For Sitc Plan Comments Frederick CounhL Inspections Department 1NIail to: Frederick County Inspections Department Aun: Building Official 107 North Kent Street Winchesler, VA 2260) (540) 665-5650 Hand deliver to: 107 North Kent Street Fourth Floor Winchester, VA (540)665-5650 Please fill out the informatiort 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: Grecnway Lncincering Address: 151 Windy Hill Lane. Winchester, Virginia 22602 Phone Number: (540) 662-4185 Name of dcvc1opment and/or description of the regttcst: Frederick CountySartitation Authority -Round I Jill WaterTank and Booster Station Location of property: Lutheran 1-lome Boulevard Inspect' ns Department's Com ncnts^: 6a/JI ,Ipt! Imspectious Department use 01111, Date received Date revision received. _ Date approved 02V" a Incomplete Incomplete Date reviewed ! %D;yt� to Signature and Dale 'V` Signature and Data: ( vision) 15 0 New water tank and pump structure shall comply with the Virginia Uniform Statewide Building Code and Section 312, use group U (Utility) of The International Building Code / 2006. Structural plan submitted for permit application shall be sealed by a VA Registered. Design Professional. Please note the requirements in chapter 17 IBC for special inspections on this type of structure. (soil, concrete, welding, steel , etc.) f Donna Meliso Subject: FW: Round Hill Water Tank - sight distance plan r -----Original Message ----- From: Funkhouser, Rhonda To: Randy Kepler CC: Ingram, Lloyd; Copp, Jerry; Smith, Matthew, P.E. Sent: Fri Jul 09 08:46:29 2010 Subject: FW: Round Hill Water Tank - sight distance plan Randy, Our formal review comments are below. This constitutes a complete review. If you need anything further, please let us know. Lloyd From: Randy Kepler[mailto:rkepler@greenwayeng.com] Sent: Tuesday, July 06, 2010 8:56 A14 To: Ingram, Lloyd Cc: Smith, Matthew, P.E.; Copp, Jerry Subject: RE: Round Hill Water Tank - sight distance plan Lloyd, we had submitted the site plan for the complete project to VOOT a few weeks ago as was requested by Frederick County Planning through the regular site plan submittal process. Does this constitute a complete review of this project or is this specifically only addressing the water tank entrance issues we have discussed and met on site about? Just checking so I don't get into problems when I get back in to the county. Thanks, Randy Randy Kepler, P.E., LEED AP GREENWAY ENGINEERING 151 Windy Hill Lane Winchester, VA 22602 Phone: 540-662-4185 Fax: 540-722-9528 1 • U Visit us on the web at www.Rreenwavent;.com ottp://www.Greenwayeng.com/> to learn about exciting new services offered by Greenway Engineering: Laboratory Services, Water Sewer, Maintenance / Monitoring, ESA Phase I, Wetlands and more. P Please consider the environment before printing this CONFIDENTIALITY NOTICE: This email may contain confidential and privileged material for the sole use of the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. If you have received this communication in error, please notify the sender immediately by email and delete the message and any file attachments from your computer. Thank you. From: Ingram, Lloyd[mailto:Lloyd.Ingram@VDOT.virginia.gov] Sent: Thursday, July 01, 2010 8:38 AM To: Randy Kepler Cc: Smith, Matthew, P.E.; Copp, Jerry Subject: RE: Round Hill Water Tank - sight distance plan Randy, After a review of your sight -distance submittal and the low number of anticipated trips utilizing the entrance, a PE-1 entrance will be acceptable. The entrance needs to be paved from the edge of pavement back a minimum of 25 feet. The proposed Haul -road work zone appears to be best suited for this site during construction. If you required additional information, please contact me. Lloyd A. Ingram, Transportation Engineer Virginia Department of Transportation Edinburg Residency — Land Development 14031 old Valley Pike Edinburg, Virginia 22824 Phone #(540) 984-5611 Fax 11(540) 984-5607 From: Randy Kepler [mailto:rke .er@greenwayeng.com) Sent: Tuesday, June 29, 2010 3:57 PM To: Ingram, Lloyd Subject: Round Hill Water Tank - sight distance plan Lloyd, as requested attached is the sight distance plan for the water tank entrance on Poorhouse Road. This is an expanded sight distance plan to include the profile and is included as a part of the plan set we have out to agencies for review. If any questions please let me know. Thanks, Randy Randy Kepler, P.E., LEED AP GREENWAY ENGINEERING 151 Windy Hill Lane Winchester, VA 22602 Phone: 540-662-4185 Fax: 540-722-9528 Visit us on the web at www.Rreenwayenp.com <httn://rnm.i.preenwayenp.com/> to learn about exciting new services offered by Greenway Engineering: Laboratory Services, Water Sewer, Maintenance / Monitoring, ESA Phase I, Wetlands and more. P Please consider the environment before printing this CONFIDENTIALITY NOTICE: This email may contain confidential and privileged material for the sole use of the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. If you have received this communication in error, please notify the sender immediately by email and delete the message and any file attachments from your computer. Thank you. 0 FREDERICK COUNTY SANITATION AUTHORITY SITE PLAN REVIEW COMMENTS PO Box 1877, Winchester, VA 22604-8377 540.868.1061 voice 315 Tasker Road, Stephens City, VA 22655 x �} r 540.868.1429 fa Project--_ �ul\ip �,L 9oc%ST9'Z_ -RAMP STATT Applicant G R195N WA Y- REVIEW STATES attention_RANV review number correct & resubmit approved as noted number of items to be corrected ( approved Ve" .me! Sul jt*t eowr Ametaad-thr -- ws�Y�laee�b DRAWINGS send me by i< 1. print of sheets A Cod 7 Q s?Et 2. two CDs: each disc shall contain the following plan sheets a) One CD (containing all of the above noted sheets) shall be in PDF format. Each sheet shall be in its own file and be in landscape orientation. Each file shall be titled with the project name and appropriate sheet number. b) One CD (containing all of the 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 /E A copy of the recorded onsite water and/or sewer easement(s) is/are required. oy N A copy of the recorded offsite ate? and/or sewer easement�is/W required. The easement document shall contain a plat and both shall be signed by the Authority. The Authority requires specific language in its deed of easement. contact this office to obtain a copy of the form. A copy of the recorded deed(s) of easement shall be received before service will be authorized. �# i_ Y 1& This project also requires DEQ -Valley Region Office approval. / N This project also requires VDH — Lexington Field Office approval. D 0 / N This project has a �aew rr pump station that FCSA will own. Title t'o the ,pump station site V1 shall be granted to the Authority -B&Esimple absolute. Also, (1) a copy of ," �� S J.W. C ONST. �1 1Z.1 t, (2) a copy of s Certificate to Operate and (3) two copies of the FCSA approved 0 & M manual are required. These documents must a receive a ore51Jf %W5 service will be authorized.rA n kEng&4ineerio �Qm f:T IF Date: , � 0► , ��.. Earl W. Wiley -ssistant A! A:. �L'12 Request For Site Plan Comments Winchester Regional Airport Mail to: Winchester Regional Airport Attn: Executive Director 491 Airport Road Winchester, VA 22602 (540)662-2422 Fax — (540) 722-9335 Hand deliver to: 491 Aiiport Road (Route 645, off of Route 522 South) (540)662-2422 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: Greenway Engineering Address: 151 Windy Hill Lane Winchester, Virginia 22602 Phone Number: (540) 662-4185 Name of development and/or description of the request: Frederick County Sanitation Authority -Round Hill WaterTank and Booster Station Location of property: Lutheran Home Boulevard Winchester Regional Airport's Comments: R -ODCS5 A � Q Crk-it) ri SV)om� zF'A nn\ 1C se\eCAFiOn c1Zi rs V(-gkkke k 00 V nL , A-o Ytk)k e �6s Winchester Regional Airpoirt use only Date received Date revision received Date approved S (31 IQ Incomplete Incomplete Date reviewed Date reviewed .Signature and Date Signature and Date (revision) 25 • • I Mr. Randy Kepler Greenway Engineering 151 Windy Hill Lane Winchester, Virginia 22602 December 5, 2011 RE: FCSA — Round Hill Water Tank and Booster Station Frederick County, Virginia Dear Randy: COUNTY of FREDERICK Department of Public Works 5401665-5643 FAX: 540/678-0682 We have completed our review of the subject plan and offer no additional comments at this time. Therefore, we reconunend approval of the subject plan. Sincerely, Joe C. Wilder Deputy Director of Public Works JCw/rls cc: Planning and Development file '1':\Rhoo(iiivr ,'viPCONI,Nl N'I'S\FCSA ROUNDIIILL1i"rR'I'ANIC&BOOS'I'EIIS'I'NREVSI'COM.doc • 0 :"Jill ......4;i;`.. __ ....._ $,��' }} iq.. •.,. t-rl ,,'f Yt �+�It4G t{l.`t'tJ VIRGINIA Control number Date received Dale reviewed Date Revised SP10-0010 6/10/2110 6/15/2010 Project Name Applicant Round Hill Water Tank and Booster Station Greenway Engineering Address City Slate Zip Applicant Phone 151 Windy Hill Lane Winchester VA 22602 540-662-4185 Type Application Tax ID Number Fire District Rescue District Site Plan 52-AA7 15 15 Current Zoning Election District RA Oecommendnitions Automatic Sprinkler System No Other recommendation Emergency Vehicle Access Adequate Siamese Location Emergency Vehicle Access Comments Access Comments Additional Comments Automatic Fire Alarm System No Hydrant Location Adequate Roadway/Aisieway Width Residential Sprinkler System No Fire Lane Required Yes Special Hazards No Plan Approval Recommended Reviewed By Signature -- Yes S. Mark Showers TitlrG " .4:k �`i !, "�'•, 7 �_.. : r - -. - -- d.;uei`t�;Y:�t:"aas�.�,llL�6�.:.2�s'9!'�-�F'.iE�\�e6�:C_����•'.�1���C� • COMMONWEALTH of V'IRGINIA DEPARTMENT OF HEALTH Karen Remley, MD, MBA, FAAP OFFICE OF DRINKING WATER State Health Commissioner J. Wesley Kleene, PhD, PE Director, Office of Drinking Water Madison Building 109 Governor Street, 61' Floor Richmond, VA 23219 Phone:804-864-7500 Fax: 804-864-7521 Processing Office: Lexington Field Office SUBJECT: Frederick County 131 Walker Street WATERWORKS: Frederick County Sanitation Lexington, VA 24450 Authority Phone: 540463-7136 PWSID: 2069250 WATERWORKS CONSTRUCTION PERMIT Permit No.: 200112 Effective Date: 01/10/2012 Expiration Date: 01/09/2017 Issued to: Frederick County Sanitation Authority P.O. Box 1877 Winchester, VA 22604 ATTN: Uwe Weindel, P.E., Engineer -Director Plans and specifications for the construction of additions to the Frederick County Sanitation Authority community waterworks located in Frederick County, prepared by Greenway Engineering, Inc., Winchester, Virginia, have been reviewed by this Office. The plans titled "Frederick County Sanitation Authority, Round Hill Water Line, Booster Pump Station and Water Tank, Gainesboro Magisterial District, Frederick County, Virginia" are dated May 2010 with revisions dated November 2011, and include sheets C001, C101, C201 through C203, C301 through C303, C401 through C408, C410, C420 through C422, C501, and C601 through C602. The specifications titled "Frederick County Sanitation Authority, Silver Lake Development - Water System Improvements, Round Hill Water Tank Plan, Specifications JN 4928S" are dated June 2010 with revisions dated November 2011. The specifications also refer to the Authority's standard specifications titled "Water and Sewer Standards and Specifications for the Frederick County Sanitation Authority" approved on November 3, 2008. The project consists of the construction of a one million gallon ground storage tank and 460 gallons per minute water booster pump station and the installation of approximately 2,550 linear feet of 16-inch diameter water line. The plans and specifications are technically adequate and are approved by this Office in accordance with 12VAC5-590 of the Commonwealth of Virginia Waterworks Reg7dations. One copy of these documents has been stamped approved and is enclosed. This approval does not suspend, minimize, or otherwise alter the waterworks obligation to comply with federal, state, or local laws and regulations or permits. VDHDE1 IT' N7 ftWectlns You and Your Emimm mI W W W.VDH.VIRGINIA.GOV 0 • Frederick County Sanitation Authority Waterworks Construction Permit No. 200112 01/10/2012 Page 2 This Waterworks Construction Permit is issued in accordance with Title 32.1 of the Code of Virginia and 12VAC5-590 et seq. of the Waterworks Regulations. This is your authorization from the State Health Commissioner to construct additions to the subject waterworks in accordance with the approved documents. Any deviations from the approved documents affecting capacity, hydraulic conditions, operating units, the functioning of the treatment processes, or the water quality delivered, must be approved by this Office before any such changes are made. Revised plans and specifications shall be submitted to the Lexington Field Office in time to permit review and approval before construction. Upon completion of construction, the owner shall submit a statement signed by a professional engineer licensed in Virginia certifying that the work was completed in accordance with the approved documents. Upon receipt of this statement, satisfactory results of bacteriological analyses, and final inspection by an Office representative, the State Health Commissioner will amend the Authority's waterworks operation permit in accordance with the Regulations. If we can be of additional assistance, please contact Harold T. Eberly, District Engineer in our Lexington Field Office, at 540-463-7136, Ext. 108. Sincerely, Wesley e ne , Directo ffce of Drinking Water HTE: bt Enclosure(s) / cc: Greenway Engineering, Inc. - Attn: Randy L. Kepler, P.E. v Frederick County Health Department - Attn: Charles Devine, MD, MPH, District Director Frederick County Administrator - Attn: John Riley Frederick County Building Official - Attn: John S. Trenary VDH - ODW - Lexington Field Office VDH - ODW - Central Office RF-VISED FINAL PLAT FOR MINOR RURAL SUBDIVISION 0) OF A PORTION Or THE LAND OF M) ROOM Y M CA UPEN MR A NV I. YNDA 0. G'A WEN MR 'MUSTt �r- 8 or, ITE GA RP E. J V I P-1-1 PA M/1- Y L A ND MUS Y GAINESRORO WGISTERML DISTRICT, FREDERICK COUNTY, ORGINIA IVY 31, 2011 ............. Oad ............... 4- 0C7 .............. Round Hill ,5 Tc— IV 0 a_ orUmantern P11(o `6� ) l4Q6 ound Hill 110(7 R- d JfAP I Nq Vj Or G OWNER'S CERTIFICATE WE ABOVE AND FOREGOING SUBDIVISION OF A POR77ON OF TIME LAND OF ROBERT N. CARPENTER AND LYNDA C. CARPENTER, TRUSTEES OF THE CARPENTER FAMILY LAND TRUST, AS APPE4S ON THE ACCOMPANYING PLATS, IS WITH THE FREE CONSENT AND IN ACCORDANCE WITH DESIRES OF UNDERSIGNED OWNERS, PROPRIETORS, AND TRUSTEES, IF ANY. 2 COMMONWEALTH OF VIRGIN CITY / OU OF-J]-ceJeci(-v- , To Im- jo OGOING OWNER'S CERTIFICATE WAS ACKNOWLEDGED BEFORE AiE THIS -744-1 DAY OF JL)(Ic', 2 OL (J— 0 .,\ 0 By Rtmber. 0(Av7A,k1)-j-,,r a,v)d, Ot4eMr.-r- AfY COAfAf1SJION EXPIRES C7P b 20J CI REGISTRATION No. 2-Cl NOTARY PUBLIC SURVEYOR'S CERTIFICATE I HEREBY CERTIFY THAT THE LAND CONTAINED IN THIS SUBDIVISION IS A PORTION OF THE LAND CONVEYED TO ROBERT N. CARPENTER AND LYNDA C. CARPENTER, TRUSTEES OF THE G4RPENTER FAMILY LAND TRUST BY DEED DATED NOVEHRER 2, 2007 OF RECORD IN THE FREDERICK COUNTY CIRCUIT COURT CLERK'S OFFICE AS INSTRUMENT No. 07001760J. RICHARD A. EDENS, L.S. NOM SENT TAX 8A1?fFLLQWJff-A1ZQN TAI. 52-A-47 156,670 ACRES1- ZONE.- RA USE RESIDENWIAGRICULTURAL APPROVALS: --- jbT ERICK COUNTY HEALTH DEPARTMENT -q0-ATE 11 0hi ORMIA DEPARTMENT OF SPORTAROM AME RICHARD A. EDENS 5. Lic. No. 2550 FREDERICK COUNTY SUBDIVISION ADMINISTRATOR DA TE GREENWAY ENGINEEMIM69 11.1c, 8 U 151 Windy lliflLaic Wouo Engineers Winchester, Virginia 22602 Surveyors Telephone: (540) 662-4185 EAX.• (540) 722-9528 4928S SHEET I OF 4 roullitelf in 1971 iviviv.greenivayeng.cons SUBD 11-03 �p �o a05� y2.t� SFtS,h�� ft���• G•G oc, ag PGIRS o 01"h2235 g SKYVIF*W LAMY N 20' R/17 (PRNATE) SEE DB 156 PG 62 & DB 528 PG 384 - °IRS N 5749'14" IV 115.50' / GATE- NOTE SEE SHEET 4 FOR NOTES, LEGEND, LINE DATA CURVE DATA AND AREA TABULARON. 0 v z 100 0 100 GRAPHIC SCALE (IN FEET) II II II II ttG �Et G tt , 10 10 G OG OoIE ��1P FDU � tt 6 52.74' N 80' 19'49" £" 157.73'lot 'o IRS 50' EASEdlENT FOR INGRESS AND EGRESS � SEE DETNL SHEET 3 4 �7 C1 2 J I •ilUm rn O h &� a 11 36'40'43" E 66.95' TO IRF IRS Yp KA1. 52-A-46 \ LAURA c. CA4/PBELL 222'.t TO (FORHERLY LAURA C. BURLEY) \ POORHOUSE RD. D8 861 PG 737 RTE. 654 ZONE. RA USE. RESIDEN77AL I i r I 2.00 ACRES3 REVISED FINAL PLAIT FOR BINOR RURAL SUBDIVISION �ha OF A PORTION OF THE LAID OF r;,��7,TH Of y`��r. MUSTt,--ED ©P TRY CAWEN TAU FAAQ Y L A T17USY � GAINESBORO LMGISTERML DISTRICT, FREDERICII COUMY, 14RGIN14 RICHARD A. EDENS SCALE: 1 " = 100' DATE. • AMY 31, 2011 Lic. No. 2550 151 Mindy t1illLynne I V&� SURv�'� } �J Enbureers Winchester, Voginia 22602 tiP� ¢ �,, / Surveyors Telephone: (5,10) 662-4185 w"4 F�iX.• (540) 722-9528 4928S SHEET 2 OF 4 Founded in 1971 www.greenwayeng.com SUBD 11-03 �I I II I II II s J6"40'43" k✓ - 311.50 RESIDUE OF 1:1.1. 52—A-47 ROBERT N. CARPENTER & LYNDA C. MPENTER, TRUSTEES OF THE CARPENTER FAMILY LAND TRUST INST. No. 070017603ZONE: RA USE. 151.665 A RES:L• RELIMNING (BY SRICULTUUBUMC O1J) N 80' 19'49 " E 15Z73' 'o IRS 25' �� • ''`�'.:�;•.•.:.,� ..• •, . • • / ' IIATCHEO AREA DENOTES . � 25• •. \ A VARiAlILE WIDTH SIGHT DISTANCE •�.•.. • . • ''.'.' I ' '•' \ EASEMENT HEREBY r DOT-SHADF_0 AREA DENOTES \ \';'.'., " I G LD DEDICATED TO A 50' PRIVATE EASEMENT FOR \ :.: . I I FREDERICK COUNTY. INGRESS AND EGRESS HEREBY ��•:.;. '•.;L6 ESTABLISHED FOR THE BENEFIT \ •. '•'c I ..'• OF NET/ TAX PARCEL 52—A -47A. �,. �•' 0.74 HILE± To i IRS HATCHED AREA DENOTES A VARIABLE MOTH SIGHT DISTANCE EASEMENT HEREBY DEDICATED TO FREDERICK COUNTY. (9 RESIDUE of T.M. 52-A-47 ROBERT N. CARPENTER & I LYNDA C. CARPENTER, TRUSTEES OF 771E CARPENTER I FAMILY LAND TRUST I INST. No. 07001760J I y ZONE. • RA I I USE: RESIDENTIAVAGRICULTURAL 151.665 ACRES• REAMING � I (BY SUBTRACTION) I T H. 52—A-46 LAURA C. CAMPBELL (FORA IERLY LAURA C. BURLEY) OD 861 PG 7J7 70NE• 21 USE• RESID i 2.00 ACRESI I NOR M%ESTERN 1 PIKE U.S. ROUTE 50 100 0 100 GRAPHIC SCALE (IN FEET) ,NOTE SEE SHEET 4 FOR LINE LIATA, CURVE DATA, LEGEND, NOTES AND AREA TABULATION. REVISED l7NAL PLAT FOR HINOR RURAL SUBDMSION OF A PORTION OF THE LAND OF nOVERT IV CAWNTER AND L yADA G. CARPENTER, 717USTEE8 O M CARPER En NAM Y LAW TRUST GAINESBORO WGISTERW DISTRICT, FREDERICK COUNTY, ORGINIA SCALE.- 1 " = 100' DATE' AMY 31, 2011 GREEN AY ENGINEERMA9 mc, 151 Windy Flill Lane Engineers Mijehester, Vrginin 22602 Surveyors Telephone: (5,10) 662-4185 TAX: (540) 722-9528 Founded in 1971 svivw.greenwayeng.com TH pr RICHARD A. EDENS b Lic. No. 2550 `6"-31•-rl SUR��ItO�'�l� 14928S SHEET 3 OF 4 1 LINE DATA LINE BEIRING DISTANCF. Ll 52'48:34" E I1J.I2' L2 _N S 6 229 0 'E 28.65' L3 S 45-06 J1 " E 206.6J' L4 S 422901 E 1JZ77' L5 N 47'59 J6 17 343.04 L6 N 19'07'52" w 53.82' UNE DATA L7 S 45'06 3I E 4G.7J LO N 45'06 31 " W 4.05' L 9 N .3745 2'-7"I % 75.44' L 10 N 24'53 20" IY 60.65' L 11 N 14'57 J 1 " 1V 9G.21 ' L 12 N 09'J749' IV 16J.32' L13 S 19'0752" E r LIMi r I]ATA CURVE DELTA ANGLE RADIUS ARC LENG7lf TANGENT CHURD QEARINC CHORD LENGIIf C 1 J4'00 56" 150.00 69.05 45.66' N J5'4B 06 EE B7.75 C2 JT49 24 150.00 99.02 51.J9' N 71'4J 16 E 97.2J C3 465756" 150.00' 22.96' 65,17' N 67-09'00" E 119.54' AREA TAR(AAMN t .LIT S-A-4Z BRL a BUILDING RESTRICTION LINE EXISTING AREA OF TM 52-A-47 IRF = 1/2" IRON REL34R FOUND (PER DO 656 PG 175) = 156.670 ACRES:L- IRS 1/2' IRON REBAR do CAP SET LESS NEI'f TAX PARCEL 52-A-47A PDF = PROPOSED DRAIWELD SITE (BY CURRENT SURVEY) = - 5.0050 ACRES PI'f = PROPOSED WELL SiTE RESIDUE OF TAX PARCEL 52-A-47 - 151.665 ACRESI: RSF = RAILROAD SPIKE FOUND (BY SUBTRACTION) � BOUNLINIY INFORAIA77ON SHOWN ON THIS PLAT iS BASED ON A CURRENT FIELD SURVEY BY THIS FIR11. 2. NO TTILE REPORT FURNISHED, EASEMENTS AMY EXIST iyuvi ARE NOT SHOWN. 3. 771E PROPERTY SHOV/N HEREON LIES ENTIRELY w[m FLOOD ZONE X, AREAS DEIER INEO TO Be OUTSIDE THE 0.2x ANNLGII. CILWCE FLOODPLAIN, PER N.F.LP. FLOOD INSURANCE WE 114P No. 51069CO2050, DATED SEPTEWER 2, 2009, 4. 111/5 PLAT DEPICTS A REVISION TO THE BUILDING RESTRICTION LINES ON ME LOT PER CLIENT REQUEST AND IS INTENDED TO SUPERCEDE THE PREVIOUS PUT DATED AUGUST 26, 2010 AND REVISED DECEAIBER 2, 2010 OF RECORD AS IN57RU1.IENr No. 110004J54. lnnrQ.,s(Enrass Easomant Nota: The proposed private drivoway/road shown hereon is not built according to street specifications of and will not be maintained by, the Virginia Department of Transportation or Frederick County. The improvement and maintenance of said drivoway/rood shall be the solo responsibility of the owners of lots which are provided will) access via the drivoway/ rood. Said driveway/roads will riot be considered for inclusion into the state secondary system until they meet the applicable construction standards of the Virginia Department of Transportation. The cost of bringing said drivowoylroad to acceptable standards shall not be home by the Virginia Department of Transportation nor by Frederick County. .Health Npartmant Nota: This subdivision is approved for individual onsito sowago systems in accordance with the provisions of the Coda of Virginia, and the Sewage Handling and Disposal Regulations (12 VAC 5-610-10 et seq., the 'Regulations), (and local ordinances if the locality has authorized the local health department to accept private evaluations for compliance with local ordinances). This subdivision was submitted to the Health Department for review pursuant to §J2.1-16J.5 of the Code of Virginia which requires the Health Deportment to accept private soil evaluations and designs from an Authorized Onsito Soil Evaluator (AOSE or a Professional Engineer working in consultation with on ROSE for residential development. Me Department is not required to perform a field check of such evaluations. This subdivision was certified as beinq to compliance with the Board of Hoolth s regulations byy: Barry R. Hadley, AOSE 11940000096 (540-662-4185). This subdivision approval is issued in rofanca upon that certification. Pursuant to §J60 of the Regulations this approval is not an assurance that Sewage Disposal System Construction Permits will be issued for any lot in the subdivision unless that lot is specifically idontifiod as having on approved site for an onsito sewage disposal system, and unless all conditions and circumstances are present at the time of application for a permit as are present at the time of this approval. This subdivision may contain lots that do not /love approved sites for onsito sewage systems. This subdivision approval is issued in reliance upon the certification that approved lots are suitable for "traditional systems," however actual system designs may be different at the time construction permits are issued. REVISED FINAL PLAT FOR AMOK RURAL SUBDMSION r OF A POR77ON OF THE LAND OF ��, ,�jALTH p�''Gfgl, ���I R�i9FRT N CARPENTER ARID L YNDA G. CARPENTER, o� TRUSTEES Op TIE CARP NfC-R FA MIL Y L AAD TRUST o� �F�� GAINESBORO AA�tGiSTERIAL DISTRICT; FREDERlCK COUNTY, VIRG/N/A RIC ARD A. DENS LTC. No. 2550 5'-3� -I .,�,Ots l) SCALE: N/A DATE: AIRY J1, 2011 �q'qy ��Mr�a ggpp���y ��!!�@�ppyy y��aa BEEN WAY EK1l6�ACF1E&:N"iltiM!'19 Inc. 151 Windy Hill Lane Engineers Winchester, Virginia 22602 �,`rVd S R�j�t�rF't ae?,q+ �, _ Surveyors. Telephone: (540) 662-4185 49285 SHEET 4 OF 4 F.ix.• (540) 722-952e SUBD 11-OJ--_, Founded in 1971 Ivmv.greemvayeng.coni CDCD vwGimiv FR,-AFRICK COUNTY.SO'. Thk ilistrilillcill of writing %%;i.N produced to the ou arid txi I It cc I I i I ical'. :tcklimt let! n It lie I -et I ;III llexet, 'Jimilal to record. '1';i\ impowd by Sec. 58, 1-802 of ,$-4-2c and 5",). 1 -801 lla%v been paid. if' -ammesmililt: )Dj b c W E a a aU W a Q CO WU? v 03 V .a N yra~3 z w as O 120003696 THIS DEED OF GIFT, made this 14th day of March , 2012 from PETTICOAT GAP LANES LLC, a Virginia limited liability company, party of the first part, hereinafter called the Grantor, to FREDERICK COUNTY SANITATION AUTHORITY, a Virginia corporation organized and existing under the provisions of the Virginia Water and Waste Authority Act (Section 15.2-5100, et seq., Code of Virginia, 1950, as amended), party of the second part, hereinafter called the Grantee. WITNESSETH: That for and in consideration of the benefits to accrue thereby to each of the parties and without monetary consideration, Grantor does hereby grant and convey unto the Grantee, with Special Warranty of title, in fee simple absolute, all that certain tract or parcel of land containing 0.0918 acre (4,000 square feet, more or less) and further identified as New Tax Parcel 53-A-A2 on the plat of survey drawn by Richard A. Edens, L.S., dated June 7, 2010, revised October 5, 2011, attached hereto and by this reference made a part hereof as if set out in full, together with a temporary thirty foot (30') wide easement for ingress and egress over the residue of Tax Parcel 53-A-Al for the benefit of new Tax Parcel 53-A-A2 until such time as the alternative access to future public street is available, all of which is shown on the aforesaid attached survey drawn by Richard A. Edens, L.S., dated June 7, 2010, last revised February 27, 2012, attached hereto and by this reference made a part hereof as if set out in full; and being a portion of the same land conveyed to Petticoat Gap Lane, LLC by Deed dated August 11, 2004, of record in the Clerk's Office of the Circuit Court of Frederick County, Virginia, as Instrument No. 04-0015980. The Grantee joins in the execution of this Deed for the sole purpose of evidencing its acceptance of the conveyance of the heretofore described real estate. The remainder of this page is intentionally left blank. A w w Pagel of 3 CD WITNESS the lbllowing signature and seal: --- �~1 cn PETTICOAT GAP LANE, L C By AL) aun Petracca, Member/Manager STATE, OF WEST VIRGINIA CITY/COUNTY OF M ORI Or/ , to -wit: The foregoing instrument was acknowledged before me this �'lh day oI ,C,h_, 2012, by Shaun Petracca, Member/Manager of Petticoat Gap Lane, LLC, a Virginia limited liability company. ` Al 1 My commission expire Registration No.: Notary Public OFFICIAL SEAL GERALDINE B. PITROLO wyrmy PLOW STATE VOOltilA • • 11%AsbnP4 FsVfMnL WV `••+� "M wlOffyriftwE961011.1S4pld Page 2 of 3 CD WITNESS the following signature and seal: cs FREDERICK COUNTY SANITATION dRITY •. _, By: (SEAL)q)• C e Weindel COMMONWEALTH OF VIRGINIA COUNTY OF FREDERICK, to -wit: The foregoing instrument was acknowledged before me this day of i 1 ` 2012, by Uwe Weindel, EMjrr r• fltrecV)f of Frederick County Sanitation Authority. My commission expires: Registration No.: 526`_ E A LONG PUBLIC Nota Public N 8 7266281ryTH OF VIRGINIA COMMISSION N20131RES Page 3 of 3 ' � J DEDICATION PLAT FOR F.C.S.A. WATER BOOSTER STATION LOT OF A PORTION OF THE LAND OF , LL C PETTICOAT GAP LANE GAINESBORO MAGISTUM DISTRICT, FREDERICK COUNTY, KIWIN14 JUNE 7, 2010 REVISED: FEBRUARY 27, 2012 Round Hill %"jE w cro `\ �� Uo city of Winchester Coin °nth west � o ti ern St. �0 pike o4i �mrerst t)!s ' t M Round Hill RoadI Dbtrkt w&w RaHrood 3a c VICINITY � , �LN , OWNER'S CERTIFICATE THE ABOVE AND FOREGOING SUBDMSION AND DEDICATION OF A PORTION OF THE LAND OF PETTICOAT GAP GONE, LLC, AS APPEARS ON THE ACCOMPANYING PLATS, IS WITH THE FREE CONSENT AND IN ACCORL14NCE WITH THE DESIRES OF THE UNDERSIGNED OWNERS, PROPRIETORS, AND TRUSTEES, IF ANY, etracca, e r Manager IUc STATE OF WEST VIRGINIA CITY / COUNTY OF ! , TO WIT. THE FOREGOING OWNER'S CERTIF1Cr4TE WAS ACKNOWLEDGED BEFORE ME THIS %`z DAY OF 20-.L?— BY yr OfFIC1A1 SEAL GERALDINE B. PITROLO MY COMMISSION EXPIRES 20 WTMY STATEOF REGI57R477ON No. A) JA- SURVEYOR'S CERTIFICATE I HEREBY CERTIFY THAT THE LAND CONTAINED IN THIS SUBDMSION IS ALL OF THE LAND CONVEYED TO PETTICOAT GAP LANE, LLC, BY DEED DWED AUGUST 11, 2004 OF RECORD IN THE FREDERICK COUNTY CIRCUIT COURT CLERK'S OFFICE AS INSTRUMENT No. 040015980. 4 RICHARD A. EDENS, L.S. NOTE.• PARENT TAX 849M II E NTIFl TION T.M. 53 A-A1 4.9830 ACRES ZONE.- RA USE., VACANT APPROVAL: H 01y,� ERICK NTY SANITATIO AUTHORITY DA /DA v RICM A. EDENS EDERICK COUNTY BDMS/ON ADMINISTRATOR 7E Lic. No. 2560 GREENWAY ENGINEERING, mc. le2_Z7-tx 151 Windy Hill Lane V�`� Engineers gin ors Winchester, Vuginia 22602 SUR Suiil�' Telephone: (540) 662-4185 4928S SHEET 1 OF 4 FAX. (540) 722-9528 Founded in 1971 www.greenwayeng.com SUED 10-03 C ,6 Q N 22' 15'12' E 1.J6a'f TO U.S ROUTE 50 130.30' NOR1�`1K'£STERN PIKE IRSo• , DOT -SHADED AREA DENOTES A TEMPORARY RETAL Z? VA p p IRE 30' EASEMENT FOR INGRESS AND EGRESS. 84' R/W - INST-No. 04GID17251 SEE SHEET 3 FOR DETAIL. TR .; NEW TAX PARCEL 53 A A2 zi ZS o10 99 0.0918 ACRE 4R 4, 000 SQ. FT. N a GM — p SEE SHEET 3 FOR DETAIL m �11 VARIABLE WIDTH SLOPE EASEMENT . • ' , J INST. No. 040022080 APPROXIMATE LOCATION OF 2 1 15' POWER AND TELEPHONE EASEMENT (� �I INST. No. 050021987 10' GAS EASEMENT T —INST NST. No. 06000J776 WOO gg0 o0F0'�p� 5 I GM �' a ` NNg� I I LQ ao �l •IP �o�^ .� TR I TR 2 ^ •:�� o Air RESIDUE 4F TAX CHA/NLINK L"i PARCEL 53 A A I FENCE 4 8912 ACRES 6 Q SSHEET 4 FOR VARIABLE WJDTH LEGEND, NOTES, AREA SLOPE EASEMENT y i TABULATION AND KEY INST No 040022080 TO ADJOINING S 32'4725' W 134.21' Vi1 O�yEtO T.M. 53 A-73 No BQTAWAL-jZ"—EVARD 84' R/W - INST. No. p8DO06461 10' GAS EASEMENT PROPERTY OWNERS INST. No. 06000J776 APPROXIMATE LOCATION OF 15' POWER AND TELEPHONE EASEMENT INST. No. 050021987 EGW LAM !pF /-20' RIV (PRIVATE) DB 267 PG 166 1?4� 20D 0 200 0 zoNE B?1 B GRAPHIC SCALE (IN FEET) DOICA77ON PLAT FOR F.C.S.A. WATER BOOSTER STATION LOT OF A PORTION OF THE LAND OF PETTICOAT GAP LANE, LL C "NESBORO AIAGISM?W DISTRICT, FRO RICK COUNTY, WRGIN14 SCALE: I' = 200' 1 DATE- JUNE 7. 2010 GREENWAY ENGINEERING, INC. 151 Windy Hill Lane Engineers Winchester, Virginia 22602 Surveyors Telephone: (540) 662-4185 FAX.' (540) 722-9528 Founded in 1971 www.greenwayeng.com REVISED: FEB. 27, 2012 A �LTH jr, FIMM4� x Lic. No. 2550 4928S SHEET 2 OF 4 SUED 10-03 C C C M 0 W68'f ro U.S. RouTE 50 NORTHWESTERN PIKE - IRS MrA LgB RpILEVAIRD lA No. 040017251 N 22.1s'1z" E 730.30' \ DOT SHADED AREA DENOTES A TEMPORARY JO' EASEMENT FOR INGRESS AND EGRESS °f\h::`•.:}:::;;::::' HEREBY ESTABLISHED, :i OVER THE RESIDUE OF TAX PARCEL 53 A -A 1 AND FOR THE BENEFIT OF NEW SUCH UNTIL TIME AS ALTERNATE ACCESS T RMRE STREET ISUBLIC AVAILABLE. N 18'2342" El 50 fV 1I IRS o ' :30.00.' _ IRS �. F 5' BRL 1 I I o' 1 rJ IRS Iq 10' GAS EASEMENT INST. No. 0600OJ776 NEW TAX PARCEL .._, 53 A A2 0.0918 ACRE OR 4, 000 SO. FEET 5 BRL _ I �5 7136"18" E ORS 80.00' _ S 18'23142" W cM� \ 5n_ nn I I 1 \ \ 1 cp \ 1 A \ 1 1 1 1 \ RESIDUE OF TAX PARCEL 53-A-A 1 SEE SHEET 2 APPROX. LOCATION OF — 15' POTTER & TELEPHONE ,.1 EASEMENT I I I INST. No. 050021987 1QIE SEE SHEET 4 FOR LEGEND, NOTES, AREA TABULA77ON AND KEY TO ADJOINING PROPERTY OWNERS DEDICATION PLAT FOR F.C.S.A. WATER B0057ER STATION LOT OF A PORTION OF THE LAND OF PET TICOA T GAP LANE, LL C p1AN C�F 0 5980 µET VARIABLE WIDTH SLOPE EASEMENT INST. No. 040022080 dr 040017255 ca A M 2 40 0 40 GRAPHIC SCALE (IN FEET REVISED: FEB. 27, 2012 GAINESBORO MAGIS7FRAL DISTRICT, FREDERICK COUNTY, NRGINW SCALE: 1 " = 40' 1 DATE.• JUNE 7, 2010 /tN GREENWAY ENGINEERING, INC. 151 Windy Hill Lane ,***IV Engineers Winchester, Virginia 22602 Surveyors Telephone: (540) 662-4185 FAX. (540) 722-9528 Founded in 1971 www.greenwayeng.com ,�.LTH o14 f RICHARD A. EDENS 5 Lic. No. 2550 0 sup 4928S SHEET 3 OF 4 SUBD 10-OJ BRL = BUILDING RESTR/CTION LINE GM = GAS LINE MARKER POST IRF = 5/8" IRON REQAR FOUND IRS = 1/2" IRON REBAR & CAP SET PP = POWER OR OTHER UTILITY POLE TP = TELEPHONE PEDESTAL TR = POWER 7RANSFORMER BOX = OVERHEAD UTILITY WIRES --- = FENCE LINE D(IS77NG AREA OF T.M. 53 A A 1 LESS NEW TAX PARCEL 53—A A2 RESIDUE OF TAX PARCEL 53—A A 1 KEY MQINING PMM OWNERS T.M. 52 A—B WINCHEST ER WAREHOUSING, INC. dt SILVER LAKE, LLC AO INST No. 0JO016328 SEE INST No. 040017251 ZONE- B2 USE. VACANT 28.17 ACRES± T.M. 53—A-68 WINCHES7FR MEDICAL CENTER © INST. No. 000012098 SEE INST. No. 090008610 ZONE- 82 dt MS USE. VACANT 92.62 ACRES± TRACT 1 T.M. 52—A—D WAL—MART REAL ESTATE OC BUSINESS TRUST INST. No. 040017257 ZONE: B2 USE.- COMMERCIAL 20.53 ACRES± 4.9830 ACRES — 0.0918 ACRE 4.8912 ACRES .NO 1. NEW TAX PARCEL 53—A A2 IS HEREBY DEDICATED IN FEE SIMPLE TO THE FREDERICK COUNTY SANITATION AUTHORITY. 2. THE BOUNDARY INFORMATION SHOWN ON THIS PLAT IS BASED ON A CURRENT FIELD SURVEY BY THIS FIRM. 3. NO 777LE REPORT FURNISHED. EASEMENTS MAY EXIST WHICH ARE NOT SHOWN. 4. THE PROPERTY SHOWN HEREON LIES ENTIRELY WITHIN FLOOD ZONE X, AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN, PER N.F./.P. FLOOD INSURANCE RATE MAP No. 510690204D, DATED SEPTEMBER 2, 2009. Ingm=Za[ess fjUemelit Note:. The proposed private driveway/road shown hereon is not built according to street specifications of and will not be maintained by, the Virginia Department of Transportation or Frederick County. The improvement and maintenance of said driveway/road shall be the sole responsibility of the owners of lots which are provided with access via the driveway/rood. Said driveway/roads will not be considered for inclusion into the state secondary system until they meet the applicable construction standards of the Virginia Department of Transportation. The cost of bringing said driveway/road to acceptable standards shall not be borne by the Virginia Department of Transportation nor by Frederick County. DEDICATION PLAT FOR F.C.S.A. WATER BOOSTER STATION LOT REVISED: FEB. 27, 2012 OF A PORTION OF THE LUVD OF i,TH 0 PET T/COA T GAP LANE, LL C 0 GNNESBORO ANGISIFROL DISTRICT, FREOERICK COUNTY, WRGIN14 0 � A` ` �. SCALE.- iVA L AT F• JUNE 7, 2010 0 RICH,ARD A. EDENS Lic. No. 2550 GREENWAY ENGINEERING, INC.-Z7-�- 151 Windy Hill Lane�� Engineers Winchester, Virginia 22602 SU Surveyors Telephone: (540) 662-4185 FAX.- (540) 722-9528 4928S SHEET 4 OF 4 Founded in 1971 www.greenwayeng.com I SURD 10—OJ 0 VIRO NIA: FRr-'DERiCK COUNTY.SCT. 'Phis instrument of writing was produced to me on at and with certificate acknowledgement thereto annexed was admitted to record. Tax imposed by See. 58.1-802 of and 58.1-801 have been paid, if assessable. 4U4 I-d , Clerk 2 SITE PLAN APPLICATION - Office Use Only J/ l Date Application Received: Application #: c W Fees Received: Receipt #: !� ��C� Initials: I) (� Project Title: Round Hill Water Tank and Booster Station Location of Property (Street address) on Route 50 West off Lutheran Home Boulevard 3. Applicant/Designer: Name: Greenway Engineering, Inc Address: 151 Windy Hill Lane Winchester, VA 22602 Telephone: 540-662-4185 4. Property Owner (if different than above): Name: Frederick County Sanitation Authority Telephone: 540-868-1061 Address: PO Box 1877 Winchester, VA 22604 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) s3 - A- A\ 52 A-4 E_5 A-50A, _8�_52-A-G-- 1.17 1.17 Grass field, Vacant Public Utility - Water Line Gainesboro �,� h' I- 11 8 1 r 6. Site Plan Type: Yes I No a. Is this an original or new site plan? I I b. Is this a revised site plan? Yes El No IL If yes provide all previous site plan numbers: Yes Il No C. Is this a minor site plan? If yes provide all previous site plan numbers: 7. Zoning Information: a. Current Zoning: RA & B2 b. Was this property Rezoned'? Yes No C. If yes provide the rezoning number for this property: d. Are there any proffers for this property? Yes No e. Has a MDP been approved for this property? Yes F] No f. If yes provide the MDP number for this property: 8. Adjoining property zoning and use: USE North Residential/Commerical East Residential South Residential/Commerical West Residential ZONING RA, B2 RA RA, B2 RA I have read the material included in this package and understand what is required by the Frederick County Planning Department. I also-�ui /derstnd tha all • quired material will be complete prior to the submission of my site plan. Signature: �.. Date: 7" n i' ZO t 1 9 0 REQUEST FOR SITE PLAN COMMENTS Frederick County Department of Planning & Development Mail to: Frederick County Department of Planning & Development 107 North Kent Street, Winchester, Virginia 22601 Phone: (540) 665-5651 • Hand deliver to: Frederick County Department of Planning & Development 107 North Kent Street, 2"d Floor Winchester, Virginia 22601 Applicant: It is your responsibility to complete this form 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: Greenway Engineering, Inc Telephone: 540-662-4185 Mailing Address: 151 Windy Hill Lane Winchester, VA 22602 Name of development and/or description of the request: Round Hill Water Tank and Booster Station Location of Property: on Route 50 West off Lutheran Home Boulevard Department of Planning & Development Comments: Date Received _ Date Reviewed _ Revision Required Signature & Date: -PLANNING DEPARTMENT USG ONLY- Review Number 1 2 3 4 5 (circle one) Date Approved ** Please Return Form to Applicant** 16 Special Limited Power of Attorney . County of Frederick, Virginia Prederick Planning Web Site: Department of Planning; & Development, County of Frederick, Virginia, 107 North Kent Street, Suite 202 Winchester, Virginia 220111 Facshnile 540-665-6395 Phone 540-665-5651 Know All Men By These Presents: Thal I (We) (Nance) Petticoat Gap 4.ane, Lt.0 (Phone) 304-365-3770 (Address) 219 Monroe Street, Suite 100 Fairmont, WV 26554 the owner(s) of all those tracts or parcels of land ("Properly") conveyed to me (us). by deed recorded in the Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by Instrument No. Q40042684 on Page and is described as Parcel: 53 Lot: Block: A 1 Section: A Subdivision: do hereby make, constitute and appoint: (Name) Greenway Engineering. Inc. (Phone) (540) 6624185 (Address) I51 \Vindy Hill Lane Winchester, VA 22602 To act as my true and lawful attorney -in -tact 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 for my, (our) above described Property, including: ❑ Rezoning (Including proffers) ❑ Conditional Use Permit ❑ rviaster Development Plan (Preliminary and Final) ❑ Subdivision ® Site Plan ❑ Variance or Appeal ❑ Co►nprellensive Policy Plan Antendinent 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. In witness thereof, I ( Signature( hand and seal this 12,,day o fa,f�k��-avL-z State of Virginia, City/County of!"/'/Qn._ To -wit: D I D� , n5 a Notary public in and for the jurisdiction aforesaid, certify that the person(s) who signed to the foregoing instrument and who I (are) known to ate, personally appeaf�f�d before me and has ackno ledged the same before me in the jurisdiction aforesaid this ,/� day of[(�, 20Q 2_ . �- AUA'v _ My Commission Expires: � Q O/C� Notary Publ' Registration It: _ __-----___--- IZcviscd 3/1 r OFFICIAL SEAL ��4wesry NOTAnY PUBLIC 1 STATE of WEST VIRGINIA CRYSTAL n. ROLLINS My 1 STRATF•ORD COURT BRIDGEPORT, WV 26330 commission oxpires July 3, 2010 GREENWAY ENGINEERING 151 Windy Hill Lane Founded in 197/ Winchester, Virginia 22602 TRANSMITTAL Project Name: Round Hill Booster Pump Station Site Plan File No: 4928S Date: Wed, May 9, 2012 To: FC Planning Attn: Candice Perkins Copied Delivery: ❑ Fed Ex ❑ Other_ ❑ U.S. Mail From: Randy Kepler/dlm GREENWAY ENGINEERING Phone: 540-662-4185 Fax: 540-722-9528 ❑� Courier ❑ Pick Up ❑ Urgent ❑� For Your Review 0 As You Requested R Please Comment Message Candice, Per your request, attached is the following for final approval signature: -6 copies of the Frederick County Sanitation Authority Round Hill Booster Pump Station Site Plan NOTE: Please return 4 signed copies to our office. Thank you for your assistance. DEC 1' J V AV 9 2012 � FREDERICK COUNTY pI ! rq"!infr r DFVR OPMENT Hand Delivery and Pick Ups Only: Received by: Date: Please Print Name: GREENWAY ENGINEERING 0 1 r - 151 Windy Hill Lane MAY 8 2012 1 Founded in 1971 Winchester, Virginia 22602 , FRLO;-tiiCK COUNTY t TRANSMITTALP'+ "�`V=t.`ENT Project Name: Round Hill Booster Pump Station Site Plan File No: 4928S Date: TLtes, May 8, 2012 To: FC Planning_ Attn: Candice Perkins Copied Delivery: ❑ Fed Ex ❑ Other_ ❑ U.S. Mail From: Randy Kepler/dlrn GREENWAY ENGINEERING Phone: 540-662-4185 Fax: 540-722-9528 0 Courier ❑ Pick Up ❑ Urgent 0 For Your Review ❑ As You Requested 0 Please Comment Message Candice, Attached is the following for your review and approval: -2 copies of the Frederick County Sanitation Authority Round Hill Booster Pump Station site plan approved by FCSA on 5/3/ 12 -Site Plan approval letters from FCSA, Public Works, VDH-Office of Drinkning Water, Fire Marshal, Airport, VDOT, and Inspections -Copy of the recorded Plat titled: "Dedication Plat for FCSA Water Booster Station Lot of a Portion of the Land of Petticoat Gap Lane, LLC" As always, thank you for your assistance. Feel free to contact us with any questions or need for additional information. Hand Delivery and Pick Ups Only: Received by: Date: Please Print Name: JL GREENWAY ENGINEERING 151 Windy Hill Lane Founded in 1971 Winchester, Virginia 22602 TRANSMITTAL Project Name: Round Hill Booster Pump Station Site Plan File No: 4928S Date: Mon, Mar 19, 2012 To: FC Planning Attn: Candice Perkins Copied Richie Wilkins (Ix courier) Delivery: ❑ Fed Ex ❑ Other_ ❑ U.S. Mail From: Randy Kepler/dlm GREENWAY ENGINEERING Phone: 540-662-4185 Fax: 540-722-9528 ❑� Courier ❑ Pick Up ❑ Urgent ❑� For Your Review ❑ As You Requested 0 Please Comment Message Candice, Attached is the following for your review and approval: -2 copies of the revised Frederick County Sanitation Authority Round Hill Booster Pump Station site plan per FCSA comments based on water tank removal -Signed/notarized Special Limited Power of Attorney form -Site Plan approval letters from VDH-Office of Drinkning Water, Frederick County Public Works, Fire Marshal, and Airport As always, thank you for your assistance. Feel free to contact us with any questions or need for additional information. Hand Delivery and Pick Ups Only: Received by: Please Print Name: Date: AP n n 4 J �2012 a GREENWAY ENGINEERING -�' 151 Windy Hill Lane Founded in 1971 Winchester, Virginia 22602 TRANSMITTAL Project Name: Round Hill Waterline, Booster Pump Station, & Water Tank File No: 4928S Date: Mon, Oct 17, 201 1 To: FC Planning Attn: Candice Perkins Copied From: Randy Kepler/dim GREENWAY ENGINEERING Phone: 540-662-4185 Fax: 540-722-9528 Delivery: ❑ Fed Ex ❑ U.S. Mail ❑� Courier ❑ Pick Up ❑ Other ❑ Urgent Fv] For Your Review 0 As You Requested ❑ Please Comment Message Candice, Per your request, attached is the following: -Site Plan Application review fee check for $2,734.00 NOTE: Please add to the site plan submittal package previously delivered to your office on October 7, 2011 Thank you. Contact us with any questions or need for additional information. Hand Delivery and Pick Ups Only: Received by: Date: � L: i OCT 1 1 2011 r- — Please Print Name: P17 �J[ - GREENWAY ENGINEERING 151 Windy Hill Lane U Founded in 1971 Winchester, Virginia 22602 TRANSMITTAL Project Name: FCSA-Round Hill Booster Pump Station and Water Tank File No: 4928S Date: Fri, Oct 7, 2011 To: EC Planning_ From: Randy Kepler/dim Attn: Candice Perkins GREENWAY ENGINEERING Copied Richie Wilkins Phone: 540-662-4185 Fax: 540-722-9528 Delivery: ❑ Fed Ex ❑ U.S. Mail 0 Courier ❑ Pick Up ❑ Other ❑ Urgent rv-] For Your Review ❑ As You Requested❑ Please Comment. Message Candice, Attached is the following for your review: -2 copies of the Round Hill Waterline, Booster Pump Station, and Water Tank site plan -Site Plan Application -Planning comment sheet NOTE: Please forward us the application review fee amount for this plan. We will forward you this fee once we hear from your office. As always, thank you for your assistance. Contact us with any questions. Hand eliveryrand Pick Ups Only: Recei ed b�: L .„ - - I _J Please Print Name: Date: Document Approval Form PLEASE REVIEW THE ATTACHED DOCUMENT. IF THIS DOCUNfENT MEETS YOUR APPROVAL PLEASE INITIAL AND PROVIDE THE DATE AND TLME OF YOUR APPROVAL. LF THIS DOCUMENT DOES NOT MEET YOUR APPROVAL PLEASE PROVIDE COMMEN75AS TO WHAT YOU WOULD Lam• TO HAVE COMPLETED- INTTIALS DATE & TEAE 11 Candice Mark Dana Eric Mike John Received by Clerical Staff (Date & Time)6 ci,� •... •aa•. �• w...• .. • . .• .. Please note: The site plans associated with this file are located in the file room.