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HomeMy WebLinkAbout38-16 Pine Creek Retreat Center Renovations - PIN 37-A-46 - Gainesboro - Backfile (2)NOTES RECEIPT DATE f 1 3 1(o NO. 541134 RECEIVED FROM P; O e C(e-E 1L � �7 1�'J1t �C• ADDRESS-� b -P ore- V/:l FOR S I tC i��C�r 1 nc- cv-- c � ( airy-) to �n ACCOUNT HOW PAID .3-7- n- AMT. OF ACCOUNT CASH AMT. PAID 3 .� CHECK �� BALANCE MONEY DUE ORDER B ©2001 R9PFcRm-,7 81-818 SITE PLAN TRACKING SHEET Comment Sheets: GIS VDOT Sanitation Authority Winchester Inspections Stephens City Public Works Middletown Parks & Rec Airport Health Dept. Fire ✓ One copy of Site Plan application form Payment of site plan review fee ✓ One reproducible copy of Site Plan OPEN FILE: )11 Lf File Opened l l 4 AIo Reference Manual updated/number assigned Il `� D-base updated ILI < to Application Action Summary updated CLOSE FILE: (v Approved (or denied) letter mailed to applicant/copy to file and cc's "a� 1 l p File stamped "approved", "denied" or "withdrawn" l° Reference Manual updated D-base updated Application Action Summary updated Sys ID # -- Updated 3113114 r COUNTY of FREDERICK Department of Planning & Development 107 North Kent Street, Suite 202 Winchester, Virginia 22601 Hasler FIRST -cuss FAA L. 12/29l2016 00.462 .�It ZIP 22601 011D11646815 Pine Creek Camp, Inc. P.O. Box 247 Gore, VA 22E c? sYi',d..ZE 4l7 5c 1 9001; 11. 17 RETURN TO SENDER NOT DELIVERABLE AS RDD'RES'SED U.N -AE L F TO FORWARD J ::+iy*i ac 22601500099 *1417-06569-29-43 Z z E01> 5 000 COUNTY of FREDERICK Department of Planning and Development 540/ 665-5651 Fax: 540/ 665-6395 December 29, 2016 Michael M. Artz Pennoni Associates Inc. 117 East Piccadilly Street Winchester, VA 22601 Re: Approval Letter for Site Plan #38-16, PINE CREEK RETREAT CENTER Property Identification Number (PIN): 37-A-46 Dear Mr. Dunlap: The above -referenced site plan was approved on December 22, 2016. The site plan is approved for a 2,050 SF dining room expansion at the Pine Creek Retreat Center 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 five (5) 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, M. Tyler Klein, AICP Planner MTK/pd Attachments cc: Bill M. Ewing, Gainesboro Magisterial District Supervisor Kevin W. Kenney and Charles E. Triplett, Gainesboro Planning Commissioners Jane Anderson, Real Estate Commissioner of Revenue J Pine Creek Camp, Inc. PO Box 247, Gore, Virginia 22637 107 North Kent Street, Suite 202 • Winchester, Virginia 22601-5000 i COUNTY of FREDERICK December 29, 2016 Michael M. Artz Pennoni Associates Inc. 117 East Piccadilly Street Winchester, VA 22601 Department of Planning and Development 540/ 665-5651 Fax: 540/ 665-6395 Re: Approval Letter for Site Plan #38-16, PINE CREEK RETREAT CENTER Property Identification Number (PIN): 37-A-46 Dear Mr. Dunlap: The above -referenced site plan was approved on December 22, 2016. The site plan is approved for a 2,050 SF dining room expansion at the Pine Creek Retreat Center 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 five (5) 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, M. Tyler Klein, AICP Planner MTK/pd Attachments cc: Bill M. Ewing, Gainesboro Magisterial District Supervisor Kevin W. Kenney and Charles E. Triplett, Gainesboro Planning Commissioners Jane Anderson, Real Estate Commissioner of Revenue Pine Creek Camp, Inc. PO Box 247, Gore, Virginia 22637 107 North Kent Street, Suite 202 9 Winchester, Virginia 22601-5000 117 East Piccadilly Street Winchester, VA 22601 T: 540-667-2139 F: 540-665-0493 www.pennoni.com MEMORANDUM TO: Tyler Klein, Frederick County Planning FROM: Mike Artz DATE: December 5, 2016 SUBJECT: Pine Creek Retreat Site Plan #38-16 We have received your comments dated November 8, 2016 and have revised the plans accordingly; one set is attached for your reference. Our specific responses are as follows: 1) Comment: Site Plan Reference. Add the site plan number, SP# 38-16, to all sheets in the plan set. Response: Added site plan reference number to all sheets. 2) Comment: Previous Approvals. Please add a reference to previous approvals, specifically: Conditional Use Permit (CUP) #01-09, God's Glory Land — Campground Retreat, Site Plan (SP) #31-95, God's Glory Land, and SP #61-98 God's Glory Land — Minor Revisions. Response: Added to Sheet 2 3) Comment: Setbacks. Please further specify the required and actual setbacks under "Project Summary" on Sheet 2. Response: Added Front, Left, Right, and Rear. distances and are based upon County GIS Map. The proposed setbacks far exceed the required 4) Comment: Outdoor Lighting. Please depict and provide details on any outdoor lighting including any building mounted fixtures. If no outdoor lighting will be provided, please add a note to this effect on Sheet 4; and Response: No outdoor lighting is proposed. Added note on sheet 4. 5) Comment: Outdoor Trash Receptacles. On Sheet 4, please depict the location, design and required screening of any dumpster facilities utilized by the dining room expansion on Sheet 4. If no new outdoor dumpsters are being provided, please add a note to this effect. Response: No outdoor trash receptacles are proposed. Added note on Sheet 4. 6) Comment: Agency Approvals. Comment sheets (approvals) are required from the following agencies: the Frederick County Inspections Department, the Frederick County Health Department, the Frederick County Fire Marshal, and the Frederick County Engineer. Response: Approvals received are provided. Other approvals will be provided upon receipt. Please let me know if you have any questions. Pennon 7 PENNONI ASSOCIATES INC. CONSULTING ENGINEERS MEMORANDUM TO: Frederick County Inspections Department FROM: Mike Artz DATE: December 2, 2016 SUBJECT: Pine Creek Camp We have received your comments dated November 18, 2016 and have revised the plans accordingly. Our specific responses are as follows: 1. Comment: Handicap parking shall comply with ANSI A117.1-09. Van accessible parking/unloading shall have a minimum of 11' width with 5' unloading area or a minimum of 8' unloading area with an 8' width. Max slope of parking and unloading area is 1:48. Response: Revised plan to show 8' wide unloading area. Proposed location does not exceed 1:48 slope. Added spot elevations. 2. Comment: IBC 1106.6 requires HC parking to be located on the shortest accessible route of travel from adjacent parking to the accessible building entrance. Approaches and door clearances for main exit/entrance shall comply with ANSI A117.1-09. Landings shall not exceed 1":48" slope. Walkways shall not exceed 5% (1" in 20") slope. Response: Proposed location meets these requirements. 3. Comment: Accessible transition from parking and accessible route shall comply with ANSI A117.1- 09. Curb ramps shall comply with Section 406 ANSI A117.1-09. ANSI A117.1-09 ramps shall not exceed 1:12 slope. Ramp landings and change of direction shall comply with VUSBC Section 1010.7. Handrails shall be provided and shall comply with VUSBC Section 1010.9 if required. Response: Proposed locations meet these requirements. No proposed slopes exceed 1:20. We have enclosed one set of revised plans, a copy of your original comments and a new comment sheet. Please contact us if you have any questions. 117 East Piccadilly Street • Winchester, VA 22601 • Ph: 540-667-2139 • Fx: 540-665-0493 www.pennoni.com REQUEST FOR SITE PLAN COINT iE]NTS Frederick County Fire Nfarshal Comment Mail to: Frederick County Fire Marshal Attn: Fire Marshal 1800 Coverstone Drive Winchester, Virginia 22602 Hand deliver to: Public Safety Building 1080 Coverstone Drive Winchester, Virginia 22602 Phone: (540) 665-6350 Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the agency ,vith their review. Please attach two (2) copies of the Site Plan with this sheet. .Applicant's dame: Pennoni Associates Inc. clo Mike Arta Mailing Address- 117 E. Piccadilly Street Suite 200 Winchester. VA 22601 Name of development and/or description of the request: Pine Creek Retreat Center Addition and Renovations Location of Property: 1794 Back Creek Rd., Gore, VA 22637 Fire Marshal Comments: Telephone: 540-667-2139 -C'11 EDERICK ('011" TY FiRF: MARSHAL USE ONLY- �t� Date Deceived Review NLLmbcr0 2 3 4 5 (circle Otte) # Date Reviewed1t O ira Revision Requirod Daic Apprnved Signature & gate: 111-6 111" *k Please return Form to .applicant** �rrmesaa�.a'e:�.w+a.w.,-.,.•.•:v;u:•�et�.ss'mr�tn:Y��Jr.;...rn•:..:.......:....ew,...�w..e:�.�. :.v.:...M,.,...:nat...,•;r..,..VV,a,.raur:.�...,._ ��...,�.,.,.....zn»«�...w.,n..ww..-....,.... rnx.-w�.3 I RECEIV 20 . ,J :;. �2 ^ai6 CJ Frederick County Department o, f'Fire and .Rescue Office of the Fire Marshal 1080 Coverstone Drive Winchester, 17A 1Z662 (540) 665-6350 Fax. (540) 678-4739 Emaik fmo(ufcva.us Plan Review & Comments Date Received 111=016 Plan/Permit Type Site Plan 11-02-16 Name Pine Creek Retreat Center Address 1794 Back Creek RD Gore Project Name Addition and Renovations Applicant Name & Number Pennoni Associates 540.667-2139 RE# Permit Number Emergency Vehicle Access: Aoeuate Inadequate N/A Hydrant Location: Adequate Inadequate IWA Siamese Location: Adequate Inadequate Fire Lanes Required: Yes No NX Plan Approval Status Approve Comments Signature: Reviewed By: Kenneth Scott, Jr. Title: Date Reviewed 11110/2016 VA 22637 Telephone: 540-667-2139 REQUEST FOR SITE PLAN COMMENTS Virginia Department of Health Mail to: Hand deliver to: Virginia Department of Health 2°d Floor — Suite 200 Attn: Sanitation Engineer 107 North Kent Street 107 North Kent Street Winchester, Virginia 22601 Winchester, Virginia 22601 Phone: (540) 722-3480 Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the agency with their review. Please attach one ( I ) cow of the Site Plan with this sheet. Applicant's Natne: Pennoni Associates Inc. c/o Mike Artz Mailing Address: 117 E. Piccadilly Street _Suite 200 Winchester, VA 22601 Name of development and/or description of the request: Pine Creek Retreat Center Addition and Renovations Location of Property: 1794 Back Creek Rd., Gore, VA 22637 (Tax Map 37-A-46) Health -VIRGINIA DEPARTMENT OF HEALTH USE ONLY - Date Received 16 Review NumbeCl 2 3 4 5 (circle one) Date Reviewed 1) �'�- J6 t iz'tt —�6 ll// Revision Required N/A� �f Date Approved ��_^r/ Signature & Date: V t ** Please Return Form to Applicant** 23 REQUEST FOR SITT MAN 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, Vid Floor 107 North Kent Street, Winchester, Virginia 22601 Winchester, Virginia 22601 Phone: (540) 665-5643 Applicant: It is your responsibility to complete this form as accurately as pussiblc in twd#.-r to a.,;%i,;T the agency with their review. Ple&w attach one ( 1) copy of the Site Man with this shm, Applicant's Name Mal -ling Address Pennoni Associates Inc. rho Mike Artz 117 E Piccadilly Street Suite 200 Winchester, VA 22601 Name of development an&'or description of the request: Pine Creek Retreat Center Addition and Renovations Location of Property: 1794 -Back -Creek Rd Gore, VA 22637 Public Works Department Comments: 4J.. -a-. ... &I'tVn - / raw,— Telephone.- 540-667-2139 RECEINIED -FREOFRICUK C-[fitATV VUBLVC WORKS DVPART NMENT USE ONLY - Date Received Rc% it:w N uinbcr 1 2 3 4 5 (circle cme) Date Reviewed Revision Required Date Approved Signature & Date: Maw Return Form to Applicant" I q REQUEST FOR SITE PLAN COMMENTS Virginia Department of Transportation Mail to: Virginia Department of Transportation Attn: Resident Engineer 14031 Old Valley Pike Edinburg, Virginia 22824 Phone: (540) 984-5600 Hand deliver to: Virginia Department of Transportation Attn: Resident Engineer 2275 Northwestern Pike Winchester, Virginia 22603 Applicant: Please fill out the information as accurately as possible in order to assist the Virginia Department of Transportation with their review. Please attach two (2) copies of the site plan with traffic generation data and drainage calculations with this sheet. Applicant's Name: Pennoni Associates Inc. c/o Mike Artz Telephone Mailing Address: 117 E. Piccadilly Street Suite 200 Winchester, VA 22601 Name of development and/or description of the request. Pine Creek Retreat Center Addition and Renovations Location of Property: 1794 Back Creek Rd., Gore, VA 22637 Virginia Department of Transportation Comments: 540-667-2139 Thank you for allowing us the opportunity to comment. -VDOT USE ONLY - Date Received Review Number 1 2 3 4 5 (circle one) Date Reviewed Revision Required Date Approved VDOT Signature & Date: (p ** Please Return Form to Applicant** IS U1 REQUEST FOR SITE PLAN COMMENTS Frederick County Inspections Department Comment Mail to: Frederick County Inspections Department Attn: Building Official 107 North Kent Street, Winchester, Virginia 22601 U0J_UAA Hand deliver to: Frederick County Inspections Dept. 107 North Kent Street, 2nd Floor Winchester, Virginia 22601 Phone: (540) 665-5650 QaoiN k Ent 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: Pennoni Associates Inc. c/o Mike Artz Mailing Address: 117 E. Piccadilly Street Suite 200 Winchester. VA 22601 Name of development and/or description of the request: Pine Creek Retreat Center Addition and Renovations Location of Property: 1794 Back Creek Rd., Gore, VA 22637 Telephone: 540-667-2139 Inspections Department Comments: „ -FREDERICK COUNTY INSPECTIONS DEPARTMENT USE ONLY - Date Received 11 -41 to 21 SI 1 to Review Numbed2 3 4 5 (circle one) Date Reviewed I I I Fs I ) to I Zo l ) (o Revision Required Date Approved / 2—JZ_oDfi Signature & Date: xx Please Return Form to Applicant" 18 0o i 0 Buildings shall comply with The Virginia Uniform Statewide Building Code 2012 and section 303 - A,Assembly Use Group. Other Code that applies is ICC/ANSI Al 17.1-09 Accessible and Usable Buildings and Facilities, 2012 Virginia Rehabilatation Code and International Energy Code 2012. Structural plans submitted for permit application shall be sealed by a Virginia Licensed Design Professional. Building shall comply with height and area requirements as allowed for type of construction in T503, IBC 2012. Existing assembly area and the addition will have a fire barrier installed in lieu of a sprinkler system. Main entrances into areas larger than 3000 sq ft require a vestibule per USBC/International Energy Code. All required exits shall be accessible. All travel distance shall meet Chap 10, VUSBC. Required exits shall meet remoteness. Handicap parking shall comply with ANSI A117.1-09. Van accessible parking/unloading shall have a minimum of 1 V width with 5' unloading area or a minimum of 8' unloading area with an 8' width. Max slope of parking and unloading area is 1:48 IBC 1106.6 requires HC parking to be located on the shortest accessible route of travel from adjacent parking to the accessible building entrance. Approaches and door clearances for main exit/entrance shall comply with ANSI Al 17.1-09. Landings shall not exceed 1":48" slope. Walkways shall not exceed 5% (1" in 20") slope. Accessible transition from parking and accessible route shall comply with ANSI A117.1-09. Curb ramps shall comply with Section 406 ANSI Al 17.1-09. ANSI Al 17.1-09 ramps shall not exceed 1:12 slope. Ramp landings and change of direction shall comply with VUSBC Section 1010.7. Handrails shall be provided and shall comply with VUSBC Section 1010.9 if required Please note the requirements in Chapter 17 of ICC for special inspection requirements on the type of structure.( Soils, concrete ect..). Slabs with greater than 24" gravel or 8" earth requires an engineer design. 12/20 Accessible route to main entry provided with slopes not exceeding 5%. S:\Site Plan comments\2012\Assembly, BAck Creek.doc • COUNTY of FREDERICK Department of Planning and Development 540/ 665-5651 Fax: 540/ 665-6395 November 8, 2016 Michael M. Artz Pennoni Associates Inc. 117 East Piccadilly Street Winchester, VA 22601 Re: Review Comments for Site Plan #38-16; Pine Creek Retreat Center — Addition & Renovation Property Identification Number (PIN): 37-A-46 Dear Mr. Artz: 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. Site plan approval will not be granted until the issues in this letter, as well as all issues of the other review agencies, have been adequately addressed. Please review Staff s comments listed below and then prepare a revised site plan which adequately addresses each concern. Review Comments: 1) Site Plan Reference. Add the site plan reference number, SP# 38-16, to all sheets in the plan set. 2) Previous Approvals. Please add a reference to previous approvals, specifically: Conditional Use Permit (CUP) #01-09, God's Glory Land — Campground/Retreat, Site Plan (SP) #31-95, God's Glory Land, and SP #61-98 God's Glory Land — Minor Revisions. 3) Setbacks. Please further specify the required and actual setbacks under "Project Summary" on Sheet 2. 4) Outdoor Lighting. Please depict and provide details on any outdoor lighting including any building mounted fixtures. If no outdoor lighting will be provided, please add a note to this effect on Sheet 4; and 5) Outdoor Trash Receptacles. On Sheet 4, please depict the location, design and required screening of any dumpster facilities utilized by the dining room expansion on Sheet 4. If no new outdoor dumpsters are being provided, please add a note to this effect. 107 North Kent Street, Suite 202 9 Winchester, Virginia 22601-5000 • Re: SP #38-16; Pine Creek Retreat Center —Addition & Renovations November 8, 2016 Page 2 of 2 6) Agency Approvals. Comment sheets (approvals) are required from the following agencies: the Frederick County Inspections Department, the Frederick County Health Department, the Frederick County Fire Marshal, and the Frederick County Engineer. After you have revised the site plan, please resubmit one (1) copy so that Staff may verify the information contained on the plan addresses the above comments. Staff will also need all approved review agency comment sheets, at least five (5) copies of the final plan, and a digital (PDF) copy for approval. Do not hesitate to contact me if you have any questions or concerns regarding this letter. Thank you for your consideration. Sincerely, M. Tyler Klein, AICP Planner MTK/pd Attachment cc: Pine Creek Camp, Inc. PO Box 247, Gore, Virginia 22637 0 f7 SITE PLAN APPLICATION - Ojfice Use Onhy- Date Application Received: 11 co Application #: Fees Received: �,S3Co.CC)_ Receipt#: Initials: Project Title: Pine Creek Retreat Center Addition and Renovations Location of Property (Street address) 1794 Back Creek Rd Gore VA 22637 3. Applicant/Designer: Name: Pennoni Associates Inc. Address: 117 E. Piccadilly Street, Suite 200 Winchester, VA 22601 4. Property Owner (if different than above): Name: Pine Creek Camp Inc. Address: P.O. Box 247 VA 22637 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) 8 Telephone: 540-667-2139 Telephone: 540-858-2842 37-A-46 2,050 SF 7,965 SF Retreat Center Retreat Center _ Gainesboro 0 u 6. Site Plan Type: a. Is this an original or new site plan? b. Is this a revised site plan? If yes provide all previous site plan numbers: c. Is this a minor site plan? If yes provide all previous site plan numbers: Yes L Yes z✓ No W No Yes M No God's Glom Lane Approved 9/21/95 7. Zoning Information: a. Current Zoning: RA b. Was this property Rezoned? Yes E[ No c. If yes provide the rezoning number for this property: d. Are there any proffers for this property? Y e. Has a MDP been approved for this property? Y f. If yes provide the MDP number for this property: _ 8. Adjoining property zoning and use: USE North Vacant East Residential South Vacant West Residential .s ;s No No F] ZONING RA RA RA 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: November 3, 2016 G1 Special Limited Power of Attorney County of Frederick, Virginia Frederick Planning Website: www.fcva.us Department of Planning & Development, County of Frederick, Virginia 107 North Kent Street, Winchester, Virginia 22601 Phone (540) 665-5651 Facsimile (540) 665-6395 Know All Men By These Presents: That I (We) (Name) ptoc Cried Camp (Phone) �qt-8S9-284;. (Address) P.O. Box 247, Gore, VA 22637 the owner(s) of all those tracts or parcels of land ("Property") 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. on Page , and is described as IMP Lot: Block: Section: Te)%ubdivision: do hereby make, constitute and appoint: (Name) E!1k4o19ASQCJfe6 -r-w (Phone) S'► �-flay (Address) 117 E. Piccadilly Street, Suite 200, Winchester, VA 22601 To act as my true and lawful attorney -in -fact for and in my (our) name, place and stead with full power and authority I (we) would have if acting personally to file planning applications for my (our) above described Property, including: Rezoning (including proffers) Conditional Use Permit Master Development Plan (Preliminary and Final) Subdivision F-71 Site Plan Variance or Appeal 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 (we) have hereto set my (our) hand and seal this 2 day of A)d JPWbce , 20_!(V_, Signature(s) r7. xavt;i►..'t& i-&vv tvex.v. precis, 1 aw—Gee4c.Cat41 , ��►ac.. State of Virginia, City/County of ►fir -e Jt I l i a turn , To -wit: I, ✓ ba✓c.,J�*NctaORublic in and for the jurisdiction aforesaid, certify that the person(s) who signed to the f4eg rs� it personally appeared before me and has acknowledged the same before me in the jurisdiction: oresaid thrs day of �h 20 1(o . �C /•tvl,lJ My Cor�mtssion Expires: O Notary Public �0%2 7oZ /iti01, 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, 2nd 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: Pennoni Associates Inc. c/o Mike Artz Telephone: 540-667-139 Mailing Address: 117 E. Piccadilly Street Suite 200 Winchester, VA 22601 Name of development and/or description of the request: Pine Creek Retreat Center Addition and Renovations Location of Property: 1794 Back Creek Rd., Gore, VA 22637 Department of Planning & Development Comments: -PLANNING DEPARTMENT USE ONLY - Date Received Review Number 1 2 3 4 5 (circle one) Date Reviewed Revision Required Date Approved Signature & Date: ** Please Return Form to Applicant** i 16 LETO2 OF TRANSMITTAL Pen on�ri PENNON[ ASSOCIATES INC. CONSULTING ENGINEERS 117 East Piccadilly Street Winchester, VA 22601 Tel: 540 — 667 - 2139 Fax: 540 — 665 - 0493 TO: Frederick County Planning 107 N. Kent Street Winchester, VA 22601 DATE November 3, 2016 JOB NO. I ARDC 1602 ATTENTION I Tyler Klein RE: I Pine Creek Camp WE ARE SENDING YOU ® Attached ❑ Under separate cover ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Copy of Letter ❑ Change Order ❑ via ❑ Samples the following items: ❑ Specifications LIST OF ITEMS TRANSMITTED COPIES DATE NO: DESCRIPTION 1 Site Plan Application 1 Application Fee in the amount of $2,536 1 Request for Site Plan Comments 2 Site Plan THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ® For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: Mike Art? If enclosures are not as noted, kindly notify us at once. am _. ,t NOV 3 2016 TR8100 1 /2013 Document Approval Form PLEASE REVIEW THE ATTACHED DOCUMENT. IF THIS DOCUMENT MEETS YOUR APPROVAL PLEASE INITIAL AND PROVIDE THE DATE AND TIME OF YOUR APPROVAL. IF THIS DOCUMENT DOES NOT MEET YOUR APPRO VAL PLEASE PRO VIDE COMMENTS AS TO WHA T YOU WOULD LIKE TO HA VE COMPLETED. Candice Mark Dave 'Tyler Mike John COMMENTS: Initials Date & Time IrTe /1 3 VSPJ-Y Received by Clerical Staff (Date & Time): (S:Office on Blackbox\Forms\Document Approval Form—6/7/2016 ) WR�