HomeMy WebLinkAboutPembridge Heights, Section III Shawnee 2-14-09 - Backfile (2)CITY OF WINCHESTER, VIRGINIA
Rouss City Hall
15 North Cameron Street
Winchester, VA 22601
703-667-1815
February 19, 1991
Mr. Wayne Miller
Director of Planning
County of Frederick
9 Court Square
Winchester, VA 22601
Dear Mr. Miller:
Per our previous conversation, please find attached the original and three copies of the
Land Use Permit for Price Drive (Pembridge Heights, Section III).
If you should have any question, please contact this office.
Sincerely,
esse W. Moffett
Director - Public Utilities
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"THE APPLE CAPITAL"
CE-7
Rev 11/87
COMMONWEALTH OF VIRGINIA, DEPARTMENT OF TRANSPORTATION
District
Wgira Department of Transportation
Y""
Staunton
LAND USE PERMIT
Permit No.
Permittee No. 54-6001683
1st Copy to Applicant
2nd Copy to Central Office
3rd Copy to District Office
4th Copy to Residency Office
5th Copy
(S.S. No. or Tax No.)
Route No. Price Drive (Pembridge Heights, Sec. III)
Permittee City of Winchester County or City Frederick County
or
Agent N/`�' Phone # N/A (703) 667-1815
Firm Name Home Office
Contact Jesse W. Moffett
Name
Mailing Address Rouss City Hall; 15 N. Cameron Street; Winchester, VA 22601
PERMISSION is herebygiven insofar as the Commonwealth Transportation Board has the right, power, and authority under Sections 33.1-12(3),
33.1-197, and 33.1-198 of the Code of Virginia (1950) as amended, to grant by Special Agreement and/or by the rights granted herein to perform
the work as described:
Quit Claim — Permit is to cover existina facilities in Price Drive that ;.q tr,t-,P
added to the State's road system.
between intersection of Harvard _Drive (Rt. 1246)and end of Price Drive
as shown on the accompanying plan or sketch and as described on the reverse side of this sheet. Said work to be completed in a manner
satisfactory to the Department of Transportation within days from date of this permit, and if not completed, the Department
of Transportation may, at its discretion, complete or have completed at the expense of the applicant. The Commonwealth Transportation Board
reserves full municipal control over the subject matter of this permit.
Receipt is acknowledged of check (money order, coupon) in the amount of $ (Permit Fee $
Surety Fee ) which covers fees for inspection, etc., and to guarantee the faithful performance of the work herein
referred to. When guaranty is covered by bond, give the name, address of bonding company, amount of bond, and bond number. When guaranty
is covered by Irrevocable Letter of Credit, give the name and address of bank, amount of escrow, and Irrevocable Letter of Credit number.
Dated at
Time Limit Expires:
'19
,19
Virginia Commonwealth Transportation Board
Ray D. Pethtel, Commissioner
By
Resident Engineer, District Engineer, Permit and Truck Weight Manager
Application must be through the office of W• H. Buslunan Resident Engineer at Fzlinburq
Virginia, and he must be notifed when work is completed (See Form MP-232) so that final inspection and report can be made.
APPLICATION is hereby made for permit and is shown on the accompanying plan or sketch and described below. Said work will be done under
and in accordance with the rules and regulations of the Commonwealth Transportation Board of Virginia, so far as said rules are applicable
thereto and any agreement between the parties hereinbefore referred to. Where applicable, said signed agreement shall be attached and made
a part of this permit assembly including anycost responsibilities covering work under permit. Applicant agrees to maintain work in a manner as
approved upon its completion. Applicant also hereby agrees and is bound and held responsible to the owner for any and all damages to any other
installations already in place as a result of work covered by this permit. Applicants to whom permits are issued shall at all times indemnify and
save harmless the Commonwealth Transportation Board, members of the Board, the Commonwealth, and all Commonwealth employees,
agents, and officers, from responsibility, damage, or liability arising from the exercise of the privileges granted in such permit. In consideration of
the issuance of this permit the Permittee agrees to waive for itself, successors in interest or assigns any entitlements it mayotherwise have or
have hereafter under the Uniform Relocation and Assistant Act of 1972 as amended in the event the Department or its successor, chooses to
exercise its acknowledged right to demand or cause the removal of any or all fixtures, personalty of whatever kind or description that may
hereafter be located pursuant to this permit.
Dated at Winchester, VA
This 19 day of February '19 91
Owner City of Winchester
or N/A Name
Agent. —
Signed By
Firm
W. Moffett Tine
.or - Public Utilities
(Applicant must sign all copies)
NOTE: THIS PERMIT MUST BE KEPT ON THE WORK SITE and shown when requested. The minimum permit charge will be made
if permit is cancelled. A permit lapses when time limit expires and will be cancelled unless an extension of time has been
requested. No extension of time will be granted unless work is actually under way. All traffic control shall be in accordance with
the Virginia Work Area Protection Manual, current edition. Placement of markers for location of underground utilities shall be
coordinated with the Resident Engineer. No trees or shrubs are to be cut or trimmed unless an approved tree -trimming permit is
attached. Form MP-70 is to be initiated by Residency Office upon satisfactory completion of permit. Permit will not be issued
unless accompanied by the proper Permit, Guarantee Fee, Bond, or Irrevocable Letter of Credit.
PLAN OR SKETCH
PERMIT ASSEMBLY HAS BEEN REVIEWED AND RECOMMENDED FOR APPROVAL WHEN APPLICABLE BY:
_ District Engineer
Date
Location & Design
Date
_ Resident Engineer
Date
Bridge & Structure
Date
_ Environmental
Date
Utilities Engineer
Date
_ Traffic Engineering
Date
Contract Control
Date
Technician
Where applicable work in this Permit is covered by signed Agreement:
Comprehensive Agreement, Section
Letter of Authorization
Dated
Dated
Special Permit Agreement Dated
CE-7
Rev. 11/87
COMMONWEALTH OF VIRGINIA, DEPARTMENT OF TRANSPORTATION
oWgirm Department of Transportation
�1"'
District
Staunton
LAND USE PERMIT
Permit No
Permittee No.
54-6001683
1st Copy to Applicant
2nd Copy to Central Office
3rd Copy to District Office
4th Copy to Residency Office
5th Copy
(S.S. No. or Tax No.)
Route No. Price Drive (Pembridge Heights, Sec. III)
Permittee City of Winchester County or City Frederick County
or
Agent N/`�' Phone # N/A (703) 667-1815
Firm Name Home Office
Contact Jesse W. Moffett
Name
Mailing Address Rouss City Hall; 15 N. Cameron Street; Winchester, VA 22601
PERMISSION is hereby given insofar as the Commonwealth Transportation Board has the right, power, and authority under Sections 33.1-12(3),
33.1-197, and 33.1-198 of the Code of Virginia (1950) as amended, to grant by Special Agreement and/or by the rights granted herein to perform
the work as described:
Quit Claim — Permit is to cover existing facilities in Price Drive that is to hP
added to the State's road system.
between intersection of Harvard Drive (Rt. 1246)and
end of Price Drive
as shown on the accompanying plan or sketch and as described on the reverse side of this sheet. Said work to be completed in a manner
satisfactory to the Department of Transportation within days from date of this permit, and if not completed, the Department
of Transportation may, at its discretion, complete or have completed at the expense of the applicant. The Commonwealth Transportation Board
reserves full municipal control over the subject matter of this permit.
Receipt is acknowledged of check (money order, coupon) in the amount of $ (Permit Fee $
Surety Fee ) which covers fees for inspection, etc., and to guarantee the faithful performance of the work herein
referred to. When guaranty is covered by bond, give the name, address of bonding company, amount of bond, and bond number. When guaranty
is covered by Irrevocable Letter of Credit, give the name and address of bank, amount of escrow, and Irrevocable Letter of Credit number.
Dated at , Virginia
,19
Time Limit Expires: By
19
Commonwealth Transportation Board
Ray D. Pethtel, Commissioner
Resident Engineer, District Engineer, Permit and Truck Weight Manager
Application must be through the office of W. H. Bushman Resident Engineer at Edinburg
Virginia, and he must be notifed when work is completed (See Form MP-232) so that final inspection and report can be made.
APPLICATION is hereby made for permit and is shown on the accompanying plan or sketch and described below. Said work will be done under
and in accordance with the rules and regulations of the Commonwealth Transportation Board of Virginia, so far as said rules are applicable
thereto and any agreement between the parties hereinbefore referred to. Where applicable, said signed agreement shall be attached and made
a part of this permit assembly including any cost responsibilities covering work under permit. Applicant agrees to maintain work in a manner as
approved upon its completion. Applicant also hereby agrees and is bound and held responsible to the owner for any and all damages to any other
installations already in place as a result of work covered by this permit. Applicants to whom permits are issued shall at all times indemnify and
save harmless the Commonwealth Transportation Board, members of the Board, the Commonwealth, and all Commonwealth employees,
agents, and officers, from responsibility, damage, or liability arising from the exercise of the privileges granted in such permit. In consideration of
the issuance of this permit the Permi*tee agrees to waive for itself, successors in interest or assigns any entitlements it mayotherwise have or
have hereafter under the Uniform Relocation and Assistant Act of 1972 as amended in the event the Department or its successor, chooses to
exercise its acknowledged right to demand or cause the removal of any or all fixtures, personalty of whatever kind or description that may
hereafter be located pursuant to this permit.
Owner
or
Agent
Dated at Winchester, VA
This 19 day of February '19 91 Signed By
City of Winchester
Name
N/A
Firm
esie W. Moffett rue
,irector - Public Utilities
(Applicant must sign all copies)
NOTE: THIS PERMIT MUST BE KEPT ON THE WORK SITE and shown when requested. The minimum permit charge will be made
if permit is cancelled. A permit lapses when time limit expires and will be cancelled unless an extension of time has been
requested. No extension of time will be granted unless work is actually under way. All traffic control shall be in accordance with
the Virginia Work Area Protection Manual, current edition. Placement of markers for location of underground utilities shall be
coordinated with the Resident Engineer. No trees or shrubs are to be cut or trimmed unless an approved tree -trimming permit is
attached. Form MP-70 is to be initiated by Residency Office upon satisfactory completion of permit. Permit will not be issued
unless accompanied by the proper Permit, Guarantee Fee, Bond, or Irrevocable Letter of Credit.
PLAN OR SKETCH
PERMIT ASSEMBLY HAS BEEN REVIEWED AND RECOMMENDED FOR APPROVAL WHEN APPLICABLE BY:
District Engineer
Date
Location & Design
Date
Resident Engineer
Date
Bridge & Structure
Date
Environmental
Date
Utilities Engineer
Date
Traffic Engineering
Date
Contract Control
_ Date
Technician
Where applicable work in this Permit is covered by signed Agreement:
Comprehensive Agreement, Section
Letter of Authorization
Dated
Dated
Special Permit Agreement Dated
PEMBRIDGE HEIGHTS, SEC III
SUBDIVISION Shawnee