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SITE PLAN APPLICATION
- Office Use Only
Date Application Received: Application #:
Fees Received: �� ��(� 4 Receipt #: ��� initials:_
Project Title: SVEC - Hayfield Substation
Location of Property
(Street address)
West side of S. Hayfield Road, between Northwestern Pike
and Flint Ridge Lane
Applicant /Designer:
Name: Blackwell Engineering, PLC Telephone: 540.432.9555
Address: 566 E. Market Street
Harrisonburg, VA 22801
Property Owner (if different than above):
Name: Shenandoah Valley Electric Cooperative Telephone: 540.574.7228
Address: 147 Dinkle Avenue
Mt. Crawford, VA 22841
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 Districts)
8
"CRY-110u,
1.166 ac
0.35 ac
Substation
Substation
Back Creek
6. Site Plan Type
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a. Is this an original or new site plan? Yes z No
b. Is this a revised site plan? Yes No
_I r L
If yes provide all previous site plan numbers:
East
C. Is this a minor site plan? Yes II No
South
If yes provide all previous site plan numbers:
West
7. Zoning Information:
a. Current Zoning: RA
b. Was this property Rezoned? Yes Q
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 _Q
No _Q
f. If yes provide the MDP number for this property:
8. Adjoining property zoning and use:
USE
North
Undeveloped
East
Undeveloped
South
Undeveloped
West
Undeveloped
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: 9
Date: o Y16-c Lit
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Special Limited Power of Attorney
County of Frederick, Virginia
Frederick Planning Website: www.co.frederick.va.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) Shenandoah Valley Electric Cooperative
(Phone) 540- 574 -7228
(Address) 147 Dinkle Avenue Mt. Crawford, VA 22841
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. 100005014
on Page 1838 , and is described as
Parcel: 39 Lot: 40A Block: Section:
do hereby make, constitute and appoint:
(Name) Blackwell Engineering, PLC
Subdivision: TM# 39 -A-40A
(Phone) 540 -432 -9555
(Address) 566 E. Market Street Harrisonburg, VA 22801
To act as my true and lawful attomey -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
FTI 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 4 "day of _ j�p� , 20 H
Signature(s)
M
u
State of Virginia, City /County of oc�w hel,wi To -wit:
I, ViVIAN 1%, MIC"£C_ , a Notary Public in and for the jurisdiction aforesaid,
certify that the person(s) who signed to the foregoing instrument personally appeared before me and has
acknowledged the same before me in the jurisdiction aforesaid this I3f "day of 20 ] .
n Expires: j- 3 1- f0) j
Notary Public uCli EL
JC.
'.),i Y PUBLIC
C-- mrclanwealth of Virginia
r' ;;ri9Sion Exoires d2 =51
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REQUEST FOR SITE PLAN COMMENTS
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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 "'1 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 (21 conies of the Site Plan with this sheet 1
Applicant's Name: Ethan Boyle Telephone: 540.432.9555
Mailing Address: 566 E. Market Street
Harrisonburg, VA 22801
Name of development and/or description of the request:
SVEC - Hayfield Substation
Location of Property:
West side of S. Hayfield Road, between Northwestern Pike and Flint Ridge Lane
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 **
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