HomeMy WebLinkAboutCU2007-020:\ZCU\FORMS\app.cu.doc
www.ci.grapevine.tx.us
RECEIVED,t
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PIRIM46
A,: VINNE
/ice It A S
CITY OF GRAPEVINE
CONDITIONAL USE APPLICATION
Form "A"
PART 1. APPLICANT INFORMATION
Name of applicant /agent Icompanylcontact
Miocaa�2, C,,'TtiAA!Dr 1,7
Street address of applicant / agfjt
I
L OnALA T)r-
City / State / Zip Code of ap nt1agent:
bu.-,6N . TX -7-X)tP6
Telephone number of applicant/ agent
Fax number of applicant/agent
:�J I - 145c� - LiCIC-ICA
I - S9 4 -Q
Email address of applicantlegent
Mobile phone number of applicant/agent
Li5� — L19
Applicant's intett in subject property-, J
at k
PART 2. PROPERTY INFORMATION
Street address of subject property
3 VS I RQ%� F.
Legal description of subject property (metes & bounds must be described on 8
-112"x I 1"sheet)
LA LA , Pit OCIL I 13L,-� I nt-Ae� PLC
Size of subject property
40) 04 1
Acres i,H,14
Square footage
Present zoning classification:
Proposed use of the property:
Minimum / maximum district size for conditional use request
Zoning ordinance provision requiring a conditional use:
PART 3. PROPERTY OWNER INFORMATION
Name of cur -rent property owner.
LwYN Tocr,
AUD,
Street address of property owner.
3'ao-15 Lmhertcwyd BUCL 5au-,
100
City / State / Zip Code of property owner
n- fLanta &A 30339
Telephone number of property owner:
Fax number of property owner
12S I 2:111CY5-!�929
� X I - 39'-1
0:\ZCU\FORMS\app.cu.doc
www.ci.grapevine.tx.us
RECEIVED,t
JAN26-p
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t❑ Submit a tetter describing the proposed conditional use and note the request on the site plan document
❑ in the same letter, describe or show on the site plan, and conditional requirements or conditions imposed upon the particular conditional
use by applicable district regulations (example: buffer yards, distance between users)
❑ In the same letter, describe whether the proposed conditional use will, or will not cause substantial harm to the value, use, or enjoyment of
other property in the neighborhood. Also, describe how the proposed conditional use will add to the value, use or enjoyment of other
property in the neighborhood.
❑ Application of site plan approval (Section 47, see attached Form "B' .
❑ The site plan submission shall meet therequirements of Section 47, Site Plan Requirements.
❑ All conditional use and conditional use applications are assumed to be complete when filed and will be placed on the agenda for public
hearing at the discretion of the staff. Based on the size of the agenda, your application may be scheduled to a later date.
❑ All public hearings will be opened and testimony given by applicants and interested citizenry. Public hearings may be continued to the
next public hearing. Public hearings will not be tabled.
❑ Any changes to a site plan (no matter how minor or major) approved with a conditional use or conditional use permit can only be approved
by city council through the public hearing process.
❑ I have read and understand all the requirements as set forth by the application for conditional use or conditional use permit and
acknowledge that all requirements of this application have been met at the time of submittal.
PART 4. SIGNATURE TO AUTHORIZE CONDITIONAL USE REQUEST AND PLACE A CONDITIONAL USE
REQUEST SIGN ON THE SUBJECT PROPERTY
r Ck_
Print Applicant's Mame:
The State of -te�c,4'
CountyOf t�S
i
Before Me on this day personally appeared
(notary) (applicant)
known to me (or proved to me on the oath of card or other document) to be the person whose name is subscribed to the foregoing instrument and
acknowledged to me that he executed the same for the purposes and consideration therein expressed.
(Seal} Given under my hand and seal of office this f day of � � `� Y A.D. F�) `` 7
1 00,144,
ANDREW SUVA
Notary Public, State of Texas
;* My Commission Expires
March 08, 2004
Print Property Owners Name:
The State Of 1 t 4
Notar) 1n�And For State Of TexdS
County Of L ✓fit 5
Before Me ✓ t° -`on this day personally appeared Z(. %
(notary) (proper owner)
known to me (or proved to me on the oath of card or other document) to be the person whose name is subscribed to the foregoing instrument and
acknowledged to me that he executed the same for the purposes and consideration therein expressed.
(Seal) Gi en under my hand and seal of office this
dJ��RT
° .;d. • _ ANDREW SILVA
Notary Public, State of Texas
±,...•.a:` MY Commission Expires
.... ` EX if
March 08, 2004
O:\ZCU\FORMS\app.cu.doc
www.ci.grapevine.tx.us
day of .......... A.D. Ci .
Notary in And For StaW0f Texas
0AZCU\F0RMS1app.cu.doc
www.ci.grapevine.tx.us
HEK,cava)
J
uAl N I G, E,
PIONNIIYG
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r X A S
CITY OF GRAPEVINE
SITE PLAN APPLICATION
Form "B"
PART 1. APPLICANT INFORMATION
Name of applicant/ agent.*Icompanylconfact
A i0f- dE,
Street address of applicant! a
BACO PLA-LA-" 60-k-n -or.
City / State / Zip Code of aMcant / agent
koo-4pa Xx 77-7(-)(6
Telephone number of applicant/ agent
Fax number of applicant agent
Email address of applicant/agent
Mobile phone number of applicant/agent
+
PART 2. PROPERTY INFORMATION'D
Street address of subject property
C11 �3i, Mal F
Q Ty, -:766 "i I
Legal description of subject property (metes & bounds must be deicribed on
8 1/2"x 11 " sheet)
14 ty-1 I
Size of subject property
Acres
Square footage
Present zoning classification:
Proposed use of the property.
cc
� C - 4-3 b;2x / 6as stahbn
Give a general description of the proposed use or uses for the proposed development
Zoning ordinance provision requiting a conditional use:
PART 3. PROPERTY OWNER INFORMATION
Name of current property owner.
Ea 6 C" -iCJCJCPL&)6u(n--
Un -)r
Street address of property owner.,
Cumbiz4apJ Blvd, 'N LtL
City / State / Zip Code of property owner
19HArita , 6A -339
Telephone number of property owner.•
Fax number of property owner.
41 ® D T2 5
0AZCU\F0RMS1app.cu.doc
www.ci.grapevine.tx.us
HEK,cava)
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❑ Attach a final plat, or replat, of the approved subdivision by city council showing property boundary lines, dimensions, easements,
roadways, rail lines, and public rights -of way crossing and adjacent to the tract (1 blueline copy)
❑ If a master development plan is required, attach a statement showing the proposed use substantially conforms to the master development
plan.
❑ Submit a site plan showing all information required by Section 47.E., Site Plan review requirements (see attached requirements).
❑ Provide all required information demonstrating compliance with all conditions imposed on any conditional use, site plan zoning, or
conditional use zoning.
❑ All site plans must conform to the approved concept plan. Any changes to a site plan, approved with a conditional use or a conditional
use, can only be approved by city council through the Dublic hearino process.
I PART 4. SIGNATURE TO AUTHORIZE FILING OF A FiNAL SITE PLAN
"7-c�" '--ki T -c%,4t012
Print Applicant's Name:
The State Of ! x -S
County Of /-/,
d�
Before Me _ (( ✓ on this day personally appeared _ % T
(notary) (apace/. ficant)
known to me (or proved to me on the oath of card or other document) to be the person whose name is subscribed to the foregoing instrument and
acknowledged to me that he executed the same for the purposes and consideration therein expressed.
Sea Given under m hand and seal of office this
( Y & day ofrl,z r� A.D. ' ?C? -7
ANDREW
RY N VREW JILYM
Notary Public, State of Texa-
+� 4 My Commission Expires
�ninn March 08, 2009
Print Propert wners Na e:
Notary In And For State Of Te
The State Of
County Of
Before Me ljv-e & .- ' i i v on on this day personally appeared
(notary) (pro erty owner)
known to me (or proved to me on the oath of card or other document) to be the person whose name is subscribed to the foregoing instrument and
acknowledged to me that he executed the same for the purposes and consideration therein expressed.
*1_1(Seal) Given and uG�at2d and seat of office this / Gr day of -TA nim fY A.D.
Pa`n,ehy
AR Y Ply®��"i
ANDREW SUVA
Notary Public, State of Texas
My Commission Expires
March 08, 2009 Notary in And For SWe Of Texas
0:1ZCUlFORMS4app. cu. doc
www.ci.grapevine.tx.us
RECEIVED
ACKNOWLEDGEMENT
All Conditional Use and Special Use Applications are assumed to be complete when riled and
will be placed on the agenda for public hearing at the discretion of the staff. Based on the size
of the agenda, your application may be scheduled to a later date.
All public hearings will be opened and testimony given by applicants and interested citizenry.
Public hearings may be continued to the next public hearing. Public hearings will not be
tabled.
Any changes to a site plan (no matter how minor or major) approved with a conditional use or
a special use permit can only be approved by city council through the public hearing process.
Any application for a change in zoning or for an amendment to the zoning ordinance shall
have, from the date of submittal, a period of four months to request and be scheduled on an
agenda before the Planning and Zoning Commission and City Council. if after said period of
four months an application has not been scheduled before the Commission and Council said
application shall be considered withdrawn, with forfeiture of all riling fees. The application,
along with the required filing fee may be resubmitted any time thereafter for reconsideration.
Delays in scheduling applications before the Planning and Zoning Commission and City
Council created by city staff shall not be considered a part of the four month period
I have read and understand all of the requirements as set forth by the application for
conditional use or special use permit and acknowledge that all requirements of this
application have been met at the time of submittal.
Signature of Applicant
Date;
Signature of Owner
ILLUMINATION PLAN
An illumination plan to include a site photometric and all fixture details shall be submitted as
part of the site plan review process. Applications will not be accepted without this
requirement.
I hereby acknowledge that an illumination plan has been included as a part of this submittal.
Applicant Signature
Date:
Property Owner Signature
Date: `
0AZCU\F0RMS\app. cu.doc
www.ci.grapevineAx.us
7
t
PLATTING VERIFICATION
This verification statement must be signed prior
To the submittal of this conditional use application
It has been determined that the property described below does require platting
or replatting and the applicant has been instructed on this procedure.
` It has been determined that the property described below is currently platted or
does not require platting or replatting at this time.
Address of subject property _Ti l L GZr . ,n, u'. ,i Lar k �—
Legal description of subject property
Public Works Department
Date
This form must be signed by the public works department and submitted along with a
completed application to the planning and zoning department
0:\ZCU\F0RMS\app. cu.doc RONNING
www.ci.grapevine.tx.us
1 inch equals 200 feet
CU07-02 FEBRUARY 15, 2007
RACETRAC I 2151 IRA E. WOODS AVENUE
CONVENIENCE
LOT 4, BLOCK 1, DFW BUSINESS PARK ADDTION
STORE
RACETRACE CONVENIENCE STORE/GASOLINE SALES
1. Please number sheets in consecutive order and add case number
CU07-02 to all each sheets.
2. If the remodel plans include placement of bollards adjacent to the
front elevation, please ghost in the location, height and quantity,
and include a note explaining same.
3. Please add the following note:
Conditional use request, CU07-02 is a request to amend the
previously approved site plan of CU95-34 for the sale, storage and
off premise consumption of alcoholic beverages (beer and wine
only) and for convenience store/gasoline sales, specifically to
remodel the front (north) building elevation of the existing RaceTrac
Convenience Store. The entire site is the premises.
The above comments must be reflected in the revised submittal,
which is due by Thursday, February 22 by 12:00 p.m. Please submit
the revised documents to the Department of Development Services at 200
South Main Street.
The revised submittal shall include:
three (3) folded blackline copies of each sheet, (minimum size 22" x 34")
three (3) reduced sorted (collated sets) copies at 11" x 17" three hole
punched, stapled and z -folded (fold the right edge to the left edge
and then fold the right edge in half to form a z -fold).
If these revisions are made and submitted at the correct time, you will be
scheduled for the next available agenda.
If you have any questions please contact Albert L. Triplett, Jr. at (817) 410-3155.
HP OfficeJet K Series K80
Personal Printer/Fax/Copier/Scanner
Last Transaction
Date Time Type Identification
Log for
DEVELOPMENT SERVICES
8174103018
Feb 15 2007 12:20pm
Duration Pages Result
Feb 15 12:19pm Fax Sent 912818940725 0:42 1 OK
HP OfficeJet K Series K80
Personal Printer/Fax/Copier/Scanner
Last Transaction
Date
Time
Twe
Identification
Feb 15
12:17pm
Fax Sent
912818940725
Log for
DEVELOPMENT SERVICES
8174103018
Feb 15 2007 12:18pm
* A communication error occurred during the fax transmission.
If you're sending, try again and/or call to make sure the recipient's
fax machine is ready to receive faxes. If you're receiving, contact
the initiator and ask them to send the document again.
D ra ion Pages Resul
1:17 1 Error 327*
TO: SITE PLAN REVIEW COMMITTEE MEMBERS
FROM: ALBERT L. TRIPLETT, JR, PLANNER II
DATE: FEBRUARY 28, 2007
SUBJECT: CONDITIONAL USE REQUEST CU07-02; LOT 4, BLOCK 1, DFW
BUSINESS PARK ADDITION
RECOMMENDATION
Staff recommends the Site Plan Review Committee consider the proposed changes to
Conditional Use Request CU95-34 (Ord. 96-09) approved at the February 20, 1996
meeting to allow the possession, storage and retail sales of off -premise consumption of
alcoholic beverages (beer and wine only) and gasoline sales in conjunction with a
convenience store, specifically to revise the front elevations of the building, and take
any other action necessary.
BACKGROUND INFORMATION
Conditional Use Request CU95-34 was approved at the February 20, 1996 meeting
amending the previously approved site plan for RaceTrac by adding six gasoline fuel
dispensers. The original conditional use request which established the site plan for the
RaceTrac, including the beer and wine sales, was considered and approved by Council
at the October 18, 1994 meeting (CU94-28).
With this request the applicant proposes to remodel the front exterior elevation by
changing the location of the entry and adding an ATM and pass-through window.
Please see the attached plans.
/at
0AZCU\CU07-02.4sprc
=T _E *%� A - S
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March 2, 2007
Thomas Taylor
13307 Piney Oaks Dr
Houston, TX 77065
RE: GRAPEVINE FILE #CU07-02
Dear Mr. Taylor,
This letter is to verify that your request to amend the previously approved site plan to
amend the previously approved site plan of Conditional Use Request CU95-34 (Ord. 96-
09) to allow the possession, storage and retail sales of off -premise consumption of
alcoholic beverages (beer and wine only) and gasoline sales in conjunction with a
convenience store, specifically to revise the front elevations of the building located at 2151
Ira E Woods Avenue and platted as Lot 4, Block 1, DFW Business Park Addition was
approved by the Site Plan Review Committee on February 28, 2007. A copy of the
approved site plan is enclosed.
Any changes to a site plan approved with a conditional use or a special use (no
matter how minor or major) can only be approved by city council through the public
hearing process.
No Conditional Use Permit shall be valid for a period longer than one (1) year from the date
on which the City Council grants the Conditional Use, unless within such one (1) year
period: (1) a Building Permit is obtained and the erection or alteration of a structure is
started, or (2) an Occupancy Permit is obtained and a use commenced.
Please do not hesitate to contact us if we may be of further assistance (817)410-3155.
Sincerely,
` Susan Batte
Administrative Secretary
Enclosure
cc: Building Inspections
DEVELOPMENT SERVICES DEPARTMENT
The City of Grapevine • P O Box 95104 • Grapevine, Texas 76099 • (817) 410-3154
Fax (817) 410-3018 • www.ci.grapevine.tx.us
P Mommen
is
�F'iiiu���i�
February 20, 2007
To: Albert L. Triplett Jr.
City of Grapevine
Planning & Development Services
From: Tom Taylor
Re: 2151 Ira E. Woods Ave.
CU07-02
13307 Piney Oaks Dr.
Houston, TX 77065
281-455-4999
Fax: 281-894-0725
Please find the requested plans with the appropriate notes included on each sheet. The
store front presently has 16 bollards 42" high with a diameter of 6". Please continue with
the conditional use permit process.
Regards,
To Tabor
cup __7-o a
Benchmark,&
Environmental COnsLIIMI)k V
PRE -RENOVATION ASBESTOS SURVEY
CONDUCTED AT
RACETRAC
2151 IRA E WOODS AVE
GRAPEVINE, TEXAS
FOR
POWERCON CONSTRUCTION SERVICES
13307 PINEY OAKS DRIVE
HOUSTON, TEXAS 77065
MAY 8, 2006
PROJECT NO. 9820-06
David Pomerantz, IAC
DSHS License No. 10-5412 Si nature
PREPARED BY:
Benchmark Environmental Consultants
6116 N. Central Expressway, Suite 808
Dallas, Texas 75206
214.363.5996
Fax 214.363.5994
TABLE OF CONTENTS
PRE -RENOVATION ASBESTOS SURVEY
RACETRAC
2151 IRA E WOODS AVE
GRAPEVINE, TEXAS
1.0 INTRODUCTRON 1
2.0 SURVEY SUMMARY 1
3.0 ASBESTOS SAMPLE COLLECTION PROCEDURES 1
4.0 LABORATORY ANALYSIS METHOD 2
5.0 ANALYTICAL RESULTS 2
6.0 CONCLUSIONS AND RECOMMENDATIONS 2
7.0 LIMITATIONS
LIST OF APPENDICES
APPENDIX A LABORATORY REPORTS
1.0
2.0
3.0
PRE -RENOVATION ASBESTOS SURVEY
RACETRAC
2151 IRA E WOODS AVE
GRAPEVINE, TEXAS
Benchmark Environmental Consultants (Benchmark) was retained by PowerCon
Construction Services to conduct a pre -renovation asbestos survey of the RaceTrac located
at 2151 Ira E Woods Avenue in Grapevine, Texas.
Benchmark's Scope of Work included:
Visually inspect and identify suspect asbestos -containing materials (ACM) that may
be disturbed during the proposed renovation activities in the referenced area, and
collect a representative number of samples for analysis.
b. Estimate approximate quantities and general locations of ACM; and
Assess the condition of the ACM identified.
SURVEY SUMMARY
On May 5, 2006, Mr. David Pomerantz, a Texas Department of State Health service'—
Licensed Asbestos Consultant with Benchmark, conducted a pre -renovation asbestos survey
of the RaceTrac located at 2151 Ira E Woods Avenue in Grapevine, Texas. Benchmark
performed a visual assessment of the building materials for suspected ACM and collects (j
twelve (12) bulk samples for laboratory analysis.
ASBESTOS SAMPLE COLLECTION PROCEDURES
The sampling protocol focused on suspected ACM identified during Benchmark's visual
assessment. Suspected asbestos -containing materials sampled consisted of sheetrock, joint
compound, cove base with mastic, ceiling tiles and wall/floor tiles with grout.
The space was visually assessed to determine the presence, location, and condition of
suspected ACM. Suspected asbestos -containing materials that were identified and sampled
during the survey are presented in the following table:
SUSPECTED MATERIAL NUMBER OF SAMPLES
Cove Base and Mastic 3
Sheetrock and Joint Compound 3
2' x d' Ceiling Tiles 3
Wall/floor Grout 3
The number and location of samples collected was based on the type of material, the
manner of application, and the homogeneity of the ACM (similarity of color, texture,
PowerCon Construction Services
2151 Ira E Woods Avenue
Grapevine, Texas
Benchmark Project No. 8920-06
May 8, 2006
Pagc 2
type). Each sample was collected and placed into an individual sample container. The
sample location was noted on the field survey form and assigned an individual
identification number. This number was affixed to the sample container as the sample was
collected. The survey form was also used to note the material type and general condition
of the material.
4.0 LABORATORY ANALYSIS METHOD
Steve Moody Micro Services, Inc. of Carrollton, Texas, a NVLAP certified and Texas
Department of State Health Services -Licensed laboratory, analyzed the samples for asbestos
content. Twelve (12) samples were collected for laboratory analysis. The samples were
analyzed using Polarized Light Microscopy (PLM), in conjunction with dispersion staining
techniques as outlined in EPA AHERA Method 40 CFR, Chapter 1, Part 763, Subpart F,
Appendix A. The bulk asbestos laboratory analysis report provided the percentage of
asbestos, asbestos type and identification of other non -asbestos fibers and associated
percentages.
The laboratory report is included in Appendix A.
5.0 ANALYTICAL RESULTS
Federal and Texas state regulatory agencies define asbestos -containing materials as
materials containing greater than 'I'% asbestos by weight. ACM is divided into the
following two categories:
Friable -material that contains asbestos which can be crumbled, pulverized, or
reduced to powder by hand pressure when dry; and,
2. Non -friable material that contains asbestos in which the fibers have been locked in
by a bonding agent, coating, binder, cementitious or other material so that the
asbestos is well bound.
Laboratory analysis indicated that the following materials contain greater than 1 %
asbestos:
No asbestos -containing materials were identified in this survey.
6.0 CONCLUSIONS AND RECOMMENDATIONS
Benchmark Environmental Consultants (Benchmark) was retained by PowerCon
Construction Services to conduct a pre -renovation asbestos survey of the RaceTrac located
at 2151 Ira E Woods Avenue in Grapevine, Texas. Benchmark performed a visual
assessment of the renovation areas for suspected ACM and collected twelve (12) bulk
samples for laboratory analysis.
The analytical results indicated that no sampled materials contain greater than 1%.
asbestos.
f
power[onConstruction Services
zls( |m FWoods xmnuc
Grapevine,Texas
Benchmark Project No. 8920-06
mayn' zoou
6x,z
Regardless of the bkonu/ehness of this Survey,it is possible that suspected asbes|o*
containinX materials were not observed at the time of the survey. If, (luring renovation or
demolition activities, materials not addressed in this survey are discovered' these materials
should be sampled and analyzed for asbestos content prior |o disturbance.
Federal and Kosao State regulatory agencies require asbestos -containing materials to be
removed prior to activities that may disturb those materials.
7.0. LIMITATIONS OF INVESTIGATION
This report has been prepared for the use of PovverCon Construction Services and their
agents. Our investigation was performed using the degree of cane and skill ordinarily
exercised under similar circumstances by professional consultants practicing in this or
similar localities. No other or guarantee, expressed or implied, is mode as to the
conclusions included inthis nepurt.
APPENDIX A
IVEL
9 2007
PLM REPORT
Steve bloody Micro Services, Inc. NVLAF Lab No. 102056
2051 Valley View Lane TDH License No. 30-0084
Farmers Branch, TX 75234 (972) 241-8460 PAT 11) 4 102577
Client Benchmark Environmental Lab Job No.: x6B-03933
Project Pomelcon Construction, Racetrac, 2151 Ira E. Woods Report Date: 05/06/2006
Project 8920-06 Sample Date : 05/05/2006
Identification Asbestos, Bulk Sample Analysis
Test Method Polarized Light Microscopy / Dispersion Staining (PLM/DS)
EPA Method 600 / R-93 / 116 Page I of 2
On 5/ 5/06, twelve( 12) bulk material samples were submitted by David Pomerantz of Benchmark Environmental for asbestos analysis by f)[-M'f)S
Copies ofthe lab data sheets are attached; additional infonuation may be lound therein. The 1'CSUhS are summarized below:
Sample Number
Client Sample Description / Location
Asbestos Content
01
Tx 4' Ceiling Tile, Hallway at Restroorns
None Detected - ACOUStiC,11 'File
021
2'x 4' Ceiling Tile, at Coolers
None Detected - Acoustical Tile
03
2'x 4'Ceiling Mile, Outside Storage Room
None Detected - Acoustical Tile
04
Ceramic Tile Grout, Men's Restroom
None Detected - Grout
05
Ceramic 'File Grout, Women's Restroom
None Detected - Grout
06
Ceramic Tile Grout, Outside Storage Room
None Detected - Grout
07
Cove Base with Mastic, Hallway Outside Restroom
None Detected - Cove Base
None Detected - Yellow Mastic
08
Cove Base with Mastic, Retail Area at Fountains
None Detected - Cove Base
None Detected - Yellow Mastic
09
Cove Base with Mastic, Storage Room
None Detected - Cove Base
None Detected - Yellow Mastic
10
Drywall with Joint Compound, Restroom Ceiling
None Detected - Drywall Material
None Detected - Joint Compound
None Detected - Texture
11
Drywall with Joint Compound, Storage Room
None Detected - Drywall Material
None Detected - Joint Compound
None Detected - Texture
12
Drywall with Joint Compound, Storage Room
None [)elected - Drywall Material
None Detected - Joint Compound
None Detected - TCXtUFC
tatr
PLO-NNING.
PLM REPORT
Steve Woody Micro Set-vices, Inc,
NVLAII Lab No. 102056
2051 Valley View Lane
TD14 License No. 30-0084
Farmers Branch, TX 75234 (972) 241-8460
PAT ID ft 102577
Client Benchmark Environmental
Lab Job No.: x6B-03933
Project Pomelcon Construction, Racetrac, 2151 Ira E. Woods
Report Date: 05/06/2006
Project # 8920-06 Sample Date: 05/05/2006
Identification Asbestos, Bulk Sample Analysis
Test Method Polarized Light Microscopy / Dispersion Staining (PLM/DS)
EPA Method 600 / R-93 / 116
Pa&1c 2 of 2
On 5i 5/06, twelve (12) bulk material samples were submitted by David Pomerantz ot'Benchmark Environmental for asbestos analysis by PLM DS,
Copies of the lab data sheets are attached; additional information may be found therein. The results are summarized below:
Sample Number
Client Sample Description / Location
Asbestos Content
V
iAN 1 9 ',0�07
L
PRONN"Ww"
These Sample's were analyzed by layers. Quantification, Unless otliciwise noted, is performed by calibrate(] visual estimate.
Results may not be reproduced except in full. This test report relates only to the samples tested.
These test results (to not imply endorsement by NVLAP or any agency of'the U.S. Government.
Accredited by the National voluntary Laboratory Accreditation Program lot Bulk Asbestos Fiber Analysis under Lab Code 102056.
Analyst Heather Deines
Lab Director : Steve Moody Approved Signatory
— ------ -- thank you for choosing saee Moody Micro Services
A
M 2rk Ak
11
Environmental Coltil'aft, 'IV" L9
silo N. Central FWessway, Suite W8 Dallas, TX 75204 Ph- 214-363-59% Fax 214-363-5994
HOMOGENOUS AREA SAMPLE LOG and CHAIN OF CUSTODY
Customer.,. f J`7-"' Facility Name/Address:
Inspector. AreadRoom Number. 2
Project #:
Data: Surface 0 TSI El Misc El
Karl Description:
Mat'l Quantity Est- SF 13 LF Q Ea 0
CAzA
SAMPLE NO. & LOCATION ADDT DESCRIPTION/NOTES
01 T
CAD Shoot
sheet
05
a -,TT
I a
4,
I DAMAGEIDETERIORATION:
IACCESSIBILITY: None/low Moderate
FRIABJUTY:
Non -Friable Friable
iL2a_mn ed RECOMMENDATION:
High 0 & M program
Minor repair/clean-up and O&M program
Minor removal/clean-up and O&M program
High Signif repair/clean-up and O&M program
Signill. removal and O&M program
EnrJosure
Removal
"Mm
INSTRUCTIONS
71,i,4 --j 77 7
Turnaround time: V29dwd Rush Email reports to,
Positive Stop:
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Eftvironm total C 00sulta"Is V
6116 N. Central EXPMSSway, Suite 808 Dallas, TX 75204 Ph. 214-363-5996 Fax 214-363-5994
HOMOGENOUS AREA SAMPLE LOG and CHAIN OF CUSTODY
Customer. Facility N2memddress:
Inspector. Ama/Room Number
Project #: 0 -)
Data: Surface a TV 0 Mise ❑
NWi Description- if 642,4— er- 7-7 L e
Mat'll Quantity Est: SF 13 LF D Ea 0
I
.QAMPI 9: 1 M
SAMPLE NO, & LOCATION
ADD'L DESCRIPTION/NOTES
CAD Sheet
sheet
CONDITION ASSESSMENT
DAMAd-E—JDETER16RA-ndN: RECOMMENDATION:
None DamNed Significantly Damaged
WATER DAMAGE:
None/low Moderate High 0 & M program
Minor repair/dean-up and O&M program
ACCESSIBILITY., Minor removal/dean-up and O&M program
Nonetlow Moderate High Signif repairiclean-up and O&M program
Signif. removal and O&M program
FRIABILITY: Enclosure
1"
Non -Friable Friable Removal
f r, ,
NOTES: 'JAI t"I
2 n n
INSTRUCTIONS
Turnaround time: Standard Rush Email reports to:
Positive Stop: Yes No
CHA1111"N' OF CUSTODY
Relinqui0ted by Date Received by =—Da—te-
Benchmark Ak
Environmental Consultants V
6116 N. Central Expressway, Suite 808 Dallas, TX 75204 Ph. 214-363-5996 Fax 214-363-5994
HOMOGENOUS AREA SAMPLE LOG and CHAIN OF CUSTODY
Customer: Facility Name/Address:
Inspector: Area/Room Number;
Project #: ;6 ) -X C? C) 6>
Date: Surface [I TS1 0 misc 0
Mat'l Description:
'y
Mat'l Quantity Est: SF 0 LF D Ea C1
SAMPLE LOG
SAMPLE NO. & LOCATION
ADDL DESCRIPTIONINOTES
CAD Sheet
sheet)
/Z i� 7X -v,
None Damaged 'Si(
WATER DAMAGE:
Nonellow Moderate
ACCESSIBILITY,
None/law Moderate
FRIABILITY:
Non -Friable - Friable
CONDITION ASSESSMENT
ntly Damaged RECOMMENDATION:
High 0 & M program -up and O&M program
Minor repair/clean
Minor removallclean-up and O&M program
High Signif. repaid -dean -up and O&M program
Signif, removal and O&M program
Enclosure
Removal
NOTES:
f'14AIKI C rtIRTODY
. . .... .
,Tp Nffll"DR
. .... .... ....
'INITY MAP
EXPRE5.6 CA,RE QU,IICK LUBE
8 X11' 3:,, BLOCK 1
DFW NJ9NESS PANK
(1,221 AC'�)
�21
216, MUNA -- —
WIRESSIDOM
ACCM MUM
P"MIF New
N07ES:
1) SEWERUNE WUMON CUMOMY UNDER DUNK
9) ALL REQUMENTS OF IHIE ORAMNE WL OWSION
CONTROL ORDINANM SHALL BE MET DURING TK PEMi
OF CONSTRUCTION.
3) SEE PRaA*WRf WADING AND DRAINAGIE PLAN FOR
OONCEFWAL GRADING AND DRAINAM
4) PAF40NO FOR D64MO PERSONS SHAI.L SE DES"IM
ACCORDING TO, CHAPTM 23, SEC11ON 23-44 THROUGH
23-69 OF'7HE OOOE Of ORDINANCE (HADICAPPsur PARKM
SIGNIS).
5) ALL REIFUSE STORAGE ARM %KL K SCREENED INI
ACCORININCE WITH SECTION "0-"-
I
I, m 'nWPI
WTI I
LY
.... . ......
rWETRAC SERVICE STADON
I
10'40' DUMPSTER
PAD W/R' OLM
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(901' HOW)
fill
M'vrm�
SITE M -AN PREPARED/ UPDATED BY�: --
EE= 2B Baird, Hampton & Brown, Inc. 1-4-07
ul Zn I n tr�g & Sorveying
Site Plian
UTY OF GRAPEV�NE
APPROVED
SHEU-1-OF-1-
APPRINAL DOES NaT AUTHOWZE ANY WORK
m CONFLICT WftH AW CONS OR
ORDIWWM
DEPARTMW OF DEYFLQFUW SOMES
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CASE NUMBE4 I
GRAPEVINE MONTICELLO,, Ll"D,
VOL- 11637, PG, 1530
_ZQ
D,R-T,C0JX,
TOTAL LOT AWA we 1.*24 ACRM
(115.667 FSC',)'
zo": CLASSM" - CC
CON01100L USE REQUM FOR THE SA&
SMR�E AM OW-PREMISIE CONSUMPWN OF
ALCOHOW ft"VERAGES " AND WINE
AM FOR CONVENV"�
0o
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7HIE ENTIRE SITE III& THE=WLW
01*6
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(901' HOW)
fill
M'vrm�
SITE M -AN PREPARED/ UPDATED BY�: --
EE= 2B Baird, Hampton & Brown, Inc. 1-4-07
ul Zn I n tr�g & Sorveying
Site Plian
UTY OF GRAPEV�NE
APPROVED
SHEU-1-OF-1-
APPRINAL DOES NaT AUTHOWZE ANY WORK
m CONFLICT WftH AW CONS OR
ORDIWWM
DEPARTMW OF DEYFLQFUW SOMES
APPKMD uy__
PuMix—
el
c' 0
CASE NUMBE4 I
GRAPEVINE MONTICELLO,, Ll"D,
VOL- 11637, PG, 1530
_ZQ
D,R-T,C0JX,
TOTAL LOT AWA we 1.*24 ACRM
(115.667 FSC',)'
zo": CLASSM" - CC
CON01100L USE REQUM FOR THE SA&
SMR�E AM OW-PREMISIE CONSUMPWN OF
ALCOHOW ft"VERAGES " AND WINE
AM FOR CONVENV"�
0o
Iz
7HIE ENTIRE SITE III& THE=WLW
C�I'Y OF GRAPEVINE
gm'rs
& T E PLA IREVIEW COMMITTEE
m 200 sO.FT, OF RETAIL
F`LOOR AM P= &
Np
TOM PETAL AM 1900 SOXt
APFI,V'D- DEPJIED--------I$
19W + 200 - 9-5 + 5 - I"
SPACM + I MW CAP PROIADED. (17 TMAQ
CASE #--
5 1 rou 5
POLE SIGN 0 108 SOXT. 2V HAO-L
FACE
ORDINANCE # ------
4 RACETRAC LOWS
,,,,,,A.VS`D
---"-3
ON CANOPY I ON BUM
11
SrM " FOR LOCATICIN.
DATE, x
�r�a�urSEE
BUILDW HEICHT 24'- 2 31W
PLANNER,
CANOPY HEKW
WOW( CLEARANICE 1r- 0*
MALDING WOW (STORIM I
TOTAL BUILOW ARM 3040 S.F.
TOTAL Lot AREA "ll S.F.
1:.424 ACRES
FLOOR AM P" 20*1
MAL 14POTYKM AREA 33,11W S-F
TOTAL OPEN SPACE 2AM S.F.
Irswr STAR va PIPFIM
TOT& aLDG & PAYM ARFA 33,10 SF
", dewinoge dRcA (OPP—)
i" -R -AE. WOODS ff_TE- S.. 2 6)
(901' HOW)
fill
M'vrm�
SITE M -AN PREPARED/ UPDATED BY�: --
EE= 2B Baird, Hampton & Brown, Inc. 1-4-07
ul Zn I n tr�g & Sorveying
Site Plian
UTY OF GRAPEV�NE
APPROVED
SHEU-1-OF-1-
APPRINAL DOES NaT AUTHOWZE ANY WORK
m CONFLICT WftH AW CONS OR
ORDIWWM
DEPARTMW OF DEYFLQFUW SOMES
APPKMD uy__
PuMix—
el
c' 0
CASE NUMBE4 I
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ox:.. trwa�inog* d'4ch (opofox)
�creviously approved site plan of CU�95-34 for the sale, storage and
oiff Mconsumption
only) and for convenience store/gasoline sales, specifically to
remodel the front (north) building elevation of the existing RaceTrac
Convenience o e is thepremises,
UVE" "VOtl 11637, M15,."0
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