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WPO201800028 Preconstruction Form 2018-10-26
Request for Pre-construction Meeting and Grading Permit from Albemarle County Approved Plan Number: WPO-201800028 DEQ Permit Number(if applicable): VAR- Approved Plan Name: Seven Oaks Vineyard (Plans must be approved prior to a pre-construction meeting.) Bond approved date: October 24, 2018 (Bonds must be approved and posted prior to a pre-construction meeting or permit.) Responsible Land Disturber: Print Name: Robert John Kasonik (Piedmont Concrete Contractors) State Certification Number: RLD05499 t/ Address 2811 Hydraulic Rd City Charlottesville State VA Zip 22901 Daytime Phone(434) 973-1321 E-mail relee@releecommunity.com Primary Contractor: Print Name Jose Escobedo, BrickStone Homes, LLC Address 2404 Lakeview Parkway City Locust Grove, State VA Zip 22508 Daytime Phone(703) 244-0968 E-mail Jose@brickstonehomes.com Permit Issuance and First Year Maintenance Fees: (Request must include payment) Total acres proposed to be disturbed is contained on the approved plan and application: VSMP: Acres to be disturbed Fee Due at Grading Permit Less than 1 $63.80 1 and less than 5 ($594.00j 5 and less than 10 $748.00 10 and less than 50 $990.00 50 and less than 100 $1,342.00 100 and more $2,112.00 For plans exempt from VSMP,VESCP fees were paid with the application. 7/1/14,Revised: 8/29/14, 10/18/18 Page 1 of3 Person(s)to attend the Pre-construction Meeting: Names(type or print) Firm Contact Number or email Jose Escobedo BrickStone Homes, LLC 703-244-0968 Todd Zimmerman Seven Oaks Farm, LLC 214-673-4877 The second part of the application fee is required to be paid with this request. This fee amount is; FOR OFFICE USE ONLY Permit Issued Date By who'' Fee Received oo Received Date Received BY RECE ED oti 2 "11 C©MDEVkOPME T 7/1/14,Revised: 8/29/14, 10/18/18 Page 2 of 3