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HomeMy WebLinkAboutWPO201500001 Preconstruction Form 2016-02-26 c..46 e2 0-6 Of Request:for Pre-construction Meeting and Grading Permit from Albemarle County $Ntiff, Approved Plan Number: WPO- Q 13 ,OCCX) 'Approved Plan Name; OR-VinSTde (f) stimtifi Le (Plans?ring be.approyed prior to a pre,constractlOnineeting) Bond approved date; 1 1 Xe I301.6o (Bonds must be approved and posted prior to a prg-catOti itctian meeting or permit) Responsible Land.Disturber: Priiit Narrie: •1-An•tdvh1'.1 _ State Certification Number 41;p:ts SD, Address '1909 N.704.4).\-...sycJA City C i ,v1p1-.-.‹ortte State. WA. .Zip Daytime Phone(1713A). gqie--67q:i I EmaiI6/76;istf: {CArri, Primary'Contratpor: PiiiitName 6N2gt,61-zxe 6tei'T- 461 Address. I1tu74U1-41_ .city 14(6 0---4 State .Zip . Daytime Phone,;(34) 9q6.- 6iet,-1- Qj rhxprerpat t, Cal() • :Perinit Issuance and First Year Maintenance Fees: (Req_iiest must include payment) Total acres.proposed-0'1*diStuibed is Contained on:the approved Plait acid application VSMP: • Acres to be disturbed 'Fe DpeatQrading Permit Less than 1 $63:80, Land,leSs than 5 $594,00. 5 and less than 10 " $748.00 • 10 and less than,50 $990.001 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: 8129/14 'NO 1 6(3 Person(s):to attend the,Pre.;:opmtrnetion Meeting:, Nameqtype'or print) Firm Contact Number or email got( i- sib 6gftiut .1131-CqG-59f I 11 I( C—TLX4A44.., The second prt bf the application fee is required to be paid with this request; 'Thistee qmpuht yOR OFFICE Permit Issued Date . 7/1/14,Revised: 8/29/14 Page 2 of 3 z