HomeMy WebLinkAboutWPO201800026 Preconstruction Form v
Request for Pre-construction Meeting and Grading Permit
from Albemarle County— VSMP
Approved Plan Number: WPO- C I 000 (7
17
Approved Plan Name: l t 11 f I;t 00 .•?n 1 f.; C>�� ',� _A-: p �ctv c - ( : 1,tic? 41-- top- ( 15i i)✓\
(Plans nru1Y )e approved prior to a pre-construction meeting.)
(Bonds must be approved and posted prior to a pre-construction meeting or permit.)
Responsible Land Disturber:
Print Name: Vincent-Conttastano
State Certification Number: RLD12480 Expires 5/24/2022
Address 2736 Gammontown Road
City Bumpass StateVA 23024 zip
Daytime Phone(804 ) 572-3266 • E-mail vincentcontrastano@gmail.com
Primary Contractor: ''..��
Print Name -22 4 iA l7 6)/✓.. C 'C---
Address P. 2
City t��:, ,;,J,r..r+ -i-or-- State �•r.N _ . Zip)e--A)
Daytime Phone(77L '33 E-mail It\C•tr‘VC h rY e y e L.%J-lT�:�7 LI,. c l.�jti c
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 $594.00
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
Annual Maintenance Fees[Section 17-208 of the Albemarle County Code] -Annual maintenance fees will be assessed in
March of every year this permit is active. Fees cannot be prorated after the first year of permit issuance.
•
7/I/Id RHvicprl• R/')U/Id R/')R/I() Paop t nf1
Person(s) to attend the Pre-construction Meeting:
Names(type or print) Firm Contact Number or email
.1119i U i c v10.1 j i itz-V l,r`i t' rt' c 7 °Ca — / j'i.i '-f
x
Heart �r, c:l� �'- 0 1+ r7�/vet l t f -- 3 t',
Eric Bratton E&B Contracting,LLC 540-621-6474
Vince Contrastano E&B Contracting,LLC 804-572-3266
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?
7/1/14 RPuicpri• R/79/14 R/7R/19 PS OP 7 of