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HomeMy WebLinkAboutWPO201800088 Preconstruction Forma Request for Pre -construction Meeting and Grading Permit from Albemarle County Approved Plan Number: WPO- 201800088 DEQ Permit Number (if applicable): VAR-10E170 Approved Plan Name: Pantops Corner (Plans must be approved prior to a pre -construction meeting.) Bond approved date: 07-16-2019 (Bonds must be approved and posted prior to a pre -construction meeting or permit.) Responsible Land Disturber: Print Name: William "Dino" Goodman State Certification Number: RLD08453 Address 2978 Diggstown Rd City Bu Daytime Phone (540) 872-5105 Primary Contractor: Print Name same as RLD Address City Daytime Phone (_) State VA Zip 23024 E-mail goodmanexcavatingllc@gmail.com E-mail State Zip 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 For plans exempt from VSMP, VESCP fees were paid with the application. 7/1/14, Revised: 8/29/14, 10/18/18 Page 1 of NOW 14✓ Person(s) to attend the Pre -construction Meeting: Names (type or print) Dino Goodman Firm Goodman Excavating LLC Contact Number or email Keane Rucker - Shimp Engineering, PC - keane@shimp-engineering.com Justin Shimp - Shimp Engineering, PC-justin@shimp-engineering.com Ben Brewer - Site Coordinator - batb@comcast.net The second part of the application fee is required to he paid with this request. This fee amount is; FOR OFFICE USE ONLY Permit Issued Date By who? 7/1/14, Revised: 8/29/14, 10/18/18 Page 2 of 3 Now *900, Alert to business entities regarding mailings from VIRGINIA COUNCIL FOR CORPORATIONS or U.S. BUSINESS SERVICES is available from the Bulletin Archive link of Clerk's Office website. SCC': eF�ile > E=ry Search > Entity Details ,,rye SCC eFIle FxsT, Slt'1Rt SECURE. SCC eFile Business Entity Details LQgin i Create an Account R Goodman Excavating, LLC SCC eFile Home Page Check Name General Select an action Distinguishability Business Entity Search Certificate Verification SCC ID: 51752007 File a registered agent change Contact us Entity Type: Limited Liability Company File a regiCered office address changg Give us Feedback Jurisdiction of Formation: VA Resign as registered agent Date of Formation/Registration: 1/10/2006 File a principal office address changg •'r'1t== Status: Active P-ay annual registration fee Qrder a certificate of fact of existence Principal Office -- aubrnit a PDF for Drocessing (What can I submit?) View eFile transaction history { Manage- email notifications 2978 DIGGSTOWN RD BUMPASS VA23024 Registered Agent/Registered Office - WILLIAM T GOODMAN III 2978 DIGGSTOWN RD BUMPASS VA 23024 LOUISA COUNTY 154 Status: Active Effective Date: 10/23/2008 Screen ID: e1000 M cm Af Request for Pre -construction Meeting and Grading Permit from Albemarle County Approved Plan Number: WPO-201800088 DEQ Permit Number (if applicable): VAR- 10E170 Approved Plan Name: Pantops Corner (Plans must he approved prior to a pre -construction meeting.) Bond approved date: 07-16-2019 (Bonds must be approved and posted prior to a pre -construction meeting or permit.) Responsible Land Disturber: Print Name: Goodman Excavating, LLC State Certification Number: RLD08453 Address 2978 Diggstown Rd City Bumpass Daytime Phone (540) 872-5105 P *mary Contractor: Print Name same as RLD Address City Daytime Phone (_) State VA Zip 23024 E-mail goodmanexcavatingllc@gmail.com E-mail State Zip 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: VRMP- 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 For plans exempt from VSMP, VESCP fees were paid with the application. 7/1/14, Revised: 8/29/14, 10/18/18 Page 1 of Person(s) to attend the Pre -construction Meeting: Names (type or print) Dino Goodman Firm Goodman Excavating LLC Contact Number or email Keane Rucker - Shimp Engineering, PC - keane@shimp-engineering.com Justin Shimp - Shimp Engineering, PC - justin@shimp-engineering.com Ben Brewer - Site Coordinator - bafb@comcast.net 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, Revised: 8/29/14, 10/18/18 Page 2 of 3