HomeMy WebLinkAboutWPO201900061 Correspondence WPO VSMP PreCon 2020-09-15is
Request for Pre -construction Meeting and GradingPermit from Albemarle County-VSMP
Approved Plan Number: WPO- '2 Ok CA0O O (o k
Approved Plan Name: rn P of?1
ae AsZ j cc,,j � i L o � U j
(Plans-Wust be 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: \ GeV i n
State Certification Number:
Address
City
State �-1.— Zip 7-Zcj \ 1
DaytimePhone�34) CI(PO ` 1_�i9�_&mail IbbO NN C"I'A
Primary Contractor:
Print Name
Address �25
ITZ C L,1N 7l.uFF `i
City ULAA_le�)�`lK_ State VA Zip ZZ91,
Daytime Phone ( ) 'ZCI5 - (1315 E-mail P'S U N G Ly FF " 1A3 _AgAMSr- . CotA
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:
tr
Acres to be disturbed
Fee Due at Grading Permit
ss 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.
7/1/14, Revised: 8/29/14, 8/28/19, 8/25/2020 Page 1 of 3
Person(s) to attend the Pre -construction Meeting:
Names (type or print) Firm Contact Number or email
FOR OFFICE USE ONLY
WPO#
Fee Amount $ Date Paid By who? Receipt 8 CkM By:
7/1/14, Revised: 8/29/14, 8/28/19, 8/25/2020 Page 2 of 3