HomeMy WebLinkAboutWPO202100016 Preconstruction Form 2021-04-20Request for Pre -construction Meeting and Grading L Ji
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Permit from Albemarle County -VESCP J\ r ^r`
Approved Plan Number: WPO- 2621 " C=1(V
Approved Plan Name: , t 3�
(PI ns must b pproved 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: Pew r Q. '4 ) d A n,
State Certification Number:
Address t Wa, Q�
City � L� Ix _ State Zip Z_Z k I
Daytime Phone) 5-pI- tad E-mail & ,elm,
Primary Contractor:
Print Name -AhLx� �.sra� c MAO,
Address 4 tio) LwAs kA4CLe i s
City t" l v 1AC51 e Ike State V A Zip Xaq) l
Daytime Phone NW 6`3 1' O Vrq
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:
VESCP:
Acres to be disturbed
Fee Due at Grading Permit
Less than 1
$200.00 flat fee
I+ Acres (rounded up)
$100.00 per disturbed acre (or portion)
Section 17-207 Fees for land disturbing activity solely to the VESCP.
Annual Maintenance Fees [Section 17-207 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.
9/I 1/2017. R/29/19. R/25/209,0 Noe I nf3
Person(s) to attend the Pre -construction Meeting:
Names (type or print) Firm Contact Number or email
FOR OFFICE USE ONLY
W PO #
Fee Amount $ Date Paid By who? Receipt # Ck# By:
9/1 1 /9.017. R/99/19. R/950090 Paae. 2 of 3
KAPPA SIGMA
PRA"rERNITY
Chad Gebhardt <chad@hq.kappasigma.org>
RE: WPO-2021-00016 (VESCP) Kappa Sigma International Headquarters
Maintenance Plan
estimates@earthworksexcavating.com <estimates@earthworksexcavating.com>
To: Chad Gebhardt <chad@hq.kappasigma.org>
Responsible Land Disturber License Info
Peter D Wildman
RLD 07474
Expiration 8/14/2023
Business Information
Earthworks Excavating, Inc.
4301 Watts Passage
Charlottesville, VA 22911
Fed ID 541837932
Class A Contractor License # 2705060533
Expiration 1/31/2023
Tue, Apr 20, 2021 at 7:08 AM
Let me know if there is any other information you need that is not above. I don't see an attached doc or form to open on
my end so gave you RLD information and business information.
Pete
From: Chad Gebhardt [mailto:chad@hq.kappasigma.org]
Sent: Monday, April 19, 2021 9:13 PM
To: estimates@earthworksexcavating.com
Cc: Jim Taggart
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