HomeMy WebLinkAboutWPO202100008 Permit 2021-06-23I
Request for Pre -construction Meeting and GradingPermit from Albemarle County -VSMP
Approved Plan Number: WPO- Z D 21 — 6 b o O<K
Approved Plan Name: V l ✓l rn T—aAN JV4 V l!n{L CVCLJ
(Plans must de 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: �a✓ &,P. 5 C A r V u c
State Certification Number: 5 (0 10
Address O
City 'Oa+tj VI Iic, A6�— -2_�. VA- Zip 2 Zqz
Daytime Phone (
Primary Contractor:
Print Name'�bv
Address
City
1HKo s(a
Vol
al-d 2cl
State VA_ Zip Zzg03
Daytime Phone `'%6 O ^ 2 % 3 E-mail I Lml Polo ezel, cowl
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/l/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
- 5-31 — l`il
V_iV" N.17'3Hvi,i/r- K_iW t {C/✓cln✓j,-Ac Z5uiIVMr,>Oln&)OtOtCo�2t
Gl
Mil
FOR OFFICE USE ONLY
WPO#
Fee Amount $ Date Paid By who? Receipt # Ck# By:
1/111A no.,;. A-G/On/tn vroa✓to oMcnr»n 13-1_. I