HomeMy WebLinkAboutSUB201600061 Bond Road Plan and Comps. 2018-08-10 Internai Use Only j�f �t/ O �d'p/
{ Date Rer civtd: "{ fi Fee Paid: ,�1 '`
• Received by: idinL
Intake: Forward to Management Analyst 111
't y
REQUEST TO ESTABLISH A BOND
APPROVED PLAN# WPC)galb coo o s, cidg201600D Cs,I
PROJECT NAME: GA4evt 40 r� k.2.C.-� (
(As listed on the approved plan) ONI-Y
All parcels in the project, including any off-site work if easements are not provided,and current owners. Use a
separate sheet if more owners are required. Owner and tax map information must be correct,and plans must be
approved prior to bond estimates being prepared.
TAX MAPs/PARCELs: 13A6^ R. OWNER'S NAME: &4fl 4-9044441, LL C
SIGNATURE: , `i/ � Q/�- date: a%�/�
TAX MAPs/PARCELs: OWNER' AME:
SIGNATURE: date:
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MAPs/PARCELs: , OWNER'S NAME:
SIGNATURE: date:
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
NOTE: If ownership of the property is in the name of any type of legal entity or organization
including,but not limited to the name of corporation,partnership,limited liability company,
trust,association,etc.,documents acceptable to the County must be submitted certifying that
the person signing above has the authority to do so.
The requested estimates are;
El
VESCP Erosion&Sediment Control per Water Protection Ordinance section 17-207;$0 fee
R VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208;$250 fee required
i1 Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435;
& Water&Sewer per Subdivision Ordinance section 14-435;S269 fee required
A bond estimate will be prepared by the plan reviewer. The estimate must be sent to the owner. Please provide
contact information.
EMAIL: 4 Q 1 i(d i atAi. C4ht ` Pim- i z-H SI m Z
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014, 11/3/2015
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1' PHASE 1 SITEWORK INCLUDE ALL GRADING AND CLEARING FOR PHASE 1,AS WELL AS x
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1 ALL TIMBERING FOR PHASES 2&3,WHILE MAINTAINING THE TIMBER BUFFER AS SHOWN.
otNS1RUCT SANITARY LINE AS
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EEDED TO SEWER PHASE 2 _ w ti
, i TH PHASE 2 CONSTRUCTION. 1 �r ed ..- r�� LIMITS OF ��/ -` y
DISTURBANCE ' ..
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LIMITS OF _�c 0 If
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CON'TRUCT SANITARY U' ASa. `
EEDL1 TO SEWER PHASE'2 LIMITS OF ? / Z Q
WITH ' ASE 2 CONSTRUC DISTURBANC . `\. w
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UDE FROM BID
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7/7
1' 80 0 BD 120 Ifi0
- 1 . .,
E CO OF20
r - '• 15.050
County of Albemarle 115 2 3 3
Department of Community Development �,(
PH. (434)296-5832 Date U ' /p�
- /?
1
RECEIVED
T\OM'::
AMOUNT. Ct . ni n . c a(a / Q $ 1 '9
307 308 0324� ®• 526 aaq,
check l`D I
For: cash
rfn
„i O'�!tC J (8 an I Su g 1 — 6 , By it i
1�b �1
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GLENMORE PARTNERS,LLC 1101
PO BOX 645
CHARLO1TESVILLE,VA 22902-0645 G/ / a 68-316/514
Date
/4J
Order of
Yi14't�A'IG Gut,
$ 5/Ct, OD
Pay to the
i/G 4t ara rho 444.4.1 'DX
Dollars
UNION-Union Bank&Trust
.
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