HomeMy WebLinkAboutWPO202100007 Preconstruction Form 2022-03-17Request for Pre -construction Meeting and Grading Permit
from Albemarle County — VSMP
Approved Plan Number: WPO- 2021-00007 DEQ Permit # (if applicable): VAR10-.
Approved Plan Name: _I<7y00W 11 666 19917
(Plans must be approved prior to a pre -construction meeting.)
Bond approved date: 3 f � OL611-
(Bonds must be approved and posted prior to a pre -construction meeting or permit.)
Responsible Land Disturber:
Print Name: VPDO"I !T/Wylcto�r✓ ur, r/V,.Ci Xadtat)
State RLD Number: R L D tt1//(S 29
Address: 2o, %x I -167
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city: C.6( Q4t de, State:_zip: o2
Daytime Phone: Q$( 363Y E-mail: reirwj l (0 Oyerbew.1d v, com
Primary Contractor:
Print Name: Ca,44--ptt.tr C'&4 jk. Oyl
Address: 1715 Ata -eve f
City: Ci14QW 4TYtC4 State: A zip: VW02-
Daytime Phone: *� Vlq - 0001 E-mail: _Apts t t tnzte�l:nfsH CDN vu• ��OI.Cotn
Permit Issuance Fees (Request must include payment) [Code §17-708]:
Total acres proposed to be disturbed as shown on the approved plan and application: 116712- Acres
Acres to be Disturbed
Total Fee Due for Grading Permit
Total Fee = (Application Fee +4%Technology Surcharge)
Less than 1
$74.88
($72 + $2.88
Single -Family Dwelling only -
$74.88
less than 5
($72 + $2.88)
1 and less than 5 acres
$700.96
$674 + $26.96
5 and less than 10 acres
$881.92
($848 + $33.92
10 and less than 50 acres
$1,167.92
($1 123 + $44.92
50 and less than 100 acres
$1,581.84
($1,521 + $60.84)
100 acres and more
$2,490.80
($2,395 + $95.80
Annual maintenance fees are assessed in arrears on April 1 each year or portion of a year that this permit is active
[Code §17-2081.
7/l/14_ Revised: 8/29/14. 10/18/18.7/l/2021.7/26/2021.9/15/2021 Pa¢e 1 of3
Person(s) attending the Pre -construction Meeting:
Names (type or print) Firm Contact Number or email
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/I8/19.7/1/2021.7/26/2021.9/15/2021 Paget of
0 Your Payment
Was Submitted
Transaction ID: 3YO321511S4058530
Transaction 03/17/2022 02:18
Time: PM
Total Paid: $1,198.17
We will receive notification of your online payment at the time that it is made and
we will credit your payment as of that day. However, you will not see the payment
on your account for approximately 48-72 hours due to the time that it takes to get
those funds into our bank account.
Item Amount
Website Payment $1,167.92
Item Number: B874CF
Type: Community Development
WPO/VSMP
Notes: Brookhill Blocks 16ftl7 Pre -
construction application
WPO20210007
Transaction
$30.25
Fee
Total $1,198.17