HomeMy WebLinkAboutSUB201800164 Bond 2022-04-15Internal Use Only
Date Received:
Fee Paid:
Received by:
Intake: Forward to Program Administrator
BOND INSPECTION REQUEST
APPROVED PLAN #: SUB201800164
PROJECT NAME (including Phase #): OLD TRAIL VILLAGE BLOCK 32 ROAD & UTILTY PLAN
(As listed on the approved plan)
This form is used to request a reduction or release of a bond. A fee is required for each inspection. Please
check the appropriate box below for the requested inspection(s). Fees includes 4% Technology Fee.
Inspections for the purposes of bond reduction or release will require a separate fee for each bond.
❑ VSMPNESCP Erosion Control, Stormwater Management and/or Mitigation per
Water Protection Ordinance sections 17-207 & 17-208 $294.32
❑ Reduction ❑ Release
® Subdivision (roads, drainage, etc.) per Subdivision Ordinance sections 14-435 & 14-438 $307.84
® Reduction ❑ Release
❑ Water & Sewer bond per Subdivision Ordinance section 14-435 $307.84
❑ Reduction ❑ Release
❑ Site Development Performance bond (Incomplete Site Work & Landscaping) $344.24
❑ Reduction (site work only) ❑ Release
TOTAL FEES 307.84
Submit requests to: Department of Community Development, 401 McIntire Road, North Wing, Charlottesville,
VA 22902, Attention: Management Analyst — Phone 434-296-5832; Fax 434-972-4126. All roads and
stormwater facilities will require construction record drawings, inspection reports, videos/photos, plats/esmts,
certifications, and completion processes through VDOT or DEQ (refer to County acceptance procedures).
Bonds will not be reduced or released without record drawings and inspection documentation per the state
requirements and County's published procedures. A minimum 20% of the original posting is held until
acceptance of all bonded improvements. For Site Development Performance bonds, if landscape installation is
part of the bonded site work, a request for reduction should only be made once all landscaping is complete.
If all required documentation is not received within 30 days of receipt of this request, this application shall be
deemed incomplete and shall be rejected. If rejected, a new application, supporting documentation and fee will
be required. Applications may be withdrawn for a full refund within 30 days of receipt.
If this is a reduction request, the revised estimate will be prepared by the plan reviewer and sent to the owner.
Please provide contact information.
EMAIL: DAVE@OLDTRAILVILLAGE.COM
OR REGULAR MAIL ADDRESS:
Signature of Owner/Developer
JEREMY L. FOX (ON BEHALF OF DAVE BROCKMAN)
Print Name
04/14/2022
Date
Revised 7/15/2014, 7120/2015, 11/3/2015, 8/14/2017, 1/28/2020, 7/1/2021
(D Your Payment Was Submitted.
Transaction ID: 5KG80365DE562771P
Transaction Time: 04/14/2022 09:09 AM J
Total Paid: $316.04
We will receive notification of your online payment at the time that it is made and we will /R (J
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.
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a3 Cancel Payment (http://www.atbemartecountytaxes.org/default.aspx?pagelD=l10rxmp=Master. Master)