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BOND INSPECTION REQUEST
APPROVED PLAN #: 6,6 ZO 1(o Oooc?
PROJECT NAME (including Phase #): Ti 1-'t 4kt- LOm4 Ai &L,
(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.
❑ VSMP/VESCP Erosion Control, Stormwater Management and/or Mitigation per
Water Protection Ordinance sections 17-207 & 17-208 $294.32
o Reduction o Release
Subdivision (roads, drainage, etc.) per Subdivision Ordinance sections 14-435 & 14-438 $307.84
❑ Reduction o Release
❑ Water & Sewer bond per Subdivision Ordinance section 14-435
o Reduction o Release
❑ Site Development Performance bond (Incomplete Site Work & Landscaping)
o Reduction (site work only) o Release
TOTAL FEES
$307.84
$344.24
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, supportingdocumentation)ind fee sill
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 Applications may be withdrawn for a full refund within 30 days of receipt.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: IRA 0 luta,,llri h Q ✓L\k-bi .v i4 a kl • C AN k
OR REGULAR MAIL
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Date
Revised 71152014, 7/20/2015, 11/3P2015, 8/14/2017, 1128,7020, 7/1/2021
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