HomeMy WebLinkAboutWPO201300028 Bond 2013-04-16 s of/tifAl\
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road,North Wing
Charlottesville,Virginia 22902-4596
Phone(434)296-5832 Fax(434)972-4126
EROSION CONTROL PERFORMANCE BOND RELEASE
PROJECT NAME: (','c 3//t /-4// Od c
PLAN/PERMIT NO. ivi/f22013C;.k )49.$
DATE: ///-/9-420
This project has been satisfactorily completed and the erosion control performance bond may be
released at this time if all erosion control inspection fees invoiced have been paid.
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rj Erosion C•ntrol Inspector )7411140/3
A A) ina4e_ Dm. •Communty Development Department
All erosion control Inspection fees invoiced on the above project have been collected.
Director of Community Development/County Engineer
Date
Accounting Department
All erosion control inspection fees invoiced on the above project have been collected.
Chief Accountant
Date
Cc: Ana Kilmer
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1111sur flecoved: Cy Plod:
!el i'Llijkle,, b \ t;) eo
iteceived --1,"'".1
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latalic Fore . — opt A Nal”1
4, 1111r!.
i 143.74%.
BOND ESTIMATE REQUEST
APPROVED PROJECT PLAN TITLE;(Toe.11 the ap'roc rt.'',from whwli the Translate 4111 be ixtNteci)
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1.P....4.41,L_C.L0Ego,_
All parcels in the project,including any off-site work if easements arc not provided,and current owners. Use a
separate sheet if more owners arc required.Owner and tax map information must be correct,and plans must be
approved prior to bond estimates being prepared.
41- Mbletn
TAX MAPs i PARCELs: 441- t!.."us- OWNER'S N , ....."■.■ 2.51 , I-4-e- _
40Ardr
SIGNATURE: Amy* date. , a
TAX MAPs, PARCELs: OWNER'S NAIVE:
- —
SIGNATURE. date:
TAX MAPS 'PARCEEs; OWNER'S NAME:
. — —
SIGNATURE: date:
TAX MAPs/PARCELs: OWNER'S NAME
SIGNATURE: date:
TAX MAPS i PARCELs: OWNER'S NAME:
SIGNATURE: date:
The requested estimates arc,
p<rosion&Sediment Control per Water Protection Ordinance section 17-207
0 Stommarer Management per Water Protection Ordinance section I 7-30t)
D Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435;
&Water& Sewer per Subdivision Ordinance section 14-435; $25Q fee required
The estimate must be sent to the owner Please provide contact information,
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EMAIL:+re..-VOre C IR The,,V12.11 claer.CONN
OR REGULAR MAIL ADDRESS: S. kg ,
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