HomeMy WebLinkAboutWPO201300002 Bond Release 2014-02-12 017 ALA,
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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: A-6 c PL,c,se IL A
PLAN/PERMIT NO. 1,.);DO 13 Oc-/( C)
DATE:
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.
/42
Erosion Control Inspector
Community Development Department
All erosion control Inspection fees invoiced on the above project have been collected.
-7/
irector 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
■,0ep-c...--415.60.yr.00,,00,p.a..wtosoN c.opc-Ro...pERFoRcE BOND RELEASE REVISED 529 2012(roc
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Date Received: Fee Paid: pF r / [[
44,11- �A
Received by: _ �'•"irk
Intake: Forward t eroent Analyst U
Mr:I'
BOND ESTIMATE REQUEST
APPROVED PROJECT PLAN TITLE:(Title the approve plan from which the estimate will be prepared.)
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.
Ohs C1U6 t ()" i--
TAX MAPs/PARCELs: OWNER'S NAME: Fi � aaA. ye4.-
` � (1UT
SIGNATURE: 73 j�7 date:
TAX MAPs/PARCELs: OWNER'S NAME: f"i +
SIGNATURE: JJJJJ date
d'L-'CC's-.>— 1 1 6/yr
TAX MAPs/PARCELs: OWNER'S NAME: ( C —
SIGNATURE: �� �f� date:
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
The requested estimates are;
[I Erosion&Sediment Control per Water Protection Ordinance section 17-207
L�d Stormwater Management per Water Protection Ordinance section 17-306
❑ Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435;
&Water&Sewer per Subdivision Ordinance section 14-435;$250 fee required
The estimate must be sent to the owner. Please provide contact information.
EMAIL: A C w■ e— Fy.j� 1'—o t , L'v
OR REGULAR MAIL ADDRESS:
Revised 11/1/2011