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SUB201300079 Bond 2013-06-03
'Internal Use Only 4o A Date Received: / �$- "I lif Received by: Iii U®e e Y i� ©�v' 0 Intake: Forward to anagement Analyst Sid __ SCHEDULE OF COMPLETION FOR BONDED IMPROVEMENTS PROJECT NAME: /%f/✓✓ (as on bond estimate request form and approved plan) This form is intended to facilitate the completion of bonded improvements in a timely manner by assuring the developer has a schedule in place, and by providing this Department a means to assess the developer's ability to meet the completion date stated in the bond agreement. The developer must provide a completion date for each milestone listed below. Date Milestone Public Roads Start of construction. Submit all paperwork in accordance with the County's"Public Road Acceptance Procedure" (certificate of completion,as-built plans,recorded plats,professional engineer certification for completed improvements,etc.). VDOT documentation of acceptance(request to Board of Supervisors to adopt resolution to accept road(s)into secondary road system). Private Roads Start of construction. Submit all paperwork in accordance with County's"Private Road Acceptance Procedure" (compiled report of CBR tests,stone depth inspections,and fill compaction tests, certified by a professional engineer,certificate of completion,as-built plans,recorded plats, professional engineer certification for completed improvements,etc.). Request 45-day inspection from County. Request final inspection from County. Watgr& Sewer Improvements .9Z,f/zoi - Improvements dedicated and "acceptance" letter issued by the Albemarle County Service Authority. Additional Bonded Subdivision Improvements(landscapin!, pedestrian paths,sidewalks,etc.) Submit signed and sealed letter from a professional engineer listing and certifying that completed improvements are built according to approved plans and request inspection from County. Revised 11/10/2010 Page 1 of 2 SCHEDULE OF COMPLETION FOR BONDED IMPROVEMENTS By signing below,the owner/developer agrees to complete the bonded improvements in accordance with the above schedule. If,during the course of construction,the owner/developer finds they will be unable to meet the schedule,they must provide written justification to the County Engineer of the reasons preventing completion along with a revised completion schedule. Signature of Owner/Developer °C/f 7 G�f/(' �/%T✓L%? � 21 /? Print Name l ate SCHEDULE OF COMPLETION ACCEPTED: County Engineer Date Subdivision/Road Performance Bond Completion Date Revised 11/10/2010 2 of 2 Internal Use Unh /0//1_ Date Received:C I Pee Paid: Received b}: �, ( / rr 71 r) Intake: Forward to Management Analyst 7� l.i� N l�RCtti1�' BOND ESTIMATE REQUEST APPROVED PROJECT PI AN TITI.R• (Title on the approve plan from which the estimate will he prepared ) M1V R 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. TAX MAPs/PARCELs: (/6I °2/O, OWNER'S NAME: tr94,/' �� ✓ ( SIGNATURE: date: , TAX MAPs/PARCELs: OWNER'S NAME: SIGNATURE: date: TAX MAPs/PARCELs: OWNER'S NAME: SIGNATURE: date: TAX MAPs/PARCELs: OWNER'S NAME: SIGNATURE: date: TAX MAPs /PARCELs: OWNER'S NAME: SIGNATURE: date: The requested estimates are; ❑ Erosion & Sediment Control per Water Protection Ordinance section 17-207 ❑ 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 should be sent to; EMAIL: 041 r6-- C/1/50 A/ 2 , CO Al OR REGULAR MAIL ADDRESS: / G 2 ///' S7/ 1- 1/ 2 IA 2292 Revised 11/10/2010