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BOND INSPECTION REQUEST
APPROVED PLAN #:
wPO-2011.00037
PROJECT NAME (including Phase #): Glenmore K28 - Phase A [ Bond # 176118
(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.
10 VSMP/VESCP Erosion Control, Stormwater Management and/or Mitigation per
Water Protection Ordinance sections 17-207 & 17-208 $294.32
to Reduction m Release
❑ Subdivision (roads, drainage, etc.) per Subdivision Ordinance sections 14-435 & 14-438 $307.84
m 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
o Reduction (site work only) ❑ Release
TOTAL FEES $294.32
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 Applications may be withdrawn for a full refund within 30 days of receipt.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: odonnellgp@stanleymartin.com
OR REGULAR MAIL ADDRESS: 404 People Place, Suite 303
VA 22911
Print Name
12/01/2022
Date
Revised 7/1512014, 7/20/2015, 11/3/2015, 8/14/2017, 1128/2020, 7/1/2021
Payment Receipt
Your transaction has been successfully
completed!!
Your Confirmation number is : 1000634094
Transaction ID: 22120712307736EA9255822120712307
12/07/2022 13:32:46 [EST]
Account
Information
Payment Type: Tax Payment
Bill Payer
Details
Chad Backstrom
11710 Plaza America Drive
Suite 1100
Reston, VA 20190
Payment
Details
Payment Amount: $353.60
Convenience Fee: $8.84`
Total Amount: $362.44
Payment Method: I 0
Card Number:
XXXXXXXXXXXXX3743
Expiration date: 10/2025