HomeMy WebLinkAboutWPO202100056 Preconstruction Form 2022-06-13Request for Pre -construction Meeting and Grading Permit
from Albemarle County— VSMP
Approved Plan Number: WPO- 202100056
Approved Plan Name: Waverly Residence
(Plans must be approved prior to a preconstruction meeting.)
DEQ Permit # (if applicable): VAR10-
Bond approved date: June 13, 2022
(Bonds must be approved and posted prior to a pre-consbucu'on meeting or permit.)
Responsible Land
Print Name:
State RLD Number: ' ] 015
Address: Z 3 5 0.
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Cite: V r t lly7�l 1 /CI7yIWl2r /1g _ f State: Zip: �O
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Daytime Phone: rJc3' I � 3 &mail: C�t�rfs t.�(iDi�ll /(a uil. &4iq
Primary Contractor:
Print Name:
Address:
City: State: �(�—zip: 22g02-
DaytimePhone:(Iqpeq-017-6 E-mail: Co, 5< Pet
Permit Issuance Fees (Request must include payment) [Code §17--7081:
Total acres proposed to be disturbed as shown on the approved plan and application: 3_26
Acres to be Disturbed
Total Fee Due for Grading Permit
Total Fee = (Application Fee +4% Technology Su hsrge)
Less than 1
$74,88
$72 + $2.88
Single -Family Dwelling only -
less than 5
72 +$2.88)
1 and less than 5 acres
$674 + $26.96
5 and less than 10 acres
$881.92
848 + $33,92
10 and less than 50 acres
$1,167.92
$1,123 + $44.92
50 and less than 100 acres
$IM1.84
($1,521 +$60.84
100 acres and more
$2,490.80
$2,395 +$95.80
Annual maintenance fees are assessed in arrears on April 1 each year or portion of a year that this permit is active
[Code §17-208].
7/1/14, Revised: 8/29/14, 10/18/18, 7/l/2021, 7/26/2021, 9/15/2021 Page 1 of 3
Person(s) attending the Pre -construction Meeting:
Names (type or print) Firm Contact Number or email
Ryan Cheney Line and Grade rcheney@line-grade.com
Charles Sparkman chades.lee.sparkman@gmail.com
Cyrena Sparkman cy@sparkman.net
Chris Petralia Element Construction rhric nc4rnli�/nnlmm�nihi iiI J
Mike Ball Element Construction mike(&elementbuild.com
The second part of the application fee is required to be paid with this request. This fee amount is:
FOR OFFICE USE ONLY Permft Issued note
By who?
7/1/14, Revised: 8/29/14, 10/18/18, 7/1/2021, 7/26/2021, 9/15/2021 Page 2 of 3