HomeMy WebLinkAboutWPO202200043 Preconstruction Form 2023-01-10Request for Pre -construction Meeting and Grading Permit
from Albemarle County — VSMP
Approved Plan Number: WP'O- a Da�CC +3 DEQ-P-elrmit # (if applicable)
Approved Plan Name:DO �(,Y Ty-" V i � , &I ai 7C , tots
(Plans must be approved prior to a pre -construction me ing.)
Bond approved date: I / I o IA3
(Bonds must be approved and posted prior to a pre -construction meeting or permit.)
Responsible Land
Print Name:
State RLI
Address:
City:
VAR10-
am
Char(o°t`-SvItu State: A Zip: Q;F,O1
Daytime Phone: (Abj o 4oA - COO"+ E-mail: LU I u I Am& fa. q op G M d , CO M
Primary Contractor:
Print Name:
Address: <: )O n'le as Cl.bl7 V�e
City:
State: Zip:
Daytime Phone: (4A s)AA - pe3to+ E-mail: W I U 1 c M JX L`^4 mom'
Permit Issuance Fees (Request must include payment) [Code §17-708]:
Total acres proposed to be disturbed as shown on the approved plan and application: L 1 Acres
Total Fee Due for Grading Permit
Acres to be Disturbed
Total Fee = (Application F ° o Technology Surcharge)
Less than 1
$74.88
$72 + $2.8
Single -Family Dwelling only —
.88
less than 5
($72+$2.88)
1 and less than 5 acres
$700.96
$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
$1,581.84
$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, 7/1/2021, 7/26/2021, 9/15/2021 Page 1 of 3
Person(s) attending the Pre -construction Meeting:
Names ftvoe or print) Firm Contact Number or email
wiI
The second part of the application fee is required to be paid with this request. This fee amount is:
FOR OFFICE USE ONLY Permit Issued Date
By who?
m
7/1/14, Revised: 8/29/14, 10/18/18, 7/l/2021, 7/26/2021, 9/15/2021 Page 2 of 3
Tina Meadows
From: Albemarle County - VA - Tax <no-reply@sturgiswebservices.com>
Sent: Tuesday, January 10, 2023 12:06 PM
To: tina.meadows@craigbuilders.com
Subject: Payment Submitted
❑"
PAYMENT SUBMITTED!
Transaction ID 2301101105713BA35F888
Total Paid $76.83
Item Number: A8F9D8 $74.88
Type: Community Development
WPONSMP
Notes: Grading Permit Fee -
WPO202200043
Transaction Fee $1.95
Total $76.83
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