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Home My WebLink AboutWPO202000020 Checklist - Project Closeout (Administrative) 2021-02-02 Hof A( ��RGIN�P 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:_ JAP/1'10d, T3 kQ7 was 7 fir -5-71'6/I PLAN/PERMITNO.: Z.020 —0Oo 20 DATE:_2 r Q zO 2/ This project has been satisfactorily completed and the erosion control performance bond may be released at this time if all re-inspection and annual maintenance fees invoiced have been paid. _ -6 rosion Control Inspector DEQ Termination Date__ = __ or N/ Community Development Department All fees invoiced on the above project have been collecte . Director of Co munity Development/ unty Engineer 2/7, �Zi/ --- --- Date Cc: Ana Kilmer Revised:07/03/2018 Liu sat tt!! �`Cil:k ]_2)Dote tleeeh•edt_.L-=-�- �,T�`�,�c. Fee Pald: 140.OD �� Received by: AlifileP :• �r intake:Forward to Adaaa`enettt Aaatyat BOND INSPECTION REQUEST APPROVED PLAN#: 90 0a O! 0 f PROJECT NAME(including Phase#1 (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). Inspections for the purposes of bond reduction or release will require a separate fee for each bond. 1k VSMP/VESCP Erosion Control,Stormwater Management and/or Mitigation per $250 Water Protection Ordinance sections 17-207& 17-208 ❑Reduction o Release 0 Subdivision(roads,drainage,etc.)per Subdivision Ordinance sections 14-435& 14-438 $269 t3 Reduction c Release ❑ Water&Sewer bond per Subdivision Ordinance section 14-435 $269 a Reduction a Release 5301 ❑ Site Development Performance bond(Incomplete Site Work&Landscaping) ,,��// o Reduction(site work only) Aft f-0.0 TOTAL FEES Communityopment,401 reCharlottesville, Submit requestst ti n:Department Analyst Phone l434 296 5832;Fax 43 Road,72-4126.All roads and VA 22902,Attention.Managementlats/esntts, stormwater facilities will require construction record drawings,inspection reports,videos/photos,p certifications,and completion processes through VDOT or DEQ(refer to County acceptance procedures). Bonds will not be reduced or released without A mtnimord tngs um 20%ofinshetion orrgi documentation po ng s heldr t►hinet�ate requirements and bounty's publishedprocedures. acceptance of all bonded improvements,for reductir Site on should only mentbe made once erformance alllandscaping is complleten is part of the bonded site work,a request this application shall be If all required documentation is not received within 30 days of receipt of this request,this application and fee will deemedu incomplete and s l be te�wn forIf cted,a new a full refund within 30 days of receipt. be required. Applications may 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: tZZMO All .Co OR REGULAR MAIL ADDRESS: iM S Qc.IL •^ I/4 4Llt" A/ . Sig of Owner/Developer r// 4401— Print Name WATER PROTECTION (CONSTRUCTION) FILE CLOSEOUT AT TIME OF COMPLETION (BOND RELEASE) IMAGING CENTER INSTRUCTIONS CHECKLIST The Inspector/Management Analyst is to complete this form witliiii:10, , , of project ion and/or bond release; place the completed form in the WPO folder and forward to the Imaging Center for digital closeout into LaserFiche. Once items have been placed in LaserFiche,Imaging Center staff will forward to Centralized Filing. WPO#rQQ,QC� _ �(� (131 Yl(� PROJECT TITLE ( vU — n L� i1`tu.�`t FULL NAME INSPECTOR: 1 `C -�t;1'1 u� 9',J , , � E:Lam`,` Jl� nr�y U FINAL ACTION DATE: aiat'a( 1 CountyView - - ❑Status/Status Date updated Hardcopy— File Folder Closeout: All items listed shoul$be placed in project folder, in reverse chronological order(latest on top). Please check each item included in this folder. To indicate that an item is not applicable to this file,place an"N/A" next to the check box. The Inspector/Management Analyst has the discretion to include any item deemed necessary to provide clarity to the file,please indicate that item on the"Other"lines provided. Digital Closeout Instructions: Below each item please indicate if Imaging Center is to scan the document; or, if the document is already in digital format, can be saved to LaserFiche. Please provide the digital location (path/name)of the document in the space provided. ❑ Preconstruction Meeting Form ❑ Scan Javed location GU 41 0l -L ❑ Grading Permit ❑ Scan ❑ Saved location ❑ Inspection Requests _) ❑ Scan 'Saved location C ¢yc.Zfl-i(1 Jt f ) c _ i t ❑ Inspection Results(Include an inspection tickets,iu�Zos,p otos, tc.) ❑ Scan J Saved location L C.n\c (1IN { ❑ Bond Reduction/Bond Release Notices from Inspector to Management Anal ❑ Scan 'Saved location C )�; 1)/PL Jy ew X‘Conservation Checklist ❑ Scan ❑ Saved location ` iii 7s-built/Construction Plans ❑ Scan ❑ Saved location 171 Other(Please explain) El Scan ❑ Saved location El Other Plans - At the Inspector's discretion, copies of unapproved plans/plats may be placed in the file if they i lend clarity to the review at a later date. If such plans are included, they should be clearly marked as unapproved and contain a note clarifying why it was included. ❑ Scan ❑ Saved location NOTES: WPO project folders will be accepted by the Imaging Center when the following items are complete: 1) Checklist is completed and included in folder; 2) Documents are Acco-fastened(except plats/plans),and in chronological order(latest documents on top); 3) Documents are sufficiently identified as to which need to be scanned or saved to LaserFiche. If the above items are not complete,Imaging Center staff will circle the incomplete item and return folder to the County Engineer for corrective action. Draft 12-5-2013