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HomeMy WebLinkAboutWPO201300079 Bond Estimates 2014-11-18 Internal to Only dot V i.J( df A : l d , Date Received: r I , Fee Paid._____ _ Received by: AM*A_ XX I.1 ti-C3 Inters; Forward to Management Analyst Illerg 1,I tsiP CO Oi'l it REQUEST TO ESTABLISH A BOND APPROVED PLAN# WP0201300079.;SpP2 o 30bo(5,SUB Z013 oo I7 q PROJECT NAME: 5th Street Station (As listed on the approved plan) 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:007700-00-0o-011E00 ER'S NA Av oldings, LLC SIGNATURE: date: Ii 1 le 1 ri TAX MAPs/PARCELs:oo76M1-00-00-002A0OWNER'S N E: Ne Era Properties, LLC SIGNATURE: date: ti i t 04 TAX MAPs/PARCELs:0076m1-oo-00-oo250 OWNER'S ME: Ne Era Properties, LLC SIGNATURE: date: t r.I tit Fi TAX MAPs/PARCELs:0076M1-00-00-004A0 OWNER'S N ME: i.w ra Pr..- ie SIGNATURE: lik date: It 1112 I4 TAX MAPs/PARCELs: OWNER'S NAME:_ SIGNATURE: date: NOTE: If ownership of the property is in the name of any type of legal entity or organization including, but not limited to the name of corporation, partnership, limited liability company, trust,association, etc.,documents acceptable to the County must be submitted certifying that the person signing above has the authority to do so. The requested estimates are; ❑ VESCP Erosion&Sediment Control per Water Protection Ordinance section 17-207; SO fee ® VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water Protection Ordinance section 17-208;$250 fee required IA Subdivision(roads, drainage,etc.)per Subdivision Ordinance section 14-435; &Water&Sewer per Subdivision Ordinance section 14-435;$250 fee required A bond estimate will be prepared by the plan reviewer. The estimate must be sent to the owner. Please provide contact information. EMAIL: alan.taylor©redlightmanagement.com OR REGULAR MAIL ADDRESS: 321 E Main St, Suite 200 Charlottesville, VA 22902 Revised 6/202014 No- BOHLER ENGINEERING } 28 Blackwell Park Lane, Suite 201,Warrenton,VA 20186 Professional Engineering Services Telephone: (540)349-4500 Fax: (540)349-0321 LETTER OF TRANSMITTAL Federal Express TO: Albemarle County RE: Request to Establish A Bond 401 McIntire Road 5th Street Station Charlottesville,VA 22902 5th Street SW&Avon Street Ext. Charlottesville,VA 22902 (434)296-5832 Albemarle County ATTN: To Whom It May Concern DATE: November 19,2014 JOB NO: V122001 WE ARE SENDING YOU ❑Shop drawings ❑Copy of letter ®Attached ❑ Prints ❑Change order COPIES JOB# DATE REVISION REVISION SHEET NO. DESCRIPTION DATE 1 V122001 11/19/14 Check#002211 Check in the amount of$500.00 made payable to Albemarle County 1 V122001 11/19/14 1 of 1 Request to Establish A Bond Form These Are Transmitted: ®For approval ❑For your use DAs requested ❑For review and comment DApproved as submitted Approved as noted ❑Returned for corrections REMARKS: Please find enclosed the above mentioned items for the above mentioned project in Charlottesville,VA. If you have any questions or require additional information,please do not hesitate to contact this office at(540) 349-4500. COPY TO: SIGNED .40101°Pr Daniel R.Hines,P.E. File