HomeMy WebLinkAboutWPO201400070 Preconstruction Form 2014-11-26 Nol
Of Al-rip,
Request for Pre-construction Meeting and Grading Permit
from Albemarle County
Approved Plan Number: WPO- 2014-00070
Approved Plan Name: Faith Christian Center International
(Plans must be approved prior to a pre-construction meeting.)
Bond approved date: November 26, 2 014
(Bonds must be approved and posted prior to a pre-construction meeting or permit.)
Responsible Land Disturber:
Print Name: Mac Vandeplooh
State Certification Number: #42835
Address 1030 Linden Avenue
City Charlottesville State VA Zip 22902
Daytime Phone(434) 978-4435 E-mail digsinc @aol.com
Primary Contractor:
Print Name Harvestime Facility Solutions
Address 19336 Queens Crescent Way
City Monument State CO Zip 80132
DaytimePhone(719) 532-0780 E-mail brad @harvestime.com
Permit Issuance and First Year Maintenance Fees: (Request must include payment)
Total acres proposed to be disturbed is contained on the approved plan and application:
VSMP:
Acres to be disturbed Fee Due at Grading Permit
Less than 1 $63.80
1 and less than 5 $594.00
5 and less than 10 $748.00
10 and less than 50 $990.00
50 and less than 100 $1,342.00
100 and more $2,112.00
For plans exempt from VSMP,VESCP fees were paid with the application.
7/1/14,Revised: 8/29/14 Page 1 of 3
Person(s)to attend the Pre-construction Meeting:
Names(type or print) Firm Contact Number or email
Dr. Wayne A. Frye Faith Christian Center Intl. pastor @fccintl.org
Mac Vandeplooh Digs, Inc. digsinc @aol.com O/tC
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?
7/1/14,Revised:8/29/14 Page 2 of 3