HomeMy WebLinkAboutWPO201500047 Permit 2015-12-17 •
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Request for Pre-construction Meeting and Grading Permits
from Albemarle County ! pri
Approved Plan Number: WPO- Z O/S - do 0i/7
Approved Plan Name: The /%n71; Pr VC
(Plans must be approved prior to a pre-construction meeting.)
Bond approved date: /Z//7//5
(Bonds must be approved and posted prior to a pre-construction meeting or permit.)
Responsible Land Disturber:
Print Name: MC/1/4Y/ Wig 0 v7
State Certification Number: 40 0296/
112:Z-3
Address `/2- I/3r/ov/ke
�`Q/� lel
City f iq/4 Y/t' t��7/� State Os Zip 2213,4
Daytime Phone(%3V ) VL ' 7�/Y E-mail /?A Garifir#4#110/Coe
Primary Contractor: /J
Print Name ilder'L O Jin gni .64,h-v 1IV
Address %'2Z3 fariy�"✓I��G gel
City /if//7Sl/IL/( 0 State Of Zip Li9 3,4
Daytime Phone(J) �(p�-4/1,9 E-mail it aka rIerr&jm'//
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 of3