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HomeMy WebLinkAboutWPO201500087 Preconstruction Form 2016-01-27 Nine Request for Pre-construction Meeting and Grading Permit r from Albemarle County /hi atia* Approved Plan Number: WPO- gd 1,S —OM ctc Approved Plan Name: 07 (i x'41< 1.4-‘c ti, v &CL/( ( <f (Plans must be approved prior to a pre-construction meeting.) Bond approved date: I/T7!/ (Bonds must be approved and posted prior to a pre-construction meeting or permit.) Responsible Land Disturber: Print Name: State Certification Number: 31 s' Address /.SOC' 041(4.1(0 AS a�_�___.__ City ~��v✓, () State VA Zip 2)&0 Daytime Phone(-SIX) ,j�,j— /YeG E-mail—1-(Hcx_ MoMP44-4,e 'lam„Jerk) /k1 Primary Contractor: Print Name A 1OMert-1-Ue . Erv.)L. v sA/�G - � 1 M°tn ._�f'J Address 1S6'D eq Seel a_5 01 Citi '`J ter^fit S3✓t .�✓r'I State 1/4 Zip oV i?i Daytime Phone(.J t'©) .. I �� (, E-mail ila/I S q)►'t oM E'4 ev 4L\ tx-le . (c/1.1 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 S990.00 50 and less than 100 $1,342.00 100 and more $2.112.00 For plans exempt from VSNfP.VESCP fees were paid‘011:41e vocation