HomeMy WebLinkAboutWPO201400095 Preconstruction Form 2015-05-28 Request for Pre-construcb'n Meeting and Grading Permit""f
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from Albemarle County 41161-kr-
Approved
, 1r-Approved Plan Number: WPO- 2014-00095
Approved Plan Name: Glenmore K2C-WPO Plan Erosion and Sediment Control and Stormwater Management Plan
(Plans must be approved prior to a pre-construction meeting)
Bond approved date: July 22,2015
(Bonds must be approved and posted prior to a pre-construction meeting or permit)
Responsible Land Disturber:
Print Name: Tom Paquette
State Certification Number: 41771
Address Post Office Box 7427
City Charlottesville State VA Zip 22906
Daytime Phone(434) 977-3750 E-mail tom@agdillard.com
Primary Contractor:
Print Name Tom Paquette/A.G.Dillard
Address Post Office Box 7427
City Charlottesville State
VA Zip 22906
Daytime Phone(4;4) 977-3750 E-mail tom@agdillard.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
Scott Collins Collins Engineering scott@collinsengineering.com
Tom Paquette A.G.Dillard tom@agdillard.com
Jeremy Swink Stanley Martin Homes SwinkJW@stanleymartin.com
John Kessler Stanley Martin Homes KesslerJAnastanleymartin.com
Scott Bradshaw A.G.Dillard scott@agdillard.com
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