HomeMy WebLinkAboutWPO201400008 Bond Request 2014-06-20 r&Cid s/O.' "S
Internal Use Onl
Date Received: 1 'ee Paid:
IWOReceived by:
ic
Intake: Forward to N. agement Analyst 0 j u�-
11109, YY)
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REQUEST TO ESTABLISH A BOND P �7► '"`�
APPROVED PLAN# uvPo - 701 - ObOb$
PROJECT NAME: Giro 7' 7 T7g t3 UP1/4//4iej
(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.
,l f� TAX MAPs/PARCELs. e OWNER'S AME: f 4-0.7{t- Cup,../. Yot
/f SIGNATURE: , '{.' date: 41
TAX MAPs/PARCELs: OWNER'S .
SIGNATURE: '
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE:
+'^ Par)6 -\N/JL.Sk
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TAX MAPs/PARCELs: OWNER'S NAME: 3
SIGNATURE:
TAX MAPs/PARCELs: OWNER'S NAME: C
SIGNATURE: ✓ e -
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NOTE: If ownership of the property is in the name of any type c5ctUt,uS
r
including, but not limited to the name of corporation,partnersh � /- w
trust,association,etc.,documents acceptable to the County mus
the person signing above has the authority to do so. I hQ
--ke"111
The requested estimates are;
❑ VESCP Erosion&Sediment Control per Water Protection Ordinance section 17-207;$0 fee
VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208;$250 fee required
E 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 he prepared by the plan reviewer.The estimate must be sent to the owner. Please provide
contact information. / J
EMAIL: /7011 e
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014
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Internal Use Only rlA14 .(�
Date Received: a.. Zi /Fee Paid: �1�`i fr
Received by: talWAittLe
a111ki
Intake: Forward to n:cmentAnalyat !!
REQUEST TO ESTABLISH A BOND
APPROVED PLAN# WPO-2014-00073
PROJECT NAME: South Rivanna WTP - GAC Upgrades
(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: 45-68B OWNER'S 74 !R :,: .- -tpr & sewer Authority
SIGNATURE: 441 I, `. date: ;11,
TAX MAPs/PARCELs: OWNER'S AME:
SIGNATURE: date:
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
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
0 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: dmarch®rivanna.org
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014
FD . 4C( 1/20/s
more `yaw'
Internal Use Only $°
A
Date Received: Fee Paid: �~OY L l
Received by: ' 11). )172,11 Intake: Forwar to M- agement Analyst aro' '��w 4112:
)1,04..e._ di;
REQUEST TO ESTABLISH A BOND
APPROVED PLAN# WPO-2014-00069
PROJECT NAME: North Rivanna WTP - GAC Upgrades
(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: 32E-1A OWNER'S NAI IE:1Riyd nirca vat r Sewer Authority
SIGNATURE. , t = ! ';' date: 4. { 19-
TAX MAPs I PARCELs: OWNER'S NAME: I !!
SIGNATURE: 1 date:
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
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;$0 fee
® VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208;$250 fee required
❑ 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: dmarch@rivanna.org
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014