HomeMy WebLinkAboutWPO201500035 Permit 2015-10-21 e,AritrFiX%
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COUNTY OF ALBEMARLE
Community Development
401 McIntire Road
Charlottesville,Vriginia 22902-4596
(434)296-5832
EROSION CONTROL PERMIT
Date of Application: 06/15/2015
Permit Effective Date: 10/21/2015 Number: WPO-20]5-00035
LANDOWNER: Rivanna Water&Sewer Authority Phone:
695 Moores Creek Lane
Charlottesville,VA22902
CONTRACTOR: Fielder's Choice Enterprises,Inc. Phone: (434)244-0250
1020 Linden Avenue
Charlottesville,VA22902
REPONSIBLE LAND Dennis Hawk,Jr. Phone: (434)244-0250
DISTURBER: 1020 Linden Avenue
Charlottesville,VA22902
Certification/License#: 42001 Type:
Plans Prepared By: Whitman,Requardt&Associates,LLP
Plans Dated: 06/01/2015 Last Revised: 06/01/2015
Plans Entitled: North Fork Rivanna River Water Main Repair Location:
Dist. 0.8
Acreage:
Tax Map: 032G0-00-00-00000 Hydrological JRI l
03200-00-00-006A0 Unit:
Issued By:Kenn Thacker Title:Erosion Control Officer
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Signature Date
At,444:
Request for Pre-construction Meeting and Grading Permit
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from Albemarle County l�
Approved Plan Number: WPO- .2-01,c ` 0003S--oD3
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Approved Plan Name: tov n f or L f`v �d�ti f f tA/u-fe, /'t4.,' el.,v
(Plans must be approved prior to a pre-construction meeting.) /
Bond approved date: 1�
(Bonds must be approved and posted prior to a pre-construction meeting or permit.)
Responsible Land Disturber:
Print Name: {l '^t�! S t �h, l� . L.,r,ttye4,I Cha t-eH °er �JcJ �,� .
State Certification Number: Z 0 b
Address j O 7'17 lie h c, /41r Gy y Q
City �7ti�tv v; ;is 11lf — State V/� Zip 7 0
Daytime Phone(434 ) Z i D ZS J E-mail , 4•-v L c " ri l i j Govh
Primary Contractor:
Print Name 1 L iq e, j i h✓, c e , -It
Addressi'026, 4eh,,4
City
(..../114v ( )174c,,, t1/rEit � State V, Zip
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Daytime Phone(`}"34 ) Z g7 d -a ZO E-mail c ✓t y ^ e cc.
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 I $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
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Person(s)to attend the Pre-construction Meeting:
Names(type or print) Firm Contact Number or email
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13,u iN5 / c? x-34 ci g l o Cres
pOuPf: Rt../ dA.FY(.446) r;v400.4.0
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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?
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7/1/14,Revised:8/29/14 Page 2 of 3