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BOND INSPECTION REQUEST
APPROVED PLAN #WPO-2012-00045(WPO BOND E&S)
PROJECT NAME: OLD TRAIL VILLAGE STOCKPILE BORROW AREA PLAN
(As listed on the approved plan)
This is to request that an inspection be performed by the County. Where fees are assessed,a fee is required for
each inspection. Please check the inspections requested.
L VSMP/VESCP Erosion Control,Storrnwater Management and/or Mitigation per
Water Protection Ordinance section 17-207&208 $250
0 Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435 and 14-438: $269
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0 Water&Sewer per Subdivision Ordinance section 14-435 $269
0 Site Development Performance bond(Incomplete Site Work& Landscape Maintenance) $301
TOTAL FEES $250
Inspections for the purposes of bond reduction or release will require a separate fee for each bond.
Submit requests to: Department of Community Development.401 McIntire Road,North Wing,Charlottesville,
VA 22902.Attention: Management Analyst-Phone 434-296-5832; Fax 434-972-4126. All roads and
storrnwater facilities will require construction record drawings, inspection reports,and completion processes
through VDOT or DEQ. Bonds will not be reduced or released without record drawings and inspection
documentation per the state requirements and county's published procedures.A minimum 20%of the original
posting is held until acceptance of all bonded improvements. For Site Development Performance bonds, if
landscape installation is part of the bonded incomplete site work,a request for reduction should only be made
once all site work is complete.
The revised estimate should be sent to;
EMAIL: daveaoldtratIvillage.com
OR REGULAR MAIL ADDRESS: 1005 HEATHERCROFT CIRCLE, SUITE 400
CROZET,VA 22932
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Signature o e •ner/Deteloper
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Print Name ate
Reused 7/15.2014 7:202015. I i 3 2015