HomeMy WebLinkAboutWPO201600052 Bond WPO VSMP 2017-03-03 •
eternal Use Only f,oV
Date Received: 8 3/3
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Received by: —
Intake: Forward to a ent Analyst - � y-
144609
REQUEST TO ESTABLISH A BOND cAy,ki4
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APPROVED PLAN#WPO-2016-00052
PROJECT NAME: 2300 Hunter's Way
(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: 78-49A OWNER'S NAME: Heartrock Farm LLC
SIGNATURE:94,_ date:3/3/2017
TAX MAPs/PARCELs: OWNER'S NAME:
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;$0 fee
6a 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;$269 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: kschuyler@cstonellc.com
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014, 11/3/2015
'HEARTROCK FA1 SUMMIT RM LLC iim,2 _-- -_5051
CHARLOTTESVILLE,VA 22911 870L 0/ \✓ 68-426/514
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DATEtftaIlr-A\ -t 2017 yi
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.'TO THE CCS UJ\ a A .\o'f_Ay\c&r h
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DD.XI BRANCH 00-BANKBANKING B,ND T�RUST COMPANY
FOR ii30 w4PO'zotb-00052 !,
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1110000505 iii 1.0 5 1401, 2601: 11170000832. 588u
County of Albemarle 108611
Department of Community Development
PH:(434)296-5832 Dat\//2 (J,"]
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RECEIVED FRO : 'L1 .I, A 0I J g
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AMOUNT: U / / gAct I ,/v _ -- $ osv`eo
307 308 450) 510 ) 64
For: ��jj cash
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