HomeMy WebLinkAboutWPO201700031 Preconstruction Form WPO VSMP 2017-11-08 Request for Pre-construction Meeting and Grading Permit
from Albemarle County 's.
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Approved Plan Number: WPO-2017-00031
Approved Plan Name: UVA Golf Indoor Practice Facility
(Plans must be approved prior to a pre-construction meeting.)
Bond approved date:
(Bonds must be approved and posted prior to a pre-construction meeting or permit.)
Responsible Land Disturber:
Print Name: Isaac R. Shelley
State Certification
Number: 42004
Address Shelbeck Excavating,3414 Rolling Rd South
City Scottsville, State_Va Zip_24590
Daytime Phone(434)_286-7149 E-mail_isaac@shelbeckexcavating.com
Primary Contractor:
Print Name Jamerson Lewis Construction,Inc.
Address 1306 Stephenson Ave.
City Lynchburg State VA Zip 24501
Daytime Phone(434 ) 845-3468 E-mail ctolley&,,jamersonlewis.com khooper@jamersonlewis.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
Chris Schooley UVAF cschooley@uvafoundation.com
Annette Tamblyn UVAF atamblyn(auvafoundation.com
Amy Nelson Dewberry abnelson@dewberry.com
Devin Keeler Dewberry dkeeler@dewberry.com
Shawn VanTiem Bartzen and Ball s vantiem@bartzenball.com
Tut Bartzen Bartzen and Ball t bartzen@bartzenball.com
Chris Tolley Jamerson Lewis ctolley@jamersonlewis.com
Kevin Hooper Jamerson Lewis khooper@jamersonlewis.com
Isaac R Shelley Shelbeck Excavating isaac(ashelbeckexcavating.com
Peter Rhett Shelbeck Excavating peter@shelbeckexcavating.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
11/8/2017 Payments
Item Amount
Your Payment Was Submitted
i. �� Website Payment $594.00
T
Item Number:10312666
t
f a ' ( � Type:Community Development VSMP
aF Notes:WPO 2017-000031 Pre-Construction Meeting
Transaction ID: 7GV22667EP5858319
Transaction Time: 11/08/2017 03:04 PM Transaction Fee $13.67
Total Paid: $607.67 laTotal $607.67We will receive notification of your online payment at the time that it is -, . �..-
made and we will credit your payment as of that day.However,you will
not see the payment on your account for approximately 48-72 hours due to the time that it takes to get those
funds into our bank account.
https://www.albemarlecountytaxes.orglpayments/default.aspx 1/1