HomeMy WebLinkAboutWPO201700062 Bond WPO VSMP 2017-08-11 Internal Use Only ,{ �--- /� / J Received: �1 ' REe Paid: O/ 0 `�OF 4 V4/Z40/1—
Date
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Intake: Form .to Management Analyst �\�
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REQUEST TO ESTABLISH A BOND Qs . 1
4
APPROVED PLAN #TBD
PROJECT NAME: Avinity Phase II-IV(townhouse construction) ,t4\e--'/---
(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: 091A0--01400 OWNER'S NAME: s i mont Neighborhoods, LP
SIGNATURE: ' � date: �7�
TAX MAPs/PARCELs: OWNER,'AME:
SIGNATUR 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;
O VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; $0 fee
W VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208; $250 fee required
O 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: swinkjeremy@gmail.com
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014,11/3/2015
County of Albemarle 110800
Department of Community Development
PH: (434)296-5832 Date 1 JQ -3
•
RECEIVEDI M: _ ( 1 r t (O ,• L C
AMOUNT: ' Mil,111111011111111kAa"_ i % l qbk 1 t r (SU I� $ (` )
307 3852 (. . 1).n 324 510 chec ) 1 5C1 Cl°1 c
For: VS.KAP
cash
/4‘v In.lkL \- hc, i -- 1V
p ^ l A - N ere._4 ABM
Wells Fargo Bank —_____________
McLean, VA **Void after 180 days*
68-54/514
•
CHECK# 15999'
Stanley Martin Companies,LLC DATE 08/03/2017
11710 Plaza America Drive
Suite 1100 •
Reston, VA 20190
$ *********250.0(
PAY
i Two Hundred Fifty and 00/100
PAYTOTHE County of Albemarle US Dollars
ORDER OF PO Box 7604
Merrifield, VA 22116
)
Authorized Signature