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BOND INSPECTION REQUEST S
APPROVED PLAN# ,_7 -.,_ ) ` _
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PROJECT NAME: 7 i Wit I /
(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.
VSMP/VESCP Erosion Control,Stormwater Management and/or Mitigation per
Water Protection Ordinance section 17-207&208
❑ Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435 and 14-438; S269
❑ Water&Sewer per Subdivision Ordinance section 14-435
❑ Site Development Performance bond(Incomplete Site Work& Landscape Maintenance) $301
TOTAL FEES_ 1.L
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
stornwater 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: OI r 4 4 - IC?
OR REGULAR MAIL ADDRESS: b ? a��, ra c
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Signature of Owner/Developer-____'_
Print Name `-- —— IA --
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Date
Dewed 7/15,2014,7.20:201 t,I N3.:2015
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Received by: 1111_ " `
Wake: Forward Msnademmt Analyst•
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ifrait'ed (S) *00,4
REQUEST TO ESTABLISH A BOND
APPROVED PLAN#WP0201400099
PROJECT NAME: Commonwealth Apartments
(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: 61W-3-14 OWNER'S N E: ositive,LLC
SIGNATURE: date: /0 // /16
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;
0 VESCP Erosion& Sediment Control per Water Protection Ordinance section 17-207;SO fee
• 5a VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208;S250 fee required
0 Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435;
& Water&Sewer per Subdivision Ordinance section 14-435;S269 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: Lanelbonnenagmail.com
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014,11/3/2015
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