HomeMy WebLinkAboutWPO201700024 Bond WPO VSMP 2017-11-03 Internal Use Only /V 9tn4'vt73 /1/ODoA
Date Received: ' '1 Fa Paid:' .W.W �,�1��
Received by: ^I lir',t' I'`w�
Intake: Forward to Management Analyst
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REQUEST TO ESTABLISH A BOND
APPROVED PLAN#SUB 0 .0046
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PROJECT NAME: Chesterfield Landing Phase II
(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 4
approved prior to bond estimates being prepared.
TAX MAPs/PARCELs: 56/35 OWNER'S NAME: •ttesville LLC o
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SIGNATURE: date: I E)
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TAX MAPs/PARCELs: OWNE NAME:
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S1GNAT E: date: 41
TAX MAPs/PARCELs: OWNER'S NAME:
a
SIGNATURE: date:
TAX MAPs/PARCELs: OWNER'S NAME: c
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
WI VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208; $250 fee required
0 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: swinkjw@stanleymartin.com
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014, 11/3/2013
County of Albemarle 111938
Department of Community Development
PH:(434)296-5832 Date • )//
RECEIVED FROM: f.,!../y ,1,114;
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AMOUNT: ,, ././///i )1'12/ 1,1-'7 t t; _
$ J
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307 308 ' ' 060)
510 check .;
For: cash
IA0 0011 4A 2"7 /' ."
credit dard
Ai) By
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Wells Fargo Bank **Void after 180 days**
McLean, VA 68-54/514
CHECK# 165310
DATE 10/24/2017
Stanley Martin Companies,LLC
11710 Plaza America Drive
Suite 1100
Reston, VA 20190 **********250.00
PAY
Two Hundred Fifty and 00/100 US Dollars
PAY TO THE Albemarle County
ORDER OF
Authorized Signature
1016 3 LOH1: 1 2 L000 21,81: 20000 3317006010
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