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HomeMy WebLinkAboutWPO201600086 Bond Erosion Control Plan 2017-03-13 Dale aadrd: / Fee raid. Illiceirel by; —"IMP d Zh3/f,e/ — lank!: F • N Analyse + [:±wr .. REQUEST TO ESTABLISH A BOND /9/ APPROVED PLAN N WPO 2016-00086 PROJECT NAME: Theisen & Fadden Residence (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: 127-51A OWNER'S NAME:Charles Theisen III 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: 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 arc; VESCP Erosion& Sediment Control per Water Protection Ordinance section 17-207;SO fee L7 VSMP Erosion and Sediment Control.Stormwater Management and Mitigation per Water Protection Ordinance section 17.208;5230 fee required D 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. Piease provide contact information. EMAIL: chuckth@c-t.net OR REGULAR MAIL ADDRESS: 323 Catch Basin Rd Sellersville, PA 18960 Rnvi*4 4110/2011.1101013