HomeMy WebLinkAboutWPO201700023 Preconstruction Form 2017-06-28 PC n c 1-C � 2 a 7 - Atli/At-teat,
Request for Pre-construction Meeting and Grading Permit
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Approved Plan Number: WPO-2017-23
Approved Plan Name: Oakleigh
(Plans must be approved prior to a pre-construction meeting.)
Bond approved date: June 28,2017
(Bonds must be approved and posted prior to a pre-construction meeting or permit.)
Responsible Land Disturber:
Print Name: Wagner Excavation, contact-Tom Sinclair or Mark Wagner
State Certification Number:RLD 42116
Address 208 South Bayard Avenue
City Waynesboro State VA Zip 22980
Daytime Phone(434) 531-2488 E-mail tsinclair@wagnerexcavation.com
Primary Contractor:
Print Name Clark Construction/EBM Group, LLC,A Joint Venture
Address 1615 Apache Drive
City McComb State MS Zip 39648
Daytime Phone(251 ) 979-9990 E-mail joe.y@ebmgroupllc.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
Tom Sinclair,Wagner Excavation 434-531-2488 tsinclair@wagnerexcavation.com
Steve Edwards, Edwards designStudio 434-531-7507 steve@edwardsdesignstudio.com
Alan Franklin 434-531-5544 alan@alanfranklinpe.com
George Ray, Oakleigh Albemarle, LLC georgerayjr@gmail.com
Jeremy Lynn,ACSA 434-977-4511, x114 jlynn@serviceauthority.org
Victoria Fort, RWSA 434-977-2970,x205 vfort@rivanna.org
Joe Yarborough, EBM Group, LLC 251-979-9990 joe.y@ebmgrouplic.com
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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
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7/1/14,Revised: 8/29/14 Page 2 of 3