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HomeMy WebLinkAboutWPO201700065 Preconstruction Form WPO VSMP 2018-02-01 oti v.yF, Request for Pre-,construction Meeting and Grading Permit J`�® from Albemarle County Approved Plan Number: WPO-0201700065 Approved Plan Name: Brown Toyota&Mercedes Dealerships (Plans must be approved prior to a pre-construction meeting.) Bond approved date: Feb. 1,2018 (Bonds must be approved and posted prior to a pre-construction meeting or permit.) Responsible Land Disturber: Print Name: Rob Brugh, Montebello Contract Services State Certification Number:37179 Address 3002 Berkmar Drive City Charlottesville State VA Zip 22901 Daytime Phone(434) 242-6027 E-mail rbrugh@comcast.net Primary Contractor: Print Name Rob Brugh, Montebello Contract Services Address 3002 iBerkmar Drive City Charlottesville State VA Zip 22901 2112-10D27 Daytime Phone(434) 42 E-mail rbrugh@comcast.net 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 of3 Person(s)to attend the Pre-construction Meeting: Names(type or print) Firm Contact Number or email Clark Gathright B. Clark Gathright,LLC 987-0294 Gary Ross Brown/Umansky Toyota 531-1685 Rob Brugh Montebello Contract Services 242-6027 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 By who? 7/1/14,Revised: 8/29/14 Page 2 of 3