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