Forms

Roadway Defect Bond (Assignment of Certificate of Deposit)

Defect Bond (Surety)

Cash – Checks payable to County of Henrico

Letter of Credit for Defect Bond for Street Acceptance

Information for Submitting Erosion and Sediment Agreements

Environmental Compliance Agreement (required with 1 of 3 forms below)

1) Assignment for Environmental Compliance Measures

2) Letters of Credit (Example)

3) Cash/CheckS

Assignment for Unimproved Drive Aprons

Right-of-Way Maintenance Agreement
(ALL MUST INCLUDE • Virginia Land Record Cover Sheet – Quick Reference Page): http://www.courts.state.va.us/courts/circuit/lrcs_quickref_helpdoc.pdf
• Virginia Land Record Cover Sheet Generator: http://webdev.courts.state.va.us/cgi-bin/DJIT/ef_djs_ccdeed_calc.cgi

Non-Maintained County Right of Way Agreement for a Private Driveway in an Unimproved Public Right of Way
(ALL MUST INCLUDE • Virginia Land Record Cover Sheet – Quick Reference Page): http://www.courts.state.va.us/courts/circuit/lrcs_quickref_helpdoc.pdf
• Virginia Land Record Cover Sheet Generator: http://webdev.courts.state.va.us/cgi-bin/DJIT/ef_djs_ccdeed_calc.cgi

Declaration of Covenants for Inspection & Maintenance of Stormwater Management Facilities (for Proprietary Devices)

Declaration of Covenants for Inspection & Maintenance of Stormwater Management Facilities (for Vegetated Roofs, Permeable Pavement, Wet Ponds, & Practices with Enclosed/Confined Space or Underground Chambers such as Sand Filters and Cisterns)

Declaration of Covenants for Inspection and Maintenance of Stormwater Management Facilities (for other practices)
(ALL MUST INCLUDE • Virginia Land Record Cover Sheet – Quick Reference Page): http://www.courts.state.va.us/courts/circuit/lrcs_quickref_helpdoc.pdf
• Virginia Land Record Cover Sheet Generator: http://webdev.courts.state.va.us/cgi-bin/DJIT/ef_djs_ccdeed_calc.cgi

Permit Bond Application

Consent Agreement for Working in Right-of Way

Permit Form to Work in Henrico County Right-of-Way with Attached Provisions

Hold Harmless Agreement

SPA (Stream Protection Area) Agreement
(ALL MUST INCLUDE • Virginia Land Record Cover Sheet – Quick Reference Page): http://www.courts.state.va.us/courts/circuit/lrcs_quickref_helpdoc.pdf
• Virginia Land Record Cover Sheet Generator: http://webdev.courts.state.va.us/cgi-bin/DJIT/ef_djs_ccdeed_calc.cgi

Hauling Permit

Lot Grading Certification

Agreement in Lieu of an Erosion and Sediment Control Plan

Agreement in Lieu of a Stormwater Management Plan

SWPPP Tabs for Plan Review/Approval

SWPPP Inspections  Form

Precon Checklist
Stormwater Management Facility As-Built Certification Forms

Bioretention Facility As-Built Certification
Extended Detention Basin As-Built Certification
Extended Detention Basin with a Shallow Marsh As-Built Certification
Infiltration Facility As-Built Certification
Manufactured Facility As-Built Certification
Retention Basin As-Built Certification
Sand Filter As-Built Certification
Underground Detention As-Built Certification

Contact Us

Public Works

Henrico Department of Public Works
4301 E. Parham Rd.
Henrico, VA 23228

Phone
(804) 501-4393

DPW@henrico.us

Mailing Address
P. O. Box 90775
Henrico, VA 23273-0775