Forms

Various Forms used by the Department of Public Works



Roadway Defect Bond (Assignment of Certificate of Deposit)

Defect Bond (Surety)

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Cash - Checks payable to County of Henrico

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Letter of Credit for Defect Bond for Street Acceptance

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Information for Submitting Erosion and Sediment Agreements

Erosion and Sediment Agreement (required with 1 of 3 forms below)

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1) Erosion Control Measures (Assignment ofCertificate of Deposit)

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2) Letters of Credit (Example)

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3) Cash/Check - payable to "County of Henrico"

Assignment for Unimproved Drive Aprons

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Right-of-Way Maintenance Agreement
( ALL MUST INCLUDE STATE COVER SHEET - read about it HERE) Cover Sheet available here:
www.landsystems.com

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BMP-SWM AgreementĀ 
(ALL MUST INCLUDE STATE COVER SHEET - read about it HERE) Cover Sheet available here:
www.landsystems.com

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Permit Bond Application

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Consent Agreement for Working in Right-of Way

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

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Hold Harmless Agreement

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Certificate of Compliance
Fast Track Form

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10-Day Signature Plan
Fast Track Form


SPA (Stream Protection Area) Agreement
(ALL MUST INCLUDE STATE COVER SHEET - read about it HERE) Cover Sheet available here:
www.landsystems.com

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Hauling Permit

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Contact Information

Department of Public Works

Mailing Address:
County of Henrico, VA
P.O. Box 90775
Henrico, Virginia 23273-0775