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Home My WebLink AboutApplicationvtecoveo -0\' , ? l' Community Development Department Cpl!'I`t1 108 8th Street, Suite 401 Gp1��\}F_0pM��` Glenwood Springs, CO 81601 flMM 11. (970) 945-8212 www.garfield-countv.com Garfield County TYPE OF GRADING El MAJOR 'GRADING PERMI APPLICATION N 0 MINOR J1NVOLVED PARTIES Property Owner: CPX Piceance Holdings, LLC Phone: ((713) 54-9031 Mailing Address: 34 S. Wynden Dr., Suite 240, Houston, TX 77056 Email Address: nick@cpxpiceance.com Contractor: Bryan Clark Excavating Phone: ((970) 1)87-2220 Mailing Address: 6659 County Road 301, Parachute, CO 81635 Email Address: brybcexcavating@aol.com Architect: Phone: ( Mailing Address: Email Address: Engineer: Tetra Tech, Inc.Phone: 070) )223-9600 Mailing Address: 3801 Automation Way, Suite 100 I Fort Collins, Colorado 80525 Email Address: Caleb.Stock@tetratech.com PROJECT NAME AND LOCATION Project Name: Tepee Park Ranch Describe Work: Construction of an access road and site grading will be performed on CPX property adjoining County Road 317 (Parcel No. 240513400103) and pipeline trenching will be performed on CPX property south of Forest Service Road 824 (Parcel No. 245306100005). Job Address: 14444-17.. GR )8 -D-1 OL). Assessor's Parcel Number: 240513400103 and 245306100005 Sub. Lot Block Earthwork (square feet): 419,000 Earthwork (Cubic Yards): 55,800 NOTICE ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true and correct. I understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. In consideration of the issuance of the Building Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Building Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or builder. 1 hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required information which is correct and accurate to the best of my knowledge. Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: bn 4. I tim.) iv Ass' 7p y L The Financial security shall be held by Garfield County until vegetation has been successfully L reestablished according to the Reclamation Standards in the Garfield County Weed Management Pian. It is the responsibility of the applicant to contact the County, upon successful re -vegetation establishment, to request an inspection for security release consideration. Contact person: Steve Anthony, County Vegetation Manager, ph: 62-5-9601 _ Permit Fee c1,51'5.-- - /3 7 7 X -K AtmV.vv 43=_5 -Iy.,...,,r. : O 0D Balance due: Grading Permit: I sue Da e: Zoning: 5110 10( R BUILDING / PLANNING DIVISION : — Q r - 2,0JU Sig ed Ap • ova ate rD•t 40o. (.0) /*loll -it Tilt