HomeMy WebLinkAboutApplicationREGEIVED
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(97Ols4s-8212
www. ga rfiel d-counW.com
Garfield County
GRADING PERMIî
APPLICATION
TYPE OF GRADING
ú MAJoR E MINOR
INVOLVED PARTIES
Property Owner:
Mailing Address:
EmailAddress:
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Mailing Address:
EmailAddress:
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Engineer:
Mailing Address:
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PROJECT NAME AND LOCATION
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Assessor's Parcel Number
Earthwork (square feet):
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Job Address:
Project Name
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ALL UTILITIES MUST BE TOCATED PRIOR TO ANY GRADING
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or
anauthorizedagent. lf thesigrraLureLrelowisnotthatoftheOwrrer,aseparateletterofarrthority,signedbythe
Owner, must be provided with this Application.
Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof
the date of issuance and if work is suspended or abandoned for a period of 1,80 days after commencement.
CERTIFICATION
I hereby acknowledge that I have read and unde the Notice and Certification above as well as
and accurate to the best of my knowledge.have provided the d infor which i
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oa{eProperty Owner Print and Sign
OFFICIAL USE ONLY
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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. ln 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, OWIS
regulations and applicable Iand use regulations (County Regulation(s)). I acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe 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 responsibÌlity 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.
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DeteSign
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Owner Information 1 l'
MENTAL FLOSS LLC
PO ßOX 130
GLENWOOD SPRTNGS, CO 8
Parcel Number: 218527I00008
Site Informatlgin
Acres:9,63
Account Number: ROBO227
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map purposes a suryey.or
anyrepr€s€ntationofaccuracy,tim6lin€ssorcompleteness, Theuseracknowledgesandacceptsallinherent
limìtations of the maps and data, including the fact that the maps and data ar€ dynamic and in a constant state ot
revision, maintenanæ, and ærrect¡on. No liability ¡s âssumed by Garfìeld county *. *" *iilfl""t"iJo,T""*lîGafiel"d".Çounty, CO
Date Printed:April 11, 2016
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COLORAÞO
Department of Publlc
Health t Environment
CERTIFICAT¡ON TO D¡SCHAR6E GARFTELD coUNTy
UNDER coMMUNtTY DEVEToPMENT
CDPS GENERAL PERÅ,TIT COR.O3OOOOO
STO RMWATER ASSOCIATED WITH CONSTRUCTION ACTIVITI ES
Certification Nurnber: COR03O792
This Certifieation to Discharge specifically authorizes:
Gould Constructlon lnc
to discharge stormwater from the facitity identified as
Royal Mlnl Storage
To the waters of the State of Colorado, lncluding, but not llmited to:
- Roaring Fork River
Facility lndustrial Actlvlty :
Commercial devetopment
Facility Located at:1097 CR 116 Glenwood Springs CO 81601
Garfield County
Latitude 39. 503 Longitude -1 07.306
Speclfic lnforrnatlon
(if applicable):
Certification ls effective: 121 16 /2015 Expiration Date: 6 I 30 / 2012
*ADMINISTRATIVELY CONTINUED
Thìs certification under the permit requires that specific actions be performed at designated times.
The certification holder is tegalty obtigated to comply with alt terms and conditions of the permit.
This certification was approved by:
Littian Gonzalez, Unit Manager
Permits Section
Water Quatity Controt DivÍsion
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*exptanation of Admin Continued in cover tetter