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HomeMy WebLinkAboutApplicationGarfuld CounS tommtmtty Þwclopmcnt Department tffi tt S,trlet, Su¡tÊ{0f Glern¡¡ood Sprinp, CO 8læ1 {9rol9r5.81n tl*lt+*f eld.coor*v-cml .Ë rtií,¡on i prcpr*vturncr: fLæg¿ fS,fA¿? MeilingÂddnrs: Em*llAddr¿ss: Phonc: Phone: 3 Contractnn Mailing*ddrarr: Email Add¡ess: 3lfulf GRAÐING PERfVIIT APPTICATION Architect:Phonc:{l -Mailia¡ÀddnÊss: - - Em¿il AddrecÍ: . , : Engineer:Phonc: (_l Meilin¡Addiêrr: -, EmailAddrecs: . -. , - ,, - . , - -,-' PROIÉCÎ ilå]tâE ALt lf}CAnoil Froiect De¡cribe t/tlork:A/ro Ioù Âddrc¡c: P¡rcclNumtcr: '$rb.tot ;Elock N /) .ile€ t Er¡llrort f¡qurre ftctll E¡ rthn¡srk tûublc Tarù|:e ALI UNUilEs N'IUST BE TOCATTD PNIOR TO ANT GRADING I hcruby ccrtih tfut I hruc rcrd thls Ap'plietlon and tñrt the lnfam¡tlon øñÞ¡nad tbot¡c l¡ truç rnd corrcct. I sndcrrt¡nd thrt thc Buifdiq ûlvl¡{on ðEüûpt¡ thc åpgllcrtloO ¡long r¡rütr tftc pl¡n¡ ¡nd *p*cillcatlonr s¡d other d¡g ¡ub¡t{ttcd by nlê or on ñry bcûralf {suhmtttrkl. brlcd upo¡ rny r*tlflcation ås to ¡sdrrìrsÏ. A¡¡un{ry '- camplctcncrsof tht ¡ub¡nittrfsandapprtual af th¡¡Apflk¡tton.aBul{din¡ Fermitwlllbc l*ucd gcrnttoiS permirsloo [o tnË, lc Ownrr, ts renstruct thc ¡t¡r¡cft¡rsf¡l and f¡ctlitls5 dËblhd tt tfç ¡ubmlml¡ rudaffid bv thç guíHin5 Diviclon. la coßldÇrrton of thc l¡s¡¡noa of tlrc 8Ulilln¡ Fsrmlt" l'||nc thrt I rnÚ s¡Y r¡clrt3vrül ærüPlY rrlth pruvirio¡s sf rny fcdËral, stttÊ or locd hw rt8uhtiñg tl¡r wsr* ¡nd thü GÐTf¡G,$d ûuurÏty 8ljldlru Çodç, OWTS re¡ulrtionr ¡nd apptic¡b,lr l¡nd ura rc¡ul¡tlsn¡ {Ëoümy Rrg{¡ltt¡onN¡l}, I rctnowled¡c $rt &s Ðt¡$dlng Pcrmlt may be srryrrdcd o,r trvstcd, upÞn nÊtkë frûm thc fnunç if ths locät¡qn, €ênltruct¡oß or u¡c of tte structurcl¡l rnd facilltyllc¡l dcc.dbüd ¡bpr¡Ê, årc rût ln cornpltsncc sith Cour¡tv ReSulatten{* or rny ofhar rppT{cablc low. I hrrcby tr*nt Fffl¡i¡sion to tirc B¡fldln¡ Oivi¡iEn tû q,rtrr tftË propcrty, dcacribcd rbrye, to inspact *tr ¡rorl- I furtfis actnorþdgc thet the lc¡u¡nce of the Buttdln¡ pcrm¡l does not prcvent tha 8r¡ilding Official ftom; ltl reguirin¡ the roncct¡on'of er¡op ln thc subrnltt¡ls, il any, dlscorer€d ¡ftcr l¡su¡nçc; ar {21 stoppln¡ coastí¡cden ùr u5Ë of thc ¡tructurd¡l orfccilttyltc¡l if ¡uch i¡ in vlsirtlon of Countv ßegidatlonfsl or ôny ûther ¡tppllc*bh l¡w" RtYlãt¡r üf th¡! åppl¡cÐllgn. inc*udin¡ ¡ubmltt¡l¡, ðñd lnlFcttlnn¡ of ths u¡qrl by thc Sulldlry Oivicion do not const¡tutË en acccptancc ol rerponrltfffty or liebility by thr c*ntx of r¡lnoni, oñl¡slors or disrrcprnc¡cs. As thÊ ûnnÊr, ,t acknsrylcdlç thåt rcrysn¡ibillty for cemplians* rvlth fder*|. ctålc and loc¡l l¡n¡ ¡nd Cou*ty ßçt¡¡l¡tionc fctt itr¡th mc a¡¡d füv år¡tho(¡rËd sßêntÉ, tncludlnS witùût¡t l¡mit¡don mv ¡fciltËtt dr3l¡ner, en¡lncçr ¡nd/ sr i buiQcr. _ ¡ ¡er*t¡düsürfeC¡e"ifrlt i'lreu. ra¡d rnd undüitðnd tfic fldkt tñd c.rfiftrtttün rbove rt üÊll r¡ l¡*ire protldsd the reryrhcd lnformrtton wh,ldr b cûrruû ¡nd ffii¡f¡t to dt* bt$t of mv knsrledSe.4 PrsF€fif Orn*r Fryltrt mú51¡n DilI lÊ¡l ¡t'ñ"' A Bulld&¡ Pcnnit crnnot bc lssued without groof of lc¡rl ¡¡ad ¡dcquâh recrc to tât properly forgr¡ço¡s of lmpcutlonr üy thl Butldtr¡ llivtrton, diË püñlq, MulÌip{e süFrrãte pdrmtts mry br rcqulrcd: {1l3trtc Êfcct*c¡l prrmlb tll Êor¡rty oìruni ?m*b [3] ¡notftcr Fcrndt rtçrircd for uæ on the prûpsrty ldcnüfiod ¡bova e"g, StrtG or Gor¡nty H¡¡hury1 Fard,*cc*¡¡ orr St¡ll $rlstrmtGr Dhehrqc Fcrmh" Yfi nlrnÈ A Bullün¡ Pcrmit bêco{nl¡ null nnd vr¡}d lf tha wcrt authorl¡ad l* not Êommcnccd cllthln tðll dryr of tfic drt* of l¡cu¡nc! rnd if wurt ir rurp*ndcd or ¡b¡ndoocd for r pcrlod of 180 dryr rftrr æmfinlncr!îrfil tlrncr, Ihl¡fiur Fennlt bemu¡tftfrrôdtrr.r¡pllcrtion tulldlng fhrncrühËbt'r[nod thËal dc¡rribcd orprcperty,rbovq¡n ruthoÈcd rf ñc ,¡brlew thrtûol thËofr3Ëfrt¡lgr¡rturr l*ttcrserrüÇ al thr¡l¡rËdruthwlty.b? bctnn:r.nurt tt¡lcçlHtlÐrrldGd Appllcation" ü7Þi2Ã4,.r_17¡. tÐAL &,ú-l.lql-ùcgpcdd Goldltianr:RatrE Ê ËDS.Cq&D'cfl4n +$' pdúfÊa¡ooIoo¡orrl fhrr;* roo.oJilþc frc*:5rr: o.o, Fcrmli 0 loal¡Ut Êut¿At-6r¡dln¡ F¡çntlt; gRAg - 6? l¡bncc dull * llll.ol¡f t¡ / Ftlfl fllllC Ûlltl90f{ ¡ür!a \ È- LStgSgS \ tffi ..f", .'ë ç EXISïNC PROPËR' EA8Ëti,tãJ sÉTEAcr 0\ERt=tË;. :" POWER.l \ çRR î s \{ \ft. \ \* J\ \2S SETEACK tJ) Il- BK. lJıI PG, r lÉAg. +\ rrl .t I I I I I I I I I I I I I I I I *J * 3 à*IÐ NOT THE¡à6, ÐRAFT?NG EE ãT S€Q; r.- þ!+2A13 * .7332 ß'/rÃ"ry ¡{o!Ð:ioo þ6gL €Strælvtt'¿ \ (,t (¡ + L_- ts' &\ ß AÞPkovED Bì',THË ; q0u¡Tv, oqL0R400 Tllls I I z'z+' ,ll ! I LEGEND: TP-1 lndicates approximate location II of exploratory test Pit 100 Approximate Test Pit Locatlon Ftgurc :PralectNo.29-192 STALE: 1" r 100'