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GRADING PERMIT
APPLICATIONRECEIVEDGornmunity tÞtelopment fÞpartment
,APrìzs 2022 "'åi*'ffiä;ä'
GARFIELD COUNTY (97OI945{2ÍT
;dùiiù úñf DËvËLopMEitr wtârw.sarf¡eld-countv.com
TY"EOFGRATXTIG
EI MAJOR EI MINI0R
¡M'OII'EDPARNES
Pfop€rty
'wne¡:
TEP Roclty Mountain LLC Phone: il970) 463-275øi
MailirryAddress:PO Box 370
Email Address:Parachute Colorado 81 635
Gontractor: Bargath LLC Ptrone: {303',)17ffi527
MailingAddress:
Email Address:
13781 Pacific Circle Mead, Colorado 80504
Ardritect:Plpne:(l ì
MailingAddress:
EmailAddress:
Engineer:Andrew Johns Pho¡re: {7 20) pO2-O287
MailingAddress:13781 Pacific Circle Mead, Colorado 80504
EmailAddress:and rewjohns@wil liams.æm
PROTECT f{AitE AflD llrcATitll
PrC¡ect TEP Removal
DescribeWork:Attached is the Scope of Work sheets.
JobAddrss:39-48861 -108.12194
Assessol's Parcel flumber:217133200019
Sub.S€c æ (Loü r0 - S\M/.4ISW4) & 29 (SH/4.S8/4) - T6$Kmnro/ r ot Blod(
Earthwork (square feet|:Earthwork {Cubic Yadsf :1523
ALt UTILITIES MUST BE TOCATED PRIOR TO ANY GRADING
lroncE
I hereby acknowledge that I have read
have provided the required information
Property O$tner Print and Sign
and understand the and Cerfification above as wdl æ
toûre best of my knowledge.
a r,/tq /saezil;/ /
Auü¡odty. ìlhäs applläcatiorm f'on a Bu¡ìi[dirrlg Pennnät Ínuist he sägrned by tlhe Ownnen of tllne pnopenty, descníihed ahove" or
an¡ auth¡onized agemt llf ühìe siignatuire hellow ìis rnot that of tlhe @rn¿¡ner, a separate lletten of aurtlhornÌty" sirgnned hy tlhre
Ow¡nren, ¡n¡rust he pnovided wirtlln tlhräs,Applläcation.
Legal Access- A, tsruälldärng Fennmät carnrnot he ììss¡ued wätlhrorut pnoof of llegalì arnd adeqrurate acæss to tllne pnropenty fon
prurnposes of irnspectiionrrs hy tJlne ßu.uilldilnng DÌvilsäorn-
Other Perrnitr lMu.llltiplle sepanate pernnìits rnnay he nequ.lined: (n) $ate Ellecbricall Ferirnit, (2) eu¡r¡W@\Mll5 Fernnnift,,
(3) amotlhen pennrtrrirt nequrined for rJrse clnì t¡he property/ iderntiÌffied ahove, e"g" State on Cou:rnrry Ftäglhnnaay// Road Acicess on
a State \nfas ewaten Däscharge Perinnät"
Void PermiL A Builldirng Femrnit hecornnes nu¡ilI and voild äf tlhe wor¡lk aurtlhrornlzed is rnot conrnrnnernced witllrriin 180 days of
tlhe date of issruar¡ce and äf wonlk iìs su.rspemded on aharndon¡ed'fon a peniìod of 1180 days aften conrnnnrernrcennemt-
CCKNFrcANOT
ll henehy centirfiy tllnat I lhave nead thäs Appllicatu'onn and that t]lrre är¡¡fonrnnatrìonl aorntairned ahone l's true arnd ca¡rnrect- ll
¡unnderstand tlhat ttre Bu.uilldänng Diiväsiior¡ aaaepts tlttle Applläcation, allonng witlh tlhre plarns amd specifücatiorns a¡nd otlhren
cornnplletemess of the srr:¡hnn¡iÈtalls and appnovall of t[nis Applliìcatäonr, a Bu.uilldirng Fermnìät lnuÍ¡llll he ässiued gnarnting
perffí¡ìissio¡n t@ rnne, as Ownren, t@ a@ßstrûiat tfiìe stnrr.rctu.we(s) arnrd facilliities detaiilled <¡r¡ tlt¡e surhnrnättalb neviÌewed hy tltne
wirtlh pnovììsiions of anrry fedenaì|,, state on åocall ïaw regu"ullatirnrg tllne wonlk arnd tltrìe Garfüelld Cot"unnty Bruiilldimg Code" OWTS
arnd facilliìty(ìies), descnìihed ahove, ane rnot irn conÌplliamce wÍtlh C@rint\y RegiLlllatr'rorn(s) on arny otlhren appllicablle llaw.
frr¡nthen ackrnrowlledge tlhrat tlhe issu.uance of the Brlriilldììrng Fennrnit does nnot pnerøe;nrt the Bu.uälldärng Officìiall frronrn: (n)
nequiìnÍrng tlhe connecRiorn of emrons iln tlhe su¡hn¡ät-talls, äf army, discovened afrten ilssuarnce; on (2) stoppßmg aonrrsnr¡ctiorn
c¡n ru¡se of tlhe struuatrurre(s) on facììllirty(äes) äf st¡ch is in¡ väollatiiorn of CouLrrnty Regurllatiìornr(s) on arny otlhen appllicahlle llaw
Reväew @f tlhiis Applläcatäornr, ärncllurdirng srurbnnättafis, arnrd iìrnspectiorns of tlhre wonlk hytlhre Buíilldärng Diivisiiom do rrnot
cornstiturte am acceptannce of nespomsihäfiity on lliahíllity hy tüne C-ounnty of ennons,, ormissìorns on däscreparncies- As tlhre
&rurner" ll ac[<rnowìledge tllnat nespornsilhíllity fon conmplläamae wätlh] fedenall state amd llocall ilaws amd C-orr.:rnrrty Regulìaûìomrs
huiilden-
OFFICI,ALUSEOTTY PA IÞ.106.oo g.a ot{zz
Spetial Canditiom:
Pem¡it Fee:
-J t0o.ôo
Misc feec:Tolal Fecs:* lôô,æ Fees Faid:-l lo0.oo
Balance due:+z Grading Fermit:
Gg¿o -1q91
lssúie frate:
5-3-zz
Zoraing:
R. L.
[rUS;r"+tt l-z-228{$LD¡NG / PLAfrs${rNG DMSSOrft :
$gned Approval fHe
Scope Of Work
L What is our grading plan? Excavation to expose pipíng, once repair work is completed, backfill
and compact to original grade. All above grade appurtenances will be removed. Entire site will
be restored to originalgrade and vegetation upon completion.
2. What willthe backfill be like? tO-I2" lifts, backfillwith excavated material and machine
compacted.
3. What drainage plans do we have? Disturbed area anticipated less than 1- acre, no drainage plan
is developed other than complying with industry best practices for managing erosion/run-off.
4. Add anything you can that's pertinent and easily added during excavation, if hole becomes filled
with water, any dewatering will be into a filter bag with hay bale support.