2021-03-02_PERMIT FILE - M2021016

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RECLAMATION PERMIT APPLICATION Distribute Copies To:Applicant WEED COMMISSION PUBLIC WORKS DEPT. Permit Files P.O.BOX 915 195 BASIN PARK DRIVE Permit No. Permit Files/Final Building Inspector GUNNISON,CO 81230 GUNNISON,CO 81230 Public Works Department (970)641-4393 970)641-0044 / /1 OWNER NAME: #14AILA6,ra L 4 OWNER ADDRESS: . 1 p00 IT NO OWNER TELEPHONE NUMBER: 2 LYQ- d 7 Rn / CONTRACTOR'S NAME/PHONE#: ZAN % LU3M1 1 PHYSICAL/LEGAL ADDRESS OF PROPERTY BEING PERMITTED: Sec. n-hckfaA ILCI TYPE Of WORK(check all that apply for your project) ❑ Road/Access—total square feet of disturbance minus the driving surface: ❑ New Home --total square feet of disturbance minus footprint of the house: ❑ Utilities(water,sewer septic,leach field,phone,cable,etc.)-total square feet: ❑ Other—Description j VL' C gLat 5kywti and total square feet: u J 3 AC RE5 TOTAL SQUARt FLIET OF DISTURBANCE: TWO(2)SITE PLANS,PLAT MAPS AND LOCATION MAPS MUST ACCOMPANY THIS PERMIT The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the requirements of this permit. The permittee agrees that permittee shall pay Gunnison County's costs and attorney's fees for enforcement of the requirements of this permit. The permittee shall have the vegetation established and growing within two years(730 days) of the issue date of the Reclamation Permit. Reclamation work will be completed within days of the issue date of the permit. Comments: SAGE GROUSE OCCUPIED HABITAT:THIS PROPERTY IS IN(TIER 1:_ TIER 2: /XNOT IN Fee: This application must be accompanied by ONE of the following non-refundable fees: A. $75.00 for projects in the sage grouse occupied habitat UNDER 10,000 square feet of total ground disturbance. B. $150.00 for projects INSIDE OR OUTSIDE of the sage grouse occupied habitat AT OR OVER 10,000 square feet of total ground disturbance. Financial Security Deposit: If the total square footage of disturbance for the project is 10,000 square feet or greater the applicant must submit a financial security deposit to be held as a guarantee that the applicant performs reclamation to the satisfaction of Gunnison County. The deposit may he held for at least two years from the date the permit is issued and will be released only if the applicant performs reclamation to the satisfaction of Gunnison County. If the applicant requires an extension, it must be approved by the County Weed Coordinator and the original deposit shall be held until such time the project has been reclaimed to the satisfaction of Gunnison County. This deposit does not limit or release the applicant's obligation to control noxious weeds or to reclaim the site. The financial security deposit amount is based on the following schedule: Initial 10,000 square feet $500.00 Total Deposit: Each additional 1,000 square feet $100.00 Permit granted this day of 20.subject to the provisions,specifications and conditions stipulated herein. The U.S.Fish and Wildlife Service has determined efFective December 22,2014 threatened species status,under the Endangered Species Act of 1973 as amended,for the Gunnison Sage-grouse. Gunnison County approval of the County permit is not U.S.Fish and Wildlife Service approval of any activity described or authorized by this County permit. Gunnison County is not and does not act as your representative with regard to consultation with the U-S.Fish and Wildlife Service or performance of U.S.Fish and Wildlife Service requirements. A rc or Applican ' e r Application and Reclamation Plan Approved: gnature Date Z / Weed Coordinator Date Application Fee Security Deposit Final Inspection Security Released Amount Paid: Amount Paid: Date Inspected: Date Vouchered Date Paid: Date raid: lnspected By; By Whom: Cash/Check/CC; Cash/Check/CC: Approved By: To Whom: Received By: Received By: Date Approved Address: