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EAGLE COUNTY ENGINEERING <br />EAGLE OFFICE <br />P.O. Sox 850, 500 Broadway <br />Eagle, CO 81831 <br />Phone: (970} 328-3560 <br />Fax: (970) 328-8789 <br />•--, <br />.i <br />ft~GLf COUNTY, COLORt\DO <br />GRADING PERMIT APPLICATION <br />Jurisdiction of EAGLE COUNTY <br />Folder # i ` ' ~ I a ~`~l~ <br />JOBASI^SS:1 `A, l w ~ ~ <br />'O~~ <br />T <br />' <br />\ I'• PARCEL# ~~ ~ ~Q~ <br />LOT# FILING <br />B <br />L <br />0 SUBDIV(S(ON TAX DISTRICT <br />pyyNt~; ~{I-~(, n S r1.' ~~y.~f [, R R <br />O \~~ \ `C. ~1/• V f V ~~C. ~1~~ lt~~•./ ~xe~ CONTRACTOR: py~2 t~~+,v <br />`tl YJ~ ' ~f~f A~1`^' <br />MAILING ADDRESS: <br />f3o k - a, ~ w'or~s 1632 CONTACT PERSON: <br />~' °t~ ~ ~ ~ r <br />PHONE: <br />~ ~o- ~ - 33 t ~ MAILINGADDRESS:~D~ ~~~ ~I ~ <br />waysV <br />FAx: ~ ~~ ~ ' ~~~~ PHONE! CELL PHONE:~~O~ 3 ~6- 6Y~T <br />E-MAIL DDRESS <br />G /°<<! r ®~ b ~x C.4r/~~ -+- . (.D~t FAX! E-MAIL ADDRESS: ,, / ~,!L <br />--2 r/Y C.b/,1 ~ t ~.O~Q~G~lI~'~. . CO~`T <br />ARCHITECT! LICENSE #: ENGlNE£R! LICENSE #: <br />PHONE: PHONE: <br />FAX/E-MAIL ADDRESS: FAX/E-MAILAODRESS: <br />PROPOSED USE FOR SITE: ~ RESIDENTIAL ~ COMMERCIAL ~ INDUSTRIAL ~ OTHER , t f"~~5 a~~Q~ ~ L~DrCJSd~'U~Oy ~ 6!t <br />VOLUME OF EARTH TO 8E MOVED: ~ CUBIC YARDS <br />IS MATERIAL TO BE REMOVED FROM SITE? YES ~NO <br />1F YES, WHERE WILL MATERIAL BE REMOVED TO? <br />Is grads being done for buildin construction? YES NO <br />~ g ~ SAT IS PROPOSED AT THE GRADING 51TET {CHECK ALL APPtJCABLE, OR <br />DESCRIBE) <br />Is this overtot grading for an approved subdivision? ~ YES NO A. Erosion Control: ~ May bales ~ S(It fence Othfl ~I.VyN~,, ~/ (,yj <br />Is grading to be done in the Public Way? ~ YES ~ NO S• ffi~eontrok ~ Signs ~ Flaggers ~ Protects l~f existing road surface <br />Is grading associated with a Stale Highway Access Permit? ~ YES NO C. Oust Control: Water truck ~ On-site water Other <br />Is grading associated with a Special Use Permit? ~ YES ,~NO D. Will worts be done sn Wetlands: ~ YES NO <br />Will a public road need to He crossed to complete grading? ~ YES NO E.1Ni11 work he done in Ftoodplain: ~ YE5 NO <br />SPECIAL CONDITIONS: ibe) ~ Other (dasuibe) <br />F. Haw wid site be revegetated? Seed Mix {descr <br /> i <br /> ATTACHMENTS: <br /> EXPIRATION DATE: /' ~ %j~.' ' `CJ <br />COMPLETED BY <br />EAGLE COUNTY TRAFFIC CONTROL REQUIRED? [)YES ) NO ARE ENGINEERED DRIB NGS COLLATERAL REQUIRED? [ 1 YES NO <br />REQUIRED? ([YES NO AMOUNT? <br />NOTICE: READ BEFORE SIGNING FORM OF PAYMENT <br />SEPARATE PERMITS ARE REOVIRED FOR ELECTRICAL. PLUMBING. MECHANICAL <br />(HEATING. VENTILATING OR AIR CONDITIONING). <br />THIS PERMfT BECOMES NULL AND VOID iF WQRK OR CONSTRUCTION AUTHORIZED IS NOT <br />COMMENCED WITHW 780 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR <br />IS COMMENCED PERMIT FEE <br /> <br />iI „~ <br />- /t, r-/ ,(,,~~ RECEIPT NO. <br />. <br />ABANDONED FOR A PERIOD OF 780 GAYS AT ANY TIME AFTER WORK <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE <br />SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAVYS AND ORDINANCES <br />GOVERNIN HIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEClFlEO HEREW <br />ESUME TO GIVE AUTHORIT' TO <br />PLAN CHECK FEE <br />/ 1 r~ <br />•~~ , ~ l.~ <br />CHECK N0. <br />OR N T <br />VIO TE <br />RE ULAT GRANTING OF A PERMIT OOE3 NOT PR <br />ANCEL THE PROVISIONS OF ANY GTHER STATE OR LOCAL LAW <br />CON TION ~R THE PERFORMANCE OF CONSTRUCTION. <br />/ICJ TOTAL FEE <br />~ ~~ ~~ <br />. = OTHER <br /> <br />' <br /> , <br />3 ~ V / PLANS CHECKED BY APPROVED~Y COUNTY <br />ENGiNEE APPRO Y CHIEF B ILDWG <br />OFFI L <br />SKIN ' RE F ONTRACTOR DATE) <br />~//~JJ~~ \ <br />I j <br />~~ <br />,,~~,, ~~ <br />n(//,(A ~ 4/ Q~ DATE // <br />~ GATE (y L ~t <br />^ DATE <br /> <br />SIGMA OF ER (REQUIRED) {DATE) ~. <br />~ ~ ~ ~ <br />v~j <br />' /; <br />~ L '~ <br />