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pitkin.bldg.264522400000 (2)
'1 GRUBB oN8 PERMIT APPUCATIION • 130 S 0 , ti \ ' Y 970.920 -5524 Fax 970-920-5439 Permit SO noel 7007 �� J www aspenprtkin com VALID PERMIT MUST BE KEPT ON SITE AT ALL TIMES Permit valid for one year unless otherwise specified. 1 1 ` 1 . Address: IPA ? SV -�c,d 6 {2� k.5 W-��.S S o (- ' #tw v Su.i', on 2. Legal description of property: 3. Owner(sys Name: Contact/Fax Number: Mailing Address: 4. Owners Authorized Agent Contact/Fax Number: Mailing Address: 5. r Name: ComacUFax Number: Mailing Address: ` h tBa ENV%Yo+�wtv\e -t 1 313- Y2s -1.SIS `MMo .Dual -SI. thy-fly l Ii. 10131 6. Architect or Engineer on Record: ContactFax Number: Mailing Address: 7. Parcel ID number of property where work will occur: Ctradc htlpit n.a vspenpitldn.com/depts/3/ or call the Pbkin County o2f / l / 5 - 2 2 q - 00 - 000 IAssessots Office at 970-920-5160 for the parcel ID number. 8. Property also known as: (Provide a detailed map showing the bcafion at legible scale) 9. Land use approval number(s): 10. Type of work: Benn(s) Trench(es) Treks) Undergmunding Utilities Ponds (s) or other wale ;diversion(s) Clearing/Grubbing SS Grading 7t Other: 6StCPVa 10.1 O4- att%L CaN p�vMi,,.a. .� Seas 11. Type of material to be excavated or placed on property: 1 1 lia. Material will bebrougM from: t.P1''v c P "" Cav 11b. Excavated material will be taken to: Sc. \v. C tau ^'4.11 Get It. tern d -SPr' s La 12. Description of work: tit P1Puyl LAO Total acreage or square footage of disturbance: PC ('` l 1C tkti 01 ` 7I 1 Total cubic yards of material moved: 111( AY I OD Max cut depth: Max NI depth: 13. WA the project result in disturbance of z 1 acre of lend? Yes No K 13a. If you answered 'Yes', submit a copy of your Site Constmction Stormwater Pend or R- Factor waiver. Information on this permit is available at http vww.cdphe. state. co. uslwglPermtsUnit /stormwater /corstructbn.hbnl. 14. Is any portion of the project already complete? NIO If yes, give reason and date(s) of prior construction activity. 15. NMI the project disturb/result in removal of any vegetation? Yes k No 15a, If you answered 'yes' submit a revegetation plan, including a plant list with scientific names of species, planting schedule and method of irrigation. The Coudys Revegetaion Guidelines are available at: httpiN sic. aspenpi8m .com1depts/64/depbrain.dm. 15b. How you pre will yo the establishment of noxious weeds at the project? P 14 '1 P ' .5 soon 6 y� 0 16. W41 the project result in disturbance of any wetlands or riparian areas? Yes No >6 16a. If you answered 'Yes', submit a description of your revegetatbNmiigation plan, including a plant list with scientific names of species, planting schedule and method of irrigation. Also submit a copy of your U.S. Anny Corps of Engineers Sec. 404 permit in connection with any disturbance of 'jurisdictional waters' of the U.S. Contact the U.S. Army Corps of Engineers in Grand Junction (970-243-1199) for information on Sec. 404 permit requlremerds. EM Permit -07xls 2-22 -07 e 0 j dr 17. Will the project involve work in the Pitkin County RigM of Way? Yes / No 17a. If you answered 'Yes" a County Right of Way Wofk Permit must be obtained prior to commencing work. Information on this permit is available at IttplAwrw.aspenpitldn.comidet s/24/pemdls.dm or by calling Pubic Works at 970-920-5390. 18. Will the project disfurbfinvotve work in the 100 -year flood plain? Yes No 18a. If you answered Yes' a County Floodplain Development Permit must be obtained prior to commencing work. Information on this pemnl is avalfble.at httpll wwwaspenpltldn .comldeptsl12/water_res.dm or by calling the Natural Rescourse Specialist at 970 -429- 2033 Having carefully ' r the requirem ts, I (Applicant) hereby agree to the terms and conditions described within. This form is a permit only when I/ permit id by County staff. k started without a peit will be subject to Pitkin County enforcement action and charged tubb 1 Sig of plicant: 19a. Date: ��•Zt ° 20. Signature of Property Owner(s): 20a. Date: FOR STAFF USE ONLY (DO NOT WRITE BELOW THIS LINE): 21. Addtional Terms and Conditions of Permit (check all that apply): — At the time of issuance of this permit you are required to post $ as financial security to ensure successful completion of your revegetation plan. These monies will be held for two growing seasons from the date of completion of the project and will only be released at that time if a site visit by Pitivn County Land Management confirms that successful revegetation has been accomplished. Applicant is obigated to contact Plldn County Land Management (9709205214) to schedule the required two-year site visit. The monies will be forfeited if successful revegetation is not confirmed after two growing seasons, or if Applicant fails to timely schedule the required site visit. — A Fugitive Dust Control Plan approved by the Environmental Health and Natural Resources Department is required. Documentation of decreed water rights is required. — Documentation of State Engineer approval of a jurisdictional sired dam, or documentation of filing of a Notice of Intent to Consbuct a NonJurisdk0onal Water Impoundment Structure (in the case of non - jurisdictional size dam) is required. Other. There is a $500.00 permit flat fee due at submittal of permit application The following additional fees may be required to be paid prior to issuance of this permit: Natural Resource Specialist Referral Fee' 5225 (required where water resource issues exist and in connection with wetlandhlparian area disturbance). County Engineer Referral Fee: 225 Additional Flat Fee for Applications Involving Large Scale Undergroararg of Utilities & Earthmoving Projects: }225 You will also be invoiced by the Land Manager, Planning Engineer and Natures Resource Specialist for any review and follow up inspection time exceedng 2 hours at a rate of 51501M. Date Permit Permit Flat Fee (due at submittal): Ct Check 0 Received: I it 7i 1 I (r ' Additional Fees (due at issuance): Check 0 Date Permit Issued: it) Z c) ! I i " f — TOTAL FEE (no refunds): ci, 0 22. Staff Comments: W ill C+ Clra(lvviblej onl 11.4-‘ e c )Zf(ec i c I yiiu k km � C�YI ,-- )cfC ( U l of 3✓" I 1 23. Approved by Pitkin County Engi br (d req'd): 23a. Date: 24. Approved by Ptldn County NR Specialist (d reqd): 24a. Date: 25. Approved by Pitid my Land Mana 429_ 25a. Date: 26. Approved by P ci ��f ��� ri 25a. Date: (/ 1017110 EM Permit-07xls 2 -22 -07 . • • --.4--,;„_.,.....- . . - ...-.: - ..:-. ._ - _ - r'.0. EL‘ ''.... ',..." . , v . , , 4.. :„ . ., .. ..• i p. : -.,. 1 1 ;:.: .. e..:;,..; : r.,.... : ...: . 3 .:: ..........; :4 7.-...3?: " :: :: :: .„... .. ,77 ./ 1 .,.. , , ,,._ , .......::__ ..z...1: .,,,... 4 ,00„. ...:1 , .. i......:,,.,c, . it ,,,,,...... , 1 .Ni4. '',...,-7 ,.............0 . ...... 4. ,_ „..,..:1:::::. : . , .,,:. * . ,......,.:L.........•..... ::, , ...... , ''''' 4-' - • , ' -71 ,.."..*, --,..'`' _ if ' ' 1 -*:::---t.r.:-..:::':7-:co1/44'; p4,47) _, • , ..,... , • ...i.,,,,.„..„,?17.,......:4 i pe -.,-- „ i ifr i i ,,, 4' -.-- '4- - . ' - 5 . -: 7 ? .STIF `,--'- - • .. — . -- — ir, •:„Tei 4‘ -)1 1. `4 - '- , ' ' , r .. 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