HomeMy WebLinkAboutApplicationGørfield County
GRADING PERMIT
APPLICATIONRECEIVED
0cT ü I 2021
GA RFIELD GOUNTY
COMMUNITY
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www.garf¡eld-countv.com
TYPE OF GRADING tr MINORE vnron
INVOLVEE PARTIES
Property Owner:Caerus Piceance LLC phone: P70 )285-2656
Mailing Address:143 Diamond Ave, Parachute CO 81635
EmailAddress:jeckman@caerusoi land gas. com
contractor: RBW, lnc Phone: (_)
Mailing Address:570 S. Westgate, Grand Junction CO 81505
Emait Addrerr. rbwinc@acsol. net
Architect:Phone: (_)
Mailing Address
EmailAddress:
Uintah Engineering & Land Surveying phone:5 789-1017
Engineer:
Mailing Address:85 South 200 East, Vernal, Utah 84078
EmailAddress:
PROJECT NAME AND TOCAT¡ON
Project Na G35 496 Pipeline
Describe work: Grading of ROW for installation of pipelines
Job Add ,"rr. Sections 35 and 26, T4S, R96W
Assessor,s parcet Number: 1917'27 4-00'012
Sub Lot Block
Earthwork (square feet) :14.9 acres Earthwork (Cubic Yards) :
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or
an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Perm¡ts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80daysof
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
ALL UTITITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOT¡CE
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the
Building Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS
regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe structure(s)
and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (L)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction
or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections of the work by the Building Division do not
constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations
rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or
builder.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the required information which is correct and accurate to the best of my knowledge.
rty Owner Print and Sign Date
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Special Conditions:)/¿ùk,
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Total Fees:
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Fees Paid:
"lf,e$;i1,.1'¡ . *tlrPermit Fee:
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Misc Fees:
Zoning:
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Grading Perm¡t:
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Balance due:
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BUILDING / PLANNING DIVISION 7
DateSign