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AF-LA - 45057. �, ' � � F . c '��� � �..�,�:i €; � ClTY UF FRICIIY � ��e e, .-�t`Ia3o � APf'L I CP.7101•1 FOR LP1t.0 AL1'EFcAT 1 Utllt•11 PJ i�J� F'L-:C;t", I T CNAPTER 212 Cc`�i � Fr f �J Cri�C �. -'���7j .0 d `�.' /�/ C�T.st/��� `s �%Au-u t . n,r�P� � cnr��T : . , �__ - Qean .� � � �SS Name I�-�.,,13 -��,� �4 ve ..,�V E 5�fiy d I M Address 33S -aaaa EXf.�a3 ��3-q o3 �{ or 3 73 - go ►�____�- 571 =��..�-. 4ff ice Phane :tcme Pions 2. � APPttCATtOtJ I� na-rE , ,ql fc� �,�,-,� F �e S� / �. ���Q,eE ..�-_ PRt�FERTY Ot•ltiEk(S) : 7��a(} �a ��t'rr�� y- � � � � ea.� E� f3 � t ss _ _ IJa;�e Name I � 13 � � �_�ve 1V E Address Address Sav►1e a$ dbOJe � Of f i ce F'hor�e Ncxne �'h�:�e Off i ce ('hane F�ar�ie Phcr;e 3. LEGAL pESCR i P7 i Oi�i QF' PRO?EP,TY TO GF AL7ERED OR M 1 NEG: � D� �o �,�OCk I � r � a n �i1 �� S-- ____ �. HI�iUF.E �JF Lr,�<D ALTEPAT I Q�3/hSl N 1 r�� OPEP,F,TI Ot� (6; i ef Descr• i at i on of wi�a 4 i s to bs done;: :5. o. ��ma1"e�v � 1300 cubtc� var�s �a .�e hau� PROPOSED STAP.T[td� DATE: � COMPLET{GN DAi'E: �G_-C'.�1 /Q7g _�.�.�_� A.'�iACN1��i�iS (Information �:ee;ied to PraperTy Evaluate �1pp1 ication): The fc�llv.•;iny.Fl�ns, :�r��•�inc�s, calculafiions, bonds an:;/cr staten►ents ��i11 be require;! by th��Public Works Departm�nt. _ � � Half scetiar. map �r sketch bf property she►•�ing ail adjacent praperty indie�tinc, the existir�c,� builJings and/or structures. � Grad i n� pl�►n stio�•, i nc� ex i st i nc� �nd pr�p�scd f i n i sl�ed contours and ele- vat i cns .�4n� d C'Firi cT-S �� �D�7-r9C c.vT �i2��c'Ti�S . /Q�, 04 o S7'i'BIL/Z J9T'/�N /C-��9�vS .� � Ora i nar,� pl an s4�c►vi ng a t i ex i st i nc� arid pro�;�scd dr�� i nr�ne struc [ures, stabil izati�n ���<�lls or crib�i��c�, clams, or a;hcr pro�ective i:cr:zs. � Calculat�ans for aiid approxim�te quantities of exc.ivai.ion and/or fill ' requircd. , _ � ._ � 4 � ;� � S ignec! statcmc:nt f rori� the property oti•mcr accept i n� resp�ns i b i 1 i ty far � ` the operation and granti:�g permission for land alteration/mining oper-� aLion. . � � Statenent to be �ttached to deed advi�ing of potcntial need for soil tests prior to any construction on lots wiiere additional fill material ha s been p l aee�f . � Other p .SE/�. C�4J eGl../iJ('r � � 7i�,E � L� i �2 S o 7. STIPULATtOW5 - REAU BEFOftE SIGPtl��G APPLIC/';ITON: � a. A surety bond or celtified check in the amount oF $/�jljQ �►�m�st be submitted after approval o; ap�licatian and prior to any ti-�ark corr,n�ncinq. • This bond or check is to ensur-e satisfaceory perf�rm4nce and camp]iance with the belo4� stated stipulations. The surety bo.nd or check sha11 be kept active untiZ the completio� of work ancilor expiration of permiC and ean only be reieased by arritten notification of thz city after a satis- factory f�nal inspection has been performed by city forces. b. All access and street frcntage of ttie land alteration/mining site must be controlled by a fence, a minimu,� of four (4� feet in height. Atl entrances must have gates that are capable of being locked. c..� Only rock, sund, gravel, dirt, or similar natural eartn fill is permit�ed. °�lo concrete, asphalt, or dernolifiion wastes v��ill be permitted as fili ur�ess � a dem�l i t inr� 1 andf i i 1 permi t i s f i rst obta i n�:i f ro�� Anol:a Coun*y. ci. Opei-ations shalt be iimited.to daylight �:ours and shall nat interfere with the health and safety o` surrounding residents�and�the preriises Sllu 11 be ira i nta i necl at al 1 t imes so as not ta create a nu i sance. � e, Any explasives used rnust t�e done so in accordance with Chapter 212.3, par��graphs d, e, f and g, of the Fridicy City Code (see attached) and any other applicable standa►-ds e.c�. F�dei'��1, 5tGte, industrial, etc. f. A± the cnd of each season`s aperations and nu iater than the last day of December of each ycur, the site is to bc. left ir� a neat and os-d�riy eondi- t ion, �,r i th mar, i mum s loFes of 2:-1 �Ji th no pverhar�c� or vert i ca l banks and wi th a level t�otto,n. g. On t he Fr i day c�f each ��rork +•teek, or h�hen requ i red by the C i ty, ma ter i a 1 frorn this operatioc� that is found to exist on City streets shall be cic�rted to the City's satisfaction by the applicant. h. l►'pan conipletic�ri af land alteration/inininc� o�er�tions, the land must be left- accordinn to fihe pl�ns �nd cnntours subrnitted ��ritn this �pplicati�n �ti� pl�ntcd ��iith suitable ��e_yct�tion to prev�-:n;: erosian. i. Upon•comp�ction of l��nd aiteration/niit�ing opc�:r�tions or expiration of th i s{�crm i t, �n i nspec t i an by thc G i ly ��i I 1 I�e madc af the prem i ses ��nd adjo.i r7 i nn strcets. Any dant7�e found C� fr~vc hecn caused by ti�esc o��cra- tions will �e corrected by thc� applicant upon notific�jtion by th� City. • ; � � �� � � � � � � . 8. PERH17 F�E: F� � � � � � � � � • � �� � Land Altcration �0 flining `" (As pe r Un i form Ru i 1 c! i ng Code (As pe r Ch�p te:r 1 1 F r i d 1 ey C i ty Cpde} �e.a n E . ���ss sa e App1 icant's Fdame �Print� ProperCy 0►vner's Name Print �� �_;��,i►'�S�.e �G��� � s a m e, � App)icant's Signature Property Owner's Signature CiTY USE ONLY: Reca�nmended For Approval By: :. • Assistant City Engineer .• Approved By: Permit Expiration Date: �� ��/! � ' Corn:nen t s : 0 I , .0 �,—�_ -� ' � 1 � t� I i � � � , � , , - � ' 1 �- +- _� � _- - - - -- +--- ' � �' - --- �--t-- ; �� �--' � { � � �� � � , , � � , 1 '' IlQ � . _ ,I 1_ i I . __ ; ' ' ._ ' _ . , _ - ._. 1.-'�"_ ,_ ' ' ' ,' , . i , . _. � , ;� �.� � I, � _ i � ; � , �--� I :t ��' � � � �; , � ' ' I ; ' ` ' �� � � ; . ; , � i i � . ,- .I . ; � . � � , � j � � , ; i i _�.D; �O � t" --.�1►���r k/3 �1 � �- , ee� _ ' a � � � . _ � �� �� � � � � � - - � i , , � � � � � �� �� , � , i � ` � � � � i ', � . . . __ _ I. _. _ �� . , .. . . . _. � . ,� . . . � . ..' �. ., . . 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TO f�EPLI� DUE � S�l$���t.� � i C]: de 5 24/78 .."`�. ' - .��.�� , � �i.�nd Alteration on� � � � �� � �'3��i��e ��Y�eet tviFf�� saSE•t' � �7? , 'y'�'7/- 93 � l�-�� . . . �� � . , Please be-advised � called regarding ,; l��r� ;�l�er�tion atzd graciin� being per€ariae a �acent to her property. Please ' make�c��a�act with her to inform her of the land alteration. She is concerned c�ith �� a€fec:t thE fi11 wi.11 have on her property. Perhaps the plan we ' get ��flm,the potential buildsr should indicate the position of the adjacent p rop+�rt� . . DS/7 �` _ . . 1}j,� ,,E'o er�y ' � ,6� �ca �.,o �� �BT- (��_ ��ocs.� I � !�/9-2ic�.c1 � � ,�'ficL,S •��'�'f �7 e.v , ` 1�h► � c�ui ..v E.c , s ���,R. �� � s s - l5�/3 ' yc ��'`ArE: �u,�', ; �'ot, fifrs- S.5`y.�/ l�l : f� : S7�-. 7'0.53 u1: 373-y`� siy� , . h�77'R�rffv /�s 1� �er�.� t%�[.tc�Tio.cJ /�,��c Lo o.� -5--/8-�Q� ' ;� , , . ° . . . . . . . . _ . 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