HomeMy WebLinkAboutCT 76-10; GREEN VALLEY KNOLLS UNIT 2; Engineering Application----- -----. ., -'\ .. ~ .,.'
':. Appl ication Grad i ng' p;rm i •.
. -PERMIT NO . .
~ for ( Jetter code + numbe J
.,.
~~ CITY OF CARLS8AD L=lot
PUBL I C. WORKS & BUILDING DEPARTMENT S=subdivision
/~ill~}GJJlli.J?')~ '1'1) 1200 Elm Avenue 'C=City contract
Gf:,~.!.J)i:,~:·J P!..;PllI~ fr01:? 729-1181 ..
.CoI2" 7!}f17 I -.
FOR APP L I.OANT TO FILL IN
Site Address Surety Bond Bond No.
~··l ~¥I C';:'''1ino C;::~!l. U I,~v;mt.e St ..
Legal Description Map No. Surety Company
j~ot~ nO" 227
Subdivision Name , Sl)rety Address
t2"r(~~;{C\ vnl.la!J lUlOllf:1 Un! t; a
pwner '.!:zu.ot.ceo of 't;he Ci:.;lntralPhone FUnd Date Fi led Rec'd by
Stl1tOOq SOi\\t:hilJiWt:. 11& Sou;tlltraat Are",s P~nJi.d.o l
pwner's Address Cash deposit Rec'd by Date fi led
;;"';(J g rt?:H ... t'r."i:h l~'irGl", S~""k Di(ii!t;'iO Ca", 92.103 $
Plans by Civi I Engineer R.C. E. The following documents are requ ired and shal
,',7:1 . .1J.J,('\'!)~ }J I' ~.ci!;;; 9~16 become a part of the grading permit when they
~daress Phone 729-are ""app~oved. .
:"(lr~f) i?~.O ~lco Elvd¢> . Ca.~13bildil .CaQ,1~S1 ,:/~radlng plans .. /Spec i f i cat ions
Soi I Engineer R.C.E. Phone :/·50 i I report ---:L..V i c in i ty map
P'}).lllln t1. .. !!m"l:~~Qn 10332 5G5-1.9S5 ___ Drainage structures ___ R.~ta i n i ng wal.ls
Grading Contractor Phone ,/Compact i on report .. ""'Other
f!;:rill::?:;~~~l BXO£;1 .. ClOnO~" CO~ 21S··-:U'50
A'ddress . Check if supervised SPECIAL CONDITIONS WHICH ARE MADE
?i'~iG 3Gj.J:l~1l n:vo. ... SWX, pioq<g ra d i n9_ X A PART OF THIS PERMIT
Party responsible for overa II supervision
.r~r'\ . (!:-'<1'i' .... l !(;')ud Co ... Cl Eon·~on EnqineQring Co. I . Authorized hours. of operation: 7:00 AM to
Proposed use of grade site 5:00 PM, Monday-Friday.
J ;t'~f'l~,,~\nn:,~;tt2tl })avcloP~itnt 2. Haul routes are to be approved by Clty
Number of .cubic ya.rds Engineer.
Cut FJ II Import Waste 3. Adequate provisions.shal I be made for
erosion and siltation contro·l.
/:Ei5tl OGO I I. 4. All slopes sha II be planted per direction
of Parks & Recr~ation Di rector. Total t.;:!." J ,:)-!
t'ttJ" ljOG c\,\~ yetCh (part of 1,090,000 for)
pompacted f i I I s (yes or no) . .
!!e.1J .. '
Proposed Schedule of Start Finish
D.Qerat ions. (dates) 6/1/"16 12/~O/76
I hereby acknowledge that I have read the app I ica-
tion and state that the information I have provi ded INSPECTION DATE INSPECTOR'S
is correct and agree to comply witb al I City SIGNATURE
ordinances and State laws regulating excavating anc Ground preparation
gra.ding, and the pr.ov i s ions and conditions of any Rough grad i ng ..
permit issued pursuant to this application. _._ .. _." Compact.i on report rec'd.
Signature of Permittee '--
" ~ -j -. .. -Planting & drainage -
-.. -Owner or authorized agent '-,
~ ~'-'-Final certification rec'd. -l -
Grading perm.it fee $ PAID vlI~!i 1,;,: .... , PIU{!'lI?:S
Work completed
Surety bond released
Permit Validation
. ',' by Date --
Perm i t Exp i rat i on Dat~ .
--~--------------------~ THIS FORM WHEN PROPf;:RLY VALIDATED BY SIGNATURE IS A pgRMIT TO DO THE WORK DESCRIB5Q·,'
THIS PERMIT IS VALID FOR A SIX US.) 'MONTH PERIOD