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HomeMy WebLinkAboutGeologic Hazard Affidavit 4016 Lupine Drive.pdf Department of Community Development 75 South Frontage Road TOWN OF VAIL ' Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com Geologic Hazard Affidavit Date: April 20, 2018 Legal Description: Lot 9, Bighorn Subdivision Physical Address: 4016 Lupine Dr., Vail, CO 81657 Property Owner: Richard H. Patterson and Regina M. S. Patterson Project No: (Building Permit Number) The undersigned have read the site specific geologic investigation, prepared by Rob rt L. Duran, E.I. and David A. Young, P.E. of H-P Kumar dated March 30,2018 on this a 3 daY of Pg11— 2018 . We understand from the conclusions of the Geological Hazard Report that the proposed structure is located in a Moderate Hazard Avalanche zone, a High Severity Rockfall zone, and a High Severity Debris Avalanche zone, and there is the risk of these hazards reaching the structure and causing damage. We are prepared to accept these facts and risks, and we request that the Town of Vail Community Development Department issue a building permit for the proposed improvements. .0-77;i atirign- .---C IC :414 Owne ignature Owner Signature ic,- Thiuil- 14 ,P19-.71-pgsel, (---- ,a\t)durs....% N--\.R...N3v.,,vs p.p., Owner Name (Print) Owner Name (Print) Nti i Jersey State of£a+erade / ) Morris )ss. County ofttegfes ) The foregoing instrument as acknowledged befo e me this �3 rd day of AP(1 1 , 20 I g by Aim. 1"l) .s. 4a-yr VL a y1pk, t , yr( 44. Fet-14-ttson Witness my hand and official seal. My Commission expire : �.4.el Vary 9, 202% éubli1' LINDA B. BARISH NOTARY PUBLIC STATE OF NEW JERSEY MY COMMISSION EXPIRES JAN.9,2021