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HomeMy WebLinkAbout04602GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 401 4 6 0 2 Glenwood Springs, Colorado 81601 Phone (970) 945-8212 Assessor's Parcel No. lop -t2_ L'2i-09 INDIVIDUAL SEWAGE DISPOSAL PERMIT Permit This does not constitute a building or use permit. PROPERTY 2-'154 CDc aSS O_ Owner's Name CCI Present Address 4` is 0 System Location 1 27:,;(1A AJC q - " A Legal Description of Assessor's Parcel No. /_. t al" 1 SYSTEM DESIGN Septic Tank Capacity (gallon) Other Percolation Rate (minutes/inch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: Date Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer Septic Tank Capacity Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface Absorption Area Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Date Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine - 6 months in jail or both). White - APPLICANT Yellow - DEPARTMENT GARFIELD COUNTY SEPTIC PER trr APPLICATION 108 8th Street, Suite 401, Glenwood Springs, Co 8160]. Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003 www,tareld-county:corn 1 Perk Fee: (� I Parcel No: (this information is available at the assessors office 970-945-9134) 216 9 214 0 0 02 6 2 Septic Permit #: Job Address: (4 an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description App. 22 miles NW of Town of Parachute,NWSW, Section 16, T6S, R97W, 6th P.M. 3 OVAL w DATE LotSize:N/A 303 Acres Lot No: Block No: N/A Subd.i Exemption:1N/A 4 Owner: (property owner) OXY USA WTP LP Mailing Address2754 compass Drive suite 170 Grand Junction, Co. 81506 Ph: 970-263-3637 Alt Ph: 970-412-2776 5 Contractor: OXY USA WTP LP Mailing Address2754 compass Drive Suite 170 c aluoc Ph: 970-263-3637 Alt 970-412-2776 6 Engineer: N/A Mailing Addressczana Juncti n, Ph: Alt Ph: 7 PERMIT REQUEST FOR: (X) New Installation ( ) Alteration ( ) Repair 8 WASTE TYPE: ( )Dwelling ( )Transient Use (Commercial or industrial ( )Non- Domestic wastes ( )other - Describe 9 BUILDING OR SERVICE TYPE: Sewage vaults associated with temporary employee housing - Pad 697-1EATI Number of bedrooms N/A Garbage Grinder ( )Yes (X)No 10 SOURCE & TYPE OF WATER SUPPLY: )WELL ()SPRING ( )STREAM OR CREEK ()CISTERN If supplied by COMMUNITY WATER, give name of supplier: /later hauled o location by Thirsty Water 11 DISTANCE TO NEAREST COMMUNITY SEWER Was an effort made to connect to the Community System? SYSTEM: Town of Parachute - app. 22 miles to the Southeast No - distance too great YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN 12 GROUND CONDITIONS: Depth to is' Ground Water Table app' 80 feet Percent Ground Slope < 10 13 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED: { }Septic Tank ( )Aeration Plant (4Vault ( )Vault Privy ( )Composting Toilet ( )Recycling, Potable Use ( )Recycling, other use ( )Pit Privy ( )Incineration Toilet ( )Chemical Toilet ( )Other- Describe 14 FINAL DISPOSAL 13Y: )Absorption trench, Bed or Pit( Under ( }Wastewater pond ( Other roundDis e sat )Above Ground Dispersal)Evapotranspiration nd fitter Descr tfi Canyon or W. uar aec1 Landfill orotn r permitted Iaca ity 15 Will effluent be discharged directly into waters of the state? ( )YES (4N0 16 PERCOLATION TEST RESULT: (to be completed by Registered Professional Engineer, if the Engineer does The Percolation Test) Minutes N/A per inch in hole No.1 Minutes N/A per inch in hole No.3 No._ Minutes N/A per inch in hole No.2 Minutes N/A per inch in hole Name, address & telephone of RPE who made Name, address & telephone of RPE responsible soil absorption test: N/A for design of the system: N/A 17 Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. l further understand that any falsification or misrepr entation may result in the denial of the application or revocation of any permit granted based upon said application and legal action for perjury as prove w, ../, 11/5/08 OWNERS SIGNATURE DATE STAFF USE ONLY Permit Fee: 17 3. 6.0 Perk Fee: (� I Total fees: r73 .cam Building Permit 4: Septic Permit #: Issue Date: Bui ding & P1n in Dept: , \ .NhAPP OVAL w DATE J J J J J J J J J J J J J GENERAL PERMIT DOMESTIC WASTEWATER VAULT SYSTEMS AUTHORIZATION TO UTILIZE A VAULT SYSTEM UNDER THE GARFIELD COUNTY BOARD OF HEALTH "INDIVIDUAL SEWAGE DISPOSAL SYSTEMS REGULATIONS" The Garfield County Board of Health "Individual Sewage Disposal Systems Regulations" adopted in 1994 pursuant to current guidelines of the state board and adopted in compliance with Section 25-10-104(2), (3), and (4) C.R.S., shall govern all aspects of permits, performance, location, construction, alteration, installation, and use of individual sewage disposal systems of less than 2,000 gallon per day design capacity. This permit specifically authorizes the entity(s) listed on page 1 of this document to install and utilize a vault system, as of the effective dates stated on page 1, in accordance with permit requirements and conditions set forth in part 1 hereof Any vault system installation authorized herein shall be consistent with the terms and conditions of the permit. SEPTIC PERMIT NUMBER rO7 WELL SITE LOCATIONS (APD#(s)) ` 7 7 - % Z OPERATORS NAME c) y A. GENERAL: Vaulted wastewater systems are not permitted in Garfield County for any facility that will generate 2000 gallons or more of wastewater per day. A vault system as permitted by Garfield County is allowed only for limited use occupancy with a cumulative usage period of less than one year and for occupancy of 24 or less people, only on property which cannot accommodate a sewage treatment system. Vault systems are allowed on oil and gas well pads due to the limited development time frames and limitation of on site disturbance set by the Colorado Oil and Gas Conservation Commission, the United States Forest Service and the Bureau of Land Management. A vault, as permitted by the local board of health, shall have a minimum 1000 gallon effective capacity. B. TERMS AND CONDITIONS 1. Minimum, horizontal distances from the various components of a system to pertinent terrain features, including streams, lakes, water courses, springs, wells, subsoil drains, cisterns, water lines, suction lines, gulches, dwellings, other occupied buildings and property lines, shall be in accordance with the following "Table of Minimum Horizontal Distances". 2. No vault system shall be installed in a floodway. 3. When a system is installed in a 100 -year floodplain then the system shall meet or exceed the requirements of the National Flood Insurance Program. The system as approved by the Garfield County Building Official or his/her designated agent shall be designed to minimize or eliminate infiltration of floodwaters into the system, and discharge of the system into the floodwaters. 4. Only tanks that have been certified by the Colorado Department of Public Health and Environment shall be used for a vaulted system. 5. All tanks shall be installed in accordance with the manufacturer's specifications, 5 Watertight vaults shall not allow infiltration of groundwater or surface water and shall not permit the accidental or intentional discharge release of wastewater or liquids to the ground surface or to waters of the state. 1 7. Vaults shall not have an outlet unless designed to flow to another tank in series for the purpose of increasing holding capacity. Such outlets shall be water tight. 8. Tanks shall be so constructed and installed as to withstand earth and hydrostatic pressures when filled and when empty. 9. In locations where groundwater may cause instability problems to the vault due to flotation, the tank shall be anchored in a sufficient manner in order to provide stability when the tank is empty. The method of anchoring must be approved by the Garfield County Building Official or his/her designated agent prior to installation. The local authority may require the design of the anchoring system to be prepared by a Registered Professional Engineer. 10. Each vault unit shall be equipped with an access manhole located to permit periodic physical inspection and maintenance of all the tank and removal of the waste contents. 11. Components shall be so designed and constructed that when installed in accordance with manufacturer's recommendations, they shall be capable of being easily maintained, sampled, drained, pumped, inspected and cleaned. 12. The surface of the ground over the vault system must be restricted to activity or use which will allow the system to function as designed and which will not contribute to compaction of the soil or to structural loading detrimental to the capability of the vault to function as designed. 13. All metal surfaces shall be properly coated to prevent corrosion. 14. Plumbing fixtures, grease traps, building sewers, vents, sewer lines and other appurtenances shall be designed, operated and maintained so as to comply with the minimum requirements of the International Plumbing Code. 15. All wastewater lines used in individual sewage disposal systems shall be constructed of compatible pipe, bonding agent, and fittings. 16. Where plastic pipe and fittings are used, the minimum wall thickness of the pipe shall conform to ASTM Standard D 3034, or equivalent. 17. All electrical work, equipment, and material shall comply with the requirements of the National Electrical Code. 18. A signal device shall be installed to indicate when pumping is necessary. 19. The permittee shall provide for maintenance and cleaning of the vault system through a legal contract with a company experienced in the removal, proper handling, transport and proper disposal of the vault contents. 20. Disposal of waste materials removed from a vault system in the process of maintenance or cleaning shall be accomplished at a site approved by Garfield County in a manner which does not create a hazard to the public health, a nuisance or an undue risk of pollution and which complies with state and local rules and regulations. 21. When the use of a vault system is terminated or the vault system is relocated, the contents of a vault shall be properly removed and disposed of and the emptied vault shall be filled with soil or rock, or the Garfield County Building Official may allow the vault to be reused, removed and disposed of properly. E. RECORDS The Permittee shall establish and maintain records. All records shall be maintained a public records and be made available to Garfield County or other third party upon request. Required records shall include, but not be limited to, the following: • A copy of the permitees's current legal contract for removal of vault waste. • A copy of this permit. • The dates, location, and time of pumping tank contents; • The individual(s) and company that performed tank pumping; • The volume of waste removed from the tank; • The location of disposal including a receipt from the receiving facility; • Any system repair or maintenance performed including the reason for said repair or maintenance. F. CERTIFICATION OF AN APPROVED VAULT SYSTEM INSTALLATION 2 The Permittee shall inform the Garfield County Building Official in writing of any intent to construct, install, or alter any vault system, no greater than 48 hours after construction, and shall furnish the Garfield County Building Department such plans and specifications to evaluate compliance with the Garfield County ISDS Regulations. G. REMOVED SUBSTANCES Solids, sludge's, or other pollutants removed in the course of vault maintenance shall be removed and disposed of in a manner such as to prevent any of this material from discharging to the ground surface or from entering waters of the State. For all domestic wastewater treatment works, the Permittee shall dispose of sludge in accordance with State (Regulation No. 64) and Federal (Section 405(d) of the Act) regulations. The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in violation of this permit that has a reasonable likehood of adversely affecting the public health or environment. Permittee shall maintain a copy of a service contract and any pumping and disposal records from the approved contracted systems cleaner and submit such information when requested by the local regulatory authority. H. PERMIT VIOLATIONS Failure to comply with any terms and/or conditions of this permit shall be a violation of this permit. The surface discharge of any pollutant identified in this permit in a manner other than is authorized in this permit shall constitute a violation of the permit. Permit violations will be subject to enforcement provisions as outlined in Section IV.H, IV.I and IV.N of the Garfield County Board of Health. "Individual Sewage Disposal Systems Regulations". Violations of the permit are the sole responsibility of the Permittee. ACCESS TO THE SITE For the purpose of inspection and enforcing applicable rules, regulations, terms and conditions of any permit issued, the Garfield County Building Official or his/her designated agent is authorized to enter upon private property at reasonable times and upon reasonable notice for the purpose of determining whether or not operating sewage treatment systems are functioning in compliance with this permit. 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 FILL SLOPE DAYIJGHY LINE OW) OXY USA WTP LP 697-16A2 (PROPOSED WELL LOCATION AND ROADS) SECTION 18, TBS, R9711; 618 P.M. s=/ `-82 • :trXIr REVISED:10-8-08 ORW REVISED:9-25-08 ORW REVISED: 8-28-08 DNW REVISED:5-20-08 K/B DATE: 4-29-08 Drawn By. HNM SCALE 1'=100` 2' CONTOUR INTERVAL SECTION 18, T6S, R971r, 8th P.M. NO SCALE 1 5 55 5� 5 5 � 1 BEGIN (ROAD #1) I]( STA 0400 { 1s l BLEND PROPOSED \ ROADS INTO DnSTING ROAD HERE Existing Rood / `�—�- 697-1842 PROPOSED IYZ1:L PAD ELEVA170N = 8312.30' (300x400) sEwEa,'°. HOES . 234.2' A 697-16A SEGMN RE—ROUTE (ROAD #2) SrA 0400 WI SLOPE DAYLIGHT LINE (711,) EARTHWORK CALCULATIONS The Following Earthwork Calculations Are For The Proposed Weil Pad And The Two Roads (Complete DIsturbonce) Totoi Area Of New Disturbonoo 5.488 acres Top Sot Removal & Storuge: 4427 cu yd Proposed Well Pad Elevation: 8312.30' Raw Cut Volume: Compacted Cut Volume. Total Cut Volume: Raw Fill Volume: Compacted 7)11 Volume (5%): Total Fill Volume: Half Of Tho Pit Volume: Total Excess Remaining; 61 735 cu yd 0.00 52 61735 cu yd 55392 cu yd 2769 cu 5d 58162 cu yd 2229 cu yd 1343 cu yd END RE—ROUE (ROAD #2) STA. 7490.60 ver 1 14 Q •. PROFESSIONAL ENGINEER SHEET 1 OF 4 0145AN ENCINESRING .2 LAND SUB987.7110 84 S. 240 Feat Vernal, Utah -.R p,s250.0' 2 WY175V5 PIT Tatd Pit Gooncrty W/2' 44 Fre4Swad 18.937 855..4 Told Pit *Immo 4,459 C. Yds Polat Northing Eastin9 Elevation Cut or F51 COIL 2 24655.54 5446.50 8312.3(1 110 47.26 Car. 4 24402.30 5590.54 8312.30 9111 4.32 04r, 6 24212.9E 923621 6312.30 Cut 7.54 Cor. 8 24477.18 5096.17 8312.30 Cult 33.99 04r, 5 24534,15 5396.76 12.30 at 19.92 101r. 7 24327.42 5175.66 8312.30 Cut 16.16 E. 1 24552.38 5254.72 8312.30 at 8.84 Lou. 24412.64 5335.21 0312.30 Cut 9.28 Car. 3 24516.60 5528.99 83€2.35 151 17.79 697-76,4 EX1S7ING YELL LOCATION WAGI' WAY (7p 80 4YW52) • • \\ a. 3' C--7.5* , p., d179.8, f Z78v. Ungraded Ground At Loc. Stoke = 8228.1' FINISHED GRADE' ail! AT LOC. STAKE =8312 3' CLIA S' Ltr�azra I` 8350 PROPOSED ROAD --- 1 III8340 8350 8345 8345 8335 #2 " PROPOSED ■ III �� EXISTING WELL PAD 8335 8330 8335 8335 ROAD #1 6" TOPSOIL 8330 8325 8325 8330 8325 8325 8320 ¢ at �, PROPOSED WELL PAD 8320 AfrArsi 8320 8315 8310 1 8320 8315 I = 11 8310 WELL . 8305 -830 8315 8310 At L1 5 8305 8300 \-� 8310 8300 8295 \ - 8305 �1 ...11:" 1=11' 8295 0+00 1+00 2+00 3+00 4+00 5+00 6+00 OXY USA WPP LP 697-16A2 (PROPOSED WELL LOCATION) SECTION 18, T6S, R97W, 8th P.M. REVISED: 8-28-08 DNW REVISED:5-20-08 9CJB DATE:4-29-08 Drown By. HNM SCALE 1°-100. 0 � � o 2' CONTOUR INTERVAL BASS OF BEARINGS BASIS OF BEARINGS IS A G.P.S. OBSERVATION. BASIS OF ELEVATION SPOT ELEVATION AT THE NORTHWEST CORNER OF SECTION 30, T5S, R95W, 6th P.M. TAKEN FROM THE FORKED GULCH QUADRANGLE, COLORADO. GARFIELD COUNTY. 7.5 MINUTE SERIES (TOPOGRAPHICAL NAP) PUBUSHED BY THE UNITED STATES DEPARTMENT OF THE INTERIOR, GEOLOGICAL SURVEY. SAID ELEVATION 3S MARKED AS BEING 5966 FEET. 8350 8345 PROPOSED ROAD --- 1 8350 8345 8340 #2 " 8340 8335 8335 8330s ` \` 8330 8325 8325 8320 PROPOSED 8320 8315 I = 11 WELL PAD\ 8315 8310 At L1 \-� 8310 8305 ...11:" 1=11' 'tiu ; 8305 8300 ii= 8300 8295 8295 890 6" TOPSOIL ~_ 8290 8285` M 8285 8280 8280 8275 " 8275 8270 8270 8265 8265 8260 8260 8255 8255 0+00 1+00 2+00 3+00 43.00 5+00 6+00 SHEET 2 OF 4 UMW( SNSIW88R183 R LANS 5'URYBYISC 86 So. 201) Eva8 Anna. Utah 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 j x0O f i P 7 / C 2x24 Ski ��o BEGIN (ROAD ;¢Y) co ▪ 2x 0 /J cr STA 0+00 170,1 Q .ZLc)° O .- /// =OI44Fv Ory 0_ O i / �� FEND (ROAD 77) STA. 3+90.06 SEWER OAFS Existing Road d 697-t6A.2 PROPOSED WELL PAD 697-76A EX15T)NC H€LL LOCAPON 4LK WAY (i0 CAV57.) PRCROED M4N CAMP x BEGIN RE-ROUTE (ROAD 172) STA 0+00 x o to U U 4. ..ib_` /i�7. --------_ 0 0 N0 O 17' SUSGRAOE ROm / i 000 END RE ROUTE (ROAO #2) STA. 7+90.60 3 ADE -1.6% -6 1% +4.9% 8370 -"*__.__- 300' V C. 1- i 8355 8350 �roo} _ 8370 R n 8350 300' V. C. 8340 8365 8365 8360 GRADE " ='-=..,,,- _ 8335 8335 8330 .8330 Z S d ,,,..4 6 m , v ; 8360 1A w2 so' gd � M d 8355 8355 8350 I'c ,8320 8320 FINISHED GRACE 8310 d WELL PAD 8310 d 8350 8345 8345 8340 - V 8305 8300 q PRECONSTRUCIION GRADE GRACENSTRUCTION 0 g 8300 8295 EXISTING WELL PAD 8340 8335 8335 8330 d . a ` 8290 8285 s' TOPSOIL m . 8285 8280 8330 8325 -8325 82$0 8275 8275 8270 8320 8270 8265 s' TOPSOIL 0+00 1+00 2+00 3+00 4+00 ---- 8320 8315 8315 0+00 1+00 2+00 3+00 4+00 5+00 6+00 7+00 8+00 OXY USA W'TP LP 697-16A2 (PROPOSED ROAD ALIGNMENTS) SECTION 16. T6S. R97R eth P.M 20' REVISED: 8-28-08 DNW REVISED: 5-20-08 KM DATE: 4-29-08 Drown By. HNM SCALE 1'-100' o RQ02QNTAL --4.0% ROAD #I PROFILE RADE -6.2% -10.7% 8360 8360 8355 8355 8350 �roo} _ 8350 8345 8345 8340 q FINISHED GRADE 8340 8335 8335 8330 .8330 Z ` 8330 8325 8325 1A w2 so' gd d 4 M d PROPOSED I'c ,8320 8320 8315 8315 8310 WELL PAD 8310 8305 8305 8300 q PRECONSTRUCIION GRADE 0 g 8300 8295 8295 8290 d m ¢ 8290 8285 s' TOPSOIL m . 8285 8280 82$0 8275 8275 8270 _ 8270 8265 8265 0+00 1+00 2+00 3+00 4+00 SHEET 3 OF 4 Ulm4H EmINBERING d LAND SURVEYING 86 So. 200 Lila Varma. URA. 1 1 1 1 1 1 1 1 1 a -10.35' Sta. 41-0 -18.16' C- EL X46. Approx. Tap of t Slope C -i 8,55 EL 833Q.65' F-4.30' EI. 8303.00' Approx.. ' CaR1WR INTERVAL CONTOURS SHOW COSTING GROUND SCALE 1".100' 6 5 O .«. 0' OXY USA WTP LP 697-16A2 (PROPOSED WELL LOCATION) SECTION 16, TBS, R97W 6th P.X. REVISED:9-25-08 €SRW REVISED: 8-28-08 DNW N o o REVISED:5-20-08 KJB DATE:4-29-08 Drawn By. HNM VERTICAL SCALE 1"=40' HORIZONTAL SCALE 1"=200' STA 01-00 STA 7+6'0 .1li=1140,114 HE,1I .a 1 STA 4+00 SHEET 4 OF 4 Lt1NTAH PrxrrlR'S'1NNO & LtYD S18VNYINZ 85 So. Pao Scut Vemnt, MTh J J J J J J J J J J J J J J J FULL BAFFLE DETAIL 'C' SCALE: 1/24 8 78 INVERT '-2 7/8' 9 1 3/4' a 6 1 7 --•-62 3/4 83 3/4 18 1/2 6'DIA SCH 40 PVC INLET Pi PE NTERNAL SANITARY TEE & PIPES RISER PIPE. FOR 4'(NOMINAL) ACCESS OPENING PLATE BAFFLE (48' iNV H 3-4'DIA HOLES IFTING LUG t'4 HOLD DOWN STRAP LOCATION 42 3/4-- 9 0 10 102 1/4 31 6 1/2' 11 12 13 NOTE: 67 14 1 - SEE XERXES' ONE YEAR LIMITED WARRANTY FOR UNDERGROUND SEPTIC TANKS_ 2 - INVERT DIMENSION FROM TANK 1.0. 1 15 6 6 3/4(TYP) VFSIa csa«nm 0514 XERXES® C RPORATI0N 8'DIA SWT CAP. 10.000 GALLONS MARATHON OIL WASTE paR 0 13,3,1113 vra. -� 0 632-638 00 / .1n._1• August 25, 2008 To Whom It May Concern: Occicental Oil and Gas Corporation Cascade Creek Project Down Valley Septic, LLC PO, Box 1929 • Rifle, CO 81650 970-625-5556 www.dvseptic.com Please accept this letter as certification that Down Valley Septic will provide sewage collection, and porta jon service for Oxy Cascade Creek Project. I certify that Down Valley Septic will provide the above services for Oxy for the Drilling, Completion, Construction, Man camps, and Administration units on the Cascade Creek Project. Service will be provided every three days, unless needed more frequently. Down Valley Septic is available 24 hours a day, 7 days a week, and 365 days a year. Collection sewage will be disposed of in the Rifle Landfill or other certified disposal facilities_ C•e (Signature) $-c.0 1x10 Ve.c (Printed name) (Title) sir (Date) c-oo Please contact me if you need any additional information at 970-625-5556. Thank you, Scott Moyer coo Down Valley Septic, LLC J J J J J J J J J J J J J J 4000 gallon capacity, heated enclosed, extra outlets, cam lock fittings. Enclosed lift stations, cam lock fittings, heated. Minimal location space required • :uax o- ...,,•' • 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1