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Garfield County Public Health Department – working to promote health and prevent disease Public Health 195W.14thStreet Rifle,CO81650 (970)625Ͳ5200 2014BlakeAvenue GlenwoodSprings,CO81601 (970)945Ͳ6614 OWTSPERMITAPPLICATION TYPEOFSYSTEMCONSTRUCTION NewInstallation MajorRepair MinorRepair Alteration VaultandHaul BUILDINGUSAGETYPE Dwelling TransientUse Comm./Industrial NonͲDomestic OtherDescribe INVOLVEDPARTIES PropertyOwner:Phone:() MailingAddress:_ EmailAddress: Contractor:Phone:() MailingAddress: EmailAddress: Engineer:Phone:() MailingAddress: EmailAddress: PROJECTLOCATIONANDDESCRIPTION JobAddress: Assessor’sParcelNumber:Sub.LotBlock BuildingorServiceType:#Bedrooms:GarbageDisposal(Y/N) DistancetoNearestCommunitySewerSystem: WasaneffortmadetoconnecttotheCommunitySewerSystem: PotableWaterSource &Type Well Spring StreamorCreek Cistern CommunityWaterSystemName Chevron USA Inc 2137-153-00-009 Small Temp Employee HousingX TEP Rocky Mountain LLC PO Box 285 Houston TX 77001 970 285-9377 kmcintosh@terraep.com / bhotard@terraep.com PO Box 370, Parachute, CO 81635 Sterling Walker 435 789-1017 85 S 200 E Vernal. Utah 84078 swalker@uintahgroup.com STEH 6 x City of Rifle, Town of Parachute, Town of Meeker TR 32-28-597 Pad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