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Home My WebLink About02037 ■ - GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N: 203 • 109 8th Street Suite 303 A is Parcel No. Glenwood Springs, Colorado 81801 A Phone (303) 945-8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY 1 Owner's Name Meridian 011 Inc. Present Address 3613 DTC Parkway. Anelewood4hone 930 -9393 System Location Ar rox. 12 miles vest of Rifle. 1002'. FSL and 891' FEL Sac. 33- T6S -R94W ) Legal Description of Assessor's Parcel No. SYSTEM DESIGN t 1 Septic Tank Capacity (gallon) Other KK Percolation Rate (minutes /inch) Number of Bedrooms (or other) 4 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 / err Septic Tank Capacity ! - .. is # • !Nr C .Cr # A C t i i Septic Tank Manufacturer or Trade Name C 17` /', .e'` p fo,tI i--c ;1 Septic Tank Access within 8" of surface Absorption Area t 1 C Absorption Area Type and /or Manufacturer or Trade Name _44 ,1- 4' Adequate compliance with County and State regulations/requirements J/ Other r / Date -.3 (9 Inspector -tlean 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. Con- nection 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 (5500.00 fine —8 t months In jail or both). , t t� Applicant: Green Copy Department: Pink Copy 7 NOY 06 '92 11 :42 GRRFIELD COUNT( App1F'_ =10n INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: OWNER MERIDIAN OIL INC. ;DDRESS 5611 nTC Parkway EW/g ( ,tZ SO!(/ PHONE (303) 930 -9393 :ONTRACfOR Roustabout Specialti @s, Inc. \DDRESS 2978 1 -1/4 Mile Rd Grand Junction. GO PHONE (303) 243 -2363 'ERMIT REQUEST FOR: (x ) New j ?i?to1ffttion ( ) Alteration ( ) Repair kttach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolatipn est holes, soil profiles in test holes. (See page 4.) .00ATION OF PROPOSED FACILITY: County Garfield Drilling Location lear what City of Town Approx. 12 miles west of Rifle Lot Size 300' x 400' .egal Description 1992' FSL and 891' FEL, Sec. 33 -T65 -R94W 4ASTES TYPE: ( ) Dwelling ( ) Transient Use ( ) Comnercial or Institutional ( ) Non- domestic Wastes ( x ) Other - Describe Temporary disposal farjlity 3UILDING OR SERVICE TYPE:3 contractor trailers d umber of bedrooms 4 total Number of persons 15 ( x) Garbage grinder (x ) Automatic washer (x ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( x ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: (Roy Savage Well, Ser. 35 -16S -R94W) If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: 40'' Depth to first Ground Water Table: 200' Percent ground slope: 10-40% DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 12 miles Was an effort made to connect to community system? . N /A' TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) Septic Tank ( ) Aeration Plant ( ) Vault ( x) Vault Privy (3) ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( x) Chemical Toilet (1) ( ) Other - Describe:_ FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( x) Other - Describe: Sewa removed by certified disposal contractor, Roustabout Specialties, Inc., Crand Junctio WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? NO on an as- needed basis *Sewage disposed in approved, permitted facility • Pace 2 NOV LE '92 11 :42 GARFIELD COUNTY F.3 Ofi. PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) N/A Minutes per inch in hole No. 1 Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch In hole No._ ame, address and telephone of RPE who made soil absorption tests: N/A ame, address and telephone of RPE responsible for design of the system: N/A _ pplicant acknowledges that the completeness of the application is conditional upon such urther mandatory and additional tests and reports as may be required by the local health epartment to be made and furnished by. the applicant or by the local health department for urposes of the evaluation of the application; and the issuance of the peret.i•s subject to uch terms and conditions as deemed necessary to insure compliance with rules and regulations dopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies hat all statements made, information and reports submitted herewith and required to be ubrnitted by the applicant are or will be represented to be true and correct to the best .f my knowledge and belief and are designed to be relied on by the local .department of health n evaluating the same for purposes of issuing the permit applied for herein. I further under - tand that any falsification or misrepresentation may result in the denial of the application r revocation of any permit granted based upon said application and in legal action forper- ury as provided by law. J late 11 -12 -92 Signed cidi ( ia-J2 -C CC 'LEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY See attached maps • Page 3 Now...■ f SECTION BREAKDOWN OF SECTION 33, TOWNSHIP 6 SOUTH, RANGE 94 WEST OF THE SIXTH PRINCIPAL MERIDIAN COUNTY OF GARFIELD, STATE OF COLORADO. R94W r OL3. MOW. 10. 1990 ._. - N1370716 90N1370716 W L . M N. _. 2627 . 52 _____ ._.._241 • - 1 • 1 n fl R r o ' . 9- LI i vnNCH 15 I 1 g. .r 1063' a,, 4. 1 , T Z i 0. 6 I 2611 J 3 2426 •W J.3 2,76 •6 osa• ; 2 1 FD. ,70' A OwRIE . A t1 i ALUM. CM ., I UI SGLE 1'1000' I FD. BM I AND CM i w I • - Ins 2610.9' FD. BAR _._ Q FD. BAR AND CM LO. MOW. 0 CAP I / Proposed Azimuth is 349 deg, ✓ 11111 , 2800erto All points along wellbore ----... . 100' to 1 will be a minimum of 600' - • 3i ,arm from any Lease Line. \'; �; {{II,1 Lease Description: ` '_ - '" • to count NE/4SE /4, Lot 2 and - , road NW/4SE/4, SE/4NE /4 `� i � . a Lessor: Dewaine Minch and 1 -1 I/ , I. Elaine Winch 3707 320 Rd. I 1 1 I J �1 °cation Rifle, CO 81650 _ �.' � ' 1 ^ 4 64513 OF BEARINGS S PC SOIJIN TUNE OF SECTION 33, T63, R94W WHICH SCALE 1 • 2000' BEARS DUE WEST IVW PA • IWYY IL R NO PC Pa [IICtCC[a. (PAS al„ rol 11I041P 0• NMI >L MIN 110a WIl M COT a ec a/1w Awn tail eat W SSW. 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