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HomeMy WebLinkAbout02084 _ IT, :�'0'Nif, .. 1:_ ,. ' - pr.s rr1 °.r�V?ii"`�.^'SLMrimnl'c'cw-.• ri•pnrnauwr tsrra = , . e , I. Al .o r {L I GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N _ 2 0 8 4 i 109 8th Street Suite 303 Assessor's Parcel No. i Glenwood Springs, Colorado 81601 t Phone (303) 945-8212 i i t This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT ' ^4 a building or use permit. 1 PROPERTY i Owner's Name Meridian Oil, Inc. Present Address 3613 DTC Parkway Englewoo o ge 930 -9393 1 f System Location Approximately S miles from Rifle i Legal Description of Assessor's Parcel No. ' k SYSTEM DESIGN i f ' Septic Tank Capacity (gallon) Other " Percolation Rate (minutes /inch) Number of Bedrooms (or other) 4 1015 persons if i Required Ab (notion Area - See Attached v t Special Setback Requirements: 4 Date Inspector FINAL. SYSTEM INSPECTION AND APPROVAL (as Installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer 0 Septic Tank Capacity I Septic Tank Manufacturer or Trade Name 4 Septic Tank Access within 8" of surface Absorption Area Absorption Area Type and /or Manufacturer or Trade Name i Adequate compliance with County and State regulations/requirements Other Date Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE R *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 I, Petty Offense ($500.00 fine — 8 months in jail or both). Applicant: Green Copy Department: Pink Copy r1RY -07 -1993 13:24 FROM MERIDIRN OIL / DENVER TO 919457785 P.01 MERIDIAN OIL INC. 5613 DTC Parkway Englewood, CO 80111 FAX TRANSMITTAL Confirmation Telephone No. (303) 930.9393 TO: Michael Watts - Garfield County Regulatory Offices DATE:May 7, 1993 FROM: Sally DuVall - Meridian Oil Inc. SUBJECT: I.S.D.S. APPLICATION Attached is the ISDS Application I discussed with you on the telephone this morning. Please try to get this on the Commission docket as soon as possible. We plan to try to begin drilling operations by May 21 or sooner, if possible. As I indicated to you, I will have a check for $50.00 by Tuesday, May 11, at which time 1 will overnight mail the original of this application and the check to you. Thank you for the information. If you need to contact me, please feel free to call me at (303) 930 -9393. My Fax No. is (303) 930 -9357. JlAY -07 - 1993 13 24 FROM MERIDIAN 0IL / DENVER TO 919457785 P.02 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official OWNER: Meridian Oil Inc. ADDRESS: 561; DTC Parkway, Englewood, CO 80111 PHONE: (303) 930 -9393 CONTRACTOR: Roustabout Specialties. Inc. ADDRESS: 2278 1 -1/4 Mile Rd.. Grand Junction. CO PHONE: (303) 243 -2363 PERMIT REQUEST FOR: [ x J New (Temporary) Installation [ ] Alteration 1 ] Repair Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation. test holes, soil profiles in test holes. (See page 4), LOCATION OF PROPOSED FACILITY: County: Garfield Near what City or Town: Approx. 5 miles from Rifle Lot Size: Drilling Location 300' x 400' Legal Description: NENW Sec. 28-T65-R94 W, Garfield County WASTES TYPE: [ 1 Dwelling [ 1 Transient Use [ 1 Commercial or Institutional ( 1 Non - domestic Wastes [ x) Other - Describe: Temporary disposal facility BUILDING OR SERVICE TYPE: 3 contractor trailers Number of bedrooms: 4 total Number of persons: Approximately 10 - 15 [ x J Garbage grinder [ x ] Automatic washer [ x J Dishwasher SOURCE AND TYPE OF WATER SUPPLY: 1 x 1 well [ ] spring ( 1 stream or creek Give depth of all wells within 180 feet of system: Roy Savage well, Sec. 35- T6S -R94W If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: Approximately 40' Depth to first Ground Water Table: Ap.proximateiv 200' Percent ground slope: Less than 5 percent DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Rifle, Colorado (approx. 5 miles) Was an effort made to connect to community system? Not applicable TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: [ ] Septic Tank [ 1 Aeration Plant [ J Vault [ x 1 Vault Privy (3) 1 1 Composting Toilet 1 1 Recycling, potable use [ ) Pit Privy [ ] Incineration Toilet [ ) Recycling, other use [ x 1 Chemical toilet (1) [ ] Other - Describe FINAL DISPOSAL BY: 1 1 Absorption trench, bed or pit ( 1 nvapotrauspiration [ ] Underground dispersal 1 1 Sand filter [ 1 Above ground dispersal [ 1 Wastewater pond 1 x1 Other - Describe: Sewage will be removed by certified disposal contractor, Roustabout Specialties. Inc., Grand Junction. Colorado* WILL EFFLUENT BE DISCHARGED DIRECT INTO WATERS OF THE STATE? NO *Sewage will be disposed into an approved. permitted facility. MAY -07 - 1993 13 25 FROM MER I D I RN 0IL / DENVER TO 919457785 P.03 SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer). N/A Minutes per inch in hole No. I Minutes per inch in hole No. 3. Minutes ' per inch in hole No. 2 Minutes per inch in hole No. Name, address and telephone of RPE who made soil absorption tests. N/A Name, address and telephone of RPE responsible for design of system: N/A Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by applicant or by the local health department for purposes 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 adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements 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 relief on by the local government of health in evaluating the same for purposes of issuing the perntit applied for herein. 1 further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. Date: May 7. 1993 Signed r . Sally i. DuVall PLEASE DRAW AN ACCURATE MAP TQ YOUR PROPERTY See attached maps. MAY -07 -1993 13126 FROM MERIDIAN OIL / DENVER TO 919457785 P.04 Y . \ C sy9<< wi o z 49 C3. • . � N U L C[. 4 G • 1 roe �.� / A N VP\ W ril d m I 3 NCI / DI y . a , ¢ o \ J 0 1 W • . 0 u 2 Cr C34 C FA OI 9' W e l l Site C =1.6 0 o I Grade klev =5208' 1 r • Vic' i w+. I w a m q t i 1 (y N 1 q �� 4Vi� O V cd 1 r 1 W •M 0 I �" v V 1 1 1...1 CC I ( 7 : - C N ,�ncy w a r l. i.. __ K / so . \ t U to t cn� ca* u • 1 o ' 4 \s CoY r=,. � ,. � - -�� Sport. •So f L j •_ MAY -07 -1993 13 :26 FROM MERIDIAN OIL / DENVER TO 919457785 P.05 Meri:ii ?n Oil, Ln . ?{RU- 1 -28 -SN 703'FN ea 1931'FFW 28- -6S -94W Garfield County, Colorado. c708 — Cut =5846 Cu yds. Fill =5822 " " SCALE 1 " =50' Pit cut =2344 " " C— u .. 0 5 W1 L1RY -07 - 1993 13 26 FROM MERIDIRN DIL / DENVER TO 919457785 P.06 a . R94W r ; 3: eo M �w a na 1115 1 / 1 s °I S. 1115 Clo h J{ / a"Ya MI >'i :d 'r a ;:?.?? ° a 39.56 , 3 '8.1 r .1A � I 39 zi, t", t> Yi 1 2 7_I�'' 6 . 89, 26 � , 3 8� F 3 c �y�r G � w I � �� � .+.. 0r *Green et a -5p0 Iu� L✓ / ' T (Savage al al / � _ 33.733 \ v. ' - Y C 3 4'.10x1 )7 10 /- �7 J 32 3? I t 3 35 r arre o a l'i E � g `s� -5 1 °a"'` l an : GI (Bernklau et al N ' 4 ;e( al) v�YF..4. sffis4£d: wkSt s£i& x x>,<ec '3r ke USA t gt ?e`d 1 . r. � k3 •••,/ J r 3 T e , 1 31 ¢ Met a en •1 �. i t c M e' (YOCKIev al al) , . v �,. . vy 2 ` o - . , �rl r � r .s x" ` v� .:? 7 eorrM - •1•I 4 � rs la z I(USA)« F '` ' ^ S +.‘' 'ss ` S c4'µ 4 0 ; z r2" /rs ✓ s X x `"' n .'yf*'" „`} «�. $ i RU 1 -28 SH LI ASE AND SPACING UNIT OUTLINE (Shown in red) ORDER NO. 139 -25 RULISON FIELD GARFIELD COUNTY. COLORADO MERIDIAN p MERl IA O L� RULISON FIELD T 6 -7 S R 94 W Garfield County, Colorado LEASE OWNERSHIP T.ny Caul r:/ i 5,7416 WE 0 Id N3/I mrso.r. I ua00 , MAY -07 -1993 13 27 FROM MERIDIAN OIL / DENVER TO 919457785 P.07 • r E <P I . T .o « . 2 - . ' +. • l t \) • „5 - ,. . �s� ✓�.` 9 X e ,,,, IW\\ \i�, y y.a„� _ -. , .. wr o s b { 2 :.A.1 ry / 'V r�_ —� / ( J ?” O I " -•. -,-„ w. � a o O ; m 1, 5i ~��I y {l � C. l� 'V / ( L ^ ���V {/ / m IA C > O R ~I � A 1 / / ( A �/ I 4A)` \ �� �� J``✓ I� Q�� / - ' m S - D -.d / n J I { , 1 / V C--- ) / l t r / L/- -4 IY\7 f" X r V 4 /, -^ _ • i nn , Al //). " ,. ��r i n a 6 �' /��' ./ Kra L • C. �,, f. n N r 4 ki 4 * t \ , '.. kr,./ Lil".5.6.Qp_ ...oft -A -7- e tt.. -- , -= 4 N 44 . 'r ep ..,41=-- - - _-,,,,,,.... --._:: g" 't It , : -- - - , .. H • b'S ik \` -C. J a aqe wm : IwO+ Y % s '� ilv • Z h P <a�.,- f , 8 d ,7 1 ^ ` ... , � � - LC' C k. C C,. C 1? F3 n r O ` P, f o°� l 41- p L�S�i l r ' r �_, ) .Y1 m m \\ 1 l /� ♦ qM1 5 p p � 1 41.----.12.1? n- o a (] � � � � �� ��` "`,-; -^ct -fin ,....4-:' H GLENWO ♦ OD SPGS. .i1 ML ip f 40 �� "J • a v� .. �• TOTAL P.07 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official OWNER: Meridian Oil Inc. ADDRESS: 5613 DTC Parkway, Englewood, CO 80111 PHONE: (303) 930 -9393 CONTRACTOR: Roustabout Specialties. Inc. ADDRESS: 2278 1 -1/4 Mile Rd., Grand Junction, CO PHONE: (303) 243 -2363 PERMIT REQUEST FOR: 1 x ] New (Temporary) Installation 1 1 Alteration [ ] Repair Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation, test holes, soil profiles in test holes. (See page 4). LOCATION OF PROPOSED FACILITY: County: Garfield Near what City or Town: Approx. 5 miles from Rifle Lot Size: Drilling Location 300 400' Legal Description: NENW Sec. 28 -T6S -R94W, Garfield County WASTES TYPE:[ 1 Dwelling [ ] Transient Use [ ] Commercial or Institutional [ ] Non - domestic Wastes [ x ] Other - Describe: Temporary disposal facility BUILDING OR SERVICE TYPE: 3 contractor trailers Number of bedrooms: 4 total Number of persons: Approximately 10 - 15 [ x ] Garbage grinder [ x ] Automatic washer 1 x 1 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, Sec. 35 -T6S -R94W If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: Approximately 40' Depth to first Ground Water Table: Approximately 200' Percent ground slope: Less than 5 percent DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Rifle, Colorado (approx. 5 miles) Was an effort made to connect to community system? Not applicable TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: [ ] Septic Tank [ ] Aeration Plant [ ] Vault [ x ] Vault Privy (3) 1 1 Composting Toilet [ ] Recycling, potable use [ ] Pit Privy [ ] Incineration Toilet 1 1 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: Sewage will be removed by certified disposal contractor, Roustabout Specialties, Inc., Grand Junction, Colorado* WILL EFFLUENT BE DISCHARGED DIRECT INTO WATERS OF THE STATE? NO *Sewage will be disposed into an approved, permitted facility. SOIL 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. Name, address and telephone of RPE who made soil absorption tests: N/A Name, address and telephone of RPE responsible for design of system: N/A Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by applicant or by the local health department for purposes 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 adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements 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 relief on by the local government of health in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. Date: May 7, 1993 Signed ._: X Sally i. DuVall PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY I See attached maps.