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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N: 2 1 5 I
109 8th Street Sulte 303 Assessor's Parcel No.
Glenwood Springs, Colorado 81801
Phone (303) 945 -8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
1.
PROPERTY
owner's Name Mit & Debbie Roust: p resen t Address P.O. Box 1412 Ol envoo d Phone
945 -7031
06 es
System Location 1000 County Road 119, Glewnood Splint's
i (3 - ..'c)
Legal Description of Assessor's Parcel No. 1 ' . V
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SYSTEM N y 1 11 -71''H 7/ ? t 8 A T o Y Crr ..,? <F f , ( a,ci a t
/ / / / L// TV vii tAe7ov tie _} y /{�I r/e
Septic Tank Capacity (gallon) Other (/
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4
Percolation Rate (minutes /inch) Number of Bedrooms (or other) _ .
. Required Absorption Area - See Attached
Special Setback Requirements: ,I'
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Date 4 . E
» 71' I nspector .J"vi /`�� �
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FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation ' I,
System Installer Mire /-/t/IEK 4.
Septic Tank•Capacity / a Sn //
Septic Tank Manufacturer or Trade Name PAQ4 Ilan/'.
Septic Tank Access within 8" of surface ¶— 6 r.
Absorption Area /e4 69 4
Absorption Area Type and /or Manufacturer or Trade Name / AR/27/t' # T li Q-
Adequate compliance with County and State regulations/requirements yE S •
Other '.
Date_ ,. ./3`' ` Inspector it /../- yy� sett- --%
RETAIN WITH RECEIPT R S A' RECORDS CONS UCTION SITE
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*CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter .r -
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- 1. . '
nection to or use with any dwelling or structures not approved by the Building and Zoning off ice shall automatically be a violation or a
requirement of the permit and cause for both legal action and revocation of the permit. r
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g+ o,' CHI, yafletlon fr(y ��{� *" fy * s p(liP891fltlatiorhs oo t&nl t thA ICago» O permit semmlts a 014 .1, Pet ty Offense ($500.00 fine 6 4 1 +d'^'^'
Hi up i! months (n >1�110 p{,4 at,1, ; . d i. 1 11 '',
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II 4Y' ii , ; ) Applicant Gr9eri ' y Department Pink Copy
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• Application
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
• OWNER /eli 1<cku�r County Official:
ADDRESS O (out, IA (la PHONE O
CONTRACTOR Sett /9).
ADDRESS pp, (S°,c (k +L 6- I2a4,unrt !TON E '7"/[=203
PERMIT REQUEST FOR: (S.0 New Installation ( ) 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 6
Near what City of Town __, .. 6 k Lot Size S *
Legal Description/Fitt Cxffil.S a C-overnrvvrtr lot 7 5&./ 3 w.5h jfo•1,rp
4c>�tl, Putts - f! id-sr 4 1 P. M,
WASTES TYPE: (bC) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other n - Describe
BUILDING OR SERVICE TYPE: R�PSYAPNlr.L
Number of bedrooms ( Number of persons 4 /
( ) Garbage grinder (>Q Automatic washer (.>Q Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (X) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: ` Kok&
If supplied by community water, give name or supplier: Weld Lucas,.k is c'po,i. _000/
GROUND CONDITIONS:
Depth to bedrock: _
Depth to first Ground Water Table: n
Percent ground slope: 9
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: &O n+,k
Was an effort made to connect to community system? no
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: •
(%Q Septic Tank ( ) Aeration Plant ( ) Vault
( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use
• ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use
( ) Chemical Toilet ( ) Other - Describe:
FINAL DISPOSAL BY:
(by. Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe:
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? kO
•
SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.)
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._
Nance, address and telephone of RPE who made soil absorption tests:
Name, address and telephone of RPE responsible for design of the system:
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 the applicant or by the local health department for
purposes of the evaluation of the application; and the issuance of the perinittis 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 relied on by the local department of health
in evaluating the same for purposes of issuing the permit applied for herein. 1 further under-
stand 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 per -
jury as provided by law.
Date '/ Signed
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
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Page 3
Well Agreement and Access Road Agreement
This agreement made the e,u day of June 1993, is between Mitch D.
Heuer and Deborah M. Heuer, herein after referred to as. "Heuer" and
Calvin H. Cox and Paul C. Cox, herein after referred to as "Cox ". The
parcels mentioned in this agreement are described in exhibit "A ". Heuer
is the owner of Tract B and Cox is the owner of Tract A.
Well Agreement
The parties to this agreement acknowledge that tract A and tract B will share an
existing water well located on other property owned by cox, as follows:
Water System Installation:
All installation and purchase costs regarding the submersible pump, the necessary
control devices for the shared well and the water line from the pump easing to a
point approximately 470 feet up the access road, are to be shared equally between
Heuer and Cox.
Well Replacement:
All costs concerning the replacement of the well, if it should become necessary for
reasons including, but not limited to, collapse of the casing, or lack of adequate
water for two residences (6 gal per minute total), shall be shared equally between
Heuer and Cox for a period of one year, commencing when the well is put in use.
Thereafter all costs of replacement shall be paid by Heuer until traot A sells or is
developed whichever is sooner and after that all costs concerning the replacement
of the well will be shared equally between Heuer and the developer or owner of
tract A indefinitely.
Maintenance:
All maintenance costs regarding, the well itself; the submersible pump, the
necessary control devices for the shared well and the perviously mentioned water
line, are the sole responsibility of Heuer, until a time when tract A sells or Is
developed which ever is sooner. After that all maintenance regarding the well itself,
the submersible pump, the necessary control devices for the shared well and the
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perviously mentioned water line, will be shared equally between Heuer and the
developer or owner of tract A indefinitely.
Access:
Cox shall grant to Heuer a 15 foot wide easement from the well, up through tract A
to tract B. This easement shall follow the agreed upon route of the water line to the
point previously mentioned above and continue, approximately straight on up
along the existing dirt road that runs North and South to the top of the access road
and then follow the access road East to the tract 13 property lino. This easement is
for maintenance and or replacement of the well, water pump and water line. The
description of the easement shall be surveyed and the cost of the survey shall be
paid by Heuer. Upon completion of' the survey Cox shall grant to Heuer the
easement as described by the survey.
Access Road Agreement
Road easement:
Cox shall grant to Heuer an access easement though tract A and Heuer shall grant
to Cox an access easement though tract B, following the existing road that has
been cut into the hill side from county road 119. This easement is for ingress and
egress to the parcels and for any utilities for tract A and tract 8. The easement shall
be a minimum of 25 feet wide with the description of the easement to be surveyed
and the cost of the survey to be split equally by the parties. Upon completion of the
survey the parties shall grant to each other a mutual easement of the surveyed
casement.
Road improvements:
The existing access road is to be lightly graded and graveled with road base and
finish gravel, 4 inches deep and 12 feet wide from county road 119 up the access
road to the last point that the previously mentioned water line intersects the access
road. These improvements shall be shared equally between Heuer and Cox.
Road Maintenance:
All maintenance costs regarding the access road are the sole responsibility of
Heuer, until a time when tract A sells or is developed whichever is sooner. After
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that all maintenance, including, but not limited to, adding of gravel, grading, and
snow removal will be shared equally between Heuer and the developer or owner of
tract A indefinitely.
We the undersigned hereby agr = - • the above mentioned items,
Calvin H. Cox -/ o/: 4 A° '
Paul C. Olt:.
Mitch D. Heuer nth h b .
Deborah M. Heuer OtienceA GCr r/2i
State of Colorado '
'SS
County of Garfield '
The foregoing instrument was acknowledged before me this e34-- day of June
1993 by Calvin H. Cox, Paul C. Cox, Mitch D. Heuer and Deborah M. Heuer.
Witness my hand and °Mlctat seal
My commission cxpiresJ n lnS
r.z:n
I f
z • . �, o ,� Notary Public.
e. j CINDY .l
i HUGHES i f
i
tpl•� /01 t
Oe •
11 ' OF CO�.f
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( / x , / // S00% 574 ritt53G1
v srnrsorcol.onArw t z s(' , �i 1.4 JUN 17 1901
County or mullet, kcceplcn 1:0.__311 TH(i:./.A'aDaCD ALSDCRF, r,CCC' L'LR
• Ara e..... L eguiAT muting at the bud of County Commintener foe O.rletd Counly,C•la•de,
held at ILe Cunt Ilo,"e In Glenwood mVring. en
MRA5I.Y the ................ t h1..-- ...d•[ o1
....J.un.o A. 0.19 Si thee. were 'mean
f.ry Vr21.A.asue; ComMnloner Chahmaa
• ax
F. .3A.V.en....t).e.,(:R.X.1134 C.mMedonte
ri Commissioner n•r
E. rt.119 S.. A . m lb Jr. Commissioner •
AF 0115 F P P / .. County Attorney
V..bp1yl J, Koss, Deputy , clwh el the bead
when the following proceedlnt., amerq othua were had and done, to -191
RESOLUTION NO. tl
RIESOLUCION CONCERNED WITII GRANTING AN EXEMPTION FROM TIIE GARFIF.LD COUNT( SUBDIVISION REG-
ULATIONS FOR CALVIN AND PAUL COX.
WHEREAS, Calvin and Paul Cox hove petitioned the Board of County Commissioners
•. of Garfield County, Colorado, for an exemption from the definition of the terms "sub-
! division" and "subdivided land" under C.R.S. 1973, 30 -28 -101 (10) (a) -(d), as amended • I and the Subdivision Regulations of Garfield Count;•, Colorado, adopted January 2, 1979,
Sections 2.02.21 (d) and 3.02.01 for the division of a 16.396 sere tract described es
follows:
That parcel of land as described In Document No. 164596 as filed in the Office
of the Clerk and Recorder of Corfie ? County, Colorado into 2 tracts of appras-
. l : lemtely 8.176 and 8.220 acres each, more or less, which proposed divided tracts
are more particularly described as follows:
0 Tract A: A tract of land lying in Govt. lot 7, Sec. 30, T ownship 6 S outh,
Range 88 West, 6th P.M. Beginning at s corner from whence the Etc corner See.
25, Township 6 South, Range 89 West, 6th P.N. bears S 21 ° 26'S4" W, 2843.86
feet, thence N 1117.86 feet, thence S 55'07'08" 8, 37.68 feet, thence 8 64
_ 27'52" E, 84.11 feet, thence S 55'10'13" E, 155.11 feet, thence S 44
8, 75.05 feet, thence S 39 E. 220.47 feet, thence S 37 E. 113.82
• feet, thence 5 40 ° 40'09" E, 48.70 feet, thence 5 49'01'59" E, 70.13 feet, thence
S 50 ° 21'28" E, 25.28 feet, thence 5 47'12'34" W, 818.74 feet to point of begin-
. ning. Containing 8.176 acres mare or less. .
Tract B: A tract of land lying in Govt.. lot 7, Sec. 30, Township 6 South,
1 Range 88 West, 6th P.M. Beginning at a corner from whence the Eli corner See.
25, Township 6 South, Range 89 West, 6th P.N. bears $ 21 W, 2843.84 feet,
thence N 47'12'34" 8, 818.74 feet, thence S 50'21'28" 8, 73.00 feet, thence
S 51 ° 28'28" 8, 428.51 feet, thence S 50'52'16" E, 254.59 feet, thence S 60'29'
'i 05" 8, 107.85, thence W 1259.80 feet to point of beginning. Containing $.220
acres more or less; and
I 1 WHEREAS, the Petitioner has demonstrated to the satisfaction of the Board of
•.1 County Commissioners of Garfield County, Colorado, that the proposed division does not •
_
as l emended, for the reason the Title 30,
not warrant Revised 1973, the puroses subdivision
• . � review, and
m ' WHEREAS, the Pet has demonstrated to the satisfaction of the Board of
County Commissioners of Garfield County, Colorado, that there is a reasonable pcnbebtllty
of locating domestic water on each of said tracts, that there is adequate ingress end egress
r - to said tracts, that the location of septic tanks will be permitted by the Colorado
. ; Department of Health, that the requested division is not pert 01 an existing or carter
% development and does not fall within the general purposes and intent eubdivtere
regulations of the State of Colorado and the County of Garfield, and should,
be exempted from the definition of the terms "bdivision' and "subdivided land" es set
forth in C.R.S. 1973, 30 -28 -101 (10) (a) -(d), as
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