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HomeMy WebLinkAbout03256 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER \: CInI-Wl /�../tok L w-r e D(I —A-- k ADDRESS 9.B 1 '� U 9 c{ I j 3 Cl1ncl4(eHONE Q[[ 3- / 7R 1p CONTRACTOR ` S2I� �J CO 81 a 3 ADDRESS PHONE PERMIT REQUEST FOR ( ) 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: Near what City of Town 1 Du9r, 0 + (oA orndt(e— Size of Lot 1 . 3 T rata Legal Description or Address A I. a i ■ WASTES TYPE: 04 ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: Rec PP Number of Bedrooms • . _.a . •14 — � z 1 Number of Persons 4) ( ) Garbage Grinder (O'Automatic asher (0- Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: Ts-ton, at ('GLt hondafc DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: krOY.ovta i 9 1 M-' /e Was an effort made to connect to the Community System? (�o'} ' 1 D OSS r 19)e - A site plan is required to be submitted that indicates the followine ) MINIMUM distances: Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS: Depth to first Ground Water Table Percent Ground Slope 2 • • LEGAL DESCRIPTION A tract of land situated on Lot 16, Section 3, Township 8 South, Range 86 West of the 6th P.M. described os beginning of o point on the westerly .right —of —way line of Colorado State Highway No. 133 whence the Southeast Comer of Section 3, Township 8 South, Range 88 West of the Sth P.M. bears 5 48 2315.30 feet thence 5 2534'00 "E 80.00 feet along the westerly right —of —way of Colorado Stote Highway No. 133; thence along the westerly right—of— way line of said Highway No. 133 on the arc of o curve to the nght with o radius of 5149.1 feet c distance of 306.90 feet ( the chord of this arc bears S 24•5133" E 306.86 feet); thence S 64'1437 W 112.42 feet to the eosterly bank of the Carbondale Town Ditch; thence N 51'7823" W 43.34 feet along the easterly bank of said ditch; thence N 28'0838" W 41.90 feet along the easterly bank of said ditch.; thence N 40'35'46" W 31.08 feet o /ong the easterly bank of said direst; thence A 2542'32" W 20.93 feet along the easterly bank of said ditch; thence N00'1&'37 E 37.51 feet along the easterly bank of said ditch' thence N 45'30'53" W 155.95 feet along the easterly bonk of said ditch; thence N 3702•33" W 66.53 feet along the easterly bonk of soid ditch; thence N 61'32'37 E 194.33 feet to the POINT OF BEGINNING. • IMPROVEMENT LOC477011 CER77F7CATE / HEREBY CERTIFY THAT THIS IMPROVEMENT LOCATION CERTIFICATE WA5 PREPARED FOR HELMICK MORTGAGE CO., THAT IT IS NOT A LAND SURVEY PLAT ELIED UPON TH E ESTABLISHMENT OF FEN CZ AND OR 15 OTHER T FUTUREIMPROVEMENT FOR UNES. / FURTHER CERTIFY THAT THE IMPROVEMENTS ON THE ABOVE DESCRIBED PARCEL ON THIS DATE, 1/07/93 EXCEPT UTILITY CONNECTIONS, ARE ENTIRELY WIH /N THE BOUNDARIES OF THE PARCEL. EXCEPT AS SHOWN, THAT THERE ARE NO ENCROACHMENTS UPON THE DESCRIBED PREMISES BY IMPROVEMENTS ON ANY ADJOINING PREMISES EXCEPT AS INDICATED, AND THAT THERE /S NO APPARENT EVIDENCE OR SIGN OF ANY EASEMENT CROSS /NC ! _-•.' •FN/NG ANY PART OF SAID PAR L EXCEPT , AS /V OOTE ' (i L (2 ./4 �,iec.. / deg-GLC�M .` P �GIST( � ' fO (�' RICHARD L. HOLSAN, L.S. 13501 r i LS Z ' � , 23 501 k . {_; t o: Sf "' Sup . 1p OiT6 P � P RICPdRD L ROWAN II IMPROVEMENT LOa1770N !E'T'1 r " Pmfaeknet Land SLr » wr 2517 HIGHWAY NC- 133 • 4773 214 Rd. C4RBONDALE, COI!' 00 • &7t Colorado L _ (JOt) 876-2947 '( Am , 93153 ■