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HomeMy WebLinkAbout1.0 Application• GARFIELD COUNTY Building & Planning Department 108 8th Street, Suite 201 Glenwood Springs, Colorado 81601 Telephone: 970.945.8212 Facsimile: www.garfield-county.com • NOV 0 4 2003 GARFIELD COUNTY 1!aI.1O_D NG 8 PLANNING 970.384.3470 Special Use Permit GENERAL INFORMATION (To be completed by the applicant.) > Street Address / General Location of Pro_ rty: `_S CC1'1 C cDU rJ -LA a L Vara C h ➢ Legal Description: T, S, 1� G't v , -Se c I ' ( `% ,) 1 (oAa .:tEZ.0 (331,..37 (f_. > Existing Use & Size of Property in acres: L4 (:.1(o > Description of Special Use Requested: 'P1(J17 i j 13 ‘.. -1'(0 1-C -1-1) 2 1 LL V -c— M t; I inn 04. Q i- > Zone District: > Name of Property Owner (Applicant): - GRT 1RAffi 35 t5+e(1 , 0. > Address: S(1 -('M (1_3. • 33 6 Telephone: ,225-- (-.3`,-* ➢ City: PPKLACALfLr State: Cci Zip Code: Ao3S FAX: 6 -486C ➢ Name of Owner's Representative, if any (Attorney, Planner, etc): P a06:6 i- 7 -. [ r -1 T. i l -rr_ c.....-13•11-. 1Q (.., _Seyc-tu 1,3 S, `) � ',1 ➢ Address: `i`IO PsNR.�cz..:jr— Telephone: ( - SM -D-3 , ➢ City:.e State: (.a, Zip Code: ,gl6-SU FAX: GAS -40 STAFF USE ONLY ➢ Doc. No.: Date Submitted: TC Date: Planner: Hearing Date: • • c. The site shall be posted such that the notice is clearly and conspicuously visible from a public right-of-way, with notice signs provided by the Planning Department. The posting must take place at least thirty (30) but not more than sixty (60) days prior to the hearing date and is the sole responsibility of the applicant to post the notice, and ensure that it remains posted until and during the date of the hearing. 4. The Applicant is required to appear before the Board of County Commissioners at the time and date of the public hearing at which time the Board will consider the request. In addition, the Applicant shall provide proof, at the hearing, that proper notice was provided. 5. Once the Board makes a decision regarding the Special Use request, Staff will provide the Applicant with a signed resolution memorializing the action taken by the Board. Following the Board's approval, this office will issue the Special Use Permit to the applicant. If the Board's approval includes specific conditions of approval to be met, this office will not issue the Official Special Use Permit certificate until the applicant has satisfied all conditions of approval. The Special Use Permit approval is not finalized until this office has issued the Official Special Use Permit certificate signed by the Chairman of the Board of County Commissioners. I have read the statements above- nd have provided the required attached information which is correct and accurate to the st of my knowledge. /'/v (Signature of applica ttowner)- Last Revised: 11/07/2002 • 1 GARFIELD COUNTY BUILDING AND PLANNING DEPARTMENT AGREEMENT FOR PAYMENT FORM (Shall be submitted with application) GARFIELD COUNTY (hereinafter COUNTY) and (hereinafter APPLICANT) agree as follows: I 1. APPLICANT has submitted to COUNTY an application for ;ae-t'— iYl� S (hereinafter, THE PROJECT). 2. APPLICANT understands and agrees that Garfield County Resolution No. 98-09, as amended, establishes a fee schedule for each type of subdivision or land use review applications, and the guidelines for the administration of the fee structure. 3. APPLICANT and COUNTY agree that because of the size, nature or scope of the proposed project, it is not possible at this time to ascertain the full extent of the costs involved in processing the application. APPLICANT agrees to make payment of the Base Fee, established for the PROJECT, and to thereafter permit additional costs to be billed to APPLICANT. APPLICANT agrees to make additional payments upon notification by the COUNTY when they are necessary as costs are incurred. 4. The Base Fee shall be in addition to and exclusive of any cost for publication or cost of consulting service determined necessary by the Board of County Commissioners for the consideration of an application or additional COUNTY staff time or expense not covered by the Base Fee. If actual recorded costs exceed the initial Base Fee, APPLICANT shall pay additional billings to COUNTY to reimburse the COUNTY for the processing of the PROJECT mentioned above. APPLICANT acknowledges that all billing shall be paid prior to the final consideration by the COUNTY of any land use permit, zoning amendment, or subdivision plan. Signature Date: I/3-1 3 Print Name Mailing Address: Page 4 • BASIS OF BEARING s90.00'00,,w 1331.18' 41.26 ±ACRES RAM S SITE P1 DITCH NE1/4SW1/4, SEC. 1, T.8 S., R. GARFIELD COUNTY, COL 825.4' Z TO BE REMOVED EXISTING 12' DRIVE PROPOSED 12' DRIVE N89'21'57' W 5647 CO. RD. 306 ADDRESS APPARENT PROPERTY DESCRIPTION: TOWNSHIP 8 SOUTH, RANGE 96 WEST: SECTION 1: NE1/4SW1/4 COUNTY OF GARFIELD, STATE OF COLORADO Nonce ACCORDING TO COLORADO LAW YOU MUST COMMENCE ANY LEGAL ACTION BASED UPON ANY DEFECT IN THIS SURVEY WRIST MREE TEARS AFTER TOD RR5T DISCOAERED AICH DEFECT. IN NO ESENT. MAT AN ACTON BASED UPON AN DEFECT IN THIS SURN£Y BE COMMENCED MORE THAN TEN TEARS FROM THE DATE OF THE GERTFl0,101 41014, (HEREON. 1332.75' w n N GRAPHIC SCALE 200 0 100 200 1 inch = 200 ft. NOTES: 83.1' 21.6' 21.2' — BASIS OF BEARING IS THE SW AND THE NW CORNER 0 — THIS DOES NOT REPRESENT A TITLE SEARCH BY THIS OO — INDICATES FOUND REBAR & CAP PLS 12457 x - INDICATES FENCE THE SEX1 128 WEST RIFLE, 01 970-625- AN ,SU'.'VEY 6 W.' OF THE 6TH P.M. RADO '' SAID PROPERTY AS SHOWN IRM OR SURVEYOR. SINGLE STORY HOME SURVEYOR'S CERTIFICATE ( IN FEET ) 1 inch = 40 ft. BUILDING BLOWUP 2- 1,750 GALLON WELL CYSTERNS HOUSE PROPOSED 00 <r c �9' SHEDS PR 6016 -i PROP. PROPOSED MODULAR \122., \ N� SHED BE MO D\ \ \ \ \ \ \ \ \ \ \ 20 ROW\\ \\ ESMT. \ \ 30.33' N 0 PROPOSED SEPTIC I, BRIAN A. STEINWINDER BEING A REGISTERED LAND SURVEYOR IN THE STATE OF COLORADO. DO HEREBY CERTIFY THAT THIS SITE SURVEY WAS PREPARED BY 4d101114'N0n,1prJNDER MY SUPERVISION FROM A SURVEY MADE BY ME AND UNDE���5/�70N AND THAT BOTH THE SURVEY AND PLAT ARE TRUE AND ACCU$o I � SItif ` -y8J' OF MY KNOWLEDGE AND BELIEF.fv- _�j..J. `i 20@ 3 BRIAN A.% , " INWINDER . L P'' �..s- .?1944 DATE A L•LANO ... V SURVEY COMPANY tRD STREET 7RADO 81650 711 OR 945-4700 RAMOS SITE PLAN SURVEY NE1/4SW1/4, SEt. 1, T.8S., R96 W. OF THE 6TH P,M, GARFIELD COUNTY. COLORADO JO. NO.: Of DATE 9/9t DWG. BY.- REV Y: REV 11/2A REV: 1 0,) R. T. TAYLOR CONSTRUCTION, INC. DBA/MODULAR HOUSING 2440 Airport Road Rifle, CO 81650 October 21, 2003 Garfield County Building & Planning 108 8th Street Suite #201 Glenwood Springs, CO 81601 Building & Planning: Phone: 970-625-5223 Fax: 970-625-4865 Email: rttaylor@rof.net We Robert &Stell Ramosfwio reside at 5647 306 Road, Parachute, CO 81635, are submitting the application for use permit so that our existing modular can stay on the property and our new modular can be moved to the property as well. We are requesting process of our new homes building permit prior to the conditional use permit because we don't want to wait 60-90 days for the penuit to clear and then another 15 days to process the new homes building permits. With construction time we would not be able to reside in our new home until the end of January. We understand that if we are not approved we will have to remove our existing modular before occupancy of our new modular takes place. Due to my mothers health, who is terminally ill, I will be taking care of her and she will be residing with us. My daughter will also be staying here so she can take care of her grandmother. She will be living in the existing modular, while we live in our new home. I have given permission to RT Taylor Construction, Inc. dba/Modular Housing and Sexton Surveying to fill out the application. Sincerely, • • GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS for MANUFACTURED HOMES In order to understand the scope of the work intended under a permit application and expedite the issuance of a permit it is important that complete infoiniation be provided. Adequate and complete information will prevent delays in the plan review process. Reviewing a plan and the discovery that required information has not been provided by the applicant may result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor may be required to provide this information before the plan review may proceed. This causes delays because other plans that are in line for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please review this document to determine if you have enough information to design your project and provide adequate information to facilitate a plan review. If you do not, it may be helpful to obtain a book titled "Dwelling Construction under the Uniform Building Code". This book is available to you through this department at our cost. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. To provide for a more understandable plan in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the following checklist prior to and during design. Applicants are required to indicate appropriately and to submit the completed checklist at time of application fora permit. All Plans submitted must be incompliance with the 1997 UBC, UMC, and 1997 UPC. 1 • • 1. Is a site plan included that identifies the location of the proposed structure or addition and distances to the property lines from each corner of the proposed structure prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or more must be shown on site plan. NOTE: 106.3.1 (7.) Any site plan for the placement of any portion of a structure within 50 ft. of a property line and not within a previously surveyed building envelope on a subdivision final plat shall be prepared by a licensed surveyor and have the surveyors signature and professional stamp on the drawing. Any structure to be built within a building envelope of a lot shown on a recorded subdivision plat, shall include a copy of the building envelope as it is shown on the final plat with the proposed structure located within the envelope. Yes 2. Does the site plan when applicable include the location of the I.S.D.S. (Individual Sewage Disposal System) and the distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? This information must be certified by a licensed surveyor with their signature and professional stamp on the design. Yes .% 3. Does the site plan include any other buildings, setback easements and utility easements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution if the property you are applying for a builg permit on is located on a corner lot. Special setbacks do apply. Yes 4. Does the site plan indicate the location and direction of the County or private road accessing the property Yes 5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the uniform building code or per stamped engineered design? A Floor Plan of the Modular it showing exterior doors is required. Yes 6. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? If you do not have written peiniission from the association, do you understand that the plan check fee will not be refunded should the architectural committee deny or reject your building plans? Yes No 7. Will this be the only residential structure on the parcel? Yes No If no -Explain: E3.'S a r, -L, vsA.J4 8. Have two (2) complete sets of construction drawings been submitted with the application? Yes ?� 2 • • 9. For the placement of a manufactured home, have the following been specified? The size of the unit (minimum 20ft. wide x 20ft. long); live roof load (minimum 40# could be more depending on elevation of property); wind design (minimum wind speed of 80 mph & 15 lb. wind load); foundation design; method of anchoring? Yes 10. Have you designed or had this plan designed while considering building and other construction code requiremepts? Yes X No 11. Do your plans comply with all zoning rules and regulations in the County related to your zone district? Yes , No 12. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes r No 13. Do you understand that approval for design and/or construction changes are required prior to the application of these changes? Yes x No 14. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit Fee" as well as any "Road Impact" or "Septic System" fees required, at the time you pick up your building permit? Yes No 15. Are you aware that twenty-four (24) hour notice is required for all inspections? Inspections will be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoons. All inspections must be called in by 3:30 p.m. the day before. Failure to give twenty-four (24) hour notice for inspections will delay your inspection one (1) day. Insp, eFtions are to be called in to 384-5003. Yes No 16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $47.00 re -inspection fee? Yes X No 17. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes No 18. Are you aware that prior to submittal of a building permit you are required to show proof of a driveway access peimit or obtain a statement from the Garfield County Road & Bridge Department stating one is not necessary? You can contact the Road & Bridge Department at 625-8601. Yes No 3 • • 19. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups, unless you as the homeowner are performing the work? The license number of the person performing the work will be required at time of applicable inspection. Yes No 20. Are you aware, that on the front of the Building Permit Application you will need to fill in the Parcel/Schedule Number for the lot you are applying for this permit on prior to the submittal of a buildineArmit application? Your attention in this is appreciated. Yes No 21. Are you aware that you will need to call the State Division of Housing to have your modular inspected prior to the County building department doing their final inspection? The State will charge a fee for this inspe on. Yes No 22. Are you aware that the Permit Application must be signed by the Owner or a written authority be given for an Agent and that the party responsible for the project must comply with the Uniform Building Code? Yes \% No I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. a --Ivo. Signature of Owner Date Phone: 970 aay - /3 z(days); 7 c' // ry `jv .2 Si S- (evenings) Project Name: 5,4-=,//4 /Y1 "4100 ip i13� Project Address: S—& --t `? 3 Z,40 Notes: If you have answered "No" on any of the questions, you may be required to provide this information at the request of the Building Official prior to beginning the plan review process. Delays in issuing the permit are to be expected. Work may not proceed without the issuance of a permit. If it is determined by the Building Official that additional information is necessary to review the application and plans to determine minimum compliance with the adopted codes, the application may be placed behind more recent applications for building permits in the review process and not reviewed until required information has been provided and the application rotates again to first position for review, delay in issuance of the permit or delay in proceeding with construction. bpreqmh 04/2003 4 UU1-01D-200.31545 October 6, 2003 Modular Housing 2440 Airport Rd Rifle, Co 81650 CHHtIPIUN CULURRDU 970 532 4352 P.12/21 111 ORAD O g , co <� SUMMIT CREST HOMES l7itxsion of Champion Homebuiklers Company Garfield County Building Department Customer: Robert Ramos, 5647 306 Road, Parachute, Co 81635 To Whom It May Concern: The home to be built for customer Ramos will be built to the UBC code with a 401b snow load and 90 mph wind @ exposure C. Please feel free to call if you have any questions. 1-800-818-2632, Sincerely, Michelle Anderson Summit Crest Homes 2221 Clayton lane • P.O. Box 10 • Berthoud, Colorado 80513 (970) 532-2632 • Fax (970) 532-4352 Sep 10 03 12:17p Kath rine 0a/29/2003 15!13 970945 SILWAxi 1111a. SCl XEDULE A Order Number: 0300o994 -C2 1. Effectivedate: August 18. 2003 nt 8a00 h.H. 2. Policy or Policies to be issued: (a) A.L.T-A. Owner's Proposed Insured: (Extended) (b) A.L,T A. Loan proposed Insared: PIRST AHRRSCAN 1FQR'1'G.xGF., INC., ITS StfCCEASOR.t ANP/QR ASSIGNS (c) Leasehold Proposed Insured: 970 -1072 Amount of Insurance $ iaS.000.04 $ 3. The estate or interest in the land described or n ferred to in this Commitment and covered herein is fan simple 4. Title to the tou eitmplc estate Or internsin said land is at the effective date hereof vested in: 3Mrsi D. TOMOS AND ROBERT RAza0a 5. The land referred to in this Commitment is de cribed as follows: SEE ATTACHED LEGAL DESCRTPT2011 Parparted Address: 5647 COuatZ ROAD 306 YARACUDTs. CO $1635 STATEMENT OF CHARGES These charges are due and payable before a Policy can be issued. RR2SSIIE RATE WILL BE APPLIED UPON PROOF Or PRIOR TITLE %NEVRANCE ISSCRD WITHIN THE LAST FIVE YEARS Mortgage PXealivn Tax Certificate Form 100 Foram 6.1 Foam 710.1 Form 101.1 0.9) p.2 $ 654.00 $ 20.00 $ 35.00 $ 35.00 $ 35.00 $ 50.00 Sep 10 03 12:17p Ka rine0 @0129/2003 15:13 9709457 STEWART T1IL SCI EDULE A Order Number: 03000994-C2 LEGAL. DESCRIPTION TO6N66,Ip a tom'[1. RANGE 96 Wt : SECTION is NCZ/4SW1/4 COONIX OR GARTI=W STATE OF COLORADO. 970- -1072 P.3 Sep 10 03 12:17p Kat trine 02/29/2003 15'13 9709457 twat i 1111-6 SC1 MULE A Order Number: 03000994-C2 1. Effective date: juguat i8, 2003 nt 8:00 2L.H.. 2. Policy or Policies to be issued: (a) A.L.T.A• Owner's Proposed Insured: (tcsended) (b) A.L,T.A. Loan Proposed Insured: VIP= L RICAN mowrcaGE. IisC.. ZTS SUCCSRSORs AND/OK ASSIGNS (c) Leasehold Proposed Insured: 970-45- 1072 Arpount of Insurance S $ 185.000.06 5 3. The es ate or interest in the land described or eferred to in this Commitment and covered herein is fee simple d. Title to the foe simple estate Or latexesin said land is ax the effective date hereof vested in: 3TELLk D. RAMOS BliD ROBERT RAMOS 5. The land referred to in this Commitment is de scribed as ;Follows: SEE A TACt'lED LEGAL DEECRIt;TLON Purported Addreas: 5647 COUTY ROAD 306 $tea, CO 01615 p.2 STATEMENT OF CHARGES These charges 8SC dve and payable before a Policy can be issued. RSISSuE RATE RSLL BE APPLIED WOO PROOF or PRIOR TITLE TNEVRANCE ISSUED wITt3YN TUE LAST FIVE YEARS $ 654.00 $ 20.00 $ 35.00 $ 35.00 $ 35.0o $ S0.00 xoxtgaaa Premium Tax Cortffioate Form 100 Forst 0.1 Form 110.1 Fors 103.1 (*9) Sep 10 03 12:17p Ka Ire 08/29/2003 15:13 9705457 0 Order Number: 03000994-C2 S'YE44ART T 11 Lt SCIDUI.E A LEGAL DPSCRIPTION TOWNSRIP 2 9oant. RANGE 96 WEST: SECT =N is xS2/4Sw1/4 CO'ONrx ur GWZZ1P STATE or COLORADO. 970- -1072 p.3 Garfield County Colorado Property Information Assessor Data Updated Quarter/y with the last update released on 10/15/2003 Search > Results > Detail Get Map � Owner Property Name: Stella D & Robert Ramos Type Primary Address 5647 County Road 306 Parachute, CO 81635-9438 Address: 005647 306 County Rd Parachute, CO 81635-9438 Account number: R270105 Parcel number: 244701300m,� Sub -division: Condo: Neighborhood: 61000 Area: 47 Legal: SECT,TWN,RNG:1-8-96 DESC: NESW BK:0529 PG:0359 BK:1374 PG:684 RECPT:608131 BK:0823 PG:0258 BK:0681 PG:0179 BK:0670 PG:0232 BK:0606 PG:0399 Taxes Land Total Value: $115,000'00 Total Taxes: $304.04 Amount Paid: $304.04 Value: $115,000.00 Land size: Square feet: Acres: 0.00 Building(s) No items found. |mprnvemnunt(m) No items found. Copyright (c) 2003 Mitchell & Company,Inc. All Rights Reserved. • • Garfield County Road and Bridge Department P.O. Box 426 Rifle, CO 81650 Phone -(970)625-8601 Fax- (970)625-8627 Invoice Invoice Date: 10/24/2003 Invoice Number: 129 Bill To: Robert Romos 5647 CR 306 Parachute , CO 81635 Driveway Permit Number: 129 $75.00 per Driveway Permit. Driveway Permit Fee: $75.00 Total Due: $75.00 Thank You! • • Garfield County Application for Driveway Permit Application Date: 10/24/2003 Permit Number:129 Permitee: Robert Romos Termination Date:11/24/2003 County Road Number: 306 Inspector: Jake Mall District: 3 Sub -Contractor: hereby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es) on the right-of-way off of County Road, 306, At Address, adjacent to Applicant's property located on the West side of road for the purpose of obtaining access to property. Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the proposed installation showing all the necessary specification detail including: 1. Frontage of lot along road. 2. Distance from centerline of road to property line. 3. Number of driveways requested 4. Width of proposed driveways and angle of approach. 5. Distance from driveway to road intersection, if any. 6. Size and shape of area separating driveways if more than one approach. 7. Setback distance of building(s) and other structure improvements. 8. No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision expense. 9. Responsible for two years from the date of completion. General Provisions The applicant represents all parties in interest, and affirms that the driveway approach (es) is tobe constructed by him for the bona fide purpose of securing access to his property and not for the purpose of doing business or servicing vehicles on the road right of way. 2) The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date. 3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the Board of County Commissioners or their representative. 4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board of County Commissioners and their duly appointed agents and employee shall be held harmless against any action for personal injury or property damage sustained by any reason of the exercise of the Permit. 5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of the driveway approach (es) even though deposited on the driveway(s) in the course of the County snow removal operations. • • 6) In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall be surely braced before the fence is cut to prevent any slacking of the remaining fence, and all posts and wire removed shall be turned over to the District Road Supervisor of the Board of County Commissioners. 7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-of-way without written permission of the Board of County Commissioners. 8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and incorporated herein as conditions hereof. Special Conditions: 1. 15"x40ft Culvert required. 2. 50ft of gravel portion required. 3. Trees,brush or fence for 200' north and south of driveway must be clear for visibility. 4. Work Zone Signs required. In signing this application and upon receiving authorization and permission to install the driveway approach (es) described herein t • :: ' ies that he has read, understands and accepts the foregoing provisions and conditions and agrees construct the driveways ccordance with the accompanying specification plan reviewed and approved oard of County Commissioners. Signed: Address: oc1/4 ,_tY11 /9-6 Telephone Number: Permit granted 10/24/2003, subject to the provisions, specifications and conditions stipulated herein. For Board of County Commissioners' of Garfield County, Colorado: r - Representative of Garfield County Road and Bridge Signature Specifications 1. A driveway approach is understood to be that portion of the county road right -of way between the pavement edge and the property line that is designed and used for the interchange of traffic between the roadway and abutting property. 2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of 100 feet be provided.) 3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to obtain adequate sight distance in both directions along the county road in order to maneuver safely and without interfering with county road traffic. 4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or extending over any portion of the county road right-of-way. 5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100) feet shall be permitted only after showing of actual convenience and necessity. 6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upon adjoining property. . No commercial driveway. shall have a width greater than thirty (30) feet measured at right angles to the centerline of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greater than twenty (20) feet measured at right angles to the centerline of the driveway, except as increased by permissible radii. . The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle between ninety (90) degrees and sixty (60) degrees but shall not be less than sixty (60) degrees. Adjustment will be made according to the type of traffic to be served and other physical conditions. 9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited. Commercial establishments for customer vehicles should provide off -the -road parking facilities. 10. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20) feet from the pavement edge. Approach grades are restricted to not more than ten percent (10%). 11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the street or county road. The Applicant will be required to provide, at his own expense, drainage structures at entrances and exits, which will become an integral part of the existing drainage system. The Board of County Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage structures. Note: This permit shall be made available at the site where and when work is being done. A work sketch or drawing of the proposed driveway(s) must accompany application. No permit will be issued without drawing, blueprint, or sketch. `WR,1 5 -Rev. 76 Application must r3 complete where applicable. Type or print in BLACK INK. No overstrikes or erasures unless initialed. C•RADO DIVISION OF WATER R ,411. +• 818 Centennial Bldg., 1313 Sherman St., Denver. Colora. o 6.0 G 0 8 1979 PERMIT APPLICATION FORD (,k') A PERMIT TO USE GROUND WA -rein -67W (X) A PERMIT TO CONSTRUCT A WELL FOR: (X) A PERMIT TO INSTALL A PUMP o D y �- Jut U 6 1979 WATER RESOURCES 1I6IE ENGINES$ ( ) REPLACEMENT FOR NO ( ) OTHER WATER COURT CASE NO (1) APPLICANT - mailing address NAME / r t (KC \- ►r m n it.�5 STREET () . e)c x 30 t'7 CRANO i%EY COLO. j 5 (Sate) (Zip) CITY TELEPHONE NO. NQ/IE (2) LOCATION OF PROPOSED WELL County OAR F/41"> Q of the Jr' U/) +14 /Section / Twp. C, , Rng. 6 VY P M IN.S) (E,W) '3) WATER USE AND WELL DATA ?roposed maximum pumping rate (gpm) C Pm Average annual amount of ground water to be appropriated (acre-feet): / AGRE FT' Number of acres to be irrigated O A/k Proposed total depth (feet): E6TICt')4? :400 F. Aquifer ground water is to be obtained from: Owner's well designation Si /2 /71' GROUND WATER TO BE USED FOR: (HOUSEHOLD USE ONLY - no irrigation (0) (X) DOMESTIC (1) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) ( ) IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER Name DA Rt\GL-L. 2. .. o K ��SEAJ :street P . ?' OX 3 City -- .l LT` C-01-0Ct l7� p�3 t� (State) (Zip) Telephone No ! a 7 1 Lic. No. /O27 FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Receipt No) 6?7 Basin Dist. CONDITIONS OF APPROVAL This well shall tre- used in such a way as to cause no material injury to existing water rights. The issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. APPROVED PURSUANT TO CRS 1973, 37-92-602 (3) (b) (11) AB THE ONLY WELL ON A TRACT Off' 35 ACRES OR MORE DESIGNATED AS 40 ACRES IN S14, ski xl 1 5 c , /' 7_' I S, i�. 96 ri/, 4 A, APPROVED FOR DOMESTIC USE, INCLUDING THE IRRIGATION OF NOT OVER ONE ACRE OF HOME GARDENS AND LAWNS. APPLICATION APPROVED PERMIT NUMBER 110006 DATE ISSUED AUG 291979 EXPIRATIG3ALIJATE AUG 29 9 ,(ST•TE ENG BY • ID ••• Via COUNTY ' (5) "1HE LOCATION OF THE PF OSED WELL and the area on which the water will be used must be indicated on the diagram below. Use the CENTER SECTION (1 section, 640 acres) for the well location. + — --{-- -- ± -I— — 4- — + - -{- — -{- - -1-- I . 1 MILE, 5280,1 EET iI -i- 4- -'-- + ± -i- - NORTH SECTION LINE + — tNORTH+ 1 + + — -�- Z 4- 1 Z — T — J � z I I /CJs - t - 1 I I -4- 1 I 1 —H. � SOUTH SECTION LINE 4 �_ + �_ { _► + 4 + • + (6) TH LL MUST BE LOCATED BELOW by distances from sectigr)l` IN S sec. line /00 ft from (north or soujh) Od ft. from cam sec. Iii' LOT BLOCK SUBDIVISION (east or west) FILING (7) TRACT ON WHICH WELL WILL BE LOCATED Owner'Ai/',ei9t'.4 _ii'>..0,.'/1f 4'0 7/- Will this be No. of acres the only well on this tract? ys — -I- — +- - -�- The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. (8) PROPOSED CASING PROGRAM .5 /'. 0 ft PlaintCasing �j 7 in from d ft to / ft C �.'� in from 7 . ft. to Perforated casing l:/, o/ YID 4 5� n from ft to ft in from ft to ft WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second (cfs) ... 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging it: (10) LAND ON WHICH GROUND1WATERnWILL BE USED: . sl_kA�Lt:NE (l. `�1r'nrnnit \S No. of acres• � *' Legal description•/v E %S' ) lily fee . � Tt'� rs Soar*, 1444 ?6 %I, (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. N I-)OL`SL USF_ O'/Ly 0tSPc5SSY.S- ern WILL m�6T STP,Nh ra2t�S (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Used for (purpose) Description of land on which used Type or right N0NL (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. SIG ATURE OF APPLICANT(S) Use additional sheets of paper if more space is required. 128 WEST 3RD STREET RIFLE CO 81650 970-945-4700 OR 970-625-3711 THE SEXTON SURVEY CO. November 4, 2003 Mr. Fred Jarman Garfield County Planning 109 8th Street Glenwood Springs, CO 81601 RE: Robert and Stella Ramos, Conditional Use Permit SSC Job No. 03197 As 46 s.si›col l9v.attt14,A rota This letter and accompanying materials submitted are to apply fora . The property is located at 5647 County Road 306 in Section 1, Township 8 South, Range 96 West of the 6th P.M. in Parachute, Colorado. The applicant proposes to move a new modular home on the property for personal use and still keep their existing home as well. The property is currently zoned A/R/RD. Regarding traffic generation, the site would be for a two single family home therefore the applicant feels there will be no immediate impact on the area with a average of three vehicles per day between the hours of 7 a.m. to 8 p.m. The property has an existing well that was confirmed to be dry (See permit # 11006). The site will get its water from two proposed 1,750 -gallon cisterns. Sincerely, Brian A. Steinwinder Sexton Survey Co. •10/23/03 THU 15:25 FAX 1 97 7957 FACTOY DIRECT Oct. 23. 2003 3:10MON WEALTH TITLE No. 4224 P. 1 Owner's within 200 feet of property owned by Ramos (2447-013-00-027) Murrav, Connie A. 2620 W. Vine Drive Fort Collins, CO 80521 2447-013-00-003 (Section 1, Township 8, Range 96) Dutton. Muriel 4852 County Road 306 Parachute, CO 81635-9435 2447-014-00-044 (Section 1, Township ,8,;Range 96) 2447-012-00-035 (Section 1, Township 8; Range 96) Walling, Kevin L. and Shelia A. 554 McMullin Drive Grand Junction, CO 81504 2447-014-00-025 (Section 1, Township 8, Range 96) Duncan, Alan D. P.O. Box 223 Silt, CO 81652 2447.014-00.014 (Section 1, Township 8, Range 96) Nauroth,: John V. and Dorothy D, 6186 County Road 306 Parachute, CO 81635-9439 2447-021-00-051 (Section 2, Township 8, Range 96) Garber, Gary J. and Timothy 383 Ridge Circle Drive Grand Junction, CO 81503 2447-011-00-013 (Section 1, Township 8, Range 96) Phingh Charlotte C. and Cage, Daniel C. 2286 S. Broadway Grand Junction, CO 81503-1167 2447-012-00-015 (Section 1, Township 8, Range 96) Mineral Owners: Muriel Dutton P.O. Box 58 New Castle, CO 81647 Lanai ApolloEnergy, LLC 1557 Ogden Street, Suite #300 Denver, CO 80218 E1001 UC I -0b-200,5 1.5:45 October 6, 2003 Modular Housing 2440 Airport Rd Rifle, Co 81650 CHAMPION COLORADO 970 532 4352 P.12/21 O�0 ADO @G! TAlabiL SUMMIT CREST HOMES O1 ision of Champion Homcbuilclers Company Garfield County Building Department Customer: Robert Ramos, 5647 306 Road, Parachute, Co 81635 To Whom It May Concern: The home to be built for customer Ramos will be built to the UBC code with a 401b snow load and 90 mph wind @ exposure C. Please feel free to call if you have any questions. 3-800-818-2632. Sincerely, Michelle Anderson Summit Crest Homes 2221 Clayton Lane • P.O. Box 10 • Berthoud, Colorado 80513 (970) 532-2632 • Fax (970) 532-4352 R. T. TAYLOR CONSTRUCTION, INC. DBA/MODULAR HOUSING 2440 Airport Road Rifle, CO 81650 December 22, 2003 Garfield County Building Department Reg: Robert & Stella Ramos 5647 306 Road Parachute, CO Phone: 970-625-5223 Fax: 970-625-4865 Email: rttaylor@rof.net RE CEIVJ DEC 2 2 2003 GARrIE D COUNTY BUILDING & PLANNING Please be advised that we will be installing a new septic system for the address listed above. This septic system will be used by the new dwelling. There is an existing septic system already in place that will be used by the existing dwelling. If you have any questions please give me a call. Thank You, Robert T. Taylor RT Taylor Construction, Inc. dba Modular Housing Friday, December 19, 2003 9:57 AM Raun Samuelson 970-947-9448 FRp i : SNO113RSS W S • PHONE NO, : 9709236271 • Dec. 13 2003 01:41AM P1 p, 03 Friday, December 19, 2003 9;57 AM December 19, 2003 Modular Housing 2440 Airport Road Rifle, CO 81650 Raun Samuelson 970-947-9448 • On December 10, 2003, a well test was conducted on a well on at 5647 County Road 306. The following information was obtained; Well Depth------------ ----- _ ----- --340' Standing water level----------- --- 290.08' Total test time ------------- --4 Hours Drawdown to --___ ___--_______-335.22' Production is 1.3 GPM This test was conducted with 1/2 Hp Test pump. The well recovered back to 321.54' in 15 Minutes. This well will deliver 1872 gallons per day. The well can supply water for two homes. The well will deliver water to a 1700 gallon storage tank and a booster pump will deliver water to the houses. If you have any questions please call me, Raun Samuelson at 970-945-6309. Sincerely; • Raun E Samuelson Samuelson Pump Co. RO, Box 297 • Glenwood Springs, CO 81602 • (970) 945-6309 • Fax (970) 947-9448 Water Systems ' Soles, Service & Installation p.02 11/24/03 MON 12:27 FAX 1 970 2957 FACTOY DIRECT Nov 24 03 0S:50a le Shelton Form No. GWS -25 APPLICANT 970-941,801 OFFICE OF THE STATE ENGINEER COLORADO DIVISION erman St, OF WATERRESorado OURCES 81(303) 866-3581 ROBERT RAMOS 5647 COUNTY ROAD 306 PARACHUTE, CO 81635- (970) 285-1388 PERMIT TO CONSTRUCT A WELL ISSUANCE OF -PHIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL. 1) This well shall be used in such a way as to cause no material injury to existing water rights_ The issuance of this permit does not ensure that no Injury will occur to another vested water right or predude another owner of a vested water right from seeking relief in a civil court action.royal liance with the Water Weil 2) ofThe a variance has been granted by the Statl shall be in e Board of Examiners of Water We uConstruction dion and Pump Installationes 2 CCR 402-2, unless pp Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(b)(II)(A) as the only well on a tract of land of 41 acres described as that portion of the NE 1/4 of the SW 1/4, Sec. 1, Twp. 8 South, Rng. 96 West. 8th P.M., Garfield County, more particularly described on the attached exhibit A. Further identified as 5647 County Roadit 306, Parachute, COmu6 81635.plAdditionally d accoany and an oath Rule 16 ll other existing wells on this 41 acre tract, specifically p of the Water Well Construction Rules within ninety (90) days of completion of the new well. The enclosed Well Abandonment Report form must be completed and submitted to affirm that the old well was plugged. ) Approved for an amended legal description for permit no. 110006 (canceled). Issuance of this permit hereby cancels permit no. 110006. 5) Theruse of ground water freom this irrigation of not more than on. ordinary ne (1 acre of home gardenspurposes and awns, and the watering �--� three (3) Single familydwellings, 9 of domestic animals. 6) The pumping rate of this well shall not exceed 15 GPM. 7) The return flow from the use of this wen must be through an individual waste water disposal system of the non -evaporative type where the water is returned to the same stream system in which the well is located. ) This well shall be constructed not more than 200 feet from the location specified on this permit. NOTICE: This permit has been approved for the legal description and well location as noted above. You are hereby notified that you have the right to appeal the issuance of this permit. by filing a written request with this office within sixty (60) days of the date of Issuance, pursuant to the State Administrative Procedures (See Section 24-4-104 through 106, C.R.S.) NOTE: Parcel Identification Number (PIN): 23-2447-013-00-027 ////g(4..0.0-3 NOTE: Assessor Tax Schedule Number: R270105 WELL PERMIT NUMBER 254145 - DIV. 5 WD45 DES. BASIN MD APPROVED. WELL LOCATION GARFIELD COUNTY NE 1/4 SW 1/4 Section 1 Township 8 S Range 96 W Sixth P.M. DISTANCES FROM SECTION LINES 1666 Ft. from South Section Line 2680 Ft. from East Section Line UTM COORDINATES Northing: Easting: [J002 P.1 1095 APPROVED DMW State Engineer (Receipt No. 9501712A DATE ISSUED 11-18-2003 , By EXPIRATION DATE 11-18-2005 • • Section 5.03.021 of the Garfield County Zoning Regulations: Accessory Dwelling Unit: Use of a structure as an accessory dwelling whether approved by Special Use, use by right in a new subdivision approval, or on an existing lot must meet the following standards, as well as all other standards applicable to residential use: (1) The minimum lot size shall be four (4) acres containing a building site with slopes less than 40% at least two (2) acres in size. (2) The gross floor area for residential use occupancy shall not exceed 1500 sq. ft. (3) Approval from the subdivision homeowners association and/or allowed by covenant if applicable. (4) Proof of a legally adequate source of water for an additional dwelling unit. (5) Compliance with the County individual sewage disposal system regulations or proof of a legal ability to connect to an approved central sewage treatment facility. (6) Only leasehold interests in the dwelling units is allowed. (7) That all construction complies with the appropriate County building code requirements. (A.95-076) 11/24/03 MON 12:27 FAX 1 970 2- 57 FACTOY DIRECT R. T. TAYLOR CONSTRUCTION, INC. DBA/MODULAR HOUSING Fax Transmittal Form To F SO ZAiI"f12$ 10 te 6 aFiC., Fax: 3 . .7`' v0� , 2440 Airport Road 2003Rifle, Co 81650 :-UUN7- .1NNlNq From: -gzs 7V5' Phone: 970-625-5223 Fax: 970-625-4865 Urgent Date sent: I { J 3-'1 10? For Review Time sent: /1 3 Please Comment Number of pages including cover page: U001 01 Phone: 970-625-5223 Fax: 970-625-4865 Email: rttaylor@ro£net Message: '��"444 ►fir 0 10wC" RTT OGt 17 03 12:08p • VO/ C7/ 1. VC 1 :A. 1J Katherine 7/V74:1/t'J'' Order dumber: 03000994-C2 SCHEDULE A LEGAL, DESCION TOWNSHIP 8 SOUTH, RANGE 96 WEST: SECTION 1: NE1/4SN1/4 COUNTY OF cARrximp STATE Or COLORADO. vvOtGI ,vF 01G 1-/'v'JVOGV 1.400. 3. Submit a site plan /map drawn to scale that portrays the boundaries of the subject property, all existing and proposed structures on the property, and the County or State sing a new roadways within one (1) State roadwaymile of your ,erty. submitlf a d� veway or hu are ighway access permit.r ded access onto a County 4. .Submit a vicinity map showing slope / topography of your property, for which a U.S.G.S. 1:24,000 scale quadrangle map will suffice. 5. Submit a copy of the appropriate portion of a Garfield County Assessor's Map showing all mineral rights owners of the subject property and public and private landowners adjacent to your property. In additional, submit a list of all property owners and their addresses adjacent to or within 200 ft. of the site. This information can be obtained from the Assessor's Office. 6. Submit a copy of the deed and a legal description of the subject property. 370-285-1072 11LL p.5 ru/.lc u:J/ i u LA4JA ►- � . _.) s') r) WC) . (. s I 3 s 10/2x/03 THU 15:25 FAX 1 9704,251 7857 JACTOY DIRECT - Oet. 23. 2003 3:14PM COMMON WEALTH TITLE Ho. 4224 P, 1 rte', —1 Owner's within 200 feet of property owned by Ramos (2447-013-00-027) ;Viur7av, Connie A, 2620 W. Vine Drive Fort Collins, CO 80521 2447-013-00-003 (Section 1, Township 8, Range 96) Dutton, Muriel 4852 County Road 306 Parachute, CO 81635-9435 2447-014-00-444 (Section 1, Townshtp.8,,Range 96) 2447-012-00-035 (Section 1, Township 8, Range 96) Walling. Kevin L. and Sheila A, 554 McMullin Drive Grand Junction, CO 81504 2447-014-00-025 (Section 1, Township 8, Ric 96) DIANLA141,1 D. P.O. Box 223 Silt, CO 81652 2447.014-00.014 (Section 1, Township 8, Range 96). Nanroth, John V. and Dorothy D. 6186"County Road 306 Parachute, CO 81635-9439 2447-021-00-051 (Section 2, Township 8, Range 96) Garber, Gary J. and Timothy 383 Ridge Circle Drive Grand Junction, CO 81503 2447-011-00-013 (Section 1, Township 8, Range 96) Phipost Charlotte C. and Casa, Daniel C. 2286 S. Broadway Grand Junction, CO 81503-1167 2447-012-00-015 (Section 1, Township 8, Range 96) Mineral Owners: Muriel Dutton P.O. Box 58 Ncw Castle, CO 81647 LIME ApolloEnergy, LLC 1557 Ogden Street, Suite 4300 Denver, CO 80218 001 Oct. 23. 2003 3:10 COMMON WEALTH TITLE 4224 P. 2 (Y);(3eCIO. cs.,%\\* cr\Jrt\ c,,p. r2- C' oks�.' Sep 10 03 12:17p Katherine 02/29/2003 15:13 9709457081 5 I LWAN 1 11 11-L SCI IEDULE A Order Member: 03000994-C2 1. Effective date: 3,uguot ie, 2003 mt. 8:00 h•x. 2. Policy or Policies to be issued: (a) A.L.T.A. Owner's proposad lnsured: =tended) (b) A.L,T.A. Loan Proposed Insare.d: YIREm A.URRZCAN wonTrAdr, INC., ZTs EtrccSRso.Rt ARID/OR AgsiGNB (c) Leasehold Proposed Insured: 970-285-1072 Amount of Insurance $ $ 1as,000.00 5 3. The estate or interest in the land described or i eferred to in this Commitment and covered herein is fee aide 4. Title to the tom ogiaapie estate or interesin said land is at the effective date hereof vested in: STELLA D. R XOS AND ROBERT RAMOS 5 land to i this is de cribed as follows: SEE ATTACKED r Purported Addreas: 5647 COuRTY ROAD 3Q6 PARACUuTx. CO $1635 p.2 STATEMENT OF CHARGESbefore a These Charges Ore due and payable Policy earl be issued. MUSS= RATE WILL Bt APPLIED 13Ao0 PROOF OF PRTOR TITLE INE'QRAt*10E 2EstRn MiTHIN TUZ LAST PTV WARS $ 654.00 $ 20.00 S 35.00 $ 35.00 $ 35.00 $ 50.00 mortgage Premium Tax C,artificat• Form '100 Form B.1 Forel 110.1 Fern 103.1 (*9) a Sep 10 03 12:17p Katherine QP/29/2003 15:13 970'3457001 Order Numbcs: 03000994-C2 STEWART T11LL SClDULE A LEGAL DESCRIPTION TOWNSHIP 0 2OUTH. RANGE 46 VEST: SECTION 1: NC2/4S'N1/4 warn QT GARTIZLP STAIR OF COLOR)iDO. 970-285-1072 p.3 Oct, 23. 2003 3:14PM COMMON WEALTH TITLE AEI 111111 1111ttt� ui IE!! 1111 1111 618.381 0110@/2009 04:12P 91425 P440 M ALSOOR? 1 of 5 R 26.00 0 0,ee i3ARFT0.o COUNTY Co OIL AND GAS LEASE AGREEMENT, Made and entered Into the g' day of Jaro.ry, WM, by and bdr vin ZRODUCER5 68•PAtD UP V/1101. post WI= address is JALIMI 36 Nesx_C+!to Co 5147 for (Melba one or more) end ___Mtotlo gaerns IS r 1 a No, 4224 P. 3 I hereinafter walled Ler, whom post office address hereinafter caned Lessee, wrTNESEETH, That the lessor, tor and in consideration of Ten 119,041 and maze DOLLARS each in hand paid, the ree.pt of Which !s hereby acknowledged, ind Otc covendni an4 agr cements hereinafter contained, hat graced, demised, leased and telt and by these prtytmts dose fit, tsemac, lase and to exclusively unto the ahid Lessee, the land hereinafter dumbed. with the exclusive nght far the purpose of r deieg, eeplor4og by geophysical and otha methods, and operating for and producing lha from oil lad all Bas of whak0ev70 nature or k;nd, specifically including coalbed methane and w and ah' oubaamcei produced in association therewith from toslibelling formations, went rights away and cascmente fbr tying pipe tines, and erection of atraat ides tMteoe 10 produce, save and take care of said product;% are that resin tract of tend sldtased in the County of (+tScW State or Colofvdo described as follows, to -wit: See Exhibit "A" attached hereto ttssd by thea rcfereuo mule a roar! hereof SS.okAdendem "8," xfSAch d�berrM and by thibletergycg madf_l part hereof.fOe_kckditionil ar *rather With any reversionary rights therein, and toge her with all stripe, or parcels of lend, (not, however, to be ermined to include parcels eorr riling a regular b' sore legal s0bdrvie7on or bt of approximately saw 707ponding doe) adjoining or coniguous to the above described land and owned or caroled by Law'. and cmtnbi179 841.73 arses, more m 1051, t. It is staved that this lase shall neon, in twee few a trnn ofFive (5) /031I [mm des dale and at brig thereafter= oil W e of wdmeever nature or kind, specifically including coalbed methane and any and all substanecs produced in assoehiion Ncrtwith Oven epos -bearing forr1230113, is pmieed from said Imre premise or on acreage pooled therewith, oe drill ng mentions are continued as hereinafter provided. tf, at the expiration of the primary tem of 3177 lease, ail or gas is not being produced on the Icascd premises or an acreage pooled therewith bur face it then engaged in dril3n6 w lsrmfs➢ng 0pendons d,cre07. ehel this lease chill continue in farce so long ns openatiOnS ate being comi1uaualy ptoeoeuted an the leered ptaNecs or on acreage pooled therewith, and operations shall be emaatered re be aontieuot74y pros out if not more than ninety (90) dare shat] elapse b lwern the conoleden or abaldot6 77171 at pre well and the bcglmina of operotione for the drilling of a subseguset Troll. If one discovery of oil or gas on said land or on acreage pooled therewith, the production thereof should cease tram any cause after the primary term, this lees shall nm smirk= if Lea= commence additional drilling or re earldng operations within vinery (90) days from dare of eae7at707 of production o1 from date of eepcletion of dry hole. If oil Or Bal ah311 be discovered and produced as a r1aull of Loch opera ems at oe alter the expiration of the primary tam of this lease, this lease shalt continue in force so long as oil or gas is produced Oen, the lased peootoes or on acreage pooled therewith, 2. Th7a is it PAID•UP LEASE. In consideration of the down cosh payment, Lessor agrees that lessee shall not be obligated. except as otherwise provided herein, to carotene or continue my cpera0071 during the primary cern. Lamer mot' at any time or dare durinB or 7Prr the pr1taary term t utrRhder 71110 Lease 07 70 ell 01 airy portion of raid land and as to any ohms or goatee by delirving to lesser of by Fling for record o Mess* or releasee, and be sabered of all obligat;on thereat-' accruing e7 to the restage sir:metered. 3. In consideration of Ole premises the said Lessee covenants and agrees; I r, To dehvcr m the credit of lssaor, frse areal, In the Socks,: to which Lessee may conncet wells on said land, 1170 equal otic-cighrh (1/1) pan of all oil produced and saved from the lased premises 2. 1b pay Lessor. far Eos of wtuwaever nature or kind (with all of its constituents) oroduud end sold or used Off the leased premise=, or used 10 Ole manufacture of products therefrom ene.aighth (1/8) cr the emit amount received by the lessee, said payments t0 be rt,od1 monthly. 4, During any pentad (whether before or atter expiration or MC primary term hereof) when ass Is no: being F. 7004 Or used and the well or was ■rc shut to and tbae is no current p :Au:lion of oil or operation CM said leased premises 030'rciatl to keep thio 101700 77 thrix, Lassie shall pay err tender a raya0ry otTone W i ms (83.00) per yew pa net north, Otte retained hereunder, such payment or lender to be made on of before the vielversory date of this Less: next atsvmg after the expiration of ninety (90) days from the char such well It shut In ,and thcreaAer on dro anniversary date of this /g70 during 77w period such well is shut in, to the royalty awaas. When such porecntor irnder et fade. it will be oo00('dered Magas ie king produced within the rooming of the ;MI* tease, 5. If mid L0000r 02077 a lex: interest in 1177 abpyd described land than the entire and undivided fee simple elate trema, then ate roya7Ses 01191102ing any tu0in gas roralty) herein provided for /full 'steroid the to theJLpgfe1 4,0 W the prnponton watch Lessor's interest bears In the whole and undivided kc. 0. Lessee 0(7217 have the right so use, sac recoil. 120,741 pat , o prodoaed on said land for Lessee'c operation thaws', ateept eater kens the Wells of USW'. 7, When tt4uelcd by Lessor, lessee shalt bury Learee'3pipe"int• a below plow depth, es amended by paragraph 5 of Addendum "A'. B. No well atoll be drilled nearer then 500 reef w Ih: house or tarn now on said 7rtrplaa without wrihen consent oF1RL9or, 9, Lessee shall pay for damages caused by Lessee's operation; b gnawing maps on mid land. 10. Leasee that have 7113 right* arty time to remora all machinery and fixtures placed on said pre nines, inch,ding Ise right Io draw and remove casing. 11. The rights of Leteor and Lee7ec hatunder may be atalgned in Wavle or pin. Ne change* ownership of L0000 'e Immo (by atsignmett ver otherwise) shall be binding on Lessee until Lessee has been fumishcd with notice, consisaing of certified copies of all recorded intdmments or documents and o1e0 inf0nnuim' necessary in establish t complex, chain droved title from Lmor, and 0770, only with r -.aped m parnentt m0mlldr made. No other kind or nosed. whether 2‘1°11 °T con7mactive, shell be binding on Lisa. No presentee future division of .gag's ownership vee to diffemtt portions ar-ae:arts plaid land shall operate to 677.07. she obligations or diminish the riahls of Lessee, end ell Lessee's operations may be conducted without regard t0 any such division, if all or any Dan of this lease is assigned, no thwack! clear shah le !table for any oat or on40sioa nfany other leasehold ow'la. 72, Lessee shall save the right but no the GM Oboe to pool all Orem 7011 of the leased premises or Interest therein with soy etre. lands or lnte7070, 3s to 007 or ell depths or all zones, and a7 to any or ail substances covered by this Lease, either !nth* or elm' the conmen terent of production, whenever Leaser deems it necessary or proper to do so in order to prudently develop m eggnog the lease! eremites, whether or not simike peeling authority exase7 with tercets to tueh other land: 00 intetea70. The unit formed by such pealing for an oil well which is nota horizontal completion ;hall not ease 40 acres plus a 07301 eaim acreage tolerance of 1094, and fore gas well ori horizontal completion shall not exceed 640 acres plus 3 maxlmvm tolerance ;fides pmvided that a largo anir may be formed ter an oil well or gat well ver horiooMal epmpletion to enfant to arty well spacing or density pattern that may be prescribed or =milted by any governmental authority having jurisdiction to do 30. For the purpose of the Ikeeloinz, the terms "oil well" and `gas well" 7hr11 have the meaning pre1elibed by a7950011k kw or the appropriate gevenmeplal authority, or, if no defmh1on is se presertoeti, "eft well" means a Well with on Minot gm—oil ratio of leas Hann 100,000 cubic feet pct barrel 7014 "nes watt` mesa a well with on initial gas -oil ration of 100,000 cubic feet 0r more per barrel, bond on a 24•aour produe1ien test conducted under 60771701 pteducing 6004177a m ,Wog standard lease separator recoil* or equivalent terung equipment. and the term'horlmnal compledor." m=arts and ml well in Whirl the horizontal component of the 770 7 completion interval in the reservoir camas the vertical edmpen71 thereof In exercising its poelieg rights hereunder, Lessee chall file of record a w7113717 deckrntien deserfbing the unit and .al7ng the eheerive dose or pooling. Prdduerion, drilling, or 7e 11ldne operations anywhere on a unit which includes all or any part of the kited prendses Shall be trialed as if if were production, drilling, or rewording 991'117310,70 or, she leased 773077170771, 4xc41 tha7 She production oe which .ewer's royalty is calculated She be that peoporti0n of the 10301 unit producdon which the net eeseag3 covered by 01113;80c and included m the unit bears W the total you acreage in the unit. but only to the extent such proportion ofuoil production is Loll by lam, Pooling in ane a' more iesaneee shat; not eahoust Leave's pooing rights hereunder, and 3.0sece shall have the recurring right but not rhe obligation to revise any unit formal hereunder by expamien or contraction m both, either before or atter commencement of production, 10 order to confirm m the well spacing or denies, pencm prescribed or perm:ned by tae govaomenu7 tWhority having Jurisdiction, or t0 eenferm to any moduetive acreage determination nude by such governmental authority. In making such revision. ]axe shall file of record a wtilta deelarnllon elfseribing the revised unit and staling the effective dale of revision. To the extent any porno. or the leased pre77tism is inel0ded in or a 3117404 horn the unit by ensue of such revision, the proportion of the unit production 077 which royalties are payable hereunder shati therufier be adjusts:' accordingly. le the 3beanee or production id paying gvanlida been 3011, ver upon penrnrent cessation thereof, Leasee may terrinnak the unit by 0117E of beard a written Iaratims describing (7417711141747022107147031710747407(311344011.m Pooling hereunder shall not snstitute a 070 1<pr1vrylnce of tntac70,. 13. 1.313e 311311 have the right but not 00e elliplidn La cannel alt or any part of doe leased premises er interest herein te one or more unit pians 072771070777641 for the coopen7lye development of operation of one or =non andlrn ys reservdr7 or genions thereof, if in kraee's judgment such plan OT 3301X171Cnt will prevail waste 303 Dr013,e1 c47relmive rights, add if such plan or ova:n..1 is approved by the federal. Elate, or local governmental auemity having ju'144100011. When 7099 coati Rnern is made, this kart shall be svhjcct tO the tarns and conditions of rhe unit plan at agreorent, including any tarmula pRoalbod therein fm ase ahatation of production. 14 Alt express or implied 00v71nis of this lase shall be cubic= to 311 Fedml and Sum Laws. Executive Orders, Rules or Regulations, and this lease shall dot be lermiroted, in who* or in port, nor Les300 held liable for damages, fa failure id comply omerewilh, iream:1ianch Is 717011100 by, a. if such 0 7lum 1s the reedit of, sty such Law. Order, Rule or Regulation. 15. Lessor herbs arms that the lessee obeli have the right at ■m time to caleerl int Lessor, by payrrse%C any msrtgegea, ta7e0 or other bolo on the above dsaibed lands, in the evens of default ofpayment by Lessor and be subrogated to me rights of we holder thereof, and be undersigned Leon., for titerrue77M end Mar hei 70, so w:soo7e and assigns, hereby surrmdv and 10120010 alt right of doter and ltoitt71704 in the premises deseribea herein, Insofar as said right of dower end homestead may 1n any way affect the pumas= for which this lentc i3 IIT&, as recited herein. ep t Nov 24 03 09:50a - Form No. 'GWS -25 APPLICANT Wayne Shelton 970-927-3801 OFFICE OF THE STATE ENGINEER COLORADO entennial Bldg., DI3 VISION OF erman St.,DenveColorado r, 03 RESOURCES (303) 866-3581 ROBERT RAMOS 5647 COUNTY ROAD 306 PARACHUTE, CO 81635- (970) 285-1388 PERMIT TO CONSTRUU 1 A VVtLL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(b)(li)(A) as the only well on a tract of land of 41 acres described as that portion of the NE 1/4 of the SW 1/4, Sec. 1, Twp. 8 South, Rng. 96 West, 6th P.M., Garfield County, more particularly described on the attached exhibit A. Further identified as 5647 County Road 306, Parachute, CO 81635. Additionally any and all other existing wells on this 41 acre tract, specifically permit no. 110006 (canceled), must be plugged in accordance with Rule 16 of the Water Well Construction Rules within ninety (90) days of completion of the new well. The enclosed Well Abandonment Report form must be completed and submitted to affirm that the old well was plugged. 4) Approved for an amended legal description for permit no. 110006 (canceled), Issuance of this permit hereby cancels permit no. 110006. 5) The use of ground water from this well is limited to fire protection, ordinary household purposes inside not more than three (3) single family dwellings, the irrigation of not more than one (1) acre of home gardens and lawns, and the watering of domestic animals. 6) The pumping rate of this well shall not exceed 15 GPM. 7) The return flow from the use of this well must be through an individual waste water disposal system of the non -evaporative type where the water is returned to the same stream system in which the well is located. This well shall be constructed not more than 200 feet from the location specified on this permit. NOTICE: This permit has been approved for the legal description and well location as noted above. You are hereby notified that you have the right to appeal the issuance of this permit, by filing a written request with this office within sixty (60) days of the date of issuance, pursuant to the State Administrative Procedureesct. (See Section 24-4-104 through 106, C.R.S.) 2 NOTE: Parcel Identification Number (PIN): 23-2447-013-00-027 NOTE: Assessor Tax Schedule Number: R270105 p.1 1095 WELL PERMIT NUMBER 254145 - DIV. 5 WD 45 DES. BASIN MD APPROVED WELL LOCATION GARFIELD COUNTY NE 1/4 SW 1/4 Section 1 Township 8 S Range 96 W Sixth P.M. DISTANCES FROM SECTION LINES 1665 Ft. from South Section Line 2680 Ft. from East Section Line UTM COORDINATES Northing: Easting: APPROVED DMW U State Engineer Receipt No. 9501712A DATE ISSUED 11-18-2003 By EXPIRATION DATE 11-18-2005 COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., RM 818, DENVER, CO 80203 phone — info: (303) 866-3587 main: (303) 866-3581 fax: (303) 866-3589 http://www.water.state.co.us RESIDENTIAL Note: Also use this form to apply for livestock watering Water Well Permit Application Review instructions on reverse side prior to completing form. The form must be completed in black ink. Office Use Only NOl'f I 114014 Form GWS -44 00 1. Applicant Information e of 9pplicant obe k4\ f� % Mailing address Co 3c City arq State Zip code !6 3s Telephone # (9--)")) 2. Type Of Application (check applicable boxes) ❑ Construct new well ,i SEteplace existing well 0 Change source (aquifer) ❑Other: ❑Use existing wet ❑ Change or increase use 0 Reapplication (expired permit) 3. Refer To (if applicable) Well permit # I Water Court case # Designated# Well name or 4. Location Of Proposed Well County 6l�r(��-0 Section 1 Town hip NorSS .I 1/4 of the 1/4 Range E or W Principal Meridian 6 ❑a I 6 Distance of well from section lines (section lines are typicalty not property fines) I Lj Ft. from ❑ N [73,S b rJ Ft from ❑w For replacement wells only - distance and direction from old well to new well `f 0 feet direction Well location address (if applicable) Gy -1 CD Z, 3o L 6. Use Of Well (check applicable boxes See instructions to determine use(s) for which you may qualify ❑ A. Ordinary household use in one single-family dwelling (no outside use) B Ordinary household use in 1 to 3 single-family dwellings: '1t Number of dwellings: atr._ .14 Home garden/lawn irrigation, not to exceed one acre: area irrigated 1 ❑ sq. ft. ❑ acre Domestic animal watering — (non-commercial) ❑ C. Livestock watering (on farm/ranch/range/pasture) 7. Well Data (proposed) Maximum pumping rate Annual am nt tVe withdrawn { gPm Total depth r 8. Water Supplier feet Aquifer acre-feet Is this parcel within boundaries of a water service area? 0 YESA NO If yes, provide name of supplier: 9 Type Of Sewage System ,16 Septic tank / absorption leach field ❑ Central system: District name: ❑ Vault Location sewage to be hauled to: ❑ Other (attach copy of engineering design and report) 10. Proposed Well Driller License #(optional): 1095 11. Signature Of Applicant(s) Or Authorized Agent Optional: GPS well location information in UTM format Required settings for GPS units are as follows: Format must be UTM Zone must bel 3 Units must be Meters Datum must be NAD27 (CONUS) Unit must be set to true north Were points averaged? ❑ YES ❑ NO Northing Easting 5. Parcel On Which Well Will Be Located A.You must check and complete one of the following: ❑ Subdivision: Name Lot Block Filing/Unit ❑ County exemption (attach copy of county approval & survey): Name/# Lot # ❑ Parcel less than 35 acres, not in a subdivision, attach a deed with metes and bounds description recorded prior to June 1, 1972 ❑ Mining claim (attach a copy of the deed or survey): Name/# Square 40 acre parcel as described in Item 4 ❑ Parcel of 35 or more acres (attach a metes and bounds description or survey) ❑ Other (attach metes & bounds description or survey and supporting documents) B. # of acres in parcel c1 / 1 C. Are you the owner of this parcel? © YES ❑ NO (if no - see instructions) D. Will this be the only well on this parcel? ® YES 0 NO (if no - list other wells) E. State Parcel ID# (optional): 01.94 �o l3 The making of false statements herein constitutes perjury in the second degree, which is punishable as a class 1 misdemeanor pursuant to C.R.S. 24-4-104 (13)(a). I have read the statements herein, know the contents thereof and state that they are true to my knowledge. Si(t beorigr signature) Date Print name & title o Office Use Only USGS map name DWR map no. /356 2.6Y4' WE WR I Surface elev. Receipt area only C6-.=/677— pfrQ f i2 4- CWCB/0TAt;-23-24fzf7-6/3-v9-02f TOPOrea?"Y'/e270f'- /�Nxc MYLAR/ 4 % /;� s e^� � e ,4 ,S' ! � r (u 7 C � Q t/ o_rg iv S85 DIV -% WD 174" t3A MD C"c” .ad4utrlN pPoei Alunoi O Adjoining 2449 STATE OF COLORADO County of Garfield Ate regular meeting of the Board of County Conerissioners for Garfield County, Colorado, ti• held at the Court House in Glenwood Springs on Monday - the 5.th day of October • A. D. 1981 there were present: Larry .Velasquez Commissioner Chairman Flaven J. Cerise Commissioner Eugene "Jim" Drinkhouse Steven J. Zwick, Assistant Cheryl J. Koss, De2uty when the following proceedings, among others were had and done, to -wit: , Commissioner County Attorney , Clerk of the Board RESOLUTION NO. 81-309 A RESOLUTION CONCERNED WITH THE APPROVAL OF A SPECIAL USE PERMIT APPLICATION BY MICHAEL AND CHARLENE SIMMONS. WHEREAS, the Board of County Commissioners of Garfield County has received an application from Michael and Charlene Simmons for a special use permit for a mobile home as principal use of a lot on the following described tract of land:' ' NE1/4SW14 Section 1, TBS, R96W of the 6th PM Garfield County, Colorado WHEREAS, pursuant to required public notice the Board conducted a public hearing on the 21st day of September, 1981, upon the question of whether the above described special use permit should be granted or denied, at which hearing the public and interested agencies and persons were given the opportunity to express their opinions regarding the issuance of said special use permit; and WHEREAS, the Board on the basis of the evidence produced at the aforementioned hearing, has made the following determination of fact: 1. The proposed use is compatible with the uses existing and permitted in the district in which it is to be located, provided that certain hereinafter contained conditions be com- plied With. 2. That neither the impact on traffic' volume and safety or on utilities, or any other impact of the special use will be injurious to the established neighborhood or zone district in which the special use is proposed to be located. NOW, THEREFORE, BE IT RESOLVED, by the Commissioners of Garfield County, Colorado, that a special use permit be and hereby is authorized permitting the use of the above described tract of land for a mobile home as a principal use of lot, upon the following specific conditions: 1. That the use of the tract of land comply with all present and future regulations of Garfield County relating to the location and use of mobile homes in the zone district in which the property is now or may later be located; 2. That, prior to the issuance of the authorized special use permit, the above described tract of land shall be severed from any other tract of land upon which there may exist a principal use, unless such other such principal use has been terminated at the time of the: issuance of the special use permit. ATTEST: Deputy Clerk of -,Board Upon motion duly made and seconded the foregoing Larry Velasquez Aye Flaven J. Cerise Aye Eugene "Jim" Drinkhouse Aye STATE OF COLORADO County of Garfield BOARD OF COUNTY COMAIISSIONERS GARFIELD_COUNTY, COLORADO at't t Chairman \ Resolution was adopted by the following vote: 55 Commissioners 1, , County Clerk and ex -officio Clerk of the Board of County Commissioners in and for the County and State aforesaid do hereby certify that the annexed and foregoing Order is truly copied from the Records of the Proceedings of the Board of County Commissioners for said Garfield County, now in my office. IN WITNESS WHEREOF, 1 have hereunto set my hand and affixed theseal of said County, at Glenwood Springs, this day of ... A. D. 19 County Clerk and ex -officio Clerk of the Board of County Commissioners. \ \ SPECIAL USE PERMIT MICHAEL AND CHARLENE SIMMONS In accordance with and pursuant to the provisions of the Carfield County Zoning Resolution of 1979, as amended, and Resolution No. 81- 309 of the Board of County Commissioners of Garfield County, Colorado, State of Colorado, hereby authorizes, by Special Use Permit, the following activity: a mobile home as a principal use of the lot on the following described tract of land in Garfield County, Colorado: NE1/4SW1/4 Section 1, T8S, R96W of the 6th PSI in Garfield County, Colorado The within Special Use Permit is issued subject to the conditions set forth in the above-mentioned resolution, and shall be valid only during compliance with such conditions and other applicable provisions of the Garfield County Zoning Resolution, Subdivision Regulations, Building Code, and other regula- tions of the Board of County Commissioners of Garfield County. BOARD OF COUNTY COMMISSIONERS GARFIELD COUNTY, COLORADO Larry Velasquea, Chai n +-i MOBILE HOME SPECIAL USE NAME:(s LOCATION, LOT SIZE & PURPOSE: 4 /C2_62_, Q /`Y% D/7 ACCESS: e /� 3c)67 ZONING: /q -,€,C f) WATER: e.u.A575 GL,LQIJ SEWER: / 7 r`.),c / '-RJ9 G CHECK LIST: X FEE PAID X MAP X PROOF OF PUBLICATION )( CERTIFIED MAIL RECEIPTS COMMENTS: 3, � - /7 %rte.-' ,)c '156 o't' Ste_. o4( (. gip P tie2c-c,v- - oC FA P PeoveD w • ti S O' off'PGp"F /39496' 1.5 * oa 38'E /357. Qi' , I 1 /_ 3 N'9n bQ co 0 LA • Q o. WJR-26.77 THIS FORM MUST BE SUBMITTED WITHIN 60 DAYS OF COMPLETION OF THE WORK DESCRIBED HERE- ON. TYPE OR PRINT IN BLACK INK. WELL OWNER 24ike Sitttfrons • COLORADO DIVISION OF WATER RESOURCES 1313 Sherman Street - Room 818 Denver. Colorado 80203 WELL COMPLETION AND PUMP INSTALLATION REPORT PERMIT NUMBER 110006 SW Y.ofthe St4 ADDRESSEOX 307, Eri►rachute, DATE COMPLETED 'h of Sec �— Colo 81635 T. � S R. 96 kI 6th P I May lB WELL LOG 1981 HOLE DIAMETER From To D 3 320 Type and Color of Material 'i'op. so Yellow'SS, Yellow clay, Volcanic.Boulders, very little sand gravel mixed 11 Water was hit between 2G0'or 300' 320• TOTAL DEPTH Use additional pages necessary to complete log. Water Loc. 8" in from 0 to 20 ft 6 1/4m from 20 to •320' ft in from to ft. DRILLING METHOD Rotary CASING RECORD: Plain Casing Size 6" & kind Steel from 0 to 20 I Size 4" & kind PVC from 0 to26'3 ' I Size 4" & kind PVC from 300 to 3,20 1 Perforated Casing Size 4" & kind PVC Size & kind Size & kind from 260' w3001 1 from from to to 1 GROUTING RECORD Neet Cement Material Intervals Placement Method H80d GRAVEL PACK: Size Interval TEST DATA Date Tested May 19 191 ,tStatj Water Level Prior to Test 280+ 'Type of Test Pump hailer Length of Test 4 hrs Sustained Y eld (Meterid)11/2 9Am 320' Final Pumping Water Level Pump Make Type Powered by HP Pump Serial No. Motor Serial No. Date Installeo Pump Intake Depth Remarks WELL TEST DATA WITH PERMANENT PUMP Date Tested Static Water Level Prior to Test Length of Test Hours Sustained yield (Metered) GPM Pumping Water Level Remarks TOTAL DEPTH • • DEPTH TO -J w U > UJ er 1- - -3 - c2 z a 3 2 a. 3� WATER w c TABLE CONE OF DEPRESSION CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content thereof, and that the same is trueof his own knowledge.. Signature �1 911.(// —' State of Colorado, County of '772e622✓f'�t� - • Subscribed and sworn to betore me,thi ay of My Commission expir Notary Public License No /O7 (o SS , 192/ My Commission expires March 1983 FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer. PINK COPY is for the Owner and YELLOW COPY is for the Driller. s GAIRFIELO COUNTY 'thiens4nei4 .,.• 666 p.IVIOUAL SEWAGEtl$POSAL PERMIT • l'er the ,& Chlirl one Sfornons tam Location g647.; county,00ad _306 - ParaAklitt AND SANITATION DEPARTMENT )41141100a • Of Oki tifr:frad 0 81601 03) 9454441 496 Censed Installer I Conditional ConstrUOtIOnsipproval is hereby granted for Septic Tank or Aerated treatment it . Absorption area (or ditPertill area) computed as foliolatv:., Pere rate of one inch in f-,,•0' minutes requires a rnrr .! I Therefore the no. of bedroonis ft , ,., ....t / / , • ,. ,rMay we suggest /0(4 -e „G.. ai9difr 1,0,310 , A :II Date ' / linspector M AL APA FeOVAL OF SY TE i • 4,,,,,i, ,. ',;.:4,;, -,No sys em shall be 'deemed to be in compliance with *he'd; °. ',.ing arty art. ' Septic Tan:k oecess for inspection and Proper Materials and assembly. surfaoa; ' Trade naive of septic tank or aerated tre ment isn't. , Adequate absorption (or dispersal) area:, , ... Adequate cbmpliance with permit reqUIr entel. Adequate compliance with Countyiindr4/p te regulatIons/requIrements. , gallon This does not constitute- s building or use permit. r601i#ac.sqftotabsorptionareawbedr9om.„ I i ininnum requirement a tOtal cg>„4:1—so ft of bsorption 044. Jrj age' oisOosai Lens ntit the assembled system is approved prior to cOvitrii: - •-"0 infiailthin 12" of ground sutface or aerated access ports above ground • 4.. Other Date Inspector -0000./(it,40,1. ' RETAIN VVITH RECEIPT R OROS AT CONSTRUCTION SITE • • 1. All installation must cidiPli4rith all requirements •r, thority granted in EICI-4 4, CRS 1963, amended 04: This permit is valid onlY for connection to sh'ilOtifi Connection to or use vYlth iny dwelling or strUctOre• S: tion of a requirement,of the permit and cause for 3. Section 111,3.24 requires any iserson who con. volves a knowing and material irariation from *tie , , Petty Offense (S5)0 00 rine mbnths in jail or b • APPI loont : Orefin INF, '''. !OP OtY f Id i v kly if Sewage Disposal Regulations, adopted pursuant ID iltit'':,6ti. R&jt�63• ' ' Tully complioci,mith Oounty zoning and building requirernentAllslr, by thOrkUllding and Zoning office shall automatically be a Viola ,n',•0 pq,endreyOOotion of Me permit. rili:gtetts:in individual sewage disposal system in a manner which Iril-,':1• :' ifliptirnii3Oontained hi the topiicatiop of permit commits 4 041$ '- ..,,. !. ;, N. . ,,•;qo .. , + . f : ..• -' •.' tt. • 40.t .: . , ,. ',: ik A PIn* Copio INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Owner: e Ate. ivf' /yrs Mail Address: / O, 1OX 307 Date 87/?/e/ City: /0/9de.4e/v Zip: 87673s Phone:a INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percola- . tion test holes, soil profiles in test holes (see Page 3). Near What 1. Location of Facility: County GARFIELD City or Town P,zii4c.No7 ., Location Address &/or ,r4 4,7 Cry,pe, 3o' - sw:q •rScu Legal Description Jeer, / Tw/ 8 Rivc 9b w 6 p/'? Lot Size g i4c4Es' 2. No. of Bedrooms ,2 Septic Tank Capacity j eve, 6A..Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Depth 3,2o/ Other Private: Well Depth to 1st ground water 4. Is facility within boundaries of a city/town or sanitation district? /'a2 5. Distance to nearest sewer system: 4; /111i_e,.5*- Have you attempted to arrange a connection with the system? If rejected, what was the reason? /1/%4 6. If R.P.E. tested, state rate of absorption in test holes shown on the location map, in minutes per inch of drop in water level after holes have been soaked for 24 hours: 7. Name, address, and telephone of R.P.E. who made soil absorption tests: 8. Name, address, and telephone of R.P.E. responsible for design of the system: table zso /v 9. Express permission is hereby granted for the inspection of the above property by any member of the Garfield County Building & Sanitation Department and/or such persons as they may designate. Any withdrawal of this permission shall be in writing and receipt acknowledged by the County Building & Sanitation Department. 10. I have been given an opportunity to read the Individual Sewage Disposal Systems Regula- tions of Garfield County and I hereby agree to comply with all terms, conditions and requirements included therein. L. g;//0/9 at De ignature of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) • *— we sr PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY T- 70 ,0 A RROX, 4/imes TO FARAc N✓r6 0 t1)*0•Rtp6E 0 /z UKK6y s SS PR 4,16 c46eK Boort S PCG • S`/A1 e.),V.S _ S6 Ac.i9C4—f /1,13/a Wo,( . INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITOAH ES, ROADWAYSL AND BOUNDAn LINES C_ 4- 306, Ro, D,rc' Csz•,+�� •-r (, 4 u 0 0 BE RETURNED -TO BLDG. & SANI. DEPT.) go? TZ'd 1H101 2 rn L 2 r T?/TE'd SSt'' O26 olabamoo NO I dNHHO TS:2T 2002-90-1D0 • • -4 ti m 3 O 0 m r 't\_) m m 6 RP as1 g O mgcp b D 00 V3-° 4" aim 2 Xto � ti N .1A A.1 0 m O A O A 2 rn rn o Cl � D rnmWU 71 -41.Er 2011 x-<AAu."' N A -OXO ..� Ch 3V-4" Lt 1/2 1•1••••• ES2t' 2S OL6 1' 4613610E 1 1/2 ru 112' 146 V2 1 14 4- kul OGHd0100 NOIdWHH3 OS:2T 200-90-130 • U ITT -< -4 —o T-0" (111N) fl i 11 -u 8 70 2 i7Ka -tea rn r U 0° A 9 1' n N 0 O Til 11 m mN0= 0: - y0- A r X 7j- r N0� g F 0 r w EO =r0 b O m0G\ rco o -0roN3 E 5m 2X, -011 Nw bm 0 r- )). - o= D 4 0 c O /A X m D 0 • • 42 oz HAgg 21 6 n -1 PIS g� m v r m A i 26'-8" OR 30-8" SCION NOVCINI10d F LOCATED NEAR 4 COWERS TO PROVIDE VENTILATION PER LOCAL CODES PASSAGE-WAY. 5LFPORT MIST BE PROVIDED FOR PONT LOADS AT INION WALL OPENM OVER 4' WIDE: DOBLE 51105 ( EA044 MOMS ) - TOTAL LOAD IS 320+0', THREE STUDS-4P40', ETC AT 1600' FER STUD. CENTER SUPPORT DJAL1- 0F9 SHALL NOT BE LOCATED INDER Si1PPORT INSTALL CSI OUTLETS AS POSTS GP INION WALL ABOVE. NEEDED GN GIROS? 6' FLOOR PLAN 6' CENTER PER CR C01-1114 FOR 12000 POUNDS EXTENDED DON FOR BASEMENT. WALL GN FOOTRJ's GPTIGTIAL WITH SUPPORT BEAMS 1 I I I l L_ I 1 ; n; i 26'-8" OR 30-8" SCION NOVCINI10d F 0 (5 r r o orn mm rn f c cFr b`12Ci 2\7`e1G-E`''\73 CP N rnA o r— rn O Q 21`74%;,- 1(1g .,r6 nN D � A 1"f i se R P 4 r cp m9'7/0 CJ r- m 6 p, g �r '..-._r_ �� E o.E R rn tp MF m iig P 1— z 1'-I0" 2 neo oa mai T • nw i r41 x A 40 w Q1 R x M a x rnO6 Fm 3p N N n Lf= ,„rn 5 ]]=1 tul SlIVI2CI �sIN —4 m rT3 1 SMOKE ALAR`i5 ARE INTERCONNECTED. FOR MODEL W/ BASEMENT, A 94/3 WIRE 15 RLE FROM UPSTAIRS SMOKE ALARM TO LEDER-FLOOR JLECTIGN BOX (CN SITE COMIECTION TO BASEMENT SMOKE DETECTOR). 1. ELECTRICAL: 100 AMP MAIN 4 SERVICE 15 STD. (AN ELECTRICAL LOAD CALCULATION 51-IALL BE PERFORMED TO DETERMINE IF OPTIONAL 200 411' MAIN 4 5ERVICE 15 REQ'P). 3 OPT. 220V WN. AND ELECTRICAL FURNACE TO BE WIRED PER MFG. SPECS 4. MIN. ORE SIZE TO BE 12 AWG. Uk1EN REQD BY STATE / LOCAL CODE SMALL APDL. RECEPT. 120 VOLT - 20 ,U'1P. GFJ. PROTECTED c1WV 0Z -.110A 011 'd3D3d Q 3Dt vii.dd 11 4-15 I' i 7oa, (g r er- � A ELECTRICAL LEGEND gli A A v r g re Z to c1 g r CIRCUIT INFORM4,TION CIRCUIT NO. TYPE AMPS COPPER WIRE SIZE I GENERAL 15 14/2 U/GRCUUD 2 SM. APDL. 20 12R WUGROIND 3 GENERAL 15 14/2 W/GROIND 4 SM. APPL. 20 12/2 VC:ROUND 5 WASNER 20 12/1 1.11/GROUND ICI 2 r. g F r n 2 Mw vtill h TOTALLY ENCLOSED T FIXNRE V' '61— O rvD. 0. w m `J ;o P cp Pe ${ r E E2 101 r4 o as NVid e1OO1d N -4 CP a - to c1 J as CIRCUIT INFORM4,TION CIRCUIT NO. TYPE AMPS COPPER WIRE SIZE I GENERAL 15 14/2 U/GRCUUD 2 SM. APDL. 20 12R WUGROIND 3 GENERAL 15 14/2 W/GROIND 4 SM. APPL. 20 12/2 VC:ROUND 5 WASNER 20 12/1 1.11/GROUND A i x 1;.1 t o, 6 .40 p in v I H�a a a aglil E U a a a O (p II mp z g v A m z 0 -40 m SNOI1VOid10o- i 70 1 , 1 rn -4 ago@ aNg X22 A D gA o r 15'-4" OR 13'-4" TTF'ICAL CP P N d r m 6 riT � D m 11 S --0 2 2 ;I 0, N r 1 O 03(P -TT m Q N J— 1 NM-am N N N X X N m(ss� CP r m (Aml P D X N a�a S 0 ti 3 X Na ( -At rnCP PI m - 71 Dm cre X ry, m m k73 0 xl1 rn rn 1 70 N CP NCP -4 . H1.d34 .17/£ £ no O� a; m Lr.4 m0 p Og CPi p N cre O frt ^1O 1 GNOLLvolJIaou 0 m m 6 m z ti XX N z ti 6 m _ • E • 1 0 . m 0= bhm o ra � 7p Le 6 " N FOR 40-60 PSF ROOF (LL) IF ENDUALL SUPPORTS RIDGE BEd19 OVER UNIONUALL OPEN'G UP TO 22'-0" USE (I) RILL HEIGHT ADD 2 2X6 BEAR'G STUD N EACH ENDUALL FOR 90 PSF (LL) UP TO 12'-0" USE (I) RILL HEIGHT ADDITIONAL 2X6, AND UP TO 2T-01 USE (2). 90" u— v+ e 03 1,- r— v mm nn 00 QIA N DBL FLAT 2X6 4 TP 5PF'3 OR STUD DBL FLAT 2X6 GLUED 5F"2, 1-IF'2, DF -L'2 3-2X6 UJ.0 "STUD" 3-2X6 S1'3 C41" '3 OR STUD 3-2X6 SFF'2 3-2X6 1-P2 3-2X8 5f1'2 3-2X8 {'2, 2-2X8 2X6 "BOX" SFP3 OR STUD 2Xb "BOX" 1-P2 OR SFF '2 2X6 "BOX" DFL '2, OR SP '2 3-P4X1" ML -2€ STOCK-I-1k"138k AS (G) ABOVE BUT CCNTINUCUS (AS N RECESSED ENTRY) 1 O N ds (D a 91-6' 1 FOR 40-60 PSF ROOF (LL) IF ENDUALL SUPPORTS RIDGE BEd19 OVER UNIONUALL OPEN'G UP TO 22'-0" USE (I) RILL HEIGHT ADD 2 2X6 BEAR'G STUD N EACH ENDUALL FOR 90 PSF (LL) UP TO 12'-0" USE (I) RILL HEIGHT ADDITIONAL 2X6, AND UP TO 2T-01 USE (2). 90" u— 711371 03 1,- r— v mm nn 00 QIA m - �m\\ DBL FLAT 2X6 4 TP 5PF'3 OR STUD DBL FLAT 2X6 GLUED 5F"2, 1-IF'2, DF -L'2 3-2X6 UJ.0 "STUD" 3-2X6 S1'3 C41" '3 OR STUD 3-2X6 SFF'2 3-2X6 1-P2 3-2X8 5f1'2 3-2X8 {'2, 2-2X8 2X6 "BOX" SFP3 OR STUD 2Xb "BOX" 1-P2 OR SFF '2 2X6 "BOX" DFL '2, OR SP '2 3-P4X1" ML -2€ STOCK-I-1k"138k AS (G) ABOVE BUT CCNTINUCUS (AS N RECESSED ENTRY) 1 _ .A ds (D a ij m is3g_ � A N N���a mm4gA mgo rn 701 4O Xi 161 --4 r1 ✓ IS Ol ?l3Y-u 0 M X 0m P1 r m N Q co - G% GI G% 711371 m nn 00 QIA HEADER tAXM�1 CLEAR SPAN FOR ROOF LL:(INCNES) CaTIGUATION - SEE DETAILS. DBL FLAT 2X6 4 TP 5PF'3 OR STUD DBL FLAT 2X6 GLUED 5F"2, 1-IF'2, DF -L'2 3-2X6 UJ.0 "STUD" 3-2X6 S1'3 C41" '3 OR STUD 3-2X6 SFF'2 3-2X6 1-P2 3-2X8 5f1'2 3-2X8 {'2, 2-2X8 2X6 "BOX" SFP3 OR STUD 2Xb "BOX" 1-P2 OR SFF '2 2X6 "BOX" DFL '2, OR SP '2 3-P4X1" ML -2€ STOCK-I-1k"138k AS (G) ABOVE BUT CCNTINUCUS (AS N RECESSED ENTRY) 1 _ .A ds (D a kr, (I, A of "17 N w tI L v' •us % t L. A Is 6NN W W iN SP 31VDS 0110N 0 0 CP —1 43 sr+ouvoidiaou a 0 m r m m z0 -D� nA) V rn 0— m cry -o >xi z cao or- :Tr O p c N 3 3 h ucr 00 D O b mn mX - 0 -4 -00-0 0 0 r- r X PARIES FOR HMCIED TRUSS. IB" c r 24" r u1 10m D ql D lili q 8 crl R. X mT,470 cp m N u'u> 0(51 X 1-S; 0 N p lb" MAX ON -1G I I MODULE WIDTH I3'-4" Oft 15"-4" GUT -TO -OUT ON WALLS m 03 1 ---1 e7] a ga z a � 1 al N rnTm 2 GS n N X m IJ 0 i� =" ilX r�r r OM a m 0 D j 0-+ Ks K10 rh -4- a. r Zs Tgh D = N p 0 N .0> o m N a m m rulo 3 rn 2 0 m O I I/1' X 24" MIGROLAM LSL I I/2" X ib" MIGROLAM LSL A A 24' NIGH 3/4" PLYWOOD m 411 g D a: 4t; -6; 0#.;1 X l9 1p tr ^ 2 ^ O 8 i 6 N J g A t g 13-4" MODULE WIDTH a\ J W N 6 6 W =1 Ss N t; N CA g J+. g 6` Q1 iD ii6` W W W v ^'Cg� lWj! � N a i 0 I;0 A rn E N 6 6• N v: N w Cf, rn A w= 2', N i p n- - 6• w N it t ��yy Cl