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01963
"d^f»►t.saspr*^r•'yW vrawr,A'7sanla aa5 fir. nesse • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT ii 109 8th Creel Suite 803 Glenwood Sja*lnps, Colorado 81501 Phone 1303)945 -8212 p, � This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT NQ 1963 a building or use permit. Owner • William D. Richards System Location 7040 C.R. 214. New Castle Licensed Installer Charlie Lewis 7 3 . / 2,-t.c , b etwl Conditional Construction approval is hereby granted for a /,, in n n gallon ter" 3 8e�a n„, . 1 „ q / / Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in / 2' minim require ; a minimum f { sq. ft. of absorption area per begom ^; ' f -11- r r7 4- e.teC ? rer\ .:;I! 1 n , i r { dr ....f....f," .i 1 / •1 . is,:,. ^ . Th the no. of bedrooms 1 now x sq. ft. minimum requirement = a total of sq. ft. of abf area: (3 possible later) ' May we suggest: -3/44-1 r ?... e "" 4+ ©a. 1 .'1. Al 7 R . X3' r✓ /el ; r � i � 5= ! r y1 <., .`'i'�,e . e v- 3 .._ 1 2-- / a„, I nspector �T. �.0 i .. u.'N /, ro u.Q C _ _. Pint ( Oats. FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the S Disposal Laws until the assembled system is approved prior to cover• ing any part. N ■ 0 0 Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper P materials and assembly. l Cr j , ei_4C'k, Trade name of septic tank or aerated treatment unit. )/ , ✓3 Rot-049i e2c f3a) , �. / p► J �i n Adequate absorption (or dispel sal) area. k, / Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. ' Other i 3' / �" / 2 Inspector g b`y1 -- ' -w Date RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 'CONDITIONS: ' 1. All Installation must comply with all requirements offhetoloradoState Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 2. This permit Is valid only for connection to structures Which have fully complied with County zoning and building requirements. Connection to or use with any dwelling, or structures not approved by the Building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs, alters, or Installs an Indivtdtial sewage disposal system In a manner which Involves a knowing and material variation from the terms or specifications oontained in the application of permit commits a Class 1, Petty Offense (5500.00 fine — 8 months in jail or both.). Applicant: Green Copy Department: Pink Copy Application ' d ".` INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: 4 OWNER t( ) i I (l A VJ\ ' m l Gk 0. Y' lS j ) (�b n Y ADDRESS l (:a6 al `t PHONE C'2"{ -2- ?O5 I ,, � C e � CONTRACTOR_ (ti n M ( , e. L .... s _ e s e y �e � ADDRESS 3 r t, y 3 S' / Rn c� S / f PHONES 7l -- ,.Z 3 0eF Y•e 5■ I - PERMIT REQUEST FOR: ()4) 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 I , r � �, test holes, soil profiles in test holes. (See page 4.) F� V LOCATION OF PROPOSED FACILITY: County / • eeQQ /� Near what City of Town NCO) U:is4-1a -- I 0.0 / Lot S ' �` MDZ{Lcra2 Legal Description Six- ! d 0 r e e ! 1 /a /y o \ : - / /fo/t e es�rlehce ih p 5+ (see 4SSesSor / s ?Col S) WASTES TYPE: ( )() Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: n Number of bedrooms LN 90 (a� ptss(Io&D /aJeF)Iumber of persons ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( 7() well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: Muir If supplied by community water, give name or supplier: — GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:_,,/Q_t) 64S Ff([ l , 5 Pi Was an effort made to connect to connnunity system? A/ TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (l() Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: FINAL DISPOSAI, BY: (1) 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? /VD . 1 ID WMM CAA rasa A otaS uljll be_ duo do or- aID tit 7l /nare-k i(o ta reatd� ,. •• U.D — 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._ Name, 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 permft.is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to he 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. I 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 i ( � Z Si _ � ,0.∎ ea y- ______Of C AI PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY ?�2 1`l PA z L (Eh / ; rood re•- / 7 tt 1l I 4 5b P no Po Pa Q M • Jolla "4'--- • MA A ea-YUzQ 24, / Tat t t ykeieAC DI{tCk • . li disuse_ ryo . p coRd- .-- - --. j -- -- --. t r.... y p n, 2 ,.!.: .;. - '1. ...`a'R?CGG°4°F?' '�,` '+" ehto'ripssi'c <eYA:'P v s .:e'ffi.ti ::ss-vr»..eLi?'ku"4.wi4.j. `'i- ___ • i TOVVNSHIP 6 SOU TH, RANGE 9! WEST ,, THE 6.th �P 3` : Gorfield County, Colorado 0 75 150 300 Scale.' I "= 100 r ..t.eliu Lor 3 (5rc -4) 1 L ot s, )' 1 r.,,, /tOC n.+ t' ( A MSS T3l /1. 3!' " _ , -- _ __ ... _ .. — _ ` - ` { S 5 w /4 NE '/q SE i /4 NN'At c5EC a) r - \ E'ev 0 , I - L/. \ CAS �/' K�ntiS II AP ,', S C N EtE_/1\D IONS :C C'U' . � '$a = 30E AJO` ' N. 1 !/R 1 fa . a, • farsc / ' raeu/I •8 ' 1 PARCEL ''63 ss c a f 1 1 He / A . g / , 6 �� ,, A 1 4 4 8 5 o�EI • 5 J \D � .� c . i ` i 1b i 2 /3A 5 V" z s0 7 y L 7 F yb a\ ^ y i l •i G r f "" c.{ G\ ph -• - ` ` - • • t� \ °h1tr of \ t. d� � F; . / . 1 �... ra M �' ^.. \ qn ,� y ° tJ°p .F/ " EA3T L TS.00' /' O � 55e C n ...1 SA `' ° a 4 o O v �'(E L No 3 z L "o E ` ' ''1 RC F "1 11 , • 6- ".4 e /J / Fence - 7 iV Act , • y 'n4 Pisa - co Act 78 2 A ! ; d C J` .• .•Y - y A _ _ v2 02 . c; afr Z, O i . �f" A r 4,c No V, 1 J r I v - La 7 1°41_ ______ ---. pz �� — i ' ,: • 44 iitw - • / . • � I • /n..t : . �, .e) J 1" z { ,1T ° Ci e� L e.`I 0 t/ 5 _� n "' c OU a^ ,.a . I PGA 061'i r 1 °(/_ • I it n e 91 vest t1 Tl o O � . ';'� _ - `5ti.G t 0 - *93teey ttO' r 1 .1. t ply line o` .. •; -- the 6.e.Nld Countyi• YJ 's.;a•�- �..,�C ' r 4 �'�"' i ` +64. f ;..90,,;..3„.4.,„,...,.; ( l ✓ . , 39. E t L ] a i'" r s 4 /,,,,...::164 ' 1 e.:1-', r, "< , J t 73,': Y }, 'a ' R:s 1 . + rat : 5 tl ;12(,i a Y °'c { 5 ' .„ Sr r, 1 1 . 1 9 o- - v"' 3i e l an v + x r 1 r . w' > ? t >S5I 'm t 2 rfe f y ss s rt r , r i � r t {F ) (' � yry. /'',yy+ ra q ' y t a5 a, + 1?f te e ' 2 fiA r % x 0 .°r. 1 '> . 1 �n F > ° -E i sn . "- P , li v i 'K -. r Pr 6 id le -, i•{ t 1.4x.1 n. r 5 s ; '++ . -✓ , l Ii d. f p: ir n , i, / 4p, , ) • 5.'. 9 5 X C . °'r.* a f . } : 1J -' T 7 y '.' • 1 5 .- . .y. Jm ., //jj z r. w r A m f s a . l � • i %k o 5 rt2 r s v� ;a i' 's > �� .( . t( a f , $� r LM: [� (� //,�+ 0.r y} , P , 4" a) � i? f yy L t x '� � z4 14 r r• ., ,y ? .p a 4j.-.-0,.;,-.: / I"l�V � �LI Ea t S Ikit « T n v't ¢ , � . � ! IA`s § t h .,, y • , •4y !6 �T r � . :f " 't 1 ' *4 e s , ' t x , .< s "� z a , '' I. � t 1 , ( I�ARCU S ' ti :, . , . S Na 3 ' r � r 4 r kArr y � a p Y tg 1 ") 2 • " • 5'TUATtO IK ; 1 11ff. ' , i rc i " '4(c ky r ;, � 1 6.7 7 a v ". In ( F" 4`s' .. •#., SW I/4 tvE1 /4 0 5E1 /4NW! %� SECTION • � "�� ;'�' �' 1� a yg � � a 1 v ., 3.� i ' tv ' ff - �i . s'. T 6 S , R. 91 W, OF THE ' 6th P M. tV ( { + y es y { t X� ���d- l ? Tr w 1v ' � y •' t Wi 'N y'5 i I t A r � i '�� 1 }' 51.f 5' :. G ARFIELD COUNTY; O COLbFtA O y 1k is, ,t 1` l , s 1 . s �s , w , u � t g i u a i 7 o 3' r ti s: SCALE / - /QQ 1 f ' h:` f , IO i O I MA I , (11 Y.W 'C hg . ` „ t 1 b.PF:j_' t 1 - ,t ,' 1 1;;; I ' '''�k a "i � � :$� 1 0 ?3 .30 IOO Y00 ' 300. ` y � .'Sv • b , Y � r r4 tt A�.4 I t , PA[CFL No P , ' (rx7J1v77 t'^. < r, f < -- F a'' s ' ki , A P arce l et land 'Hutted f• tk. t. yrorj 2, '<1/2- - - g' • pd� 1 • '.„ . 6 6..,•' 1 , 6, ` .f + f '' ` 1: 1 vt t el ab< t fi. Pr t l.cipal 7lstl ' 11A, „ 1 f r riV.; 'a4'' o- sly a E Kohsll rofi7•� t 1 g. t V K } y [ ° 1 ads to 0ttce s n t eurveyc In 7 %$7 rig [ 6stdf t n 6er,1l} - *.nn t} Pt, &%. —r• G C f the Kvl.ne hvbdivi.i the t• t pee $ . -t ♦ n t o at . r d Not[heriy of the entthe tip .,, wiy7, „. 1 1 } •.rd Parcel o! ltd 1• mare fully deft ;l` <d N (011iMat 1 1 1 ,y(• , 2f ( r i j Beginning .e the [i[enact ion of tbi 5 1 ✓¢ l (Y�. '2! F dd)n iW .r' 44s t M , f i t4` s y • right -o( -.ray the whence a •tan• eotper r el � a, o >7 :)- tomes of said Section • balsa . coe2L i } H f W tlt1 { r t y feet along the arc et . c m to 0,. rli t , f ly d t.� .M''117 j, •�5 1} the chord of a a rk bear.: t 7 [0 tip. i R t 7 t Aats 4 r', ,, + ` ,g+.Y` of--w line; thence [.77 170 0 0 0.31 _ 0 _ $ i tact 74 + %' j i 4 1 i / G lint; these K.OB' 1]'19'L• 20126 fen 0OJ( Mgt t , ' , f„ said Parcel "t"; thence a 65 05 'A3't IN 1i l l £ 7 �., / of said Parcel t"; thence [ 5 5, 46. ? N Z {f 4 ► b t y( , 1 / of said Parcels 'a" sna "e ec. 41 • $ t Y : t #: Parce •'t "; the c• KO[7N 1°4 *9 LNE < IaL { r ► 1 r p (i # t' • � y t • t 4 R � f • y p 2]5.00 feet •lo [ se [d I [ [ tbn . e.. y1 iyi � rL vr" C p. n'I o[ Deg in.5ng, cent.inint 2 02 per. 0 •'[ pat! ,% F . ' � �' ^( < ' A parcel of land .itusted in the ..4l ,[y' Y t v r • rrl p d c Av +u • PANCEL Y0, 3: (7x ExPrlOtS r ! J 7 (" 3 � X, R JE 'h F" ; , Y •. t '' L ' s( oft Lawi' tie e 7oraxt 0 , er a a' �1 bin[ of ane Sixth Pi toct l Idiom Co t •2 1 I i n ' pa a .c; 11t ee� yj• p t in • 1 gyp t b,log • are t b. fp 1 •. .! fb e Ib W $. �' O. , R a k '. 12 southerly of the Northerly 5, Marta Ditch •• •.r vey id in 14.9, being tluf a t b•!1y 4444 f ry r �etj� w : Air s fR4K':: tunas Subdivision Exemption it 1971. .d P.re M 1 4nctib.l s i> ,{4 t4 i 4 } j , , S .., 1 ]6[54, •11 as !ilea in the Wet Can 4l.r/d. t ' ; , "2 of the Mcrtbe sign[ -o (-°f 11 . of Oi /i • J Er " t t {o( J . 1* r. ',� 2 • e ? line as cototruct ed and in pls H 1 <e, df l ived G tax• t o 1�. g1Kr r - r tit < a• felines: n i te[i"1"6 .t the latert ectioe of the vest 11 4 of in(d sttsb k 3 14,$.4,7 • sign[ -o(-ary Itne of •n id Ki g M q, Me.c • . �o a '' S id ;1 4 E *M[ bM ,vn warn the area[ Warier Corner of said fe i t. , .. {, SO . 29 07 x11243{ t gI l y k' 2.17 Ar_t thence Wrn (in 35 • V, .Ioy t6• vat 1[w o d t'FMI't {I 4{ t¢¢�>V bf.�2t in vet f th. ne; j 11.. NS'654 'lea( Hid fpt0 { i' j - s , +„ f urA • 11.9 n:,' to, . po int on the toocb HR of .00' wU S Parel ,KO. ly ' [►ter • g ( 1 . l,sll ''A }�• E�`a r - , 425,77 feet •long the Southerly Ism of • i • 1[0. 1[ .M4.. g ! b I :At 149.50 feet along the Seethed/ St" o[ .[id1 •D ")ab " ;, t •1.Y0 , u*4,,...i. + - [B4Ol feet .long the Southerly thee of eat 1_ ^D^ , ' ' Y r•' 5.72•05•52 "(, 24.35 feet along the So.tlr.rI.IIM of .b[d 7 j j b . r . F , 4'. 9.'9'11'10'1. 61.91 feet •I.ns the Scut h.r I(. o f N I p " i t ] { t ° ,S v ' E . S.70 130.21 feet •le.[ the twtyr 11,w..f }• � , .e vet? S.00'17'19 "E. 279.14 feet to • Poi" e• ..$hTtb•• pf .!l ' ss rG 5.77 "v, .long said right It'10 . 4 0l t..t,t. tb plw of gj pe -c b v containing 7.79 scree, nor. or less, ' r l e • i . } s .r t x 65 t 3 , 5 l . 5 ALSO a parcel of land situated is t M S ..ttta(`.Cy> . 1 ,y '� tt � t s ' -aL Y ; " • tante 11 vest of the stack Proec(pt rye Grfie}i ;.,-, " - " fu-art vearerly of A fence line as sow tons t rvc gel 4p 71.1., �.(j , . y $ 1 ` ' t i• re rally described as [olive.( , ^S- to -v' s . 4"4,..:6,.. 15 . . w.� -, :r 7 + 41- r r 3 NWJ Beginning at the intersect im of the vest It .t t[Id ., " t_p r 4� , ti *, • Lrtj , •,, line, whence the pint of begim[ e t t he • dne[( + l ine, henc 6'..24 (eat[, One 5 00 .41' • •I.s( q b , 5 . sftWot •35.16 I.t to • plat M time Mprtb r . �4(?e °( 4 f r as tl....re and N bitch; thaw* 11,11 t{ $ s*M g ( ti dltq F' ( tit • feet to • point in geld ttttetr fate line? b g • Op divas 4.n , 4 7 1 e hrter (once line 3t6.N [Mt t. On point yy •see•, rte or lean. c 4 Z.v a r Y..t. . dd$E r rag, • 1 vat d 'tali r f Section G Tcwncrre t J . 'f44Art: `'. • w'i�c C } v t . 5 ; 7. r t4Y' r ' r " I line 41 ee. ride Count', t - „rv,' The .boae too doui►eiw <a.bi• • *401:1 . a ' . - '; kr _j F�f 1 , Ina cl ;c xlpv.r rsc ` Q 0 #r d., ;7 n 1 ( C , u nt y R be No. 214, mod t ar 1 f 6,t " ' i f [ e o, su ed. a ton rx mod ones ( "et a *tit u nr " r s. ••sa parcel of laud a me fully �., ,,SrC zMPTI CV• ti ' � , . t +y , 7 Sti J!.�JY