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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N: 208 r
9 1 i l
109 8th Street SuI1e 303 A re Parcel No.
Glenwood Springs, Colorado 81801
Phone (303) 945 -8212 tj
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This does not constitute I , I li
\\ INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
‘.PROPERTY
Greg Bever 0185 Ingersoll Lane, Silt 876 -5400
Owner's Name Present Address Phone
0185 Ingersoll lane, alit
System Location
Legal Description of Assessor's Parcel No. , S
SYSTEM DESIGN Fi Ins Ca< Art Ay
1
Septic Tank Capacity (gallon) Other
f
Percolation Rate (minutes/inch) Number of Bedrooms (or other)
3 -
Required Absorption Area - See Attached
i.
- Spelel Setback tequirements: (
IR D o Inspector V
r FINAL 81 T EM INSPECTION AND APPROVAL (as Installed)
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Call for Inspection (24 hours notice) Before Covering Installation ._ , l "�CM
I' System Installer O) W 7 , ' 2'/ ? f o CA r 1.i) • C.e -» C1--)r. I
a ( -ptv;, ,ytz .
Septic Tank Capacity /er30 . ' 4j C L PPL4 . .
1.
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Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8 8" of surface iri/f /, rigrevJ4,J R,(S fe< '
, • Absorption Area y4y ' ,1 � ' et ) RFc " 'N it 1� 1J Y� f"i ✓ ti ,ii2c�ir�1 rc,v/r ,' f
Absorption Area Type and /or Manufacturer or Trade Name i fa f 1 - 1i i
91 nrzgs 1 R6clars ° N 'rH6 Fist 6 Y
Adequ(tte compliance with County and State regulations/re• uirem; t; I' t .. 4 • . t. r : .
.0 4m#144-77,0 S �4'
rdJ or 6R✓ic Lime. th c cuO k
Other � ' - .. , , . . . • r - 'C .. — it
Date „L��' / 1 Inspector •/��� ^ ' /„7 „
/ I RETAIN WITH}I RECEIPT RECORDS AT CONSTRUCTION SITE
/yi oTC: A h s AGCu M GNtIt -ION kids Sw,ci„1 r >r sub Is A c / ✓6 A
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*CONDITIONS: rsrnm Ai V�RIFy T d 4 E4c � V r,CM ,NsrI ,l M o yi ∎_safe
1. All installation must comply with a r ao ' h or do State of Health mammal Sewage Wow Systems Chapt
25, Article 10 C.R.S. 1973, Revised 1984.
2. This permit Is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- $ `.
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a i .
requirement of the permit and cause for both legal lotion and revocation of the permit.\
3. Any person who constructs, alters, or installs an Individual seWage disposal system in a manner which Involves a knowing and material k
variation from the terms or specifications contained In the application of permit commits a Gass I, Petty Offense (4500.00 fine — 8 r
months In Jail or both).
,
Applicant: Green Copy Department: Pink Copy i
Application
".' ,, / �ZVrr INDIVIDUAL SEWAGE DISPOSAL SYSTEM APP_IICATiON Approval by
OIJN G ER «:j County Official:
ADDRESS () \ 'Pi-str90 V Lp.r C_ 514 (0 PHONE ¶'7 4yaa
CONTRACTOR
ADDRESS PHONE
PERMIT REQUEST FOR: (\/) New Installation ( ) Alteration ( ) Repair
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable building, location of potable water wells, soil percolation
test holes, soil profiles in test holes. (See page 4.)
LOCATION OF PROPOSED FACILITY: County 6r 0 l>[= +
Near what City of Town 5;kk Lot Size 5(_ Acres
_
Legal Description /7p—/ 0 $'y✓j .5 3o rC$ k 9/ 4
WASTES TYPE: (✓) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE:
Number of bedrooms 3 - _ Number of persons ( _
( ) Garbage grinder (1) Automatic washer (✓) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ✓) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: ror4005y( (24-61 di Fu li.!c awa
If supplied by community water, give name or supplier: T _ —
GROUND CONDITIONS: �—
Depth to bedrock: Uwkv�od� b0l vct,.4L . Z - 2a saf ---- - - - ---
Depth to first Ground Water Table:
Percent ground slope: 2 ` s%
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 2- »- cs
Was an effort made to connect to community system? NA
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(1) Septic Tank ( ) Aeration Plant ( ) Vault
( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use
• ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use
( ) Chemical Toilet ( ) Other - Describe:
FINAL DISPOSAL BY:
( 4 1 Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe:
WILL EFFLUENT BE DISCIHARGED DIRECTLY INTO WATERS OF TIIE STATE? tit)
•
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 Mo.___
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 pe rniftis subject to
such terms and conditions as deemed necessary to insure compliance with rules and regulations
adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies
that all statements made, information and reports submitted herewith and required to be
submitted by the applicant are or will be represented to be true and correct to the best
of my knowledge and belief and are designed to be relied on by the local department of health
in evaluating the same for purposes of issuing the permit applied for herein. 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 .2 // 4 Signed � 7,e14t-r.— — PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
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June 2, 1993
Michael Watts
Garfield County Building Dept.
109 8th Str.
Glenwood Springs, CO 81601
RE: Lampiris ISDS
HCE file # 92004.08
Dear Michael:
A percolation test has been performed under our supervision on the Lampiris property at 0185
Ingersol Lane near Silt, Colorado. The test indicated an average rate of 18 minutes per inch,
but we recommend a design rate of 20 minutes per inch. For the three bedroom house
proposed, an absorption field size of at least 604 square feet would be required.
If you have any questions please call.
Sincerely,
HIGH COUNTRY EN INEERING, INC.
Tim thy P. Beck, P.E.
Prin 'pal Engineer
TPB: kc
923 Cooper Avenue • Glenwood Springs, CO 81601
Telephone: 303.945 -8676 • FAX: 303-945-2555
•
Nicholas Lampiris, Ph.D. t! '
CONSULTING GEOLOGIST
OW 177
2 2 w p /(b i
P.O. BOX 2
SILT, COLORADO 81652 'C1 COUNT
(303) 876 -5400 (24 HOURS) IE D I
♦ .... .. ..
June 18, 1993
Barfield County Building Department
RE: Bever Leach Field
To Whom It May Concern:
This is to certify that the following three individuals
participated in completing the leach field according to Garfield
County regulations. Six inches of 1 1/2 inch gravel was first
laid in the excavation, then the two loops of perforated pipe
were placed, glued, in each pit, taking care for them to be as
level as possible.
Six more inches of screened gravel were added so that the pipe
was covered by two inches. Then four inches of straw were laid
on top before covering with soil to original grade. A
distribution box was used to direct flow evenly to each bed.
To this we attest.
Sincerely,
Nicholas Lampiris 219Yc1,
Jim Coddington AI
Craig Wallace
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CONCRETE INCORPORATED ' . I Tf` l, I - - i i UM Z Iri 3
Manufacturers of Precast Concrete Products (......
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Also Distributor of Related Items )1 GARFIR 0 Cc )unfry
28803 U.S. Hwy. 6 Rifle, Colorado 81650
625-1112 44 .
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SOLD TO ' --
DATE RESALE MDSE RETD JOB NO P 0 NUMBEfi
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CUSTOMER NO. SALESMAN PHONE NO. PERSON CALLING JOB NAME
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WEIGHT I I' ENI :1130.4% DESCRIPTION UNIT PRICE EXTENSION
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(211C 1 t' ' n `,7/ r ' I) ( I i r / y ( C.-)
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pvc ( 70'
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WARRANTY ON ABOVE-LISTED MATERIAL (INCLUDING NEW MACHINES, PARTS & SUPPLIES) 15 LIMITED - ----- c 0
TO THAT AS PROVIDED BY THE MANUFACTURER, COPIES OF WHICH ARE AVAILABLE UPON REQUEST. -7,5 -2
DRIVER'S SIGNATURE i . CUSTOMERS SIGNATURE
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i i rl ' STATE TAX
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GARFIELD CO TAX
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't THANK ,YOU TOTAL /1/. ,er
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INVOICE N° 7711 (dILF1.17413MIUDCTIOAATC0crudrierzAriCEEll I M H O T NETA( E WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%)
C D 30 DAYS
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as 1 INVOICE M � . 6 4t67 CASEY CONCRETE t1 = ` e .. ,' r
P.O. Box 1815 r"
Rifle, Colorado 81650 Phone: 625 -3489 • 625 -1464 ' 8 l I, .�r
' Carbondale: 963 0180 ' / /GI /� ' ' ���
Job No Pa. No Dpte �.. ^ -� RE . I h CO `•-Y
� bs�fY -rG VWr`1
Invoice To ) 1- ) ( _�' C, � .��. .... _.. ..._ , W _.. ... _... .
,lob Location (,/ c C J ( )t �.e -lS ._(.,-( ' ( ..
WPIYM Sl J(IS SIZE
Mailing Address DEPART .100 SITE
WE w
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QUANTITY CODE 11�/PRICE .1 1. ` ( i 1 AMOUNT
I +'I /' I /0 2 —; 1. �/ r ROA BASE ` � ' 1' 'A Y. Sand
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/ �1L 7
RIP RAP PIT RUN
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OTHER: (� Gross S /
_ .se �` Tare 2 2. ,: . , se)
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HAULED BY:Ci t� f ( NET ✓ C 1 ( � �/ U �'"
o- - _ ' _— WEIGHER:
In the event of delivery beyond curb line, this co pigny w,
not assume liability for damage to sidewalk, drivewa 'dPother ES .TAX
ro R �C
p
The y.
purchaser shall in no event accept deliveries o}Tnaleda COUNTY -'))
not in accord with the agreement of the parties, but such materials TAX G�
shall be refused by the purchaser and returned to the seller with STATE / ; �/
a written statement o1 the reason for the refusal thereof. Other- TAX CJ
wise receipt of such materials and the signature of the consignee
or the consignee's agent shall preclude any and all claims by TIME FOR
purchaser. MINIMUM
No cancellation accepted after Aggregate has been loaded LOAD CHARGE I
in carrier's Carrier's truck at our plant
Invoices Due on 10th of the Month - A TOTAL COST
FINANCE CHARGE OF 2e per Month, ---
which is an ANNUAL RATE o124%, will be / -
dharged on all accounts not paid by the. )
following billing date. i r 6 ' .I
RECEIVED IN GOOD CONDITION, .
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AJ g INVOICE !h , 0 47b $ CASEY CONCRETE P oas JO t
P.O. Box 1815 "' "" ""°
• Rile, Colorado 81650 Phone: 625 -3489 • 625-14. elE UN : j
0 99 '
Carbondale: 963 -0180 r 1' •
Job No. P.O. No. Date ✓. -' )
( r' "t.
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Invoice To --
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TIME OW
Job Location . �' r“ .! <= Si / 7 4 f /1 AR
RIV.I AT AR &,E
Melling Address DEPART TOR 61,[
LIME to
OUANTITY CODE PRICE '` \' AMOUNT
�-�^ WASHED' (1rh" •/." .�" Sand / f1
/ L I , is 1 ty `J ." ROAD BASE 1 h" ./i" yl (( V
RIP RAP PIT RUN
OTHER: Gross , kit
Tare -•,? I 5 l% (3 }}
HAULED BY: NET 2 )(1)() I
WEIGHER:
In the event of delivery beyond curb line, this company will CITY
' not assume liability for damage to sidewalk, driveway or other TAX
property.
The purchaser shall in no event accept deliveries of materials COUNTY ,\
not in accord with the agreement of the parties, but such materials TAX ( . 62 !, �/
shall be refused by the purchase( and returned to the seller with STATE
' , a written statement of the reason for the refusal thereof. Other• TAX • ( ., 5S
wise receipt of such materials and the signature of the consignee
or the Consignee's agent shall preclude any and all claims by TIME FOR '1. 1 , / �`
purhaser. MINIMUM f l
LOAD CHARGE
No cancellation accepted after Aggregate has been loaded �'
In carrier's truck at our plant. , '(
Invoices Due on 10th of the Month - A TOTAL COST / f y �c- f�
FINANCE CHARGE OF 2% per Month,
which Is an ANNUAL RATE of 24 %, will be }
charged on all accounts not paid by the l.' • *l
following billing date.
.�µ. RECEIVED IN 000D CONDITION
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INVOICE N4 P . bit$4 CASEY CONCRETE
P.O. Box 1815 f l ,gyp
Rifle, Colorado 81650 Phone: 625-3489 • 625-4 ?c '/ 1 ' fit I C arbondale: 963-0180
Job No P.O No. Date ` - /- ` • c
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N--/ • / I
Invoice T K . F� 'Cl K - . � Y'� � ..y , I i _ �„
1 � IMF w,
Job Location ( 1:S J— r k. � - � , - . l )C' It L. 7I tc.-
uwvu a vae VIE
Mailing Address (*PAR,' JOB alt '
u ry
OUANTITY CODE PRICE T %� I- = f ' • - " / � AMOUNT
r
, / / \a/AAh.ED. l 1 h" 3 A" %" Sand , / � , (./C c ' � (/ , ROAD BASE 11/2" Y." ' /2 1 mo /O
RIP RAP PIT RUN y
I OTHER: r G ros s 62 C/� ' '1
Tare 2. /� ` )?..)0 J B� -..
' HAULED BV; NET )t, ( 2( / f r,/ �_ ),
WEIGHER;
In the event of delivery beyond curb line, this company will CITY
. not assume liability for damage to sidewalk, driveway or other TAX
property.
The purchaser shall in no event accept deliveries of materials COUNTY I o o j S
not In accord with the agreement of the parties, but such materials
shall be refused by the purchaser and returned to the seller with STATE ,,.. rrr��'
a written statement of the reason for the refusal thereof. Other- TAX ' c) -) 2. 7X
wise receipt of such materials and the signature of the consignee - 'J
or the consignee's agent shall preclude any and all claims by TIME FOR I . /\ ✓ G Q •
purchaser. MINIMUM / 4 ']
No cancellation accepted after Aggregate has been loaded LOAD CHARGE 7 ,
in carriers truck at our plant. I T// r.
Invoices Due on 70th of the Month - A TOTAL COST
FINANCE CHARGE OF 2% per Month,
�
which is an ANNUAL RATE of 24%, will be
charged on all accounts not paid by the
following billing date. / -
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ACTION SHOP SERVICES
•
RENTAL & SALES I UN 2 2 19931
ZW5Hwy6 4
ADVANCE COI tu CT
Rine, Colorado 81650 GAFIFF4)
tA Eci99
Phone: (303) 625-0943
Date : 06/13/93
Page :
Bill to: Ship to:
NICK LAMPIRIS NICK LAMPIRIS
PO BOX 2 PO BOX 2
SILT, CO 81652 SILT, CO 81652
Order if 5650 Customer PO # Date out -----
Customer L5400 Ship via.... CUSTOMER PICKUP Due in
Order date 06/13/93 Terms COD Returned
•
Qty Item-# Description Unit price Extended
•
***ADVANCE CONTRACT -- NOT A N INVOICE***
1 RRBH100BB JOHN DEERE BACKHOE 225.00 725.00
per DAY
Rental for 06/14/93 thru 06/15/93
14 *DELIVERY DELIVERYVER MILE 2.50 35.00
MILE Sale ij / per MILE
!Lt.:it/9 Ili'
Pay by... On account
cid0 y
THIS DOCUMENT 15 A CONTRACT UNDER WHICH WE RENT THE EQUIPMENT SPECIFIED ABOVE TO YOU. YOU SHOULD
FAMILIARIZE YOURSELF INITH ITS UNUSUAL FEATURESSO THERE WILL BE NO M ISUNDERSTANDINGS AS TO YOUR OBLIEIATIONS. `.
THE WORDS RENTER you AND YOURS MEAN THE PERSONS WHO SIGN THIS RENTAL CONTRACT (OR ARE OBLIGATE D UNDER ITS
MS WE, OUR, US AND ACTION SHOP SERVICES REFER TO ACTION SHOP SERVICES, OR ITS DESIGNATED AGENT.
FirtirOMME
TO,FARE FOR AND RETURN IHE EQUIPMENT RENTED. THEY ARE PART OF THIS CONTRACT • READ THEM.
NOTIFY US IMMEDIATELY IF EQUIPMENT DOES NOT FUNCTION PROPERLY OR NO REFUND OR ALLOWANCES WILL BE MADE.S 1 ? AMC 1 ; 260.00
1 ACKNOWLEDGE RECEIPT OF GOOD ORDER IN THE EQUIPMENT RENTED. AND THAT I HAVE READ AND AGREE TO ALL THE
TERMS OF THIS CONTRACT.
Slots 1'4V 7.7:1
n . _„ _
.
MUN 2 2 1993
•
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INVOICE NO.
3030
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SHIPPED TO
. SOLD TO / I/ A/)/ /Q /s
STREET & NO.
STREET & N O.
`� _ Sl'ATE ZIP
��ss STATE ZIP CITY
CITY / / 49519 / p� L � / _ TERMS .- _— .--- ___ - -___ F.O.H. RT 6 'is
CUSTOMER'S ORDER SALESMAN
W ' G
0 re /� - 76-1
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