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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit Iv ' 2466 i3
109 8th Street Suite 303 Assessor's Parcel No. k
Glenwood Springs, Colorado 81801 3y.
Phone (303) 945 -8212 y,
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' This does not constitute , 1
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or Inc permit. (fr..,
PROPERTY 1$
Owner's Name loel & Cane DaVenpOrtPresent Address P.O. Box 10596, Aspen Phone_ 927 -^3456 1y
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System Location in o County Road 112, Carbondale ,;
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Legal Description of Assessor's Parcel No. • 1'
l9 -', S.,. l: 1.151 ' life /, �' - o Y. ' 5m r,,a r „an ,
SYSTEM DESIGN -S X 1 t / pr. '/'% 'S'I t /1_1 "/ r fir
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A ��� + ',air( r �.
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L . Septic Tank Capacity (gallon) Other y
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5
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5 (- C Percolation Rate (minutes/inch) Number of Bedrooms (or other) 3 (' /u • 0 r r, s Yf 1 1:
C ,4 0 / /te,e) /,ti6 - GO' /�';,i✓ r� ... _ 7 - .#C`r,d+
Required Absorption Area - See Attached y ,--...
Special Setback Requirements:
Date Inspector i
FINAL SYSTEM INSPECTION AND APPROVAL (as installed) r
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Call for Inspection (24 hours notice) Before Covering Installation (
System Installer_ ,..Z`/ /S 9_ ` a444 Cu. • (--O ■e le 's /9. /5
as
Septic Tank Capacity /2 - z ,
Septic Tank Manufacturer or Trade Name _a/"t -We
Septic Tank Access within 8" of surface Gb /TN P,leA/ S'! .1/ . �'k t r k t r
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Absorption Area 7 X04../.5 4, /1 /..,/c.2. Top A'Y.Y( . :1
Absorption Area Type and /or Manufacturer or Trade Name /Aid / - WA 47 'f 44 ,d
Adequate compliance with County and State regulations /requirements )/!"5 - 'V) Abe "Ye /{5a f
a %fi 'i-",' e Y74 C $
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Other 1
Date-44/1-L Inspector CrA,Ne NTA(03.30// t f
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RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE }
*CONDITIONS: 1
1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter I it
25, Article 10 C.R.S. 1973, Revised 1984. - 4
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
requirement of the permit and cause for both legal action and revocation of the permit. p
3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material 5
variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — f
months in )ail or both).
Applicant: Green Copy Department: Pink Copy t
7 INDIYIDUAISLWAGILD_ISPOSAL SYSTEM11PPIICATJON
OWNER TC ,-m?es Tett r- ativt,uPo
ADDRESS Po. RoX io S 9h AS pit.) Co ffW/ /PHONE I/ 917— 3Y5ff w 92.5 3zzl
CONTRACTOR 54 ft !' Soo&,P &oN nveTioa to
ADDRESS PQ /2oX 5??L- SMlw//'/ASS Ohl Ah& PHONE
PERMIT 12EQLJEST FOR (X) 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).
LOCA17ON-nl? PRQPQSljtFACILITY: COUNTY GHR r /ELJ) vily
Near what City or Town EA J EBEL Lot
Legal Description NoETHEAsT nF THE hoeifijiSTy sr.cTiocv Z3) T w,vnqf 7 501 RAN6f I'S
WEST (*THE siAtfl Pm, Rao CUD IN p,< 71Y AT MeL 7* of TIE P.ECner f1F (AP / /n t ovuTY
WAS "I IiS_L'YPE: (x) Dwelling Laail& /siDF D s ag-��RNU APLgD To 94e/<
�( ) r tie se 57
()Commercial or Industrial ( ) Non - domestic Wastes
( ) Other - Describe
BUILDING O12 SERVICE TYPE: FL-Sib s*JTA2 flo E
Number of bedrooms: 3 Number of persons Z
(1) Garbage Grinder ( /) Automatic Washer (1) Dishwasher
SOUI2CLAND_T_YPE.DILWA EILSUP_P-LY: (X) WELL () SPRING () STREAM OR CREEK
Give depth of all wells within 1811 feet of system: X30 FT
If supplied by con water, give name of supplier: do «644 at vN'rry 1.c,A7f 1P
GROUN ISQNDITIONS: /
Depth to bedrock:
Depth to first Ground Wider Table: 99 0 //
Percent Grotuul Slope:
DISTANCE TO NEAREST COMMIJN►'fT SEWER SYSTEM: POT /'G /M ll-A BL.t
Was an effort made to connect to community system? No
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYS'T'EM PROPOSED:
(A) 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:
( ) Absorption Trench, Berl or Pit ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe:
WIL.I. EFFLUENT BE DISCI IARGFD DIR IiiCl'LY INTO WATERS OF THE STATE? PO
' PERCOLATION-1IiST_RESLLTS: (To be completed by Registered Professional Engineer)
Minutes per inch in hole No. 1 Minutes per inch in Bole No. 3
Minutes per inch in hole No. 2 Minutes per inch in Hole No.
Name, address and telephone of RPE who made soil a )soAptiort tests: TFIQOwtE' 6,qm 8/9 f
• So cm ES
gtn,noron S(fiiv &s ch 816 • �% Se 2/y Pn /�rs�
Name, address and telephone of RPE responsible design of the system:
Applicant acknowledges That the completeness of the appliction 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 permit is subject to such terms and conditions as deemed necessary to inusrecotnpliance with
rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby
certifies That all statements make, 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 bre relied on by the local department of health in evl the same fro purposes of issuing
the permit applied for herein. 1 furt understand 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 fo r perjury as provided by law.
Signecl.4/v/J-mrr,...r1 /r+w� .d^ff.A71 Dale 6 /9- 93
PLE ASEDRAYLAN IICCLIRATILMAP_"1'4 YQUI? P13.4P_ERTY •
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Us - s,,J W•ucrii CreuuLaVe noUSIIlts LO,1SUl
OI:r " V 04 IVG 19'LV Visn41\1 1411.L , Ilul nv. JJJJIV{LJV
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JEROME OAMBA & ASSOCIATES, INC.
CONSULTING ENGINEEN$ & LAND 8URVETOR8 1 _ � . 1
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mom Matt Win 214 ROAM 6901 y .
pa� los.00tociAoo 9t00t•tal Ha09A PRIMO, OG.7M70 11167 . ` '�
t FM MA$41WO 71049: (Xs) 731!79 ramps 7311M
lj9S•2 August 26, 1994
Chuck IIotcltkls
0840 County Rd. 112
Carbondale, Co. 81673
bear Mr. HVkldes% • – , ^ — ,. •• ^ •
.h•IUO;r• Candid e.. Atiara.l'1: is Oh t•1 hove Ur- oplortunit: to work with you in the development
of the s.plv:::ystemR fnr lair; Et and (:. 19netr• {HO I•rmwsUS C +c II t4L.: r f Illy Percolation 9'esst
performed on Friday. August 19. 19N. i
Pcituldtiou Rut: (Miu.!In.)
T13TPIT I TC:T PIT i TEu PIT 3 • •
t .. 0 30 80 •
1,0 63 60 60
it you have Atty further questions: l.uurerunlg the pciria4atin.t Lea, please feel inn to [xut4a t us at our
Glenwood Springs office, .
'mcerely yours, • 1
JEROME GAM BA k: ASSOCIATES, Inc.
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N a rivig,s
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Mike Roth, Engineering'I'nchnician '° .
cc: Stuart'rine of Glenwood Springs Inc. , • .
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VL',N 19 '95 OB:04RM SNC INN F.1
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SAMUELSON PUMP CO. INC.
P.0, BOX 297 WATER SYSTEMS
GLENW00D SPRINGS SALES, SERVICE & INSTALLATION
COLORADO 81602 945.6309
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January 30, 1995
Joel Davenport
P.O. Box 10596
Aspen, Co. 81612
Atten; Joel
On January 26, 1995 a well test was conducted on a new
well on the Hotchkiss property on 112 road. Well Permit number
M823085. The following information was obtained;
Well Depth 130' -0"
Casing size (top) 7 "(steel)
Standing water level 99' -0"
Drawdown @ 27 gpm 99' -1/2"
Production is greater than - - -27 gpm
Hardness 14 grains /gal.
Iron 0,0 mg /1
pH B.0
This test was conducted with a 1 1/2 hp. Goulds test pump
Model 18E. If you have any questions please call me Raun
Samuelson at 945 -6309.
Sincerely;
Raun Samuelson
5 0' , 02 O /yJ.
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• 3. TITLE TO THE ESTATE OR INTEREST IN THE LAND IS VESTED IN:
CASSANDRA GREIG- DAVENPORT AND JOEL F. DAVENPORT
4. THE LAND REFERRED TO IN THIS POLICY IS DESCRIBED AS FOLLOWS:
A tract of land situated in the Northeast 1/4 of the Northeast
1/4 Section 23, Township 7 South, Range 88 West of the Sixth
P.M., being a portion of that Tract as described in Document
recorded in Book 724 at Page 741 of the Records of Garfield
County, Colorado, and being more particularly described as
follows
Beginning at the Northeast corner of said Section 23, said
Northeast corner being a Standard Monument bearing a Garfield
County Surveyors' Brass Cap,
then along the North line of said Tract as described in said
Document recorded in Book 724 at Page 741, 8. 89 degrees 54'08"
W. a distance of 318.07 feet to the Westerly line of said Tract
as described in said Document;
then along said Westerly line S. 13 degrees 23 W. a distance
of 267.65 feet;
then departing said Westerly line N. 89 degrees $4'08" E. a
distance of 360.68 feet to a point in an existing fence;
then along said fence N. 04 degrees 15'00" E. a distance of
261.02 feet to the Point of Beginning,
COUNTY OF GARFIELD
STATE OF COLORADO
g e 5 Continued on next page
AUTHORIZED
COUNTERSIGNATURE
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