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�r G_ 074- 50 7 - GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945.8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name System Location Caldwell, Jim Present Address _/ q7.8 OL)R. 1(q UJ` G Legal Description of Assessor's Parcel No. +C l V �" SYSTEM DESIGN Septic Tank Capacity (gallon) Other Permit 4 3 1 7 Assessors J Parcel No)3. - -r This does not constitute a building or use permit. �5 C: 1 L+ Phone C7 730o Percolation Rate (minutes/inch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: Date . _ Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) .5)/:,5";77k /11ltirQ S _IGS /6-/1..%37' - Call for Inspection (24 hours notice) Before Covering Installation„/ Az -c f - ipi System Installer )t $ 4f�„ - %tl ref7 7371/71_' CALptM 6- -57:0'1772./7 Septic Tank Capacity Septic Tank Manufacturer or Trade Name Septic Tank. Access within 8” of surface Absorption Area Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Date Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the Colorado State 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. 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. 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 months in jail or both). White - APPLICANT Yellow - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER m CALL ADDRESS 14472 WO 2c)-, CONTRACTOR C)Rei PHONE 96 l MO ADDRESS PHONE'37 -7' 75 PERMIT REQUEST FOR ( ) NEW INSTALLATION ( ) ALTERATION X REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4). LOCATION OF PROPOSED FACILITY: Near what City of Town OK 6�.4% t -C Size of Lot c t, 4 R ..R6 Legal Description or Address 1 q 7? 1-1)',J + , e 4 i 14 3 WASTES TYPE: DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER -DESCRIBE BUILDING OR SERVICE TYPE: Number of Bedrooms '- Number of Persons Garbage Grinder ( ) Automatic Washer XDishwasher SOURCE AND TYPE OF WATER SUPPLY: WELL ( ) SPRING If supplied by Community Water, give name of supplier: 11 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: NJA ( ) STREAM OR CREEK Was an effort made to connect to the Community System? 14121 A site plan is required to be submitted that indicates the following MINIMUM distances: Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System (septic tank & disposal field) to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS, Depth to first Ground Water Table Percent Ground Slope 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: SEPTIC TANK ( ) AERATION PLANT VAULT PRIVY ( ) COMPOSTING TOILET PIT PRIVY ( ) INCINERATION TOILET CHEMICAL TOILET( ) OTHER -DESCRIBE ( ( ( VAULT RECYCLING, POTABLE USE RECYCLING, OTHER USE FINAL DISPOSAL BY: ABSORPTION TRENCH, BED OR PIT UNDERGROUND DISPERSAL ABOVE GROUND DISPERSAL OTHER -DESCRIBE ( ) EVAPOTRANSPIRATION ( ) SAND FILTER f l WASTEWATER POND WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? 14 PERCOLATION TEST RESULTS: (To be completed by Registered. Professional Engineer, if the Engineer does the Percolation Test) Minutes per inch in hole No. I Minutes per inch in hole No. 2 Minutes per inch in hole No. 3 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: G\s/ 1a 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 purposed of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations 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 understand that any falsification or misrepresentation may result in the denial of the application or revocation of any pennit granted based upon said application and in legal action for perjury as provided by law, Signed Date / PLEASE DR AN ACCURATE MAP TO YOUR PROPERTY!! 3 Designate North Arrow vsl Your Neighbor's Name & Address Your Flot - Shape to Fit (No Scale) fe�- R, 3 P[1 TRAt NsN Lni), Loiate well, all streams, irrigation ditchs, and any water courses. Draw in your house, septic tank & system, detached garages, and driveway. If a change of location is necessary, you must submit a corrected drawing, before a Certificate of Occupation will be issued. Name & Address County Road (Note the Road Number and Name) nc e+.xryuinbnwcpcinealplallnc Parcel Detail Page 1 of 4 Garfield County Assessor/Treasurer Parcel Detail Information Asses soriTreasurer Property Search ! Assessor Subset Query j Assessor Sales Search Clerk & Recorder Reception Search Basic Building Characteristics f Tax Information Parcel Detail I Value Detail I Sales Detail I Residential/Commercial Improvement Detail Land Detail j Photographs Tax Area Account Number Parcel Number Mill Levy 011 R011611 239132200031 63.103 Owner Name and Mailing Address CALDWELL. JAMES MATTHEW PO BOX 725 CARBONDALE, CO 81623 Legal Description. SECT,TWN,RNG:32-7-87 DESC: TR IN LOTS 4 & 5 BK:1093 PG:0694 BK:1066 PG:0884 BK:0588 PG:0320 BK:0581 PG:0212 BK:0580 PG:0430 BK:0580 PG:0383 BK:0580 PG:0205 BK:0572 PG:0357 BK:0571 PG:0026 BK:1848 PG:341 RECPT:708118 BK:1842 PG:757 RECPT:706882 BK:1829 PG:919 RECPT:703930 BK:1646 PG:672 RECPT:664933 BK:1646 PG:671 RECPT:664932 BK:1377 PG:706 RECPT:608852 BK:1093 PG:0690 BK:931 PG:545 BK:931 PG:542 BK:931 PG:539 BK:0706 PG:0467 BK:0597 PG:0079 Location http:/lwww.garcoact.cornlassessorfParcel.asp?AccountNumber=R011611 5/30/2007 Parcel Detail Page 2 of 4 Physical Address: [16478 HIGHWAY 82 CARBONDALE Subdivision: Land: Land Acres: 2.43 Land Sy Ft: 0 Section Township Range 32 7 87 Property Tax Valuation Information Sale Date: Sale Price: 9/20/2006 449,000 Basic Building Characteristics Number of Residential Actual Value Assessed Value Land: 187,000 14,890 Improvements: 215,380 17.140 Total: 402,380 32,030 Sale Date: Sale Price: 9/20/2006 449,000 Basic Building Characteristics Number of Residential Residential Building Occurrence 1 Characteristics Buildings: 1 Number of Comm/Ind ABSTRACT CODE: Buildings: 0 http:llwww. garcoact.comlassessorlParce l.asp?AccountNumber=RDI 1611 5/3012007 Residential Building Occurrence 1 Characteristics 1 TOTAL HEATED AREA: 1,548 ABSTRACT CODE: SINGLE PAM.RES IMPROVEMTS ARCHITECTURAL STYLE: TRI LEVEL EXTERIOR WALL: WD SIDING ROOF COVER: COMP SHNGL ROOF STRUCTURE: SHED INTERIOR WALL: DRYWALL FLOOR: CARPET FLOOR: SHT VINYL HEATING FUEL: ELECTRIC HEATING TYPE: ELEC BS BD STORIES: STORIES 1.0 http:llwww. garcoact.comlassessorlParce l.asp?AccountNumber=RDI 1611 5/3012007 Parcel Detail Page 3 of 4 BATHS: 1 1.5 C ROOMS: 4 UNITS: 1 BEDROOMS: 2 YEAR BUILT: 1982 Tax Information Tax Year Transaction Type Amount 2006 Tax Payment: Whole ($1,500.60) 2006 Tax Amount $1,500.60 2005 Tax Sale Redemption ($1,557.31) 2005 Fee Payment ($7.00) 2005 Fee Charge 57.00 2005 Interest Payment f (536.34) 2005 Interest Charge $36.34 2005 Tax Payment: Whole (51,507.10) 2005 Interest Charge 545.21 2005 Interest Payment ($45.21) 2005 Fee Charge 55.00 2005 Tax Endorsement $1,557.31 2005 Fee Payment (55.00) 2005 Tax Amount $1,507.10 2004 Tax Sale Redemption r ($1,709.36) 2004 Interest Charge $199.43 2004 Interest Payment (5199.43) 2004 Fee Payment (54.00) 2004 Tax Payment: Whole ($1,570.10) 2004 Interest Charge 5109.91 2004 Interest Payment ($109.91) 2004 Fee Payment (525.35) 2004 Tax Sale $1,709.36 2004 Fee Charge 54.00 2004 Fee Charge 525.35 2004 Tax Amount S1,570.10 2003 Tax Payment: Second Half (5660.00) 2003 Tax Payment: First Half ($660.00) 2003 Tax Amount 51.320.00 r hap : //w ww.garcoact.cotnlassessor/Parcel.asp?AccountN a rnbez =8011611 5/3012007 -Parcel Detail Page 4 of 4 2002 1 Tax Payment: Second Half 11 ($709.46)I 2002 Tax Payment: First Half ($709.46) 2002 Tax Amount $1,418.92 2001 Tax Payment: Second Half ($713.39). 2001 Tax Payment: First Half ($713.39) 2001 Tax Amount $1,426.78 2000 Tax Payment: Second Ilalf ($671.36) 2000 Tax Payment: First Half ($671.36) 2000 Tax Amount $1,342.72 1999 Tax Payment: Second Half (n662.24) 1999 Tax Payment: First Half (S662.24) 1999 Tax Amount $1,324.48 Top of Page Assessor Database Search Options Treasurer firer Database Search Options Clerk & Recorder Database Search Options Ciarfield County Home PaEc The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to wat-rant any of the information herein contained. Copyright © 2005 - 2006 Good Turns Software. All Rights Reserved. Database & Web Design by Good. Turns Software. http:lfwww.garcoact.corn/assessor/Parcel.asp?AccountNuntber=R011611 5130/2007 COUNTY OF GARFIELD - BUILDING DEPARTMENT CORRECTION NOTICE 108 8th St., Suite 201 Glenwood Springs, Colorado Phone (970) 945-8212 Job located at 1.4 Permit No. g3/7 I have this day inspected this structure and these premises and found the following corrections needed: 1)747- „ee,r.ek,caeL,L6.6--e."-e/1_ '/e0,1,e/ .ieer070cA. eit,tcLe,eth „6-4, You are hereby notified that the above correction must be inspected before covering. When correction(s) have been made, call for inspection at 970-384-5003. Date 6 -"6 20 Building Inspector Phone (970) 945-8212 J 7 4110 r) COUNTY OF GARFIELD - BUILDING DEPARTMENT CORRECTION NOTICE 108 8th St., Suite 201 Glenwood Springs, Colorado Phone (970) 945-8212 Job located at /6 'r'7,3` 7/c Permit No. ejz i have this day inspected this structure and these premises and found the following corrections needed: You are hereby notified that the above correction must be inspected before covering. When correction(s) have been made, call for inspection at 970-384-5003. Date 6 - K-0? 20 Building Inspector Phone (970) 945-8212