HomeMy WebLinkAboutApplication- Permit4
w
'r
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 :Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT # S 067
Owner (-141,- e/ /Al2_..
System Location
v
(this does not constitute
a building or use permit)
... tea► /
Licensed Contractor ,37:470%V
* Conditional Construction ap royal is hereby granted for a4 :2 gallon
..
Septic Tank or rCr� �c�.v
j?.....
, .� p Aerated treatment unit. < C040i9►-e-- . - 44ge /1-�
SW 7 i.e'' -)
Absorption area (or dispersal area) computed as follows:
Pere rate inches in " minutes"AR sq ft.
absorption area per bedroom ''e4"ar
# of bedrooms `"� x �e9 Q sq. ft. minimum requirement
May we suggest 4"'a."/x `�/ ' "1
Date „ — "'?' —7 Inspector
69€2.escp./cT / , ,Ca45?77e.'//
FI AI3'•"APPROVAL OF SYSTEM:
4 ' No. system shall be,dee ed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to cOverjng anypart.
if
T./.
`2" Septic Tank cleanout to within 12" of final grade or,
aerated access ports above grade.
Proper materials and assembly. r`
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/kequirements.
Date
/a,. s/79
Inspector_
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 66.44.4, CRS 1963, amended 66.3.14, CRS 1963.
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.
8. Section III, 8.24 requires 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 con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 -fine - 6 months in jail or
both.
lOLQRADO DEPARTMEN-i OF HEALTH
Water Pollution Control Division
421Q East i lth Avenue
Deliver, Colorado 80220
Owner:
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME EWAGE TREATMENT SYSTEMS**
f cvn . 106 N
Mall Address:
C i 4,thz, p I/49/ Phon0(K47/54C- �
A. INFORMATION REGARDING PROJECT SUBMITTED _FOR REVIEW:
S7S2,mss.
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, l�eGtion of potable water wells,
soil percolation test holes, soil profiles in test holes.
4Ei1. Location of facility: County &7,t] City or town j/a, Gi •
Legal description '&404E11 Lot
2. No. of bedrooms .. Septic tank capacity Aeration unit capacity
3. Source of domestic water: Public (name):
Private: Well_( Depth Other Depth to first ground water table
4. Is facility within boundaries of a city/town or sanitation district?_
5. Distance to nearest sewer system:
Have you attempted to arrange a connection with the system?_/
If reJecc•ed, what was the reason? /t` }-CG, •
6. 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
G1li/i
7. Name, address, and telephone of person who'made soil absorption tests:
6
8. Name, address, and telephone of person responsible for design of the system:
Signatur of Owner
*Required by Article 66-28-12(CRS, 1963, 1967 Perm. Sum. Supp.)
**Required In areas which have been identified as areas in which danger of pollution
of waters of the State may occur (Art. 66-28-8(5), CRS) and/or areas in which there
is no local septic tank ordinance.
w
B. SIGNATURES OF LOCAL OFFICIALS: The undersigned have reviewed the notification
described on the front of this sheet and recommend approval or disapproval of
the discharge as shown below:
Date
Comments:
Approval Disapproval
i
Signature for Local Health Department
Signature for City/Town Official (Title)
Signature for County Official (Title)
Signature and Title
Note: The Notifier (front of this sheet) must obtain comments and signature of at
least one of the above.
C: FOLLOWING FOR STATE HEALTH DEPARTMENT USE: Recommendations of the District Engineer:
D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
WP -33(10-72-2)
}
Number G-09-314-74
1. Policy or Policies to be issued:
OWNER'S: ALTA FORM B
Proposed Insured:
WILLIAM F. SQUAIR
LOAN:
Proposed Insured:
A.L.T.A. COMMITMENT
f
SCHEDULE A
Effective Date
May 17, 1974
8:00 A.M.
$ 15,000.00
FORM 0361
Premium:
Owner's $115.00
Tax Cert. 15.00
2. The estate or interest in the land described or referred to in this Commitment and covered herein is a fee simple,
and title thereto is at the effective date hereof vested in:
CAROLINE J. FELLER, as to Parcel A.
CAROLINE FELLER BAUER, as to Parcel B.
3. The land referred to in the Commitment is described in Schedule C.
SCHEDULE B — Section 1
The following are the requirements to be complied with:
1. Instrument(s) creating the estate or interest to be insured must be approved, executed and filed for record,
to wit:
a. Certified Copies of the Estate Papers of Alice Feller, deceased.
There papers are presently being held by Colorado West Title
Insurance. Company and will be recorded in Carfield County upon
request and upon payment of the recording fees.
b. Warranty Deed from Caroline J. Feller a.k.a. Caroline Feller
Bauer to William F. Squair conveying the property descirbed as
Parcel A.
c. Bargain and Sale Deed from Caroline J. Feller a.k.a. Caroline
Feller Bauer to William F. Squair conveying the property described
as. Parcel B in Schedule C.
2. Payment of the full consideration to, or for the account of, the grantors or mortgagors.
3. Payment of all taxes, charges, assessments, levied and assessed against subject premises, which are due ane.
payable. Tax Certificate enclosed.
4. Satisfactory evidence should be had that improvements and/or repairs or alterations thereto are completed; that
contractor, subcontractors, labor and materialmen are all paid.
A.L.T.A. COMMITMENT
SCHEDULE B --- continued
Number G--09-314-73
ORM 3362
SCHEDULE B — Section 2
Schedule B of the policy or policies to be issued will contain exceptions to the following matters unless the same
are disposed of to the satisfaction of the Company.
1. Defects, liens, encumbrances, adverse claims or other matters, if any, created, first appearing in the public
records or attaching subsequent to the effective date hereof but prior to the date the proposed Insured acquires
for value of record the estate or interest or mortgage thereon covered by this Commitment.
2. Any owner's policy issued pursuant hereto will contain under Schedule B the standard exceptions set forth at the
inside cover hereof. Any loan policy will contain under Schedule B standard Exceptions 1, 2 and 3 unless a
satisfactory survey and inspection of the premises is made.
3. Reservations and exceptions contained in the United States Patent to
the described property.
4. Right—of—way and easement 10 feet in width as granted to Rocky Mountain
Natural Gas Company, Inc. by Doc. No. 233013 in Book 372 at Page 263.
5. Provisions and stipulations of instrument entitled "Agreement of
Restricted Use" recorded May 23, 1966 as Doc. No. 234746 in Book 372
at Page 329.
6. 1974 taxes, a lien, but not yet due and payable.
FORM 3463
• •
Number
SCHEDULE C
G-09-314--73
The land referred to in this Commitment is described as follows:
Parcel A
The westerly most 150 feet of a tract of land described as follows:
All that portion of Lot 4, Section 1,Township 7 South,Range 89 West,
6th, P.M. lying South of the Colorado State Highway No. 82 and North
of the center line of the Roaring Fork River and East of the East line
of that tract lying South of said Highway No. 82, as described in Deed
from W. w." Kirkham to O.V. Robertson and Gladys Robertson; said Deed
being, of record in Book 329 at Page 543 of the records in the office
of the Clerk and Recorder of Garfield County, Colorado
Parcel B
All that portion of Lot 4, Section 1,Township 7 South, Range 89 West
of the Sixth Principal Meridian lying South of the Colorado State
Highway No. 82 and North of the center line of the Roaring Fork River
and East of the East line of that tract lying South of said Highway
No. 82, as described in a Deed from W. W. Kirkham to O. V. Robertson
and Gladys Robertson, said latter Deed being of record in Book 329
at Page 543 of the records of the office of the Clerk and Recorder
of Garfield County, Colorado, LESS AND EXCEPTING the Westerly most
150 feet thereof.
COUNTY OF GARFIE1,D
STATE OF COLORADO