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Home My WebLink About1.0 ApplicationGarfield County Planning Department BOCC ❑ Planning Commission C?Oof_e+bn -BlCcK (1 Project Name: Type of Application: 0 Special Use Permit O Conditional Use Permit O Subdivision Exemption O Subdivision Final Plat O Subdivision Final Plat Amendment O Subdivision Preliminary Plan O Amendment to pit Other To do what: � V1� Today's Date: - 3-0 ❑ BOA ii-m-elAciej2 af ❑ Public Hearing Est. Duration: EKC:blic Meeting Est. Duration: ❑ Consent Agenda vde e o v..L-o + ��I oe s -1-0-1-cd Lo hs O w"1 / (0I r VAC UC(.1 LfS Meeting bate:i(f 11()&, -(1 D -co ( Site Location: Time: 19' 1:15 pm ❑ 10:00 am 5c--TeN AvQ.. Section / Township / Range: (optional) )--9) 1 R(8B U" Applicant• C be vz te. 61/o0k, ± CU Requested Action: C'3" Approval ❑ Denial Item Advertised? a Yes Staff Planner: If yes, when? el, c<-w`f M Mark Bean O Kit Lyon O Randy Russell O Greg Butler v1 c e- w ❑ No 11P 6:00 AMENDED AND CORRECTED PLATS - As authorized by C.R.S. Section 30-28- 133(a). • 6:10 An amendment may be made to a recorded plat, if such amendment does not increase the number of subdivision lots or dwelling units, result in the major relocation of a road or add new roads. The amended plat shall be submitted with a narrative explanation of the reason for the application and the consent of all land owners involved to the Garfield County Planning Department for review and comparison with the previously recorded plat. Any proposed amended plat that does not have an approved Preliminary Plan to verify the consistency with the proposed amended plat or that results in the relocation of property lines between more than two (2) adjacent properties, shall be subject to the following standards and public meeting requirements: The Board shall consider the amended plat request at a scheduled Board meeting. Notice of the public meeting shall be mailed by certified mail, return receipt requested, to owners of record of land immediately adjoining and within two hundred (200) feet of the proposed amended plat, to mineral owners and lessees of mineral owners of record of the land proposed for conversion. The amended plat site shall be posted clearly and conspicuously visible from a public right-of-way, with notice signs provided by the Planning Department. All notices shall be mailed at least fifteen (15) and not more than thirty (30) days prior to the meeting. The applicant shall be responsible for mailing the notices and shall present proof of mailing at the meeting. The following supplemental information regarding the proposed amended plat shall be filed with the application: ,....",z9,44\Z-- A. Copy of the deed showing ownership in the applicant, or a letter from the property owner(s), if other than the applicant; B. Names and addresses of owners of record of land immediately adjoining and within two hundred feet (200') of the proposed amended plat, mineral owners and lessees of mineral owners of record of the property to be a part of the amended plat, and tenants of any structure proposed for conversion; C. Evidence of the soil types and characteristics of each type; — 0,1 .. D. Proof of legal and adequate source of domestic water for each lot created, method of sewage disposal, and letter of approval of fire protection plan from tom' appropriate fire district; E If connection to a community or municipal water or sewer system is proposed, a letter from the governing body stating a willingness to serve; F. Narrative explaining why the amended plat is being requested; The Board shall not approve an amended plat unless the applicant has satisfied the following criteria: • 6-1 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER C11-4 / k e s O i ADDRESS )11' SOP R/5 74 'DALE . PHONE /6 3 / % ' /z CONTRACTOR 7/ T C. C:%, ADDRESS C37.2 eCy5 TA ,L ZEba TDA)PHONE 56 3 / 7 6 -P/MK V rZ • 6/6 Z3 PERMIT REQUEST FOR p<) NEW INSTALLATION ( ) ALTERATION K) 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: (..c,?S Near what City of Town C 23-6 fit/ A /9 �-e-- Size of Lot , X '( 1 )) Legal Description or Address 1. ve k LSO o ps ' VO hJ TM) lU 5 # P Sit -?A WASTES TYPE: V() DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: 12E5 / b E xJ CE -- Num er of Bedrooms Number of Persons 3 a bage Grinder V) Automatic Washer (X) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: (4 A 3 Oh, /, A DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: `Z 02 [ G� ouTS/� Was an effort made to connect to the Community System? No 7- A 1L4 / L . CA 01 )75 u a✓4 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 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: O 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: (14 ABSORPTION TRENCH, BED OR PIT ( ) UNDERGROUND DISPERSAL ( ) ABOVE GROUND DISPERSAL p- ( ) WASTEWATER POND ( ) OTHER - DESCRIBE Le e- L t) WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) EVAPOTRANSPIRATION ( SAND FILTER N 0 PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) 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 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 permit granted based upon said application and in legal action for perjury as provided by law. Signed Date 22- 74) "t5 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 County Road (Note the Road Number and Name) r" 0 0 \ c" 0 0 = 0 @ » ) • B0/_®= \cn p7. .q . § ? 0 § s< . FIT ®§ cn Po Fi _ O"-< 0-G 2 0 a - C 0 = AD 0CI- # / « 0 \. 0 " = § CM / 7 $ & 0 m - cn cn0 0 0 0 0 -t 0- _ a. 0 \ Ecn D' 2 . Q p .. / 7 0 o - 2 0 AD .4z c—: ,F,-wrYas-t---i *4- 3 —3 e__AAAL `--77AO rYt-64- tAA-c)Ai.--da VeLtu-9 ductALI M-. Ap 7 7411-LeofLz_z r r Dirn u-c/t Co -4• $021 30' 7'77 -17°9 7'7 oU-)-nA 6A4 -e -S7 `1aM cam. t(A_4_ C._(714^.p6t/1- cyti-yiA LA_A/vz-6- u btvuz_ Satao&k w c:te-,. ate.