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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 401 4611 Glenwood Springs, Colorado 81601 Permit Phone (970) 945-8212 Assessor's Parcel No. INDIVIDUAL SEWAGE DISPOSAL PERMIT This does not constitute a building or use permit. TALM (3&kGl-46iA-f2( S,'r1- Present Address PDB:5)954 33' 4W Phonea LO?j , CY44 Z. 2 C ASR NDA PROPERTY Owner's Name j1/ uo E t Wu-4'PIA-NA System Location I LOU 1 Legal Description of Assessor's Parcel No. 2 J I , �22 �� . 04 CJ SYSTEM DESIGN Septic Tank Capacity (gallon) Other 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) Call for Inspection (24 hours notice) Before Covering Installation System Installer i»o 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 &r— cP5,X37 lie%1 Adequate compliance with County and State regulations/requirements Other Date Inspecto&j -CNA t. -At 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. Connection 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 1, Petty Offense ($500.00 fine - 6 months in jail or both). White -APPLICANT Yellow - DEPARTMENT GARFIELD COUNTY SEPTIC PERMIT APPLICATION 108 8t Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003 •-n v— e--. trl Vti' ' '--.•rU ¶ L, L -'>'v Permit Fee: .. �••�,. .�,..,_ Perk Fee: Parcel No: (this inforrnalon is available at the assessors office 970-9459134) Z 3" I 1 -321 00- D' -i lJ tom, [ V 2 Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description )CRC.¢ l 1 Ni&HW +' 92- 23 3 Lot Size: Lot No: Block No: Subd.l Exemption: O.GZ7 Ac-Q.ES t-orr U' 4 Owner: (property owner) Via" 4- Loci Min Ra Mailing Address 'Po 3t9S1-) Ph: 97091s3 -b942 Alt Ph: 5 Contractor: Mailing Address Ph: Alt Ph: 6 Engineer. ALI_S6 v1 GE 5 ftC Mailing Address ei6a L po &Ui` 281`4 GL£N-)cep Ph: E} a 6(C S' S 3 Alt Ph: 7 PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration _.4.R®Pair 8 WASTE TYPE: -Dwelling ( )Transient Use ( )Commercial or industrial )Non- Domestic wastes ( )Other—Describe OR SERVICE TYPE: 9 BUILDING Number of bedrooms 3 Garbage Grinder ( )Yes ( )No 10 SOURCE & TYPE OF WATER SUPPLY: WELL ( )SPRING ( )STREAM OR CREEK ( )CISTERN WATER name of supplier: If supplied by COMMUNITY give COMMUNITY SEWER SYSTEM: Sonr"ThT- 11 DISTANCE TO NEAREST the Community System? NU Wasaneffort made toconnect to YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN 12 GROUND CONDITIONS:talo 1" Ground Water Table > Percent Ground Slope Depth to 13 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED: epticTank ( )Aeration Plant ( )Vault ( )Vault Pdvy ( )Composting Toilet ( )Recycling, Potable Use ( )Recycling, other use ( )Pit Privy ( )Incineration Toilet ( )Chemical Toilet Describe 14 ( )Other- FINAL DISPOSAL BY: .t{6sorption trench, Bed or Pit ( )Underground Dispersal ( )Above Ground Dispersal ( )Evapotranspiration ( )Sand filter ( )Other- Describe ( )Wastewater pond 15 Will effluent be discharged directly into waters of the state? ( )YESNO' 16 PERCOLATION TEST RESULT: (to be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) C—`iAi2 ct Minutes .37 pet inch in hole No.1 Minutes -&%r per inch in hole No.3 Minutes inch in hole No.2 Minutes per inch in hole No. D 1 Z per RPE soil absorption test: AU- Seem CC- S60-1 tc Gt'S -5°8&3 Name, address & telephone of who made RPE for design of the system: Au, s "tn Sere Name, address & telephone of responsible 17 Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test 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 lication o • •cation of any permit granted based upon said application for by law. I �i/' and legal action perjury as provided Zr —07 � '�. foR / L OWNERS SIGNATURE DAT` •-n v— e--. trl Vti' ' '--.•rU ¶ L, L -'>'v Permit Fee: .. �••�,. .�,..,_ Perk Fee: __.__ Total fees: Building) ermit N: Septic Permit �� te{1 Issue Date: ansa 09 Building titling [is Dept: &k d'e°09 APPROn I DATE Sill PO Box 2844 Glenwood Springs,C081602 Me Ph 970-618-5033 Fax 303-216-2796 February 15, 2009 RECEIVED FEB 2 62009 GARFIELD COUNTY BUILDING & PLANNING Lou Moore PO Box 31954 Palm Beach Garden, FL 33420-1954 Installation Observation, Repair OWS, Existing Residence 16611 Highway 82 Garfield County, Colorado Project No. 1571 Mr. Moore, ALL SERVICE septic, LLC performed installation observations on February 6's and 9th, 2009 for the subject property. There is an existing 1000 -gallon septic tank at the subject property. The repair installation included a 25' x 37' `pipe and gravel' drain field. An observation pipe was installed in the southwest corner of the drain field. The drain field was installed at a depth of approximately 4.5 feet. Effluent is distributed with perforated PVC laterals. The OWS was generallyinstalled according to specifications. This observation is not a guarantee of workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes are rade to the OWS. LIMITS: The observations were based on information submitted. If conditions are different from conditions described in this letter, ALL SERVICE septic, LLC should be notified. All additional OWS construction must be according to the county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Please call with questions. Sincerely, ALL SERVICE,septic, LLC Revie -d By TimothyR. Pet7' - 2 copies sent Copy sent to Garfield County Copy emailed to Lou Moore Copy emailed to Duane and Matt Piffe PO Sox 2844 Glenwood Springs, CO 81602 Ph 970.618.5033 Fax 303-216-2796 February 3, 2009 Project No. 1571 Lou Moore PO Box 31954 Palm Beach Garden, FL 33420-1954 Subsurface Investigation and Repair Onsite Wastewater System Design, Existing 3 -Bedroom Residence 16611 Highway 82 Garfield County, Colorado Lou, ALL SERVICE septic, LLC evaluated the existing conditions and prepared a repair onsite wastewater system (OWS) design for the subject residence. The property is located outside of Carbondale, Colorado, in an area where OWS and wells are necessary. SITE CONDITIONS A 3 -bedroom single-family residence presently exists and is utilizing an OWS, which is experiencing problems. There is an existing septic tank that will be incorporated into the proposed repair OWS design, although the existing drain field should be abandoned. The proposed drain field area is relatively flat, and vegetation consists of a moderate cover of grasses. Water is provided by an onsite well located 100+ feet from the proposed repair drain field. SUBSURFACE The subsurface was investigated by collecting a soil sample in the area of the drain field and by digging a profile pit. The materials encountered in the profile pit consisted of 1 -foot of a clayey root zone, underlain by sandy clay to the maximum depth explored of 8 feet. Groundwater or bedrock was not encountered. The soil is a sandy to clayey loam and has an applicable acceptance rate of 0.75 gals/SF/day. DESIGN SPECIFICATIONS The repair OWS design is based on 3 -bedrooms and an average sewage load of 450 GPD. The installation must include the existing 1000 -gallon, two-compartment, concrete septic tank with the addition of an effluent filter, to be followed by a 925 SF 'pipe and gravel' drain field. The drain field may be 25' x 37'. Perforated PVC laterals must be installed to distribute effluent. Repair OWS Design Project No. 1571 2/3/09 Page 2 Construction must be according to the Garfield County Health Department OWS regulations, the OWS Construction Pe,mit provided by the county, and this design. OPERATION INFORMATION AND MAINTENANCE The surface of the drain field should be seeded upon completion. Vegetation is an important factor in drain field performance. Erosion control should be practiced prior to and during re -vegetation. Geo - fabrics or plastics should not be used over the drain field. No heavy equipment, machinery, or materials should be placed on backfilled drain field. Livestock should not graze on the drain field. Plumbing fixtures should be checked to ensure that no additional water is being discharged to OWS. For Example, a running toilet or leaky faucet can discharge hundreds of gallons of water a day and harm a drain field. The homeowner should pump the septic tank every two years and clean the effluent filter as needed. Garbage disposal use should be minimized, and non -biodegradable materials should not be placed into the OWS. Grease should not be placed in household drains. Loading from a water softener should not be discharged into the OWS. No hazardous wastes should be directed into the OWS. Mechanical room drains should not discharge into the OWS. The OWS is engineered for domestic waste only. ADDITIONAL CONSTRUCTION NOTES If design includes a pump, air release valves and weep holes should be installed to allow pump lines to drain to minimize risk of freezing. Excavation equipment must not drive in excavation of drain field due to the potential to compact soil. Extensions should be placed on all septic tank components to allow access to them from existing grade. Precast concrete tanks and distribution boxes should be used, unless plastic or fiberglass is required. Access to all tank compartments and distribution devices is optimal. INSTALLATION OBSERVATIONS ALL SERVICE septic, LLC, and the county must view the OWS during construction. The OWS observation should be performed before backfill, after placement of chambers and distribution pipes. Septic tanks, distribution devices, pumps, dosing siphons, and other plumbing, as applicable, must also be observed. ALL SERVICE septic, LLC should be notified 48 hours in advance to observe the installation. Repair OWS Design Project No. 1571 2/3/09 Page 3 LIMITS: The design is based on information submitted. If soil conditions encountered are different from conditions described in report, ALL SERVICE septic, LLC should be notified. All OWS construction must be according to the county regulations. Requirements not specified in this report must follow county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Please call with questions. Sincerely, ALL SERVIC eptic, LLC Timothy R. etz 3 copies S `e '�DOt(jFh Reviewed 14 ki:in6F ,iii 62 PARTIAL SITE PLAN AND PROPOSED OWS Shed Concrete Pod 25 X 37''PIPE AND GRAVEL' DRAIN FIELD. —Deck 7 a SCALE: 1" = 30' One Story Wood Frame Nouse TOTAL AREA = 925 SF Fence OBSERVATI PIPE $7936.45 N7g•, 19.32' SOO 59'55" s 4" PVC SEWER PIPE (1% MIN FALL) EXISTING SEPTIC TANK. OPTION - ADD AN EFFLUENT FILTER ON THE OUTLET. "Overhang EXISTING 3 -BEDROOM RESIDENCE 6 toe 2 property Line ( 16611 HIGHWAY 82 LOU MOORE PROPERTY GARFIELD COUNTY, COLORADO ALL SERVICE SEPTIC, LLC PO Box 2844, GLENWOOD SPRINGS, CO 81602 970-618-5033 PRO. NO. 1571 FIGURE I PLAN VIEW INLET LINE FROM SEPTIC TANK 3" OR 4" PERFORATED PIPE MUST BE USED PIPE AND GRAVEL DRAIN FIELD SPECIFICATIONS SWALE OR BERM TO DIVERT SURFACE RUNOFF IMIT OF EXCAVATION 25' 80 CROSS SECTION REVEGETATE DRAIN FIELD SURFACE NATURAL GRADE SAND FILTER MATERIAL (if applicable) SIEVE %PASSING a a 4 8 16 30 50 100 200 100 95/100 80/100 45185 25/60 15/60 0/4 0/2 PERFORATED PVC LATERALS 2.5' 37' 3 • OBSERVATION PIPE OR DRAINAG SCARIFY BOTTOM OF DRAIN FIELD WITH TEETH OFTRACKHOE EQUIPMENT 25' BERM OR SWALE GEO-FABRIC (heavy duty for traffic) DISPERSAL GRAVEL 5' DISPERSAL GRAVEL SHOULD BE 1/2" TO 2 1/2" CALCULATIONS 3 BEDROOM RESIDENCE = 450 GALS/PER/DAY APPLICATION RATE = 0.75 GPD/SF AREA =(gX1.5)/0.95=900SF PROPOSED AREA = 25' X 37' =925 SF DRAIN FIELD = 25 FEET X 37 FEET SLIP—ON PVC CAP D0 NOT GLUE SEWER LINE — 4' PVC PIPE EFFLUENT LINE — 4' SCHEDULE 40 DR 4' SDR 35 P.V.C. SWEEP / 2 WAY CLEANOUT DETAILS (N.T.S) TYPICAL INSULATED UPPER TRACER WIRE MM' BE INSTALLED TO LOCATE LINE IN FUTURE PROJECT NO. 1571 FIGURE 2 0 0 m m C 1000 -Gallon Existing, 2- Compartment Septic Tank wi e Box w/Cord Gr 0 CO yo to o .10 CO 0 o 00 \o Effluent Discharge Modulating Discharge Orifices ault Inlet Ports C % 03 0 CL \\\§ 2 PROJECT NO COLA CC $ / } / ® $ `e( / o c e <0 10 0 / c/ /a 07 -/ U 67_ /b ° <0 0Z O 0 W 0 O^ W W dO' M O O 0 0 fwwssed Diameter of Particles in Millimeters 0 cC cC2 Oi N N o I-- @ uj U F F Z ma)0 �Pw N cc LLI CL « 0 0 o c rn N 0) 1 0 N 1 • N @ C 4) CO C 0 0 u. Project No. 1571 IPO BOX 31954 (PALM BEACH GARDENS, FL 33420-1954 Parcel Detail Garfield County Assessor/Treasurer Page 1 of 4 Parcel Detail Information Assessor/Treasurer Property Search I Assessor Subset Query_ 1 Assessor Sales Search Clerk & Recorder Reception Search Basic Building Characteristics I Tax Information Parcel Detail I Value Detail I Sales Detail 1 Residential/Commercial Improvement Detail Land Detail 1 Photographs I Mill Levy Revenues Detail ITax Area I I 011 Account Number I I R112081 Parcel Number 1239132200048 I 12008 Mill Levy I 60.542 Owner Name and Mailing Address IMOORE, DIANA G REVOCABLE TRUST IDTD 05/24/05 Assessor's Parcel Description (Not to be used as a legal description) http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R112081 2/5/2009 SECT,TWN,RNG:32-7-87 DESC: A PCL IN LOT 6 CONT .77 AC. ALSO, A TR CONT .137 AC AS DESC IN ENGLUND/MOORE SUB AMENDED PLAT, LOT 2, REC #562378, BK 1183/395. ALSO A TR OF LAND CONT. .122 AC AS DESC IN BK 1198 PG 159. ALSO, A TR CONT 3,212 SQ FT AS DESC IN BLA BK 1690 PG 533. PRE:R111618 BK:0767 PG:0322 BK:0767 PG:0322 BK:0464 PG:0354 BK:1694 PG:435 RECPT:675452 BK:1694 PG:434 RECPT:675751 BK:1690 PG:533 RECPT:674946 BK:1685 PG:827 RECPT:673772 BK:1685 PG:825 http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R112081 2/5/2009 Parcel Detail RECPT:673771 BK:1626 PG:856 RECPT:660809 BK:1626 PG:855 RECPT:660808 BK:1183 PG:388 RECPT:562377 BK:1183 PG:386 RECPT:562376 BK:1031 PG:0166 BK:0922 PG:0266 Section Location 2008 Property Tax Valuation Information Physical Address: 1116611 HIGHWAY 82 CARBONDALE Subdivision: 1 Land Acres: 110.67 Land Sq Ft: 10 200,000 Section Township Range 620,830 7 I 87 32 2008 Property Tax Valuation Information Additional Value Detail Most Recent Sale Sale Date: Sale Price: Additional Sales Detail Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 2 0 Residential Building Occurrence 2 Characteristics Page 2 of 4 http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R112081 2/5/2009 ( Actual Value Assessed Value I Land:I 200,000 15,920 620,830 49,420 I Improvements: 1 I Total: 820,8301 65,340 Additional Value Detail Most Recent Sale Sale Date: Sale Price: Additional Sales Detail Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 2 0 Residential Building Occurrence 2 Characteristics Page 2 of 4 http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R112081 2/5/2009 Parcel Detail Page 3 of 4 1 STORY: 1224 Transaction Type TOTAL HEATED AREA: 224 ABSTRACT CODE: SINGLE FAM.RES- IMPROVEMTS ARCHITECTURAL STYLE: 1 -STORY EXTERIOR WALL: T-11 SHTNG ROOF COVER: COMP SHNGL ROOF STRUCTURE: GABLE INTERIOR WALL: DRYWALL FLOOR: CARPET FLOOR: SHT VINYL HEATING FUEL: GAS HEATING TYPE: FORCED AIR STORIES: STORIES 1.0 BATHS: 1 ROOMS: 2 UNITS: 1 BEDROOMS: 1 YEAR BUILT: 1980 Additional Residential/Commercial Improvement Detail Tax Information Tax Year Transaction Type Amount 2008 Tax Amount $3,955.80 2007 Tax Payment: Second Half ($1,987.74) 2007 Tax Payment: First Half ($1,987.74) 2007 Tax Amount $3,975.48 2006 Tax Payment: Second Half ($1,697.16) 2006 Tax Payment: First Half ($1,697.16) 2006 Tax Amount $3,394.32 2005 Tax Payment: Second Half ($1,704.52) 2005 Tax Payment: First Half ($1,704.52) 2005 Tax Amount $3,409.04 2004 Tax Payment: Second Half ($1,750.89) 2004 Tax Payment: First Half ($1,750.89) 2004 Tax Amount $3,501.78 2003 Tax Payment: Second Half ($1,472.00) http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R112081 2/5/2009 Parcel Detail Page 4 of 4 2003 1 Tax Payment: First Half I ($1,472.00)1 2003 Tax Amount $2,944.00 2002 Tax Payment: Second Half ($1,633.86) 2002 ($1,633.86) Tax Payment: First Half 2002 Tax Amount $3,267.72 2001 Tax Payment: Second Half ($1,642.63) 2001 Tax Payment: First Half ($1,642.63) 2001 Tax Amount $3,285.26 2000 Tax Payment: Second Half ($1,783.76) 2000 ($1,783.76) Tax Payment: First Half 2000 $3,567.52 Tax Amount 1999 Tax Payment: Second Half ($541.51) 1999 ($541.51) Tax Payment: First Half 1999 Tax Amount $1,083.02 Mill Levy Revenues Detail Top of Page Assessor Database Search Options Treasurer Database Search Options Clerk & Recorder Database Search Options Garfield County Home Page The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Tums Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 - 2008 Good Turns Software. All Rights Reserved. Database & Web Design by Good Tums Software. http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R112081 2/5/2009