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SAFFIELD COUNTY BUILDING AND SANITATION. DEPARTMENT 108 Eighth Street, Suite 401 Glenwood Springs, Colorado 81601 Phone (970) 945-8212 ) t I-72,00 2.2 /.061 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name(ZUNAI ' B\NAAk_(-YC K-AciientAddress%fl %'t i, / System Location 1 �%( 1 7 ! (c.> 2 �. I T f3 Legal Description of Assessor's Parcel No. .`1-I 06) ! I (.o SYSTEM DESIGN ( Con Septic Tank Capacity (gallon) Other /ffJ �'t �1 Percolation Rate (minutes/inch) Number of Bedrooms (or other) � ' `�� '� t Permit Assessor's Parcel No. 4615 This does not constitute a building or use permit. PhoneC 7 %D.%8 /// / Required Absorption Area - See Attached Special Setback Requirements: Date n - 2_7 _ 'h ci Inspector 32A 1\ LAict\--QAALY\11 "35 �F65\ l B-PeR 4-(7_ (, FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer l Septic Tank Capacity o /_4/J /,'©z7 ,44(_. Septic Tank Manufacturer or Trade Name (cA4'9 Septic Tank Access within 8" of surface Cacif/CTS Absorption Area 25 Z , tc- ; / 4/ Absorption Area Type and/or Manufacturer or Trade Name 7;14- /C /1 Adequate compliance with County and State regulations/requirements Other A%i(//i :� 49 fid --/e, \fin la Date / G __ C(.......,4?; -7._—d Inspector (al -rte- / f • RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE CONDITIONS: 1. All installation must comply With allrequirements 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 8th Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003 J)'d-X-r..v.�.-.. � 1,7 4-> .a....._ �.._.._ _. .. Building Permit #: Parcel No: (this information is available at the assessors office 970-9459134) celit1Do1453 2 Job Address: (d a e rens hes not, n assigned, pie provide Cr, Hwy or S Name & Qty) or and legal descdpton (`�q a tll COun'k1 k CGA c1(S' Pa rat A COle, (dela GI0 3 Lot Size:( 3j ((P Lot Block (N(p \ Subd./ Exemption: C.03 l 'itito,,ii p .T wie7icp 1,I`',"v C.�((( ) 4 Owner. (property owner) t'h'Liarr Strait 01(1717tCr' Mailing Addre • BOX ( "ractuck , r.0 00,,?� Ph: 6:17O-, t -///( Alt Ph: (Qo-asv-0G i 5 Contractor. Mailing Address Ph: Alt Ph: 6 Engineer. Mailing Address Ph: Alt Ph: 7 PERMIT REQUEST FOR:// (A New installation ( ) Alteration ( ) Repair 8 WASTE TYPE: (46welling ( )Transient Use ( )Commercial or industrial )Non- Domestic wastes )Other — Describe ( OR SERVICE TYPE:d1'i (—Edrl1ta 9 BUILDING Number of bedrooms Garbage Grinder(•'�Yes ONo 10 ! SOURCE & TYPE OF WATER SUPPLY: (�41NELL ( )SPRING ( )STREAM OR CREEK ( )CISTERN of supplier: If supplied by COMMUNITY WATER, give name SEWER SYSTEM:0 d1 c -e1 11 DISTANCE TO NEAREST COMMUNITY � Community System? ‘its; - -tU , fi Ncrvoi,vt-'' V°/ Was an effort made to connectto the YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN 12 GROUND CONDITIONS: Water Table Percent Ground Slope Depth to iu Ground 13 TYPOF INDIVIDUAL SEWAGE DISPOSAL SYSTEM °SOS) PROPOSED: (IuepticTank ( )Aeration Plant ( )Vault ( )Vault Privy ( )Composting Toilet ( )Recycling, Potable Use ( )Recycling, other use ( )Pit Privy ( )Incineration Toilet ( )Chemical Toilet )Other -Describe 14 ( FIDISPOSAL BY: (Vjli�bsorption trench, Bed or Pit ( )Underground Dispersal ( }Above Ground Dispersal ( )Evapotranspiration ( )Sand filter -Describe ( )Wastewater pond ( )other 15 Will effluent be discharged directly Into waters of the state? ( )YES (v)fto 16 PERCOLATION TEST RESULT: (to be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes inch in hole No.1 Minutes per inch in hole No.3 per Minutes inch in hole No.2 Minutes per inch in hole No. per test Name, address & telephone of RPE who made soil absorption for design of the system: Name, address & telephone of RPE responsible 17 Applicant acknowledges that the the local health department to issuance of the permit is subject reports submitted herewith and and are designed to be relied understanthhat any falsification and Iega ec'pryfpr pegpry as!L completeness of the application is conditional upon such further mandatory and additional test and reports as may be required by be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the to such teens and conditions as deemed necessary to insure compliance with rules and regulations made, information 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 on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further or misrmotion may result in the denial of the application or revocation of any permit granted based upon said application f;'w -c25- I OWNERS SIGNATURE DATE n J)'d-X-r..v.�.-.. � 1,7 4-> .a....._ �.._.._ _. .. Building Permit #: Permit Fee: `U—�+v O Perk/-Fee: I✓`0:.,/7 Total fees: O� Septic Permit #: Issue Date: ma a � it gDe Z.27_ `p 1[� ►mss . 'ROVDATE APkL co no ,vt Parcel Detail Garfield County Assessor/Treasurer Page 1 of 4 Parcel Detail Information Assessor/Treasurer ProperV Search I Assessor Subset QIIQtY 1 Assessor Sales Search Clerk & Recorder ReceptionSearch Basic Building.Characteristies I TaxInfoptiation Parce1,Detail 1 Value. Detail 1 Sales Detail 1 Residential/ColurnercialImproyemeritpetail Land Detail 1 Photographs Mill Levy_ReyeDues Detail ITax Area 1 046 1 IAccount Number R008920 IParcel Number 1 240911100153 1 2008 Mill Levy 1 36.731 Owner Name and Mailing Address 1ORONA, SARAH DEL & HOWARD 1929 COUNTY ROAD 215 (PARACHUTE, CO 81635 Assessor's Parcel Description (Not to be used as a legal description) httn://www.garcoact.com/assessor/parcel.asp?ParcelNumber=240911100153 2/27/2009 SECT,TWN,RNG:11-7-96 DESC: A PARCEL OF LAND IN THE SW4SW4 OF SEC. 1, SE4SE4 OF SEC. 2, NE4NE4 OF SEC.11, AND NW4NW4 OF SEC. 12 PRE:R260352 AND/THRU:A TO:R260086 PRE:R260151 BK:1130 PG:972 RECPT:545908 BK:1130 PG:971 RECPT:545908 BK:1130 PG:970 RECPT:545908 BK:1130 PG:969 RECPT:545908 BK:0592 PG:0054 BK:0493 PG:0347 BK:0483 PG:0493 BK:0217 PG:0246 BK:0204 PG:0263 BK:0199 PG:0220 RECPT:754659 RECPT:754658 BK:1833 PG:888 RECPT:704798 BK:1694 PG:200 httn://www.garcoact.com/assessor/parcel.asp?ParcelNumber=240911100153 2/27/2009 13,4201 Parcel Detail RECPT:675712 BK:1533 PG:371 RECPT:639650 BK:1533 PG:357 RECPT:639649 BK:1387 PG:332 RECPT:610872 BK:1259 PG:359 RECPT:582276 BK:1231 PG:632 RECPT:576016 BK:0778 PG:0041 IBK:0696 PG:0853 Location Physical Address: Subdivision: I Land Acres: Land Sq Ft: !PCL IN SECS 1,2-7-96 135.163 Section Township Range 11 7 96 2008 Property Tax Valuation Information Land: Improvements: I Actual Value Total: I 95,8101 IAssessed Value 3,8901 109,2301 7,6301 11,5201 Additional Value Detail Most Recent Sale Sale Date: I Sale Price: I 8/9/2002 1280,000 Additional Sales Detail Basic Building Characteristics 1 Page 2 of 4 httn.//www.garcoact.com/assessor/parcel.asp?ParcemNumber=240911100153 2/27/2009 Number of Residential Buildings: 1 Number of Comm/Ind0 Buildings: 1 Page 2 of 4 httn.//www.garcoact.com/assessor/parcel.asp?ParcemNumber=240911100153 2/27/2009 Parcel Detail Residential Building Occurrence 1 Characteristics PORCH, ENCLOSED, FINISHED: 72 1 STORY: 11,400 TOTAL HEATED AREA: 1,400 ABSTRACT CODE: FARM/RANCH RESIDENCE - IMPS ARCHITECTURAL STYLE: 11 -STORY 1 ($211.58)I EXTERIOR WALL- ILOG ROOF COVER: 'COMP SHNGL $423.16 2007 ROOF STRUCTURE: 'GABLE INTERIOR WALL: 'DRYWALL FLOOR: (CARPET FLOOR: ISHT VINYL HEATING FUEL: GAS HEATING TYPE: FORCED AIR STORIES: STORIES 1.0 2006 BATHS: 1 ($202.00)1 2006 ROOMS: 4 UNITS: 1 BEDROOMS: 2 YEAR BUILT: 1894 Additional Residential/Commercial) Improvement Detail Tax Information Page 3 of 4 httn.//www.sarcoact.com/assessor/parcel.asp?ParcelNumber=240911100153 2/27/2009 Tax Year ( Transaction Type I Amount 2008 I Tax Payment: First Half 1 ($211.58)I 2008 I Tax Amount ( $423.16 2007 ( Tax Payment: Second Half 1 ($218.52)1 2007 i Tax Payment: First Half ($218.52)1 2007 Tax Amount $437.04 2006 Tax Payment: Second Half ($202.00)1 2006 Tax Payment: First Half ($202.00)1 2006 Tax Amount $404.00 2005 Tax Payment: Second Half ($20237)1 2005 Tax Payment: First Half ($202.37) 2005 Tax Amount $404.74 Page 3 of 4 httn.//www.sarcoact.com/assessor/parcel.asp?ParcelNumber=240911100153 2/27/2009 Parcel Detail 2004 Tax Payment: Second Half ($226.57) 2004 Tax Payment: First Half ($226.57) 2004 Tax Amount $453.14 2003 Tax Payment: Second Half ($242.16) 2003 Tax Payment: First Half ($242.16) 2003 Tax Amount $484.32 2002 Interest Payment ($9.27) 2002 Interest Charge $9.27 2002 Tax Payment: Whole ($463.40) 2002 Tax Amount $463.40 MillLevy Revenues Detail Page 4 of 4 Top of Page Assessor Database Search Options t 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 Turns 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 TurntSoftware. httn•//umw asranact.com/assessor/narcel.asp?ParcelNumber=240911100153 2/27/2009