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Home My WebLink About03778l -.-. -~ .. -.... -~-:J" ........ "'??""b•·.•1lfV#'. """'"'"'~1&'~Aii'l'll!>i..p,n.~.,f"'1'~;;'1~· .. ~~.~ .. ~,. Ti/•...---' --,, \. i~~I .~ • ...... GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT I Permit N~ 3778 Asae88or's Parcel No. . 1~·~~\D~ ! 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945·8212 -------l ~·: I!;;:, ' ,,, j,r i\' ;:: '.,. \ ~ I INDIVIDUAL SEWAQE DISPOSAL PERMIT This does not constitute a building or use permit. j I system Locat1on,>--<-1...l.-"-1f-'.l-__J"-'4-t>:--<-\l~.i..."'---~~:~:~~=::::~::;:::==~~-P~h-on_e_1ii_-_a_'6_-_~_v_~ ! Legal Description of Assessor's Parcel No. ~=l,.,,!.___!L_.L __ _1....L_!'=:::_~~=~c:=:~~~~-~-------- • l Ii I ,, ! ' ' ( ' i J t I r ' • f ~ ) ) " t • I r SYSTEM DESIGN ~/'-"'o"'a"""c/'--Septic Tank Capacity (gallon) _____ ..cOther ~/~X'L·---Percolation Rate (minutes/inch) Number of Bedrooms (or other) 3 f / 7all'1>Nfk t'7p 1,y;/,« 163 a-:j),.·k f, ~I, Fi=<> Required Absorption Area • See Attached Special Setback Requirements: <l9lt:b L<Aeh c 1,..,.,.,,,, .:>SI+":\ ff?fncl, 571~ l<·~"J' <l~,,..m£!e,, :.r pb r3~ o S 77C> LP(:lcJ..i CA.tr""~~rt-3b 12 c s f3~t) Date_~2-~~/~8~·-V_l~ ____ Inspector ----'k"""__.'*'._· .LZ<::o~='="''=";...---------------- FINAL SYSTEM INSPECTION AND APPROVAL (as Installed) Call for Inspection (24 hours notice) Before Covering lnstallat\OQ\\... ' \_\ System Installer eJ)f '\·~· I -\"·'\\ . Septic Tank CapacltY'-'-,-'=-L-""--------,-------...-'.~--1-----\-· ----------- Septic Tank Manufacturer or Trade Name .JGU~R;~,,,_..,,,.,-=-~---------------------- · .. \· Septic Tank Acce~hln e;:.,of;rf,acel .l., _.,~Ill/;""''-,-.-, -. ~--\~.--------------------- Absorption Area ~e)i ctA ' \ \ ' ·, . I J Absorptl~~ ~r~~,, Type and/or Manufacturer or Trade N~f!l~ .<d'0='=c:£J..Lk;>LI/iu~""""""';.;;:>---------------- .,,,,,, t ' : 'l ~ j t ' I ' ~ f ' ,. ? i , Adequate compliance with C~u,~ty and StatJ reg~~a.'.io1'ir,equlre~nts_~*""'"'"....:7"'=----------------- •CONDITIONS: 1. All installation must comply ;,,,Ith all requirements ollhe 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· nectlon 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 speclficatlo~s contained In the application of permit commits a Class I, Petty Offense ($500.00 fine -6 months in jail or both). WMe -APPLICANT Yellow. DEPARTMENT i l $ ~ i l ~ .. ! • ! I \ ' ~ ' f ' I ' I • i ;i ~ l • I l t ' l ' i I .. ~ ~ ~ 1' I ~ ! . i I I t i • ! • I I j ' I ) I • l -.-. -~ .. -.... -~-:J" ........ "'??""b•·.•1lfV#'. """'"'"'~1&'~Aii'l'll!>i..p,n.~.,f"'1'~;;'1~· .. ~~.~ .. ~,. Ti/•...---' --,, \. i~~I .~ • ...... GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT I Permit N~ 3778 Asae88or's Parcel No. . 1~·~~\D~ ! 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945·8212 -------l ~·: I!;;:, ' ,,, j,r i\' ;:: '.,. \ ~ I INDIVIDUAL SEWAQE DISPOSAL PERMIT This does not constitute a building or use permit. j I system Locat1on,>--<-1...l.-"-1f-'.l-__J"-'4-t>:--<-\l~.i..."'---~~:~:~~=::::~::;:::==~~-P~h-on_e_1ii_-_a_'6_-_~_v_~ ! Legal Description of Assessor's Parcel No. ~=l,.,,!.___!L_.L __ _1....L_!'=:::_~~=~c:=:~~~~-~-------- • l Ii I ,, ! ' ' ( ' i J t I r ' • f ~ ) ) " t • I r SYSTEM DESIGN ~/'-"'o"'a"""c/'--Septic Tank Capacity (gallon) _____ ..cOther ~/~X'L·---Percolation Rate (minutes/inch) Number of Bedrooms (or other) 3 f / 7all'1>Nfk t'7p 1,y;/,« 163 a-:j),.·k f, ~I, Fi=<> Required Absorption Area • See Attached Special Setback Requirements: <l9lt:b L<Aeh c 1,..,.,.,,,, .:>SI+":\ ff?fncl, 571~ l<·~"J' <l~,,..m£!e,, :.r pb r3~ o S 77C> LP(:lcJ..i CA.tr""~~rt-3b 12 c s f3~t) Date_~2-~~/~8~·-V_l~ ____ Inspector ----'k"""__.'*'._· .LZ<::o~='="''=";...---------------- FINAL SYSTEM INSPECTION AND APPROVAL (as Installed) Call for Inspection (24 hours notice) Before Covering lnstallat\OQ\\... ' \_\ System Installer eJ)f '\·~· I -\"·'\\ . Septic Tank CapacltY'-'-,-'=-L-""--------,-------...-'.~--1-----\-· ----------- Septic Tank Manufacturer or Trade Name .JGU~R;~,,,_..,,,.,-=-~---------------------- · .. \· Septic Tank Acce~hln e;:.,of;rf,acel .l., _.,~Ill/;""''-,-.-, -. ~--\~.--------------------- Absorption Area ~e)i ctA ' \ \ ' ·, . I J Absorptl~~ ~r~~,, Type and/or Manufacturer or Trade N~f!l~ .<d'0='=c:£J..Lk;>LI/iu~""""""';.;;:>---------------- .,,,,,, t ' : 'l ~ j t ' I ' ~ f ' ,. ? i , Adequate compliance with C~u,~ty and StatJ reg~~a.'.io1'ir,equlre~nts_~*""'"'"....:7"'=----------------- •CONDITIONS: 1. All installation must comply ;,,,Ith all requirements ollhe 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· nectlon 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 speclficatlo~s contained In the application of permit commits a Class I, Petty Offense ($500.00 fine -6 months in jail or both). WMe -APPLICANT Yellow. DEPARTMENT i l $ ~ i l ~ .. ! • ! I \ ' ~ ' f ' I ' I • i ;i ~ l • I l t ' l ' i I .. ~ ~ ~ 1' I ~ ! . i I I t i • ! • I I j ' I ) I • GARFIELD COUNTY 9703843470 01124/03 101SSart1 P. 003 INDIVIDUAL SEWAGE DISPOSAi. SYSTEM APPLICATION OWNER ~"DY JIM>roAJ~n!LL ADDRESS t-le 7.._ "BL¢.!(£'f'f: er. CONTRACTOR 71/Ao w G,'2mNT __ _,,o'-"12.=-_,_/l'l-=1~=...'---'1!?..~w,,_,_t"'"(e>:<=-='"""""-,.,..=-'2)-"----- ADDRESS I/Bo l?l-/1... !?""' 120 • ~ ~, to. PHONE"'@ro) '16</·Z331.o PERMIT REQUEST FOR />() NEW INSTALLATION II 'fBl/-3Bl3 c 37'1-3522 ( ) ALTERATION ( ) REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography nf area, habitable building, location of potable water wells, soil percolation ksl holes, soil profiles in test holes (See page 4). LOCATION OF PROPOSED EM;!LIIY: Near what City of Town t,/l!Jt.! CA~L.£ Size of Lot 3.57 Af~ Legal Description or Address Lo-r«_.'/.. __ 1711Zl:X El.I< 1Zull/ ;Sµst>1v1~1ofl/ o3<1 / tJ...~ iZt.tVI ,(J · WASTES TYPE: ()0 DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ) NON-DOMESTIC WASTES ( ) OTHER ·-DESCRIBE ___ , __________________ _ BUILDING OR SERVICE TYPE: '51tJ&ur ~AMtLY 1l.i!3 l'Dl!WCC Number of Bedrooms _3~-----------Number of Persons_._1 ____ _ ~ Garbage Grinder ()<)Automatic Washer C>(,J Dishwasher S...OURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: "TbwN or-NICIJ DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:~/ t~ /YI/LC ~~~~--- t~ w'1n;12 TJtwK.(EMT"nK tu) Was an effort made to connect to the Community S ystelTI? _,N-'-'-'ar'--'A_,_,PP."-"'1-1-"M"""BLo=< ______ _ A.~.lte_pl3.n..iu:.c_q_qjred to be submitted that indicate.~Jh.e.following MINIMUM distances: oJALeach Field to Well: 100 feet ~ ~ 1>1tJ..C NASeptic Tank to Well: 50 feet .Jt Leach Field to lrrieatton Ditches, Stream or Water Course: 50 feet -A-en<AL ~ {,,5-1oorr. I/. Septic System (septic tank & disposal field) to Property Lines: 10 feet. -Atnu4L <» •co-1ior:-r-. YOtlBJ~DIY.:IPJW.. SEWAGE DISPOSAL_S\'S_l,EM PERMIT \\'ILL NOT B_EJSSUED WITHOUT A._SJJ'E PLAN. GRQYJ'!D CONDITJONS: Depth to first Ground Water Table_i,,="'=r<N~•~"'-~"'--------------- Percent Ground Slope VAJUG 10/(,5 • 0 13Z f9 .,,,..,,,.,.,= 1~r>-> ~1= 2 GARFIELD COUNTY 9703843470 01/24!03 10:53an. P. 004 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: <X> SEPTIC TANK 1,1se> ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PITPRJVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET( ) OTHER-DESCRIBE FINAL DISPOSAL BY: lX> ABSORPTION TRENCH, BED OR PIT ( ) EV A POTRANSPIRA TlON ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER-DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? __ N_t) __ fl;RCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutcs _____ per inch in hole No. 1 Minutrs ----per inch in hole No. 3 Minutes ____ _.,.er inch in hole No. 2 Minutes, ______ per inch in hole No. Name, address and telephone ofRPE who made soil absorpti\•n tests:-------------- Name, address and telephone ofRPE responsible for design of the system:-···---------- Applicant acknowledges that the completeness of the application i.s 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 pem1it is subject to such tenns and conditions as deeme<l necessary to insur<' (:ompliance with rules and regulations made, information and report~ 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 ol'thc application or re\'{>cation of any permit granted based upon said application and in legal action for perjury as provided by law. Signed ~ 1J. ~ Date 2c/ .:T4~A/~0=3 ____ , PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 \ \ ' I \ \"1 ·----.. _ I \ ··~-' ··. ···.·=-~. 3 \