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HomeMy WebLinkAbout04110GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 4 1 0 7 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Narne System Location 0440 Assessor's Parcel No. This does not constitute a building or use permit. 1 present Address 2:7 (€53 ) 612. Phone 79` 317,1 4.11 441 2) 7 _(U/ OZ -00i Legal Description of Assessor's Parcel No 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 Septic Tank Capacity )?o Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface n - Absorption Area Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Bate " ,27 tl__ - Inspector! /i. 6,/,(:(fi,i( /4 /6 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. Con- nection 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). While - APPLICANT Yellow - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER , YDS aCk.:2-.611-� t (�C�S ADDRESS 0-9- 5I;ot( .2 � �1� j PHONE 37- / 3l Ty CONTRACTOR . S c_• ADDRESS 4\eG. PHONE PERMIT REQUEST FOR NEW INSTALLATION ( ) ALTERATION ( ) 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: Near what City of Town '1 (-� Size of Lot. `y # ' Legal Description or Address Lo -f- mss~ ,! L Shi l) s w ,, WASTES TYPE: 73 DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER — DESCRIBE BUILDING OR SERVICE TYPE: C Number of Bedrooms ') Number of Persons,4 26 Garbage Grinder Q) Automatic Washer 90 Dishwasher OURCE AND TYPE OF WATER 'SUPPLY: ' WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ( 14.6 1 6 Was an effort made to connect to the Community System? S c �� s V s ►- A site plan is required to be submitted that indicates the following MINI 4 M 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 (septic tank & disposal field) to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ILL NO ,•' E ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS: Depth to first Ground Water Table TLA Percent Ground Slope uA.y1 G c Uva TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: VP 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: (' ABSORPTION TRENCH, BED OR PIT ( ) UNDERGROUND DISPERSAL ( ) ABOVE GROUND DISPERSAL ( ) OTHER -DESCRIBE ( ) EVAPOTRANSPIRATION ( ) SAND FILTER ( ) WASTEWATER POND WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? JO U 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 fordesign of the system: Applicant acknowledges that the completeness of the application is conditional' upon such further mandatory and additional tests and reports as maybe 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 termsand 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 fl 1 -,fe.,<L) So -A 4k... ,0t.c Date T- f-( `- O s- PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! March 11, 2008 Alfredo Salazar 0026 Native Springs Drive Rifle, CO 81650 Sir, Your house was completed in April of 2006. I have been attempting since that time to complete your file and have not had success. I have no proof that your engineered septic system was inspected and approved by the engineer, Stephen A. Kessler. I have attempted to call him numerous times and never receive a return call. 1 really need you to contact him and get this taken care of. Thank you for your cooperation. Sincerely, David N. Mead Building Inspector CTVSL ° S7RUC2WRI L . NAT.ERIAL9 HANozrNG ,E'NGINEER�.] DATE: 08 May 2008 PROJECT: Lot 1, Native Springs Garfield County, Colorado TO: Sanchez Drywall Dear Carlos. 448 Will Avenue Rifle, Colorado 81650 970-625-2774 Phone 970-625-4399 FAX westar@ro£net E -Mail T did not visually inspected the work done on the ISDS for this lot, but from the photos you supplied of work in progress it appears. that the work generally conforms with the intent of the drawing. You should note that this was not a visual inspection, and that no materials, dimensions, or elevations were check by Westar, Inc. Sincerely, Stephen A. Kesler, P.E. President xc: File Page 1 of 1 RECEIVED JUN 2 0 2008 GARFIELD COUNTY BUILDING & PLANNING Rifle Co. June 2 , 2008 Garfield County Building & planning Department At'n David N. Mead On response to your letter dated mach 11,2008 T am attaching to this letter a letter from the Engineer and letter from Sanchez drywall Inc. who Help me on the construction of the septic system. I. want to inform you , that this septic system was not visually inspected by the engineer, but all work was done according to the plans and I take full responsibility for any omission or deviation on the construction of the system and I will not do any claim against any person or institution . It is all what I can do to comply with your request. 1 ask for your help and your comprehension. Sincerely fredo Sala r To : Alfredo Salazar SANCHEZ DRYWALL INC. Silt Co May 29 , 2008. We (Sanchez Drywall Inc.) guarantee that the construction of the septic system on your house (lot 1 of Native Spring Subdivision ) known as 0026 Native springs dr. Rifle Co. was done according to the plans provided by Westar and We take the liability for any deviation on the construction if different from the specifications on those plans. Sincerely San h Drywall Inc Carl..'. S .: chez Vice -pre nt 110 W Main Street, Silt CO. 81652 Phone (970) 876-2889 Fax (970) 876-0447 06/26/2008 14:53 9708760447 COPELAND CONCRETE INCORPORATE© Manufacturers of Precast Concrete Products A190 DisUibuior or Rekated items 28803 U.S. Hwy 6 Ride, CeIorado 87880 Phone 625-1712 Pax 625-ima l O SDLP TO / l fi e U� .7Gt I C otv~ THEA TEAM "Praise The Lord" A $HIPTQ AJc{ I IVP PAGE 02/02 �..` Pt COLA a" rfATE ,f• -i.2 a. 0.0.0. RESALE MDSE. - TO. J NO, RA NljM9ER CUSTOMER NO. SALESMAN _ ry FHQ1 3� �_+L 3 1 7 1�ERSON CAL61t'lii JOB NAME WEIGHT iTEM Sh ( � DESORPTION UNFT PRICE EXTENEICEN I3 00 23 OEC6 ted c.O /MX / /0 0 c .- ,r: J , aE 1 t ,:38.6c (0 / 35 Ciecmock f 5 /7 5U !r', / CR5 re2. E pi )re _ t + _127 l(pLr5 IN 450 n- I ,V .. . 11� p q iz,1 c -I0 /7l 1 fF-1-4-'."--5 L/ w.'c) qo (:2 1 /f& ) ,p, ii4 K cc....„,,, ,,, , ! i q p, i t PK., to vi ,lie 1 C-. rn 'w f'4 " tic r ' 0 i c r 00 em` DEUVERY GHARQ 1E f .0 WARRANTY ON ABOVI•d.15TED MA VIAL (INCLUDING MACHINES, PARTS & SUPPLIES) t5 LIM1TIµO To THAT AS PROVIDED/'� BY THE MANUFACTURER, COPIEs;D WHICH A.1t VAILABI- UPON REQUEST 9 RRkv1R'f SIG ATUREt / -' \--0e14......,* .-�✓ CU R'8 S4QNATUPE \\ is e8 C-,) ..:3. Ct, \,[;;v1, t (._ A ` STA TAX f fR .:, " ... 0 COUNTY TAM 5i RECEIVED THANK YOU 'ca. c,r_,,c-r Ca.-. _ 7- _ fi JUitlio 2008 /-r, . 0 ' GARFIELD COUNTY BUILDING & PLANNING