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Home My WebLink About04106ct GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloredo181601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Permit 410 6 A is Parcel No. This does not constitute a building or use permit. Owner's Nemel �n r�—� j �l LLQ PresenttAAddressa0— R- • ICko NIL L Phone ` —aCI4t LO System Location NO 1` n %V Pr P( (y RC) 1 Nic ^�f�� as— 331b Legal Description of Assessor's Parcel No ori-( D 1 — `,d4 — be -5— a!ba, %As Wit( C SYSTEM DESIGN /000 Septic Tank Capacity (gallon) Other Percolation Rate (minutes/inch) Required Absorption Area - See Attached Special Setback Requirements: Date /%—( C Inspector Number of Bedrooms (or other) L. 4ro/ el— /3 - 30214 � Go 510-nex e /O /4/'.� 103 = / Z Pte- L# 20P,`. FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer Septic Tank Capacity Dom, Septic Tank Manufacturer or Trade Name Cly/ Septic Tank Access within 8" of surface Absorption Area I� r AQ -y J Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Date /—O Inspector 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 end 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 I, Petty Offense ($500.00 fine — 6 months in jail or both). T t Z FENCE M ,00,00.10 N NAIL IN CONC DITCH 70 FRONTAGE ROAD „r03.3° 3�°" , TIE IRRIGATION DITCH S 8922'08" E 80.48' S 4700'00" E 41.01' 5 29'4530" E 163.91' P08 DITCH & DRAINAGE CHANNEL FENCE 5 20'40'47" E 150.83' 30 FT. EASEMENT FOR NATURAL AND WASTEWATER DRAINAGE AS SHOWN ON PLAT OF MYERS SUBDMSION EXEMPTION SET R&C 535 FT W.C. CACTUS VALLEY IRRIGATION DITCH (APPROX.) RO cOL01*D0 CERTIFICATION . VI 25 FT. W.C. NAIL IN CONC. 0' ADJOINERS DRIVEWAY 5 15'02'48" E 255.11' DITCH OVERSHOT 00'00'00" E 224.97' • R&C SET L.S. 13501 200' 400' 600' I hereby certify that this Improvement Survey Plot was prepared for Commonwealth Title Co. I further certify that the improvements on the above described parcel on this date, 9/17/2003, except utility connections, ore entirely within the boundaries of the parcel, except as shown, that there oro no encroachments upon premises, except as any easement the described premises by improvements on an indicated, and that there is no apparent evi crossing or burdening any port of said pa BY Rich LEGAL DESCRIPTION A parcel of land in SE1/45W1/4 and the SW1/4SE1/4 0 Township 6 South, Range 91 West of the 6th P.M., lying s described as follows: Lot 2 of Section 7, e 70 Frontage Road Beginning at o point on the southerly right—of—way of said Frontage Road whence the witness corner to the Northwest comer of said Section 7 bears S 7728'16 W 3356.21 feet; thence leaving said right—of—way S 470000" E 41.01 feet; thence 5 29.45:30" E 163.91 feet; thence S 20'40'47" E 150.83 feet; thence 5 15'02'48" E 255.11 feet; thence South 224.97 feet; thence 5 58'30'00" W 1070.47 feet; thence N 01'00'00" W 1200.08 feet to a point that intersects said Frontage Road right of woy; thence along said right of way N 77'0330" E 638.58 feet; thence S 89'22'08" E 80.48 feet to the Point of Beginning. Said parcel of land contains 20.46 acres more or less. JO ON aaIIIIN7 !iC Richard L Holman LS 1350! 4773 274 RK Silt Caine (ice) 8n a47 ®lPSOIZIO1118@Il! PARCEL 3 MYERS SU131)11 100 EXE1PRON GARREi0 COWRY, COLORADO DALE 9/t7/03 I PRO1 2aiOBD 1st ROU.DW INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER Ai'If1Qpuvt1A. LLC 1111 yy ADDRESS 36730 Rite>r Ftro4}ar IZ�, Me0 GstteCQ,H3JtW 770 98'i zay0 CONTRACTOR L e W t 5 Excaua I 1 9 ADDRESS 3/0'1 Co. Rd. 331 Sit PHONE g7h -2308 PERMIT REQUEST FOR (fir) 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 Between Sll t N ewCe,III)f 1 Size of Lot ZO AcYe% Legal Description or Address 36730 Rt UCr' Fr64 Jt ea • WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE V COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER—DESCRIBE Mandell Wed. E Fns 'Tues BUILDING OR SERVICE TYPE: (10/P/Petela / the/u. ce frtz, //IGS 20 Mars /0 Number of Bedrooms 44" — Q — g�yy0000't'15 2. Bathrooms i- Z Sinb4. No rubor5itower ( ) Garbage Grinder ( ) Automatic Washer Number of Persons ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (',C) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: k DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: S Mees Was an effort made to connect to the Community System? NO A site plan is required to be submitted that indicates the following MINIMUM distances: Leach Field to Well: Septic Tank to Well: Leach Field to Irrigation Ditches, Stream or Water Course: Septic System (septic tank & disposal field) to Property Lines: 100 feet 50 feet 50 feet 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS: Depth to first Ground Water Table ' 5 I W e 11 Qe pili 4 8 t Percent Ground Slope ,k -4,t -e-fittesAill -nig/ 90 Of ,/X/Garb' 2 !>t)Tojle�S 13) /�, J4 107&5 cj o4Pyr • TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (' ) 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: ()O ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER -DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? No PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes 1 # per inch in hole No. 1 Minutes 9 per inch in hole No. 3 Minutes 2..0 per inch in hole No. 2 Minutes /5 per inch in hole No. dv69' 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 Oct 24 -0C PLEASE DRAW AN ACCUR'AT`E MAP TO YOUR PROPERTY!! 3