Loading...
HomeMy WebLinkAbout1.20 Septic PermitGarfield County Community Development Department 108 W, Street, Suite 401 Glenwood Springs, CO 81601 Phone (970) 945-8212 PERMIT # SEPT -05-17-4714 Project Address Subdivision Sec03, T05S, R97W PFRMFT KEEP AVAILABLE AT PROJECT SITE Permit Type Septic - New Work Classification New id Issue Date 5/8/2017 Expiration Date 11/4/2017 Parcel No. 213701200001 Lot Section -Township -Range 03-05-97 Owner Name The Eva & Timothy James Uphoff Trust Owner Mailing Address 17037 CR 5 Rifle, CO 81650 Contractor(s) PVCMI Work Description: New OWTS for Employee Housing Facility Owner Phone N/A Contractor Phone Valuation Square Feet 970-625-5350 IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION. PLEASE NOTE: Final inspection of the work authorized by this permit is required. A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. A Building Permit becomes null and void if the authorized work is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. L�,' r Garfield County Community Development Department 108 a Street, Suite 401 Glenwood Springs, CO 81601 MAY 0 5 yQj, (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION ® New Installation O Alteration O Repair WASTE TYPE 0 Dwe!' ng 0 Transient Use ® Commjlndustrial O Non -Domestic 0 Other Describe INVOLVED PARTIES _ Property Owner. Th@ Eva UptxW Trust dated SMI 3 and Tr-rhy James UphcR Phone: U — Mailing Address: clo Tena Energy Pa Uers, 1058 CR 215, P CO SIM5 Email Address: Contractor: TLD (conal Pn Vaughan,' Phone: 970 6Z5 5M Mai' ng Address: Email Address: Engineer. P Mc 1COLicense 38662 Phone: g'a 3OM259 Mat"ng Address: AM A,6—septic 33 Four Wheel ^mraRoxd Cart CO 6--3 Email Address: PROJECT NAME %ND LOCATION Job Address: Assessor's Parcel Number. 2137 2-00-oot fib. Lot Biotic Building or Service Type: ng Faa6%- — 20 P— #Bedrooms: Garbage Disposal _ Distance tc Nearest Community Sewer System: 25 - ale Was an effort made to connect to the Community Sewer System: ^e Type of OWTS Vi Septic Tank O Aeration Plant 0 Vault O Vault Privy O Composting To 0 Recydit Potable Use 1 17 Recv..� ing ! 0 Pit Privy O incineration To! 0 Chemical Toilet 0 other Ground Conditions Depth to 1'" Ground water table Percent Grourtd Supe 1 _ Final Disposal by O Absorption trench, Bed or Pit 0 Underground Dispersal 0 Above Ground Dispersal 0 Evapotranspiration 0 wastewater Pond { ■ Sand Hlter I O Other Water Source & Type ( 0 wen 0 Spring O Streim or creek ■astern 0 Community water System Name Effluent Will EfRuent be discharged directly into waters of the State? 0 Yes eJ No CERTIFICATION 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 wall 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 appl'ccation or revocation of any permit granted based upon said application and legal action for perjury as provided by law. I hereby admowledge that 1 have read and understand the Notice and Certification above as well as have provided the required information which Is correct and accurate to the best of my knowledge. Property Owner Print and OFFICIAL WE ONLY Special Conditions: Pit Fee: � Peck Fee: T: 4© Fees! TP: Q© BOOM Permit septic Permit: Issue Date: MalarmADtie 60 BUILDING/ PLANNING DIVISION: Date mud s-�-c�- ACGarfield County Community Development Department 108 8°h Street, Suite 401 Glenwood Springs, CO 81601 Phone (970) 945-8212 PERMIT # SEPT -05-17-4714 Project Address Sec03, T05S, R97W E R M � :AF POST THIS IN A CONSPICIOUS PLACE WHEN CONSTRUCTION IS STARTED Permit Type Work Classification Issue Date 5/8/2017 Expiration Date Parcel No. 213701200001 Owner Name The Eva & Timothy James Uphoff Trust Owner Phone N/A Contractor(s) PVCMI Work Description New OWTS for Employee Housing Facility Contractor Phone 970-625-5350 AGREEMENT In consideration of the issuance of the permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location, construction and erection of the proposed structure for which this permit is granted. The applicant further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Building division and immediately become null and void. Inspection Comments Pass Date Perc Test Final PLEASE SEE BACK OF PERMIT FOR OTHER COMMENTS ADDITIONAL INSPECTIONS MAY BE REQUIRED For Inspections Call (970) 945-1377 x1621 For Driveway Inspections Call (970) 625- 8601