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Home My WebLink AboutApplicationGarfield County 195 W.14 Street h Public Health 2014 Blake Avenue Rifle, CO 81650 Glenwood Springs, CO 81601 (970)625-5200 (970)945-6614 OWTS PERMIT APPLICATION TYPE OF SYSTEM CONSTRUCTION r Installation I ❑ Alteration —Repair BUILDING USAGE TYPE ❑ Dwelling I ❑ Transient Use Comm /Industrial ❑ Non Domestic ❑ Other Describe INVOLVED PARTIES _ Property wner: -/y Mailing Address: Email Address:_ r Contractor: i ( P) k-" Mailing Address: _ Email Address:A1_t? F Mailing Address: oi.,?�/ tU U'•d4"' !�j L I RL� 1 r z/ V Email Address: PROJECT LOCATION AND DESCRIPTION Job Address:%a� nPt9 Assessor's Parcel Number: .'2k0769i06ase j ub. Lot- Block___,_ Building or Service Type: ,#Bedr0000m+s: GarbageDisposal(Y/N) Distance to Nearest Community Sewer System: � — is' 1— Was an effort made to connect to the Community Sewer System: Potable Water Source Xwell J I ❑ spring ❑ stream or creek ❑ ciste & Type ❑ Community rn III ity water system Name � �W Garfield County Public Health Department — working to promote health and prevent disease cc ma l CERTIFICATION 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 purpose of the evaluation of j 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 legal action for perjury as provided by law. I hereby acknowledge that I 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 V—Wrsay knowledge. flruperty Owner Print and Sign Date OFFICIAL USE ONLY T'd # 12.3.•0 CC cs �c/ZC21� Special Conditions: Permit Fee: * 123 .06 Total Fees: * 123 d° Fees Paid: 4 fZ3., Building Permit OWTS Permit: -7 Issuer Date: Balance Due: N r 5EQT- o Ize4 �_ -;q r Public Health Department, Garfield County p , Date Signed Approval Garfield County Public Health Garfield County Public Health 2014 Blake Ave. Glenwood Springs, CO 81601 Phone: (970) 945-6614 ext. 8150 Permit Number SEPT-7048 OWTS PERMIT KEEP AVAILABLE AT PROJECT SITE Permit Type X New X Repair X Remodel/addition X Tank only Issue Date 08/19/2021 Expiration Date 08/19/2022 For inspections, call: 970-945-6614 ext. 8150 and tali the Design Engineer, if applicable Project Address: 8714 County Road 300, Parachute, CO 81635 Parcel No.: 240707400004 Owner Name: John Lyons Designed By: Westwater Engineering Owner Phone: (970) 366-2856 Designer Phone: (970) 241-7076 Contractor: John Lyons Contractor Phone: (970) 366-2856 Minimum Tank Capacity: 1,000- ag Ilon Minimum Absorption: 162.75 ftz Permit Conditions: This OWTS Permit is approved on the condition of compliance with the report and design as submitted by Westwater Engineering dated October 2020. Changes to the design and permit must be approved by Garfield County Public Health and the designer prior to construction. The new OWTS will serve a new general store. The system will consist of a new, two -compartment 1,000-gallon septic tank set level with access to grade. An effluent filter shall be installed in the outlet tee of the tank, as required in the Regulations. Effluent will gravity flow to a manifold set level that will distribute effluent to 216 ftz of STA. The new STA will consist of a two -row gravelless chamber bed, each row consisting of 9 infiltrator Quick4 chambers per trench (18 chambers total). Inspection ports shall be installed at each corner of the bed, as required by the Regulations. Maintain all setbacks and elevations as designed. Contact the designer and Garfield County Public Health at least 48 hours prior to requesting fina'I inspection of the installed system prior to backfill. Agreement All installations must comply with all requirements of the Garfield County OWTS regulations including but not limited to the conditions specified above. 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 OWTS and associated structures 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 OWTS and structure, the permit may then be revoked by notice from the Health Department and immediately become null and void. The issuance of a permit and specifications of terms and conditions therein will not constitute assumption of liability, nor create presumption that the local public health agency or its employees may be liable for the failure or malfunctioning of any system. Permit issuance will not constitute a certification that the system, the equipment used in the system, or any component used for system operation will ensure continuous compliance with the provision of the OWTS Act, the regulations adopted thereunder, or any terms and conditions of a permit. Permit Approval Plans and specifications for the proposed OWTS have been reviewed and are considered satisfactory. Permission is hereby given to the property owner(s) to perform the work indicated in accordance with the Garfield County OWTS Regulation. This Permit will expire 1 year from the date of issuance unless construction on the system has commenced. An "as -built" drawing must be submitted and inspection of the system must be completed by GCPH before final approval of the system will be issued. 08/19/2021 Issued By: Garfield County Environmental Health Date Department