HomeMy WebLinkAbout01308 GARFIELD COUNTY BUILDING AND SANITAtIdN DEPARTMENT ! ! I I
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945-8241
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT 1306 a building or use permit.
Owner Elvin E. Harper
System Location 5 miles south of S i l t on 331 Road
Licensed Installer ___ Owner
• Conditional Construction approval is hereby granted for a 1,000 gallon
XXX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in /0 minutes requires a minimum of 2 2-3 sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 3 x 2. - ft. minimum requirement = a total of q, ft. of absorption area.
May we suggest / -<- 5 7 /X 3 .5 & — err 3cz
Date_ r/ -" t__a Inspector f . / - ,O
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover-
ing any pert.
Off- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
,a , �': Proper materials and assembly.
/SAC -. Trade name of septic tank or aerated treatment unit. Ce9, �]
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
— Adequate compliance with County and State regulations /requirements.
Other �2
Date � i®J •_ / 2- rc& Inspector _ 3
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au-
thority granted in 66.44.4, CRS 1963, amended 66-3-14, CRS 1963.
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements.
Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a viola-
tion of a requirement of the permit and cause for both legal action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in-
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I,
Petty Offense (S500.00 fine - 6 months in jail or both).
Applicant: Green Copy Department: Pink Copy
G ... ..�..�u..�.�.�.�. gyp.... = uuneannaue .r...a.�..__'___
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Application
by
County Official:
TO',:NER 1L1N H&/Zpr lE �Bt�wt� /57)
ADDRESS ,5 -/ / a 7 T � G, PHONE 0% 215/C NC/0/0.-)577}c_—
CONTRACTOR_ n; J/Je 1 -- �7P Tio.cJ_
ADDRESS _ PHONE
PERMIT REQUEST FOR: (X) 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: County - /
Near what City of Town Lot Size 4 CC.r_i.
Legal Description
WASTES TYPE: (X) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other - Describe ^_
BUILDING OR SERVICE TYPE: _ _ --
Number of bedrooms 3 Number of persons —
( ) Garbage grinder (X) Automatic washer (X ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (X) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system:
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock: _ �� � �� —L 77 ct
Depth to first Ground Water Table:& /r /'
Percent ground slope: p —/0
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 4
Was an effort made to connect to community system ?___,__ _
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(X 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:
( )t 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? 7
Page 2
1 'PIPCOLAlION TEST RESULTS: (To be completed by Registered Professional Engineer.)
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._
Nance, 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
purposes 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
adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies
that all statements 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 under-
stand 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 per-
jury as provided by law.
Date 944.44 P. 02 .-2 / 8 Signed
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPER Y,
37(91 m'•
L
3 3t°
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5
Page 3
,
PLOT PLAN AND DESIGN FEATURES:
Include by measured distance location of wells, springs, potable water supply
lines, cisterns, buildings, property lines, subsoil drains, lake, water course,
stream, dry gulch and show location of proposed system by direction and distance
from dwelling or other fixed reference object, and additional submissions in
support of this application such as data, plans, specifications, statements and
commitments.
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Page 4
DATE ('1 / 57 .F .---- PERMIT NO. °. S`-_ 6
NAME //K ,- &r F / 1/) it\ A f
LEG. ,33 I (R A ,6" SP S; / -
NS' 7 —To hins / y Pr) ✓ 8-3 �/
FOOTINGS 4 / 0 7:7 4"-
..'1 6 INSULATION
FOUNDATION / / r 6 ( �1 ROUGH PLUMBING / n. a
WEATHERPROOFFI 0 • 1 /�T ✓ UNDERGROUND PLUMBING
/ FRAMIIN0 /j /o ( -. FINAL PLUMBING
/ROUGH HEATING FINAL BUILDING
/ FIN / }1 NEATIN / p � / �� � / '\
Wa- libOQrC.'� �/ V
-
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!LAN NO. /® /,-k3
ei
ND kistReg Ibisw-u iONo i S kE61ED -aoseP
FROM : PaAasontc TAD/FAX PHONE NO. : +945 9394 Jun. 07 1999 1212PM P02
b . •
NS! 002036
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
(309) 945-8241 / (303) 625-3321
Job Address 331 Road 6 miles South of Silt
Nature of Work Building PErmit
Use ot Building single family dwelling
ownor Elvin E. Harper
Contractor Owner
Amount of Permit' $ 06)41 unte,
• Ellen L. Hicks
RON : Panasonic TAD /FAX PHONE NO. : +945 9394 Jun. 07 1999 12:11PM P01
. ,.....
tILDING PERMIT APPLICATION
GARFIELD, COUNTY BUILDING DEPARTMENT
Garfield County, Colorado, ada,,d 7-:_._, 19/3
Owner: gLU i Al E, ...._ A lexi pcIC -- Addrest; soy ' /r.�.7 SI /t.Co Phnne:f %d'l /Qi
...,.._Address: .,........_
Contractor or Builder: __ _ StQA'►'2 Phone: -_.._ . .. _.... fl el Location: „ s .. ,nt lt 5 .. St�.Th 0 .5i II ..... '3s I _ flel
Purpose for which building is to be used: _., . .Rt u17 L _
Size of Lot :— .. 70._ a.C K e:5... —
Distance of building from property line at BAST • NrorTh i
Front.: —.. /iD 0 __... hear: - -- o209 _ iAtft Side: _... 3QQ__ Right Side: ' /1.1 0
I t
Distance from nearest building: ___332- k D Number of stories: 1 '1 ._. -.
Source of water supply: __. Lye I 1 _. Number of rooms: 7 ...
T of sewage disposal:. ra c. - - --.. ...— Type of foundation: __. Cep .c.sa T_ _ —
G" ._.- Material in outside walls:. - _ S _ --
Width of building:.., ..__,�.�e� ... --- -..... .... ...........
Length of building:.. .y.2 _.5D. , ..____ —___. .____— Exterior finish: P�.'S
Height of walls:....._.- AS _......, Type of roof:... .. ....X SAL_..... .. o0
Floor space in square feet: _.. .234 . ..- /h /frie K % 70 ,I DD
Estimated value: $ —. 2P
, ' �6 - t °�' N fa ii, D 0 a-
Date construction will begin: _11O_.G 9
et4�� 4) bate of completion: _ �.._.....,,
Permit charge: $ . „_ 1 /. ?. __... ..�
Plan check fee: S —_..,, 9� — D _ .
TOTAL: $ ._. 4/0 , J7 - ---.. ,.,. --
And 1 /We hereby agree to build strictFro the terms of the above description, and also to clear the grounds and
ad}aeent street or streets of all rubbish and debris caused by the constr of said building.
Respectfully, ...' .i _
NOTE: If you are constructing a dwelling on a building site e lished by subdivision process
or SD 35 exemption prior to April 20, 1981 or if the parcel of land is more than 35 acres, you
may be subject to assessment of a $200.00 School Impact Fee prior to the issuance of a building
permit, as provided in lIarfield County Resolution 81 -263 atopted as an amendment to the building
code (see attached).
The county cuwtrnission rrs hereby fn•ant the above permit as per terms therein stated, This ____:41001KOC day of 1:1AI.
— — ...... --