HomeMy WebLinkAbout01452 a,. .ram. m. {I�" r,. � , ,,�,.m,y • awr- ���ti�n:�'y ask, • • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT • 2014 Blake Avenue n ( r1 Glenwood Springs, Colorado 81601 1 01-1 Phone (303) 945.8241 O f This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT 1452 a building or use permit. Rodney L. Pretti Owner System Location 2018 Palmer Glenwood Springs, Colorado 995 -6658 Licensed Installer _ Evergreen Construction - John Sherman Conditional Construction approval is hereby granted for a 1,250 gallon nicht LU $ r_ t/ Septic Tank or Aerated treatment unit. ho G7 4,42 qe Q)3 ,.D/o Absorption area (or dispersal area) computed as follows: ('G5 C . A:,- 30x4,4 Perc rate of one inch in D minutes requires a minimum of _ ( r7 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms / "'T x �7 /:S sq. ft. minimum requirement = total of sq. ft. o absorption area. • May we suggest / 2• X/ 3Z Y` 1 o{r /$ �G va � O N' L / /� 4, &, t .l 3 ' 4 e 1,� r jj/eS / /✓ (/ Date Inspector —!�a.�� / FINAL APPROVAL OF SYSTEM: , • No s• ``m shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover. in / ipart. v/' \ Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. (� vc Proper materials and assembly. '71 re) e / Q ( Trade name of septic tank or aerated treatment unit. /lam Adequate absorption (or dispersal) area. 30 2.. ' yes fa-- f L�- e I Adequate compliance with permit requirements. 0 ' _ Adequate cornpliance with County and State regulations /requirements. /her Dat g s Inspector At l #' fii RETAIN WITH RECEIPT RECORDS /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 ($500.00 fine — 6 months in jail or both). Applicant: Green Copy Department: Pink Copy INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by QWNER ��/p// - i L_ / County Official: ADDRESS1205 AtwooP GIawoao 5f'f'iiwb Ca 61i$19, PHONE (79 CONT RACTOR /EC�9 Rf ov'l-zu &leo'.J ADDRESS v dSo\ (ri 1O-I.0vwuo( Spa S1G,I 7 / t� PHONE �Y"S Sa S- PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration ( 4 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 C Near what City of Town 6 Lwtwoab 5/"f /f4- 5r(fop,Ao Lot Size 2)- Iy /66PLp Legal Description et Mt Sou Ar.Pbs of Aur GF 56rrrow (S Tr .(oS eirg TH 617, ' 5(o •e /ir T65k!ra• 060 ;e >r WASTES TYPE: ( Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Number of bedrooms Lf Number of persons IF- ( A Garbage grinder ( Al Automatic washer ( A) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: If supplied by community water, give name or supplier: (fLLiwoaq 5,4pin,G5 , X07 0 GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /2-CO f F =T Was an effort made to connect to community system? r)115‘ TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (XO 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: ( A 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 ? Ad Page 2 SOIL PERCOLATION 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. 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 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 bylaw. Date / r /)^� y K Signed. AA/ /at PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY C: /NORTH phti1 4CUUNgw ki Cif rirca ar f — — 5 ud.oi Stay __ pa45t, 1 GfSNkiar10 _- 9i- .tiap so try z • ?e 2/ sr 5 Wer $ ;K7 Hue --21'"5r/pin 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 commi tments. R6 T I !� r't No NiO�re / pRaa ►� k � , 0 rum if !r5 MTVYM /ties e' 1pec Te5/ /,P000st'� a 'e "" 125C 1 � C l \ c -- C c ou Pr " J0' S rwaa rwom p� ��1 �� F- ff rat Page 4 tfr P �44r Are?? - �(�� , 1 ' �,.• ✓ " r ek Itt • 11 -4 it" 11 Itt ' O d d t�C�1�1ry� July 26, 1985 To Whom It May Concern: Let it be known that the home located at 2018 Palmer (residence of a Mr. Rodney Pretti) is not within 400', of an existing sanitary sewer. Therefore he is not required to hook up to the City of Glenwood Springs sanitary sewer system. If you have any questions pertaining to these matters please feel free to contact me at (303) 945 -7685 Si erely, 0.� ----^ Buddy Bu s Program Director - Water/Wastewater - City of Glenwood Springs j 806 COOPER AVENUE GLENWOOD SPRINGS, COLORADO 81601 303/945 - 2575