The URL can be used to link to this page

Home My WebLink About01516 • f GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 0 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT N`' 1516 a building or use permit. Owner Bailey D. Sterrett System Location 16976 Hwy 82, Carbondale, OD Licensed Installer — 1'X1 Martin Conditional Construction approval is hereby granted for a 1.()00 gallon Septic Tank or _ Aerated treatment unit. Absorption area (or dispersal area) computed as follows: ¢� Perc rate of one inch in & _ minutes 2 r aq inutes requires a minimum of � , ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x 20 s ft. minimum requirement = a total of i2_L__ 2 q. er ft. of absorption area. May we suggest: / 2 k' / / / X 3 f ah ep - 7 8 `,c ?4 e. X 3 ' d' c/) p �t � / , Date. (._ � . Inspector •fir ... -/i . _ 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 part. o✓ ._ Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground �� surface. Of1 Trade name of set' � tank ___62.,______ Proper materials and ass embly. // / soot or aerated treatment unit. Cre�Ma l �{// � /0 // 0 19 ,7 °I- �` e 52 4 1 Adequate absorption (or dispersal) area. .24 Z�° � in s! q�"-' —�, l - Adequate compliance with permit requirements. - Yrdequate cornpliance with County and State regulations /requirements. ()tiler / • Date / / p e/6 - . — - Inspector i.1,. lc' '`-�'✓f) RETAIN WITH RECEIPT RECORD / 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. Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation of 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 (all or both.). Applicant: Green Copy Department: Pink Copy INDIVIDUAL SLWAGi_ DISIVAL SYSILH APPLI1: /1T10N Approval by County Official: ADDRESS 41304_ act) J $2 �d�!I �GI � P 1oNE quo CONTRACTOR — LK — ADDRESS — -- -- — - - -- PHONE 963. 2 2 • y 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 O r t i _F PROPOSED FACILITY: County _ 4Pf ..rf , Near what City of Town j 1ydy(E Lot Size a l /2- 1104 Legal Description WASTES TYPE: ( )() Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe _ BUILDING OR SERVICE TYPE: Number of bedrooms 3 Number of persons o f ( ) Garbage grinder or) Automatic washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (X) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: 44x2:, If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent ground slope:_ DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: A n � / Was an effort made to connect to community system ? Nd 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: ( ) 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? /VA; Page 2 p,1 i°ERCOLATION 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 Signed cee. PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY ter44.0tt M 4C 1 1 /0444 1 • 0 et Z �/ � Y � t9e 3 Jo i s . ,' Sec _ 32, - TT 7S.,- . Er? W.04 .15.,.. C0 1 erav $ t.e Ck c_nuyt.au_ , cc>(, ; r o cl: . St0s4S WELL: ess Cooker( 5c i 'tke ;CV/ Cot. ` xzc. 32 , T.'7S., v„,e 7 M/. , GU" .P. X . CT¢ G: S£'cl" 1 X 137.26 ; — ii(' —. �C,f d"�IG, 0-4" v01 . 2c1' - 0 1y / ✓: 7 s✓o 2 20o. 0o. m u , / (0 Y / Li J / 1� 7 ‘ /6. q pj L7 NW X 2_ v Hwy 92 h suuy eZ o , 1 0 r' N _° w. c . • c .r' ∎t1 ° J J 0 A D Q N G Lot 2_ f Cot E. Lc)c C P 2,00 az ,t 2.5' --I Q� 1. 2. 3 at.* OovbLL CO' 1 (!! 1- — . - r/Lr�,LM t . of -s_; ` �� J\ J 07 ; .ma c ^_ 74 strbe. �A9 .L D % , �AM(L 0 N J rJ ",° p f0r /o 6 . _ i_rit J . ( )'Lout g clod - u •-- i .�r:L c c_oia' 5o }}t:a. { uc cct c.a_ f ifo 4 7 l:n.c;{ica_Ans sc -4_ v�.(^.uv t ca > inns%C'c_ ? L.'=;. i' -4111 l/I >{ 200.00' • • — _earing _Statement: Bearing for this survey was established from corners sound in place on the South line of the property between the couthweE:t Corner of Lot 2 and the Southeast Corner of Lot 1, using a bearing of West on said line. This is to certify that. Lines in Space has conducted a survey of the p:.reels of land shown above, that this survey was made from existing corners found in place along the South line of the property between the Southwest Corner of Lot 2 and the Southeast Corner of Lot 1, and that the survey is true and correct to the best of my knowledge and belief. j . By : -. u -e-e-c Sy e y binci ,:em come L.S. 14111 ttle +l t, 4 ,` 5 ti 0Y •1. 1 f \ f �r. � :,, ' •: ' S � v l tU i S l .avt, Et e'tpk_osi �l" Vr4,. � Q p . (' v ac-. of L_am.d. ett Sac. 32,T. PO 9 s d (9 •).t YL• � Gav > • li, A` rc,cv�'` , � 1 er L /NES IN SPACE t =1C7° SYDNEY L /NC /COME (L.S. /411/) BOX 121 CARBONDALE, COLO. 303 - 963 -3852 28 a+S.v(C iq '1 1 SCALE:I"= 100' .