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Home My WebLink About01869 11' 41 "rr p. m; p r n•'t 4i'w a7g �'t�,1r"" ' ersrgiW A `16' ,404M3K60,0'4 0I, + " "r . i -:" N4, .rvF 1� .rr ••" r° ''t tr GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT • 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT s.si 1869 a building or use permit. Owner Frontella — Julius Inc. System Location 32597 Hwy 6 & 24 Silt Licensed Installer owner Conditional Construction approval is hereby granted for a /h" O _gallon N1 rr t l / l litm ✓ Septic Tank or _ Aerated treatment unit. i k J f . Ic c J i �a l t � c ' `' i r I' c'L p 1 f s1"� a "lay o f � i.:r,% l� ". i. Absorption area (or dispersal area) computed as follows: N ,1 f 77 ! rJ i Perc rate of one inch in /3 S _ minutes requires a minimum of ua � I2. sq. ft. of absorption area per bedroom. ,Y Therefore the no. of bedrooms x sq. ft. minimum requirement = a total of sq. ft. of absorptignprea. 1 /. Eir e '}f Esc l- 3 It T 2P 1, c.i /fI , ). /� l �f, 1 _.fir May we suggest .J 4 ; Date = / %f inspector r ,r / / 44$ 4 • 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. Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper materials and assembly. Trade name me pf septic tank or aerated treatment unit. 2 . 5, .s ( t / /4 r Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate cornpliance with County and State regulations /requirements. Other Date u e� — 3 0 -' / l inspector RETAIN WITH RECEIPT RECORDS AT 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 1, Petty Offense ($500.00 fine — 6 months In jall or both.). Applicant: Green Copy Department: Pink Copy • ^` xH/|/c^i/w/ ^ • , INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by ^ County Official: 0WN�k ^ � ---- -_�zc��. A|)08E5 �� vei |`U0N[�`�� ~` -� - °~ CONTRACTOR _ ' */ ADDRESS P||0NE PERMIT REQUEST FOR: (&c) New Installation ( \ Alteration / ) Kepair �-----'----`---- Attach separate sheets or report showing eutire 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 I.) LOCATION OF PROPOSED County Near what City of Town Lot Si7 Legal Uescriptioo /� / ��/��-�---- T�. :mi _� �;�� a 3/41 � ��'1.��^�^ «�*/W__2).� WASTES TYPE: ( ) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non-domestic Wastes ( ) Other - 0e�Cri�e t". --- BUILDING OR SERVICE TYP[: \� %�^�\J�� v� ,�,'n Number of bedrooms Humber of persons ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher --^'---------- SOURCE AND TYPE OF N8 ; /i< ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: ^��n ^ --_ �'x,/ If supplied by community water, give name or supplier: 6KOU C0N 0U�� _ � � Depth to bedrock:__ � ��'� ---` Depth to first Ground Water Table: �'� / --^_- --_----' Percent ground slope: */�� DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:___ LANE Was an effort made to connect t0 community system? v�^� �*~' TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: /tl Tank ( ) Aeration Plant ( 4 -1 ~ Vaolt ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other Use ( ) Chemical Toilet ( ) Other - Describe: FINAL DISPOSAL BY: /10 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 . . • �� 4 'N 1/4 cYL 1 9 , . rcD °.) WEST OF -make Conk " FM• T 1 O 1..! PARCEL A A p• cel of land situate in the NWk of the NEk Section 9 all in Townsh • 6 • nge 92 Weat of the 6th Principal Meridian described as follows: Beginning at a point on the Weat line of said NWk of the NEk whence the Section corner common to Section 3,4,9 and 10 located at the intersection of First Strew and Grand Avenue in the Town of Silt, Colorado bears North 00 °32'42" Weat 63.48 feet and North 89 ° 14'35" East 2637.29 feet; thence South 86 ° 47'15" East 72'.70 feet; thence South 287.84 feet to a point on the northerly right -of -way of U.S. Highway 6 & 24; thence along said right -of -way the following four courses 230.4 feet along the are of a curve to.the right having a radius of 5595.78 few of which the chord bearing is North 86'31'47" West 230.42 feet; thence Nor 85 ° 21' West 148.25 feet; thence North 04'39'00" East 40.00 feet; thence Nort 85'21'00" West 347.96 feet to a point'on said West line of the NWk of the NE • thence Nort 00 °32'42" West 234.42 feet to the point of beginning and contai 4.37 acres m or less. Subjec • • "AI nt for .:ress an• :- •1'pose, being 30 feet in width in :'..C+ which the centerline is described as follows: Beginning at a point on the northerly right -of -way of U.S. Highway 6 and 24, whence the Southeast Corner of Section 4 bears North 77 ° 33'18" East 2329.48 feet thence North 04'39'00" East 283.10 feet to the point of termination. PARCEL B • A parcel of land situate in the NWk of the NEk Section 9 and the SWk of the SEk • Section 4, all in Township 6 South, Range 92 Weat of the 6th Principal Meridian described as follows: Beginning at a point on the West line of said NWk of the Na whence the Section Corner common to Section 3,4,9 and 10 located at the intersection of First Stret and Grand Avenue in the Town of Silt, Colorado bears North 00'32'42" West 163,41 feet and North 89 ° 14'35" East 2637.29 feet; thence North 00 ° 32'42" West 163.48 thence along the West line of said SW''.of the SEi North 00'31'52" Weat 286,28 fi 1, th enns laautne - °o44 -4+0st 44,.e-- se.'-- nlntwnttte rtarter . terrer'86`47'lR"— F*a'e' R�312 • S011PE RCOLATiON 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: Nance, 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 lo be submitted by the appl icant are or wi11 he represented to be true and correct to the best of my knowl edge and belief and are designed to be relied on by the local department of heal th in evaluating the same for purposes of i the permit applied for herein. 1 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 02 02f_ _ Signed - i PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY frj431 S � O F I 5 4 4- /bay 6 a 27 kGb 144- —e SYsTGM 1N Ol PLAT 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. • Paige 4 +, � Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by OWNER. ' r,P, - - SwS, -L,, County Official ADDRESS pO - Sox 6 �� / &,V,Yy7 . may (�te,Zy) PHONE $x''76 35'n ADDRESS 4A, PHONE PERMIT REQUEST FOR: ( ) 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 ,,yr,�r . Near what City of Town .S%// Lot Size V'. ■e Legal Description C.2 yi (�Y-2v S /,(%/,, WASTES TYPE: ( ) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe ,o.4L•,., X iJ s• Sko BUILDING OR SERVICE TYPE: 7ti',,,,, S J e?4tr\ P � t i 4 d,J.pay,wv. Number of bedrooms Number of persons ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( 1( ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: ? o If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: t,,,,_V,, - N Depth to first Ground Water Table: / „ ' Percent ground slope: „,2% DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: / title_ Was an effort made to connect to community system? Vp S _.. TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: // (c ) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: A/ a /-A- 1/4 ,, —re,/ ,i FINAL DISPOSAL BY: S7o' C. olg (pc) Absorption Trench, Bed or Pit 64 ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal rp ( ) Wastewater Pond ( ) Other - Describe: rqp /o/d -f�,, -A, ) As gala WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? N0 • SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) 4 4l{nutes 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: zo tA. o- tier , k • w E..A.4,, � gyo � „ s y 44 ri yea ) 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 permtt.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 niy 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 — 7— 97 Signed e, ? /; `► PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY w.° e :a LTIvw 7,eac4 S GP, I+ oo o X55 nin .3a 599 my mar L, Page 3