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Home My WebLink About02038 .- . ., _ _ A _ y .. r ' e fr k t� 11 9a GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N. 2 0 3 N i 109 8th Street Suite 903 A is Parcel No. f Glenwood Springs, Colorado 81601 1 Phone (903) 945-8212 This does not constitute q INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. 3 PROPERTY - I Western Slope Aggregated P.O. Box 910, Carbondale 963 -9424 1 $ Owner's Name Present Address Phone ` System Location 0406 County Road 104, Carbondale ! Legal Description of Assessor's Parcel No. - ( $ SYSTEM DESIGN I671 // Septic Tank Capacity (gallon) Other __ Percolation Rate (minutes/inch) Number of.gtnaaia or other) 6 (J' / et. 1/ . `."' / � � ,� 7 Required Absorption Area - See Attached ),%!/ j"! Special Setback Requirements: . �4 7C4./a I Date _44192 Inspector - e FINAL SYSTEM INSPECTION AND APPROVAL (as Installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer > t•yy /`m2 Septic Tank Capacity /! "' - "`- Septic Tank Manufacturer or Trade Name \ ,' -•r r .Q q 1 q d Septic Tank Access within 8" of surface ✓' Absorption Area / ? x' / Absorption Area Type and /or Manufacturer or Trade Name ` , Ayh %si/ , Adequate compliance with County and State regulations/requirements y 1 Other i Date / /9- Inspector 4/ i , / c A / � 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. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or 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 )ail or both). ' t � Applicant: Green Copy Department: Pink Copy 1 . 1 1 1 1.40,4:76 ciy4kiS -10.41.2d/kd C Or A, .2_ / _ tt ( I) vefy& Ft4.10JA/C ail>) /25 n , 2 z r • c Appli- o an INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: OWNER WESTERN SLOPE AGGREGATES a nnDRESS 104 County Road (Post Office Box 910) PHONE963 -9424 /5° • ,,,ATRACTOR EARTH WORKS CONSTRUCTION, INC. ADDRESS Post Office Box 1149 Carbondale, Colorado 81623 PHONE 963 -2 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_ GARFIELD Near what City of Town CA`LE Lot Size 72 Acres Legal Description See Attached WASTES TYPE: ( ) Dwelling ( ) Transient Use ( X ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Office /Shop _ Number of bedrooms -0- Number of persons 5 ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher Tankage SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( ) stream or creek ( Tank depth of all wells within 180 feet of system: N/A Al supplied by community water, give name or supplier: N/A GROUND CONDITIONS: Depth to bedrock: 150 Feet ( +) _ Depth to first Ground Water Table: 150 Feet ( ±) Percent ground slope: 0% DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: q n.LC S 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: ( x) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal M ( ) Sand Filter ( ) Above Ground Dispersal "'' e ( ) Wastewater Pond ( ) Other - Describe: 'I..LL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? NO 1 Paae 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 permftis 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 ,r / - �� eve Secretaryrer .CASE DRAW AND ACCURATE MAP TO YOUR PROPERTY rrz *** SEE ATTACHED Page 3 � r r ! r r — r' • I r_ _ _ ' S. r — =C' Z Western Slope Aggregate Noverber 6, 1992 TO: Garfield County Building & Sanitation FROM: Western Slope Aggregates RE: Spetic System Western Slope Aggregates requests an I.S.D.S. permit for our gravel pit operation office and shop. Proposed system to consist of septic tank and absorbtion trench or pit as required. System will serve one (1) toilet and one (1) sink with three (3) to five (5) erployees. P.O. Box 910 • Carbondale, Colorado 81623 • (303) 963 -9424 Exhibit A Legal Description WESTERN SLOPE AGGREG4TES The following described lands in Section 25 and 36T7S, R99W of the 6th P.M. Those portions of lots 8, 9, 10, 15 and 16 Section 25 lying in the S1/2 of S1 of Section 25 and lots 2 and 3 in Section 36 excepting any part of the above named lots in Section 25 and 36 lying southerly of the northerly ROW of State Highway 82 and excepting any part of the above named lots in Section 25 lying within the parcel of land described in the Quit Claim Deed document number 288920, book 516, Page 393. Also excepting the portion of lot 16 in Section 25 lying southerly of the centerline of the Basin Ditch.