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Home My WebLink About02137 _ I ,� rF GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit Iv. 2 1 3 7 I. 109 8th Street Suite 303 Assessor's Parcel No. k Glenwood Springs, Colorado 81801 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Tallahassee, FL. Owner's Name Rob & Sandia Carter Present Address 3379 E. Lakeshore Dr. Phone 904 - 385 -4138 1 M � e /p System Location 1546 County Road 137, Glenwood Springs V Legal Description of Assessor's Parcel No. SYSTEM DESIGN J Q 0 Septic Tank Capacity (gallon) Other , v , / IN 3 / 14,11 0 Percolatiop Rate (minutes /inch) Number of Bedrooms (or other) F'. ' r- {_, a •wa Fi aid � rS .[ ` � ? d / d l H �ioe -f z rh ,- /� 'x { r Required Absorption Area - See Attaahad • p'' ) 7 Special Setback Requirements: 1..,2 1..,2 l � 3 (,�,- .� ^ F '� a � '�' e "C'` { , n r -,- c pi ? 7 i r.4 0-i? Date 7--i 7 r - 7,3 Inspector alex'11 ( P \ ..1. / - e- && FINAL SYSTEM INSPECTION AND APPROVAL (as Installed) Call for Inspection (24 hours notice) Before Covering Installation 11 t System Installer e rte ) Aek. - • it Septic Tank Capacity 1) 0 n n ' Septic Tank Manufacturer or Trade Name ` g - -A Septic Tank Access within 8" of surface J ` - '� -. Absorption Area 2 1104-4-14 d1 4'w '3 p")-(-4. </\ D n .1.. Absorption Area Type and /or Manufacturer or Trade Name ( ry1 / 6_c , ^ 4 Adequate compliance with County and State regulations /requirements !/ 4^— Other _CC Date 9'- I 1 / Inspector - aa► ra■ -11 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 Jail or both). Applicant: Green Copy Department: Pink Copy Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by • — — County Official: OWNER CTiircl E . < f`}tt1DCAJF. (: ADDRESS,3 t:: , G Atct=-6 Rot;.t, 'DP THLL 44 -4A5S / 9NE9 04--3 SS -415 CONTRACTOR SEDrtc i K. Co (- NA,P i.s4 Z tAlitte ADDRESS 1 >%1 Coatny RD 240 Nat,) OA3Tt.e PHONE q94 -2 154 PERMIT REQUEST FOR: (t./j 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 (;»p tttL » _ Near what City of Town CLi°WocD S{QI JC_5 en., Lot Size 5C-1- Re. Legal Description SaiT An- AewtLt.ty.trr _ WASTES TYPE: ( y ) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: 5)06.t.c rsk4(LAy Number of bedrooms 3 Number of persons 7_ (k) Garbage grinder ()() 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: D7 Its( ouo,reer _ Depth to first Ground Water Table: It Percent ground slope: �tLJet DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 1JjA Was an effort made to connect to community system? 1Jc 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 a ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCIHARGED DIRECTLY INTO WATERS OF 111E STATE? pp • • 1 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._ 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 permft.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. / ( i ) , Date (o- 13 - 93 Signed t,' ea.4 ..ce PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY Crl t�Ju!oo� C t ovoV Cetik tJc IT SIles 1-1 � f�.4 � m . li Cv $ G 4 /c a v 11 'JALLeY Cr. G 41 17 INocsc 73440 111 ---�� Aukecl NOa+A 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 conmitments s� �4`rrA 14-4 PLOT- S a #1h -rte/ Page 4 N88'37' 35"E 500.00' I o ' 568 10 28 E y ' 1 n N 1' l . V OAP I 6' � BS 3 7 9. • f 0o CONCRETE I S15'S6'49 "W Y` HEA PRENDERGAST/ 0 11 SPION KOP DITCH 7'35 "E 476.71' R 50 ` "W 77.0 i 94.71` PARCEL 1 \, 508'19'36 "W 39.158 AC.± 62.21' WILLIAIAS CANEL 15'1 i BK 474, PC 44 / 157.6 1 1' c COUNTY ROAD \ 84.80 y 137 BURIED IRRIGATIO 1 OVERHEAD ''\ SO PIPE UN E POWER LINE 83 / . \ 1 , h o0IN ,O'C/►�. G ��J� /^\ nE FR t SEC. 24 I II / 542'3733'E 2007.16 A 95. 1 I TIE TO W 1/4 SEC. 24 2( N27 1816.93' I I -N86-7- \ N86'29'48 " W N 37.03' ACCESS ROAD 5'13 "W N64'46'23 "W f N85'27'S2 "W 821 74' 100.18 / 516'06'03 "W \ N5TS4',G 142.05 \ ti, `, i / if . r3� PP Y L BA R10'R „1D ' ��4 � 'I� 588'37'35 "W 697.34' l BARN 4 e f 1 N52•021,8„,,, ' -1 2437S', 1364 �� ; you ��/'' Lo,aTr� // r is wn K‘ R qq -- BASIS OF /5 /'� w r CW� /�SS�r . SCARING T77 p/? c' SO T ve rig iiot,g-e . /,iC,q/2 1v irw C° /St ' /97��W- of-7--- Or ru/gr-y o ✓// /3J 7/ /�jN /iS c ____ , _ .! COR.' SECT 24 • c, f / 3 7 ram /o i q u &reit , Accih 4 z7 33 r.A:cia __ 43 1 41 37