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HomeMy WebLinkAbout02075 I .,�r 1 .` GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N 2071 i 109 8th Street Suite 303 A is Parcel No. Glenwood Springs, Colorado 81801 2393 -02 -002 k Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. a 2. PROPERTY j p Owner's Name Stephen Heinig & Urea 0 419dht Address 0281 CA 167, Glenwood Ph 943 -0709 t System Location 0090 Cotton Hollow Lane, Carbondale i Legal Description of Assessor's Parcel No. SYSTEM DESIGN • I i 00 0 - Septic Tank Ca ( Other e r 3 / z n „...,.. .44, Percolation Rate (minutes/inch) Number of Bedrooms (or other) f fie i- Uwne i- Ga /1/ "SI a e . •.t 1 Required Absorption Area - See Attached ilinomaraessOMIS 4 becfto sies Special Setback Requirements: 7, $ Date. 1 1 / 7 Inspector cel C04,4-04/1-6- a FINAL SYSTEM INSPECTION AND APPROVAL (as installed) i • Call for Inspection (24 hours notice) Before Covering Installation System Installer c.�ot 11 '� Septlt Tank Capacity ja q 0 r / )(�,ey�,,,,. /p i � Septic Tank Manufacturer or Trade Name ,t //�^ (.^ } } Septic Tank Access within 8" of surface v Absorption Area A ch 5 ervi'e /✓0"'t 15 / n _ _ ?-- Absorption Area Type and /or Manufacturer or Trade Name L L ja g Adequate compliance with County and State regulations /requirements /--•-- Other /r(y' Date 1p M r / ? inspector rn� ` ` -' 1 "t "' 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 — 8 months In )ail or both). Applicant: Green Copy Department: Pink Copy : co iow 4404.5 hii- PAD &0e 1402-t°14 T " / \ 2 I 10'A" .d. 1pD as- # Z er s ( / 3 • n , . -et' F-- Po ' • Application e. INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by - -- — — -- County Official: OWN&R____LOV Nta1L— ,.j1N /b � 'b' °° � 1uuRESS___ Tel r o yry Afi in as Gd PI IONE g' K 5 - O7o? / o; 4 \DURESS_._ 'IOUE i 'ERMIT REQUEST FOIL: ( New installation ( ) Alteration ( ) Repair 1t:taclr separate sheets or report showing entire area with respect to surrounding areas, '.opography of area, habitable building, location of potable water wells, soil percolation !.est holes, soil profiles in test holes. (See page 4.) LOCATION Oi" PROPOSED FACILITY: County — — Inar what City of Town Lot Size legal Description — / ___ -- NAS1ES TYPE: ( v) uwelling ( ) Transient Use � — ( ) Commercial or Institutional ( ) Non - domestic Wastes ( ) Other - Describe !WILDING OR SERVICE TYPE: ______ (lumber of bedrooms 1 Number of persons `f ( ) Garbage grinder (Automatic washer (rishwasher SOURCE AND TYPE OF WATER SUPPLY: ( 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: — Depth to first Ground Water Table: Percent ground slope: — _ — DISTANCE 10 NEAREST COMMUNITY SEWER SYS1EM: Was an effort made to connect to community system? • TYPE OF INITIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (171 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: 0-1 Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUEi1T BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ____ • '. • r .Ol_L PERCOLATION ZEST 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 Mo. lame, address and telephone of PPE who made soil absorption tests: l address and telephone of RPE responsible for design of the system: applicant acknowledges that the completeness of the application is conditional upon such urther mandatory and additional tests and reports as may be required by the local health Iepartment to be made and furnished by the applicant or by the local health department for "u rposes of the evaluation of the application; and the issuance of the pe rnift.Is subject to .uch terms and conditions as deemed necessary to insure compliance with rules and regulations rdopted 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 rif 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 rr revocation of any permit granted based upon said application and in legal action for per- jury as provided by law. Date - -- -- �^ t 3 Signed )/// /� / ('LEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY `� • Page 3 • S132 INFILTRATOR CONT ACTOR FL °per Dispersal A (0.5) A(0.6) A10.6) PERC BED Bedroom Area . Trench Pieces Bcd Pieces Trench or Bed . . 1 •.6 , 41 X11 Fry FTs Pieces 5 1 247 82 123 7 14E3 17 148 9 2 141 2E32 94 141 E3 169 9 169 10 3 423 141 21 1 11 254 14 254 15 4 563 1 282 1 338 18 33E1 20 270 90 35 7 162 5' 162 10 2 154 309 103 154 8 185 10 105 11 3 463 154 231 12 278 15 27E3 17 4 617 206 309 16 370 20 370 22 7 1 292 97 146 8 175 9 175 10 2 167 333 111 167 9 200 11 200 12 3 500 167 250 1 3 300 16 300 18 4 667 222 333 1 E3 400 21 400 24 e a 0 �, - - .0 2 179 356 119 17E3 10 214 11 , 14 13 3 := 21 17 321 19 535 178 267 14 4 713 23(3 356 19 42E3 2:3 428 26 9 1 331 110 165 9 198 11 190 12 2 1E39 370 126 1139 10 227 12 227 14 3 567 189 204 15 340 18 :340 20 4 756 252 378 20 454 24 454 27 0 c 116 174 9 209 11 209 1.3 2 200 398 133 199 11 2:39 ....3 9 13 239 14 3 59E1 199 299 16 359 19 359 21 4 797 266 398 21 478 26 4713 29 22 83 10 219 12 219 13 2 209 41E3 139 209 11 251 13 251 15 3 627 209 313 17 376 20 376 23 4 836 279 418 22 501 27 501 30 12 1 302 127 191 10 229 12 229 14 2 219 436 1 4:i 21E3 12 262 14 25E3 15 3 - 5 218 327 17 393 21 393 24 4 873 291 436 2 524 28 524 31 "� 1:.. 239 14 13 1 3 133 19 11 t.: rC 13 239 2 227 454 151 227 12 273 15 273 16 3 601 227 341 18 409 22 409 24 4 909 303 45 24 545 29 545 33 14 1 4 i.3 138 206 11 240 13 249 15 2 236 471 157 236 13 203 15 203 17 3 707 236 354 19 424 23 424 25 4 _ :30 566 34 943 314 471 25 566 15 1 427 142 213 11 256 14 2 56 15 2 244 48E3 163 <'. ' 44 13 293 16 293 10 3 732 244 :366 20 439 23 4:39 26 4 976 325 48E1 26 5(36 31 586 35 16 1 441 147 221. 12 265 14 265 16 2 252 504 168 252 13 302 16 302 1B 3 756 2: <? 37E1 20 454 24 454 27 4 10 0E3 336 504 27 605 32 605 36 17 1 455 152 227 12 173 15 273 16 2 259 520 173 260 14 312 17 312 19 3 779 260 :390 21 46E1 25 460 28 4 1 039 346 520 28 623 33 623 37 18 1 46E3 156 234 12 2E11 15 2(31 17 2 267 535 178 267 14 321 17 321 19 3 1302 267 40:1 21 401 26 4E31 29 4 1069 356 535 2 9 641 34 641 313 SB2 INFILTRATOR CONTACTOR Bor Dispersal . (0.5) A(0.6) 0.6) PERC BED Bedroom Area T Trcre ch Pieces Bed cd Pieces Trench or Bed • . ' t •.• „ y ' 'I' FT' Pieces 1 247 132 123 7 14E3 9 140 9 2 141 2132 94 141 0 169 9 169 10 3 423 141 211 1. ]. 254 14 254 15 4 563 1E38 282 15 338 16 338 20 J 270 90 135 7 162 9 162 10 2 154 309 103 154 El 185 1.0 1.85 11 3 463 154 231 12 2 15 278 17 4 617 206 309 16 370 20 370 22 7 1 292 97 146 8 175 9 175 10 2 167 333 111 167 9 200 11 200 12 3 500 167 250 13 300 16 300 10 4 667 222 333 18 400 21 400 24 C . 0 .J ', 0 • v s: 2 179 356 119 1 78 10 214 1 1. 214 1 3 3 535 170 267 14 321 17 321 19 4 713 230 356 19 428 93 428 26 9 1 331 110 165 9 190 11 198 12 2 1E39 378 126 1139 10 227 12 227 14 3 567 109 284 15 340 113 340 20 4 756 2.52 370 20 454 24 454 27 0 349 16 74 9 209 11 209 13 2 200 398 133 199 - 11 239 13 239 14 3 598 199 299 16 359 19 359 21 4 797 266 3913 21 478 26 4713 29 3 6 12:2 183 10 219 12 219 13 2 209 410 139 209 11 251 13 2 51 15 3 627 209 31:3 17 376 20 :376 23 4 E336 279 410 22 501 2.7 501 30 . 12 1 3112 127 191 10 229 12 229 1. 2 219 436 145 21E1 12 262 14 25E3 15 3 _. 327 17 393 21 :393 24 23 524 2 524 31 4 873 291 436 �._. .:,.x I ^E3 13 1 398 133 199 11 239 13 239 2 227 454 151 227 12. 273 15 273 16 227 341 409 22. 3 601. - / IS 10 {tIV 409 33 4 909 303 45 24 545 29 545 14 1 41:; 136 206 11 249 ]' 240 15 2 236 471 157 :236 13 263 15 263 17 3 707 236 354 15' 424 2:3 424 25 4 943 314 471 25 566 30 566 34 15 1 427 142 213 11 256 14 256 15 2 244 498 163 244. 13 293 16 293 10 3 7:32 244 366 20 439 23 439 26 4. 976 325 40E1 26 586 31 586 35 16 1 441 147 221 12 265 14 265 16 2 252 504 16E3 252 13 302 16 302 10 3 756 252 37111 20 454 24 454 27 4 100E3 336 504 27 605 32 6015 36 17 1 455 152 227 12 273 15 2 73 16 2 259 520 173 260 14 :312 17 312 19 779 260 :' 9 2 1 468 25 460 20 3 777 ' <. ,0 S ct L 33 4 1039 346 520 29 623 ..� 623 37 18 1 46E3 156 234 12 2E31 15 • 2E31 17 2 267 535 179 267 14 321 17 321 19 3 002 267 40:1 21 401. 26 481 29 4 1069 356 535 29 641 34 641 38