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HomeMy WebLinkAbout02357 T ^'R'+^wV'p'A+ ig! nTP ,c'FPIT�Tni�rer!7F &V4w"MFR'MSl nerRT „i1V/A..'ir'»�..^ > "P.i^M1r ^_' —.m• +c^v6 -,.. ,. " r 4 6 it, GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N. 2 3 5 7 b a 109 8th Street Suite 303 Assessor's Parcel No. 1 t Glenwood Springs, Colorado 61601 k Phone (303) 945 -8212 F This does not constitute i1 INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY 1 . High County Land Co. t i Owner's Name 8 y Present Addres 9304 S. 39th St, North, W��1i, Ks 316 -63b - N System Location 0161 Maraud Road, Glenwood Sprin r 1 , K k P: Legal Description of Assessor's Parcel No. t a SYSTEM DESIGN 1 l ' y Septic Tank Capacity (gallon) Other 1 7 C i r,.n.<..r, / (%^ , / - Percolation Rate i /ih Number of Bedrooms th e4A? ercolation ate (mnutes nc) umer oerooms (or oer) 5 persona : Required Absorption Area - See Attached Special Setback Requirements: Date Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) f Call for Inspection (24 hours notice) Before Covering Installation { System Installer_, 3'n 'a oar Septic Tank Capacity l ' ' - • / _ _ - • i Septic Tank Manufacturer or Trade Name 4' r, 11 t1..'L Septic Tank Access within 8” of surface SJE s I 1 Absorption Area c A. r -. ■ g fn a & S e d-fr. • i) : . c - t .. Absorption Area Type and /or Manufacturer or Trade Name e e t 0 y 4 4; i f Adequate compliance with County and State regulations /requirements • Other 6 , • • ; r / r/�.• r V/ g Date / a4' ' t9 . Inspector ni, �,.,,r ,1`. 3 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 tor 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 materiel 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 OWNER /Y �f // / n / / County Official: ... l , . 1 b �I ( , ADDRESS 5'36 30 5 . L . ,,.APHONE /L °I3e.4/3V3 t5o. CONTRACTOR ADDRESS PHONE ` v , 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: I County Near what City of Town (71/..,, 'ha C . � 4 / Lot Size 2• - And Legal Description '3 �� - a4/ #1a4d-Aal �.a 4 C-S WASTES TYPE: ( ) Dwelling ( ) Transient Use ( )C) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: �. S � f „ Number of bedrooms 2._-1(5(2.,r4 nh V Number of persons S ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher 'SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: If supplied by community water, give name or supplier: Y)104 Melia - GROUND CONDITIONS: l Depth to bedrock: } il _ Depth to first Ground Water Table: 7 Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: </ ..444 Was an effort made to connect to conmiunity system? . t4es 1 Nu cy- t,oi.)et DAI To TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: E irc CfrPAc (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: (>1 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? 1 n, o • J5011: 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 pernitti•s'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 /o/ (O )g4 Signed ` A PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY de...3--vo,\ Page 3