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Home My WebLink About02446 �vr1' .v^w.s P....Vw- wr i...-"Rr.,T;s m^r- .?. ^.r r"r•� rt^..- .a,- -....� -.-. _' T • rr • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N . 2 4 4 6 . 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81801 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY J oy Kor /Paul Meyers 2822 (Segue Ln, 0.8. Phone_ 945 -6464 6 Owner's Name y Present Address System Location j } County ROM 115, Spring Valley, Glenwood Springs Legal Description of Assessor's Parcel No. SYSTEM DESIGN { !(Y2/D ,, SS t ee G ptic Tank Capacity (gallon) Other / //f / e 2 'T Percolation Rate (minutes /inch) Number of Bedrooms (or other) 3 , Required Absorption Area - See Attached 1d. Special Setback Requirements: ';Y tl Date Inspector it FINAL SYSTEM INSPECTION AND APPROVAL (as installed) fi Cali for Inspection (24 hours notice) Before Covering Installation 1 System Installer L.vaLe 11 Fr' Y C Septic Tank Capacity //..)t) 0 - A Septic Tank Manufacturer or Trade Name .. • -+ . 4 i1 Septic Tank Access within 8" of surface Y F3 6 • Absorption Area '3 / 9 / y yX •44 y i Absorption Area Type and /or Manufacturer or Trade Name / q /1 X vs .47 Roi '7 Op ,'S Adequate compliance with County and State regulations/requirements YF• it Other 1 ) Date 9 - se- kier Inspector '',! d j ) �' F - RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE •CONDITIONS: r 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter E 25, Article 10 C.R.S. 1973, Revised 1984. F 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- . Z nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a f 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 (8500.00 fine —6 ! h months in jail or both). Applicant: Green Copy Department: Pink Copy F i INDIYID_UAL SEWAGE DISPQSAI, SYSTEM APPLICATION OWNER 02) ROX /rn - mac merefCS ADDRESS 223 W- Stqe)C. t4ert-le, /Me5 PIIONE 7Y5 — C 5i` V CONTRACTOR 54t as <qd S ADDRESS L77/ G'O G PHONE `I6 ,�' — ,day PERMIT REQUEST FOR (�W 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). LOCAfIGN_OCPILOROSED FACILITY: COUNTY 4,teriel —D Near what City or Town / Lac' Lot I.egal Description Co S b,✓ * rrent-ir , 4ecec— WASI'ES_1YfE: ( `j'Dwelling ( ) Transient Use ( ) Commercial or Industrial ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: fec c eeesso,rsTc Num r of bedrooms: 3 Number of persons ( Garbage Grinder (9<kutomatic Washer ( -)'5ishwasher SOUII'`CI'sAND TYPE OF_WATEICSUPP_LY: (4 - WELL () SPRING () STREAM OR CREEK Give depth of all wells within 180 feet of system: / #bo If supplied by communiiy water, give name of supplier: GROUNI1CONDITI0I1S: Depth to bedrock: 441 Depth to first Ground Water Table: a/a Percent Ground Slope: 2t:72 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: u-v,C Was an effort made to connect to community system? .iVo TYPE OF$4DIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( Septic Tanks° ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use () Pit Privy ( ) s clin cineralion Toilet ( Recy other use ( ) Chemical Toilet titer - Describe: FINAL DI POSAL BY: ( Absorption Trench, Bed w igy ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: D WILT. EFFLUENT BE DISCI !ARCED DIRECTLY INTO WATERS OF THE STATE? - 1 P_ERCOLATION..TESZRESUI.TS: (To he 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. _ l2rA?G�' Name, address and telephone of RPE wh a soil absorption tests: Q.1 4 A d , ct/2LL �, 4 3 I ted a - c� c a , i z3 X - 9n 7 Name, address and telephone of RPE responsible for design of the system: e Applicant acknowledges That the completeness of the appliction 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 inusre compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies That all statements make, 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 bre relied on by the local department of health in evluating the same fro purposes of issuing the permit applied for herein. 1 further understand 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 perjury as provided by law. Signed sa 44t' Date W /SJ P_LBASI? DR AW AN ACCT IRATJL.MAP_TaIQ .IR_ ER_OPERTY ‘ be itjj at PLOT_P_LAN_AND_DESIONTLEALURES 1 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. • ,x'05#995 David A. Powell L GARElf DCOUNY P.O. Box 631 Carbondale, CO 81623 963 -9869 August 29, 1995 Mr. Don Owens Chief Building Official Garfield County Building and Planning 109 8th Street, Suite 303 Glenwood Springs, Colorado 81601 Re: Kor /Meyers Residence 3537 County Road 115 Garfield County, CO Dear Mr. Owens: Percolation tests performed by me at the above listed residence show that the average percolation rate for this system is 11.4 minutes per inch. A profile hole was dug adjacent to the proposed system location and no anomalies were found. Sizing for the absorbtion area requires 319 sq. feet if constructed with infiltration trenches. Two trenches 106 feet long by 3 feet wide should be used. The trenches should have 10 feet between them. This will require 18 infiltrator units. A 3 bedroom home requires a 1000 gallon septic tank. If you have any questions please call me at 303- 963 -9869. Sincere pADG " II David A. Powell, PE f . ` Colo. Reg. No. 25851 I ' \Mt On