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Home My WebLink About02458 I / / e 7/?F5 /I _- i'' / a e-- ( M GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit Nr. 2 4 5 in) 6 ` 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81601 4 Phone (303) 945 -8212 fr This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. t PROPERTY ? `1 Owner's Name Rinda Gottschalk Present Address Box 1322, Rifle Phone_ 625 -5108 System Location a 4 3 i County Road 246, Rifle t fi Legal Description of Assessor's Parcel No. - -'` nut 4 L C: At t, - t h C L. 1.1 v c n SYSTEM DESIGN -1,1 (. C- AC 44- C /4 4.4-ACE---4 - O C ,? e. eD v ti , ! U fi !, 1 n 5 (4 (! iRfr } 10 U O Septic Tank Capacity (gallon) Other J q. 1 / I o Percolation Rate (minutes /inch) Number of Bedrooms (or othe 3 . li ,3 Required Absorption Area - See Attached 44 Special Setback Requirements: ") f I\ ( `t M Q �.d Date Z Z - 4 ) 7 Inspector f FINAL SYSTEM INSPECTION AND APPROVAL (as installed) $ Pk Call for Inspection (24 hours notice) Before Covering Installation er a h System Installer_ 0 LA/ t. C v. x , { Septic Tank Capacity 1 S 0 C !till Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface \ / t. S 1' I. Absorption Area 0 0 g i i e-' L./ J � y') Absorption Area Type and /or Manufacturer or Trade Name It 0 ( k 1 . ,A C ` 0 C _ yy e - Adequate compliance with County and State regulations /requirements Other J �j (, Date Li -1.(, C fl Inspector A .r.- � l O ? LI RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE fi *CONDITIONS: i 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 4 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- i nect ion to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a t ■ 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 )all or both). Applicant: Green Copy Department: Pink Copy 1 frig . e. j. r l,. • K • 1 - J I' .. C6 . � 1' y y1l J� l r GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit NI 2 4 5 n r, • 109 8th Street Suite 303 A is Parcel No. Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 u This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Owner's Name Linda Gottschalk Present Address Box 1322, Rifle Phone F 2 > - `' 148 System Location 0 4 3 1 County Road 246, Rifle Legal Description of AssessQis Parcel No. l I f VC / . c - C 1 1 4 A v C . c 2 7 c> j;' r•. SYSTEM DESIGN C C AC n C l.t A, J (3C -c- r't r 0 c y. ! U3; a c ' 1 ` T r% F, t' C 3 3 k it 0 Septic Tank Capacity (gallon) Other G Z r / 13 n Percolation Rate (minutes /Inch) Number of Bedrooms (or other) 3 Required Absorption Area - See Attached Special Setback Requirements: Date t !' 7 2 ' Inspector r . ' O FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours police) Before Covering Installation System Installer U' IN t Septic Tank Capacity O 0 Septic Tank Manufacturer or Trade Name ` () O F ( A r^'I (r ) J� Septic Tank Access within 8" of surface / 2 Absorption Area L. t3 Q `^r Absorption Area Type and /or Manufacturer or Trade Name N. 0 C, 6 A ( - ' - 0 C r� Adequate compliance with County and State regulations/requirements Other Date � ! " 'L ' Inspector /\ � ,. 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), Applicant: Green Copy Department: Pink Copy • INDIVIDIJAT, SEWAGE DISPOSAT, SYSTEM APP!.ICATION OWNER LIN G rift SGtiw a• ADDRESS 141S KAILkokf) ,Que Pc^YiC- PHONE (nc.S - SIOR CONTRACTOR ADDRESS PHONE PERMIT REQUEST FOR (IVEW 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). n LOCATION OF PROPOSED FACIT,ITY: COUNTY CT .112 R <6 LaY Near what City or Town 72 (7 F• Lot Legal Description WASTES TYPE: (Dwelling ( ) Transient Use ( ) Commercial or Industrial ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: _ N dU S 6 Number of bedrooms: .3 Number of persons 3 (fjGarbage Grinder (Automatic Washer (t'Dishwasher SOT MCP, AND TYPF. OF WATER ST IPPLY: ('WELL () SPRING () STREAM OR CREEK Give depth of all wells within 180 feet of' system: ( ra If supplied by communtiy water, give name of supplier: tl J /i4 OROT JND CONDITIONS: — Depth to bedrock: — Depth to first Ground Water Table: Percent Ground Slope: ! % DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 7 of i. tV/1— Was an effort made to connect to community system? to At TYPE OF SEWAGE DISPOSAL SYSTEM PROPOSED: (z4' 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: (14 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? RD C) PERCOLATION TEST REST JJ.TS: (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 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. I 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. I II Signed as. .. ., • .� � , Date �P l9 - o S PLEASE DRAW AN ACC! JRATE MAP TO YOTJR PROPERTY , pr .0T PLAN AND DESIGN FEAT' JRRS 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. S6 A 77,4c /Irk) ,r D ;'y v' > 1� 1t GARFIELD C OUNTY �1� /4 ` ° as 1 1y z%u ! *erg 1 • Bu i lding rnrd Planning D ? E 4 a , 1 • , t T t x May 10, 1998 k£ Aa P. dad r • •t � {' r /y e � • , . Linda Gottschalk < ' ° " r :� . ., P. O. Box 1322 > R Co 81650 } �; Ms. Gottschalk, ,: Please refer to your building permit 5579 and Individual Sewage Disposal System permit 2458, issued by Garfield County in July of 1995. Our records indicate that a footing inspection was performed on the building permit on June 30, 1995 and a foundation inspection was performed on May 15, 1998. There is no record of a percolation test or a final inspection on the septic permit. By statute, building and septic system permits expire after 180 days with no progress being made on the work authorized by the permit. The above two permits should have been revoked on December 30, 1995. A notation in our files indicates that the permits were to have been revoked, but there is no record that you were ever notified about that action. Since an inspection was performed on May 15, 1998, we will continue to honor both the septic and building permits for an additional 180 days, with no further extensions of time allowed. If the septic system was installed, we need to know what the percolation rate was, how big a septic tank was installed and what size and type of leach field was placed. Please respond to the above requests for information at your very earliest convenience and again, be reminded that there is a maximum time for completion of your building permit of 180 days from the date of the last inspection, May 15, 1998. Thank you for your cooperation. Sincerely, Fc) a Steve Hackett Codes Enforcement 109 8th Street, Suite 303 . 945- 8212/285 -7972 Glenwood Springs, Colorado 81601