Loading...
HomeMy WebLinkAbout02489 f ie F4 1 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit IN _ 24 8 9 it. 109 8th Street Suite 303 Assessor's Parcel No. " Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 . r ' This does not constitute „ " INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. t�` y PROPERTY Chris Bell Box 229 • New Castle 984 -3500 V- Owner's Name Present Address Phone. System Location County Road 245. New Castle tr 1 Legal Description of Assessor's Parcel No. Pea P©044 t / c Po ° G ge.aesr- Paa' SYSTEM DESIGN 3E2 ht, F , L 7R'AroR,,5 .e ,�. - _,-,, «.se =fir ate 0t DCNn Septic Tank Capacity (gallon) . Other it /fit 315 PSrcolation Rate (minutes /inch) Number of B *'drooms (or other) 3 li Required Absorption Area - See Attached Special Setback Requirements: • F Date 4 /10.-44 Inspector "�' $, FINAL SYSTEM INSPECTION AND APPROVAL (as installed) fi t Call for Inspection (24 hours notice) Before Covering Installation if - 11 System Installer_ T 3 k Septic Tank Capacity /_i,5O k$ Septic Tank Manufacturer or Trade Name ( c 4 ut�- r Septic Tank Access within 8" of surface c ,i � � . - 5 • Absorption Area 32' p y II Absorption Area Type and /or Manufacturer or Trade Name BM( J /U ic74 7 F 3a s G....- II ° f Adequate compliance with County and State regulations /requirements ( a Other Date / ei / 1• q4" Inspector i il ; - %- ini.LiJ RETAIN WITH RECEIPT RECORDS AT CONS UCTION SITE ! ■ *CONDITIONS: 1 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. i 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 , is requirement of the permit and cause for both legal action and revocation of the permit. 1 t F� 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 — a, I months in jail or both). Applicant: Green Copy Department: Pink Copy if Application INDIVIDUAL SEWAGE DISPOSAL sysitM APPLICATION Approval by -� - County Official: OWNER C'h /S £tLe_-- , J T____ AU R ESS & 0 ) ZZ 9 — /✓ a() C4daf PHONE cry 3 .Sv S ItACT01t_ . &L^ ADDRESS PHONE PERMIT REQUEST FOIL: (I�ew 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 cc t,C e-t ' N Near what City of Town £1s7�� Lot Size 41 ,CPC Legal Description c;7 4p, 47 WASTES TYPE: ( �) uwellmy ( ) Transient Use ( ) Commercial or Institutional ( ) Non-domestic Wastes ( ) Other - p Describe BUILDING OR SERVICE TYPE: /� t-S t aEii/Ce__- Number of bedrooms Number of persons_ Z (t-arbage grinder (64 washer (4-r SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: /1) s upplied by community water, give naive or supplier:_419_4 / C 7 i_ GROUND CONDITIONS: Depth to bedrock: �•-- - - ^_.— - -_ -- Depth to first Ground Water Table: • (CO t Percent ground slope: .C. °/• - __ - - -- `�_ - -- DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? • ,/‘ TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (PI-Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: FIiNAL DISI'OSA Y: ( Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: EFFLUENT BE DISCHARGED O1RECTLY INTO WATERS OF 111E STATE? - -___ 1 Pion 7 • :SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) ilinutes 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. 11, address and telephone of ItI'C who made soil absorption tests:__ Name, address and telephone of RI'E 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 periiii't.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 niy 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 O law. �I �/ Date e / f' / _ Signed �. . SE Ds, AND ACCURATE MAP TO YOUR PROPERTY 0 2,4C P C�TI�fJ • • • 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 comnitments. • • • • • • Page 4 EXHIBIT A A Tract. of land'situated in the West one -half of the Northe;',tt one - quarter of Section 25, T. 5 S., R. 91 W. of the 6th P.M., in Garfield .:o•tn!y, Colorado and being more particularly described as foL.ows:, Beginning at point on the East line of said•West one -half of the Northeast one - quarter from which the E. 1/16 Corner on the East /West centerline of said Section 25, an iron pipe with a 3" Aluminum cap properly marked bears S. 00 degrees 02'12" W. a distance of 7' t..42 feet; thence N. 00 r'a:grees 02'12" E. and along said East line a distance of 1'20.93 feet to a 'point in the center of the Elk Creek Homeowners Association water tank easement; thence S. 44 cagrees 37'03" W. and following the centerline of the Elk Creek Homeowners Association water line easement a distance of 449.03 feet; thence 5. 50 cegrees 07'26" W. and continuing along said centerline a distance of 398.88 feet to a point on the northeasterly line of Lot 12, Block 5, Unit One Elk Creek Development (Doc. No. 230521 Garfield County records); the fcllowing Fifteen (15) courses are along the Northeasterly bounda:y line of said Unit One Elk Creek Development: 1) s 50 degrees 02' E. a distance of 33.71 feet; 2) E. :c a distance of 81.36 feet; 3) 5 27 de! :ees 21' E. a distance of 77.60 feet; 4) S. 63 degrees 20' E. a distance of 59.76 feet; 5) S. 09 degrees 34' W. a distance of 64.82 feet; 6) 5 28 degrees 06' W. a distance of 60.02 feet; 7) S 77 degrees 01' 14" W. a distance of 51.15 feet; 8) S 24 deg; ees 54'57" E. a distance of 36.43 feet; 9) S 64 decrees 32'20" E. a distance of 39.12 feet; 10) N. 73 de'!rees 33'35" E. a distance of 21.04 feet; 11) S 05 degrees 24'12" E. a distance of 41.02 feet; 17) N 65 degrees 34' E. a distance of 76.83 feet; 13) N 8' de rees 28' E. a distance of 25.45 feet; 14) 5 06 de reel 37' W. a distance of 120.24 feet; 15) S 64 de,rees 45'49" E. a distance of 129.96 feet; thencn N. 7! degrees 53' E. a distance of 148.03 feet to tha Point of Beginning. COUNTY OF GA -FIELD STATE OF COL RADO ALSO KNOWN AS: TRACT 1 KOZAK EXEMPTION ACCORDING to the Plat thereof recorded in the office of the Clerk and Recoraer of Garfield County. Colorado as Reception No. 465410. TOGETHER WITH an easement and right of way for ingress and egress over and across' the easement defined on the said Plat of Kozak Exemption extending from Comanchero Trail along the Westerly boundary of Tract 3 of the Kozak Exemption to the Northerly boundary of Tract 1 herein conveyed. .,•• • • ' Ai � `iy TANK / SITE /9 ` - /1�• 9 U \ ' ( 1 V / /// n �y // / // / Ac c., 11.1- ._&/ __x ._ ..,.., /// /// 111 076. 1 - \. // / /ge c•1 /// ° /�\p p c= i °12'W. i/ ..� 4- o 87 / / // U / /// CD Y. // / 4' •i, to % l /�/ •;i• ` Elk C Home. ,iters v � / / // e��ssociati n Acce 1t/ / / ` semen to Water LLI z „ 7/ / ~ • 25 wide Z ! ! ! �� 0,./ i/ %/ 'CR � t � V // '44'E. 31 .08 / • ' // // WA j -� / al / / // /o6k68 1 l 5.51 ° 06'E. ; /" / i/• fp / C . 74.3/ /. //•/ LIU .. / S' /<° TRACT, 1 „ Eai1 8.05 Acres m 7 // 81.36 5.27°21'E. O '0 \_____ 77.06 Lot 13 \ 3.63 °20 N / 59.76 11.1 i CV / 1/ 5.09034'W. ' 64.82 M N Lot I4 11 O' O ii 3.28 4� N 0 68.02 //5.77 ° 01'14'E. 51.15 Q O 0 Lot 15 1, l 5.24 ° 54'57 . E. 36.43 Z -- -7 - _ - -- / 5.64 °32 39.12 5.17°44'W. // N.78 °33'35'E. 111 63.02 __ / 21.04 N.89°28'E. Lot 16 1 / 5.05 ° 24•12'E. 25.45 N / I 41.01__ - e \ \ / _ N l 1 \ O 1 / tN o o f 17 ° o , , � ` ' 1 O h W � I ^ P 1 • S P�yM1 o8 h o p � " ' o "' �. 1 Red Rock Ditch z of mh 8 _fib A > IV 1 ©Gi /-L/ I /v „11°,1,..., F Lot 3 N ry - , 1295960E 6 "t � . i " \ - DR iV L 4 e 4 v \ - , - ' tA8 •p 1.° 1° �," I : s•9 • ° ryb p . 7 Lot 5 e 5�\0 y�a S " s.23 ° 16', ^y W,. .'". / 2' 159:59 ; !.. :.... ;A't/ g/ Lot 6 . • ••. /, i,62°00 Li`: / • • • . /D LS_ - / /As - a"_/6" 8 ' -ty 16.1- 161 � /- `-o N._ 7* T 9 g 4 5C /3,3 a-0 3 0 / /; 3 /79/4;