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Home My WebLink About02551 - rr..;rn¢ra•1.;.. E' v .�.: -.mrc r ,- w - a.`q rr'+ ,T'S > / ,na'OC.a +R�. ;:.r r ..u, ,'TR^q'� T.'4V1 - tai cas - GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2551 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 4 Owner's Name Ch rl a E. G 17 l am Present Address 0098 Pnnoratnl r Dr. s S41 t Phone 876 - 9158 System Location 0098 Pannrnmlr llrlva, Silt Legal Description of Assessor's Parcel No. SYSTEM DESIGN THIS SYSTEM IS AN ADDITION TO SEPTIC PERMIT 0148, ISSUED IN 1975. NO PERC NEEDED. r,74 0J-t^'a-• Septic Tank Capacity (gallon) Other Percolation Rate (minutes/inch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: Date Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Cali for Inspection (24 hours notice) Before Covering Installation System Installer 0 Septic Tank Capacity •EX/ST/h'G - Septic Tank Manufacturer or Trade Name //41 Septic Tank Access within 8" of surface ST /i v G Absorption Area 30 //vast mArr <✓ ,a Rai S Absorption Area Type and /or Manufacturer or Trade Name //492 Adequate compliance with County and State regulations/requirements t /�,5 Other at T- ccEA / Date sP. Inspector 04.... 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 (8500.00 fine — 8 months In (ail or both). While - APPLICANT Yellow - DEPARTMENT • . • • INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER_ cif/airs E St/1 M ADDRESS 0628 1 On S /2r PHONE 7 70 226 ;/n CONTRACTOR D kJ/4W ADDRESS PHONE 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; COUNTY 'A,PF; c / V Near what City or "Town .2 ,4t l e 5 S/ l r Co Size of Lot .2 Legal Description or Address 00 AB Alto oWAh1'G D/9 a4'/ 27 G �. WASTES TYPE: (X) DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE:_A/Gia L Number of Bedrooms . '1 foss, 64•e -, Number of Persons 2, )) Garbage Grinder ( k) Automatic Washer (x) Dishwasher SOURCE AND TYPE OF WATER SUPPLY; (6 WELL ( ) SPRING ( ) STREAM OR CREEK Give depth of all wells within 180 feet of system: If supplied by Community Water, give name of supplier P NAJ n,'AMiG 14.41 e D k e 1PS • GROUND CONDITIONS: Depth to bedrock: 410/t'e 243 • Depth to first Ground Water Table M64' P Ai P. 6' Percent Ground Slope / To ,2 .9C I)ISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: a2 Ai/ he 4' Was an effort made to connect to community system? ( ) YES ( )(j NO TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) 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: X) 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 ? /VO 2 PERCOLA'T'ION TEST RES111 .TS: (To be completed by Registered Professional Engineer) Minutes per inch in hole No. 1 Minuses 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 permit 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 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 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 ge,�a,. < Sr.? Date 0 2_ PLEASE DRAW AN ACCURATE MAP TO YOUR PRQPERTY!! M///444 / 1 sca T $4 /foAD /vas r# /or sr S k 1 3 . • i. cNAR'Ccs E, 0,22/4/4 A. 0o 28 eA444.4.v1 .OA: 4 , fir / Go. 157 gc' r 02 -D? 94 ,✓e� ,�F �rRAra e 72't I Matt AGACN f,s /D sfbAM !P4 ± 19.5 4yd> .V VS' L p // If ADO'7oNAI xi i #Ah TggroAS I/ \ y 'y. ,V4eDEP V II G *ts , slit Ma 6A,YaAD —7 ' SrAAID AND /4)F /274Th R 1 5 1Z 3'X6. 1 Wey4 ,2 SL QS Ich'A“ /D. 3 fT 3 ip') 4 a 5/2c /9c fE S Thy- Ex /5770 cr 5e/1 c TA) k A N.D 2 c. A c # F c //j Ta 41. /4,44), /4.; use , GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 PERMIT b S 148 (this does not constitute a building or use permit) Owner Gene G1111am System Location 0028 Panoramic Ilrive Licensed Contractor ICnith Pntt.orcnn * Conditional Construction approval is hereby granted for a /in /3/% gallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate i inches in r-4 rl minutes 2/ sq. ft. absorption area per bedroom yt } r. � e 1 of bedrooms % .9" x 'sq. ft. minimum requirement = 650,22 c.1- / . � , , ii'�''`t ./:' May we suggest ,i. t / -1 - " �:, ; :;�..�1z e = !' ' ' Date ••a - . Inspector . FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any put. c ?C- Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. a€— Proper materials and assembly. Adequate absorption (or dispersal) area. d� Adequate compliance with permit requirements. Aer Adequate compliance with County and State regulations /requirements. Date 6 et-PS - 7. S Inspector - RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 66-44-4, CRS 1963, amended 66 -3 -14, CRS 1963. 2. This permit is valid only for connection to structures which have fully complied with County Zoning and building requirements. Connection to or use with any dwelling or structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section 11I, 3.24 requires 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 con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or both.