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Home My WebLink About02566 • / GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2566 / 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs / � Colorado 81601 / Phone (403)045.8212 I This dos net Constltvte INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Owner's Name Ned & Kim Mechling Present Address 1308 CR 129 Glenwood Phone 945 -4737 System Location ItiM7 Rama /44N,, Chrieteleit Views, Lot 4, Glenwood Springs Legal Description of Assessor's Parcel No. SYSTEM DESIGN Abwi rv.0 Other Joon Septic Tank Capacity (gallon) 1/ Percolation Rate (minutes /inch) Number of Bedrooms (or other) 3 f" IN 1 /airvr4 4;X70 Rock 6e4CW 5e Required Absorption Area - See Attached en AO taws 8 arfusa( 37605 Olt ao owis Sinallessa Special Setback Requirements: No 64g a 0/9,°S4.. bv<7j7RAnz a ,76* Date ' t, /` - 91 Inspector CrAKC FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours � n � o � tice) )B /24/9 Beeeffoore Covering Installation System Installer / /24/9 N Septic Tank Capacity /D0') hay Septic Tank Manufacturer or Trade Name LOPE/ AND Septic Tank Access within 8" of surface ye,f Absorption Area " - - ^ • . = - Absorption Area Type and /or Manufacturer or Trade Name Nara mA Adequate compliance with County and State regulations/requirements Other j \ uti0 717 Meet Y Date / f – Pf Inspector s rrnee , 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. 4 . 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 apprpved 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 (6500.00 fine — 8 months in jail or both). White - APPLICANT Yellow - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION / OWNER /l/CP c PM eY MCc,W "v / ADDRESS /Jo$ (7t R-L /3? Ciao Late ti PHONE 7 *'J — 413? CONTRACTOR Con- T ADDRESS l /.fl / sr i Plc, Co PHONE (es 32 9 C PERMIT REQUEST FOR (V) 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 Gilt /= MC 0 Near what City or Town 4 SeNWcao f3 s , Size of Lot , L f 4 AG, Legal Description or Address p,4RC & ,cN/e/Str/!= ws 5UQ. WASTES TYPE: (A) DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: 5, A Number of Bedrooms v 3 _ Number of Persons a ( ) Garbage Grinder (A Automatic Washer (Q Dishwasher SOURCE AND TYPE: OF WATER WPM ,Y QC) WELL ( ) SPRING ( ) STREAM OR CREEK Give depth of all wells within 180 feet of system: If supplied by Community Water, give name of supplier rH/P /,5 net c /r Sue O /t//S /one AROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table Percent Ground Slope DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: an effort made to connect to community system? ( ) YES ()( ) NO TYPE OF INDIVIDIJAI. SEWAGE DISPOSAL SYSTEM PROPOSED: ('>C) SEPTIC "I'ANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE _ FINA►. DISPOSAI. 13Y: (Y) ABSORPTION TRENCII, 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? fJ 2 1),EttCO1.ATION_I'ES'I' RESULT S (To be completed by Registered Professional Engineer) Minutes per inch in hole No. I 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 fruther 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. 1 frillier 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 n .5 42.2 Date 2 /z PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! D. peorekft J/ 17/ OA77H t e tA?J( ,,,,, gel aut/thJ (muck/ A40 act 4 . __ _ wy-er_ 3 nir A/n" y Ned f/k,vz /.vi r 9) fieiMee 2/9/re , r�T \7AKE ea a ® tip 4, yg/ _3i� � s� --Y,</m4 0 7 j tam, /-"rte ,A V Aemee z7/94_ r 2v adc, - r17 /y 3 � f e ae9'' Fes /;e4 2/ 3C = �v0 = 2> _ // At/ P' . / // /,✓ f //�s�n�vTS _ Nle 99 l/OoR e S� i c • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2 5 6 6 / 109 8th Street Suite 303 Assessor's Parcel No. "" Glenwood Springs, Colorado 81601 �3 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT [ a building or use permit. PROPERTY Owner's Name_._. Ned & Kim Mechling Present Address 1308 CR 129 Glenwood Phone_ -- 945 -4737 . Christeleit Views, Lot 4, Glenwood Springs System Location_ . Q ban. Legal Description of Assessor's Parcel No - - - -- - - -- - - -- - - - -- - -- - - - - - - -- SYSTEM DESIGN / Min/ ! �C� ____... Septic Tank Capacity (gallon) ______— — _____. Other Percolation Rate (minutes /inch) Number of Bedrooms (or other) _ - �, O y � E � 6,a 7�' e& NO 64,121347g_ �+^ Required Absorption Area - See Attached 04 " i/V c5 B /o0. e 371 Special Setback Requirements: Gre C 2 (//f /S /,v, vea 376 y Date ._ -_ Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer_ Septic Tank Capacity_ -- Septic Tank Manufacturer or Trade Name _ Septic Tank Access within 8" of surface Absorption Area Absorption Area Type and /or Manufacturer or Trade Name Adequate compliance with County and State regulations /requirements ._- Other __. .... _.__ Date _ Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must cornply 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 line -- 6 months in jail or both). While - APPLICANTS Yellow - DEPARTMENT