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Home My WebLink About02650 '! ig 1 *: Yvs"477. g:2io,;77css, J,`"4: 1,7 :q"w$PT `?i : " • , , I , , ^ GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2650 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 Warren & Julie Allmon Box 978, Basalt, CO 927 -0666 Owner's Name Present Address Phone System Location 653 a County Road 331, New Castle Legal Description of Assessor's Parcel No. 1 SYSTEM DESIGN i000 _ Se c anti Capacity (gallon) NO 6A ItBe 6R Other R Percolation Rate (minutes /inch) Number of Bedrooms (or other) 3 S35 P ,Pax leac.9 BFo Required Absorption Area - See Attached /, /7 //. �✓. m, r ... %n/f/r..l4laot / /Of/ / «uSr -e,u -f- L3e0 Special Setback Requirements: de Pi vA 1/4-5 /,44P4 /709.4pP4 /,B'au 4,6,-toPR /r/ .rnexch'rs =.2 ,1# Date 8 -6 -ix Inspector faAe- - - -- FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer_ —_ -- Septic Tank Capacity' —TO 64 4 Septic Tank Manufacturer or Trade Name 7 • 'N Septic Tank Access within 8" of surface / r .— - - - - - -- Absorption Area e247 6 a gal l..5 7 t'xun elvf Tvz>°v Absorption Area Type and /or Manufacturer or Trade Name !/JF/L%',YA7py2 Adequate compliance with County and State regulations /requirements/" Other 7P c ' 4e 7 Date 6' J - a 7 frrd Inspector ' 4 AO „ • 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. + 40"9 ` 0:". ' 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 he application of permit commits a Class I, Petty Offense ($500.00 fine —6 months in jail or both). ...w �r ... .White • APPLICANT Yellow - DEPARTMENT .4 88.56.OZ A . (yasv 1 n o.(..y/- Y 2a N 8$70 . 20 ' B _2587.4-a _ • 90 /: -. * 978.56 1 I ll 75. g. ,.,.� • v e3•se'o.• . - - - - -- —. S 89'59 "' 'd �..., /5 r.4ar and N.d Plank Cap / • E m • % 4 s t9>t 5 Bl'lJ'2 t �\ /5 for and "'•y+04 b 060 la roman ➢ cap S 79'22'27' t • q / 5 Pao. N 88 c 1 ! lOr b Q o7B' to rorna ' '' -- --..1 z 0 - . co 4 o i'g a,�,` Co ° {(, u.4 Y Co c.. 6-l) ` N 4's,rcro morn., w➢➢rrdma/. ',ninon , ry II i4 57 857 Acres + /- 4 I . • r r P l0 4.1. I .1 N�7/4NS7/ 4 4 J � ' Section 10 N m n v- Nft' /dNC 1/4 i R v.. Section /0 C f . ("- I�` �_� . axe 1 1 i 1 e 3�o i l _ _ ' an d oba.se 4 / _� 389/4 M . . t _ _ _ , Z R ,. u" . • 19 .6 / • / to c �1 7014:111 ""' li 4 sdet Ca In N 1 . � ------) J lY1 < ' • ?' �i 'now .17 rn SeC/ cnn 10 _ Ri , )I / _, 1 0.8n = OJ' " Parcel B 51.396 Acres+. -- 1 t sn •c 30' /a..,, /as. hen• . W \ N -` // . ,� R 7 n.ww" tb. % % 1' 5. / / , 5 t�ta+Mn 'VA's v I. w V 1 �� ' /W.v -a/- as .a....,.k .+.,.. re: ,. � / f0' NO/ 0ro.n limo nWl.e 'Pm +/ a� %.' Perna v Lard •l Sari,“ 4" rarrr n ry i data Oct ISM GS r /r ..mar aria . 00'5 sarn V ; m8 r,a .aro 2 a to v r 2958'v armor / 4N ' lS[rfd0 Arai Farad — _- — s e9'09'4 -, Y a t+ ,: ' c I -1 9,6/7 C.i ,, 64281 :.y rao fames ,- _ r . L I» $rtf a 200' loo_ — soa Scaler 1' .• 200 feel LX IUI • , T y , 8 r _ ,27 B T. •• 6 6/l = y8JA 0 ID 8y /s = ids,• =89 ere e/1(s' 8Mf = /a /-3V ta r3 = 21 67/8 s/!f-eg e 8 ��oy X 3 BeDRoom 1 /at)6,7f Mite f 04 U 4/ Irv. JC' �e /7 //NITS I,vF /[rx/r»,c G>2 !J / ' ` /N Cie //j //N/T$ /N ))2 e tsf 95 . INDIVII)[JAL, SEWAGE DISPOSAL SYSTEM APPLICATION OWNER (Aia r r SRI/ e 4 &vt o a ADDRESS Ro 97FY 89597/ C& 8'/(Z i PHONE 58 CONTRACTOR San ADDRESS PIIONE PERMIT REQUEST FOR (✓) / NEW INS'T'ALLATION ( ) 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 G" r Fi e. �d Near what City or T'owii si 1* / / Size of Lot S7 S .3 l4crer I�7�7 Legal Description or Address �, 3 3 / Re/. WASTES TYPE: ( /DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) 0111ER - DESCRIBE BUILDING OR SERVICE TYPE: Number of 13 drooms - r r i° Number of Persons _fl y e ( ) Garbage Grinder ( Automatic W, Sher ( V) Dishwasher AWE AND TYPE OF WATER SUPPLY: Automatic ( ) SPRING ( ) STREAM OR CREEK Give depth of all wells within 180 feet of system: /1/94( If supplied by Community Water, give name of supplier GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table Percent Ground Slope DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 1101 Was an effort made to connect to community system? ( ) YES ( 4 NO TYPE OP ),NDIVIDUAI. SEWAGE DISPOSAL SYSTEM PROPOSED: (V) SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE PINAI. DI. 'OSAI. BY: (ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL, ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OH WILL EFFLUENT 13E DISCHARGED DIRECTLY INTO WATERS OF THE STATE? 400 _ 2 ,iKR(:OLATION 'TEST RESULTS (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 further mandatory and additional tests and reports as may he 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, infonnation 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 flintier 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 64/1-14-%., (29,4 Date 0 f PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! ( 7 WPsi 'Rea ' M l 3v gj Cle io 975 . CA 11 a 1- 3?, N S;/ J ftirh / ell Qc Rors inl f s(4 /e, l e r e o h �ivnfa9 40/ Rr9 ti-1 on Cdv, gi 311 �e ReOrf on Colt Al 331 70 / left/ s 43�5t S 6 A. {1'!d /krn Oh 6531 /444 51 ddri d�eire, l / e f on (,. s �Pti _ 4e 'os kert) 71 tie( thei ✓e • p lb /, itg ry As bs34 Pero $r 4532 5.61410 b'Jser 65 (non*, 3