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Home My WebLink About02788 .svewarinne vow.. .vim'WW'— *777Winn7V .— _ ... .. \ ' �i`.o_ , � • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2788 109 8tit Street Suite 303 Assessor's Parcel No. • Glenwood Springs, Colorado 81601 Phone (303) 945-8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Dennis L. Brown 559 Hardell Lane, Vista, CA Owner's Name Present Address Phone_ System Location 0795 Mesa Drive, Rifle Creek Estates, Lot 26, Rifle. Legal Description of Assessor's Parcel No. Ko2 PC- L c s F i e E c 0 (64a 6• bra 7 1 as-2 SYSTEM DESIGN (2 E vc r1 boil- kl G 41 Septic Tank Capacity (gallon) Other tr (JUN 4 0/Z - d U Percolation Rate (minutes/inch) Number of Bedrooms (or other) , tip X c44".166-1) Required Absorption Area - See Attached n E til CRC/ 1 tir f Special Setback Requirements: G F r A P 1 a r Date 7 _ 1 y Requirements: _ f• `�`� FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer_ N Septic Tank Capacity la-0 Septic Tank Manufacturer or Trade Name 60 pi -A AJLt Septic Tank Access within 8" of surface Y P n • Absorption Area gilt Absorption Area Type and /or Manufacturer or Trade Name 41 f, NF /LT / Ten 4 X Q Adequate compliance with County and State regulations/requirements tP6s Other, Date f 1 4' ti PC-41.7 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 end 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 Jail or both). „ White - APPLICANT Yellow - DEPARTMENT ea INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER EN 4 l� t0co 13 �` ADDRESS S51 JIArcle-a his •, Uts4R (A (Ian spy PHONE S?8`78'1 q or 7z7-6‘s CONTRACTOR ltw.f Q S A 9 ADDRESS rc 4;na le/J 1w' t t 04-1t. S /- 77 PHONE PERMIT REQUEST FOR (X) 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 PROPOS,F,D FACILITY Near what City of Town Pi PL P. Size of Lot 3.3 to eLe— Legal Description or Address ).o+ 2( Wlt c i Or ) Rt R P. r rr rr.11. csii4 f� s WASTES TYPE: pd DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: 55,4 Awl-lily Res l rbe.c 1 r Number of Bedrooms 2 / Number of Persons ) Garbage Grinder cie) Automatic Washer OM Dishwasher SOIJRCE AND TYPF. OF WATER SUPPLY: (y) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier:14 E Cecile rS*iv '. • 6. A, DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /40k' KN ouM N Was an effort made to connect to the Community System? Ala A site plan is required to be submitted that indicates the following MINIMUM distances: Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN, GROUND CONDITIONS: Depth to first Ground Water Table ?Jb4 ILt' owr l Percent Ground Slope rtik+ AD 31 1 </Apo 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (20 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: ()() 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? / " pF.RCOT,ATION TEST REST II.TS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) 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 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 purposed 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 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 Date Y 1.J — ' 97 coe PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! ND -1 LAS-t Lo+ a�/ 1% hi- at/ %,\“4- uti�4. VTh1 Oro F 375 3 6 f S - ' 10 Met.s tkrret 9 + ,'Z 3 -' - cs 3 w `.J en N 3 v • �s o -�- .A01v 3 h o - ci ° Al.- z o � " � . O 4J T •C C V 4QI ./..- �d CI > m v� J v) ^ I ,t---- , 00z / O F 0 3 -fr -± • u. ., od . 4 . S u .0 -7-. _ D L o tA; ,�J / t R 4' s f y - ' ∎.l °' r AA ` I 'l. 9` ( C .t t° 0 ? Q S o F , o 2 a3'w • . L '/ N ;, o x - o -c 't7 >, r. a z --0 0 Sl , �' o E U o `r M 1 a `� CT' c 0E- u, 2 Z NW Gi � v CI? E ct 2 W Y Y y • o Cry' N 0 c U E Z 3 E V 111��... " m min -_ -'- yj i i/ i: 1 o Q T P W ¢ > 0 00 ¢ t- o c z c '? W A O' U C s - l � z o .03 5 o 4 • 1. Is a site plan included that indicates the distances of the proposed building or addition to property lines, other buildings, set back easements and utility easements? Yes )C 2. Does the site plan include the location of the I.S.D.S. (Individual Sewage Disposal System) and the distances to property lines, wells (on subject property and adjacent properties), streams or water courses? Yes 1X 3. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes X _ 4. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing v steel in accordance with the uniform building code or per stamped engineered design? Yes )C 5. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the clearances required between wood and earth? Yes X 6. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces and soffits? Yes X 7 Do the plans include design loads as required under the Uniform Building Code for roof snow loads, (a minimum of 40 pounds per square foot in Garfield County), floor loads and wind loads? Yes 8. Does the plan include a building section drawing indicating foundation, wall, floor and roof construction" Yes X 9. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes X 10. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes X 2 11. Does the plan indicate the height of the building or proposed addition from the highest point of the building or addition measured at mid span between the ridge and the eave down to existing grade contours? Yes )C 12. Does the plan include any stove or zero clearance fireplace planned for installation including make and model and Colorado Phase II certifications or phase II EPA certification? Yes X No 13. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the Uniform Building Code Chapter 37? Yes No X 14. Does the plan include a window schedule or other verification that egress /rescue windows from sleeping rooms and/or basements comply with the requirements of the Uniform Building Code? Yes X No 15. Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? /PEP /WO Z Yes I. No 16. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety glazing for these areas? � s o 14 Yes X No 17. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes x No 18. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission fro the association, if required by that association, prior to submitting an application for a building permit? Yes X No 19. Will this be the only residential structure on the parcel? Yes X No If no- Explain: 20. Have two (2) complete sets of construction drawings been submitted with the application? Yes X 3 • 21. Is this an application for the placement of a manufactured home? Yes No )C If yes, have you specified the size of the unit (min. 20ft. x 20ft); live roof load (min. 40 #); wind design (min. wind speed of 80 mph & 151b. wind load); foundation design; method of anchoring? Yes 22. Have you designed or had this plan designed while considering building and other construction code requirements? Yes )( No 23. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes )( No 24. Do you understand that approval for design and/or construction changes are required prior to the application of these changes? Yes X No 25. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit Fee" as well as any "School Impact" or Septic System" fees required, at the time you pick up your building permit? Yes X No 26. Are you aware that twenty four (24) hour notice is required for all inspections? Inspections will be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoon. Morning inspections must be called in by 12:00 p.m. the day before; afternoon inspections must be called in by 5:00 p.m. the day before. Failure to give twenty four (24) hour notice for inspections will delay your inspection one (1) day? Yes X No 27. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes f( No 28. Are you aware that the person signing the Permit Application, whether the "Owner ", "Agent of the Owner ", "General Contractor", "Contractor" or otherwise, is the party responsible for the project complying with the Uniform Building Code? Yes / No 4 I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. /3. r - 5,7 -- date P ho n e : 5 - 7V y (days); O,•C eat f' 727"445702 -- (evenings) Rea) rO Project Name: D£NAlt S �, C O .e /?OUJ/J elcrn AlCf Project Address: pS o'T .2G R r D F r,, ,-F ie gg 1-,25 Notes: If you have Answered "No" on any of the questions, you may be required to provide this information at the request of the Building Official prior to beginning the plan review process. Delays in issuing the permit are to be expected. Work may not proceed without the issuance of a permit. If it is determined by the Building Official that additional information is necessary to review the application and plans to determine minimum compliance with the adopted codes; the application may be placed behind more recent applications for building permits in the review process and not reviewed until required information has been provided and the application rotates again to first position for review, delay in issuance of the permit or delay in proceeding with construction. PerApp02.95 Effective August 15, 1995 RctoF 6,6 as h_' / 1ZPhCAW 41/ 1ROSS MAN 0 ?Qc+oeje "' 14 S pEc's pots tact by 4-1n ern cs Neento rce 0t /w Le 05 1-0v /LW USen42 oe6 5chu • 61/4^ Q ?Net 1 r. • ` h-1 p , pro u i o F d r Caw. , 5 •