HomeMy WebLinkAbout02945 , . ,rr 79W . . °• -- gym - a ^a. '" b'RkR`'`' y -- -
t O A C
\GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2945
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
►l1ry� 3411-7 II Iry,' arac ."tx. p,/
Owner's Name ✓v �O ' I C 1 4 1 ff 466.1:-/-
, 1 F� /n Present Address ' y L 24 Phone970 a 9 & -
System Location (fr ' / " "`'y "' A- 2 " pa v-ca c k... 1 "c-.
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
7
Q Septic Tank Capacity (gallon) Other
4 . 9 percolation Rate (minutes /inch) Number of Bedrooms (or other) ..
9'/ Rock +/. 4 racl -i 13t T� Q� oh e$ ,
t Required Abs68tjg}7reg - See /,pttached czy — �l r X if t Z ." Pl ). rl� 14 rORS i N
` /f 2 l_)(( 6, c' , I5. ir -ArR�r w f+
a1Rs 1 00
Special Setback k Requirements: 7 Requirements: . , "k — f �- f < +
., ( 'f'
Date * : ' l r i i4 1 v / r r
In s p ector
i Ott , r h i; ( 1f,, c' n `. r / , .. 1
FINAL SYSTEM,7Nl" A APPROVAL (as installed) r. -
, At. J ' - -,
Call for Inspection (24 hours notice) Before Covering Installation
1,7.r:w /�1�
,C
'. Ltritem taller //,, " ..
' Sbp(i 2 flank CapablHco 1 "- 0 0 n (,� ,�, t-
Septic Tank Manufacturer or Trade Name pc) ` - y1 �` r c ' �.l
Septic Tank Access within 8" of surface
J /bra t'.y�
Absorption Area ' ` y c
(� •
Absorption Area Type and /or Manufacturer or Trade Name 114 F ri � K A r n 3
Adequate compliance with County and State regulations/requirements • a RI
Other 9 �f..
Date 4 _1 o -- r Inspector it C I
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 require�^1ents. 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 ($500.00 fine — 6
months In jail or both).
White - APPLICANT Yellow - DEPARTMENT
A:2 INDIVIDIJAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER A ie my ._ 15 ow o eJ
ADD &ESS 11 /1T - triwy POW ngPitethir PHONE 97O - 2SS Yaffe
CONTRACTOR 5 /0 u
ADDRESS PHONE
PERMIT REQUEST FOR (t$ 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 P'f� 1//��.
Near what City of Town agile-, 1/ 0-cc Size of Lot 3 5. I gr/icac
Legal Description or Address 5 E f .4 The. //to
WASTES TYPE: QC) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: Hoin
Number of Bedrooms Number of Persons .,Z-
( ) Garbage Grinder (y) Automatic Washer (K1 Dishwasher
SOIJRCE AND TYPE OF WATER SUPPLY: (X) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ;fry
Was an effort made to connect to the Community System? At
• i • ,Ieni r•i ir•i II' , i 1 •t ht in t • • i fl in. uINI M t' t •
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
Percent Ground Slope
2
TYPE OF IND 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 ®EcipFPA Td S
FINAL DISPOSAL BY:
( ) ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION
( ) UNDERGROUND DISPERSAL ( ) SAND FILTER
( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OTHER - DESCRIBE 4915 C I et-cA AT o4C
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? n
PERCOLATION TEST REST11.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 9 7_ 7e
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
/
0
/k
\}
\ ed
0
_ —
\ �_ ® \
.E
!k • ql
C./ ` ' -
�«i�
° , \ \ \ �\
A�, _
� \ ® \ } =
z 2 :
o
�� / \ \
2}
�-
`� \ \\ \\
) — \( .
el .
ik §5.!& f. r\ / c cz 0 o
TO
cu
\ a
® -45 . .j
j / t \ ' ik it
® u �/
2 " ¥ m z
1 ƒ\ 3 \
/k � � 7 C. t.
. § ® (
tA
0
/ ��
. :
// /1\ ,
Pons
S7;4w'e 93"3 S X p
q
it0 er, Ai --a “-- 3 T5 = 1 1 • "
i /0
a
3`-
111111 11111 1111111111 111 111111111111 111111 1111111
518353 12/29/1997 02:58P B1048 P56 M ALSDORF
8 of 7 R 36.00 D 0.00 GARFIELD COUNTY CO PEAKVIEW M
' LOCATED M1 THE
AHD THE
TDw iS IX T
SIXTH .
r KLMJn 11 1 1/4 Mari 511 1 512
us. ILA. GIDwsm. Salt - SSW 202p KWlru• fIP
1 YS. Slit. CAD151111L &PM' - 1952
r .» `...».»..... ».- J7Qa.1'��.1Q' a..1.f +ZQaza54 r _t 134Q IS'
.-- -- ----- -$OBIS �F- B6 AR1N6S_____ —_ _- 14�•.._
» �'. , .` ' 4' , •,�` — may __c ' fit _-•':' t �— _ :,? —, -
`\ ,-,:::::-,77=- r. ' 1 , � `. -_, //�� i • ' Iv; i) '` _' \� �" y:•�: ai
'' ' E T'.
43.110 ACRES : - --- ' � ' 42.: � ` 1,111 ' 1 1 1 . : j ? 1,7 1 �'. f r!? -c: \ -
i {a�{ ^ _ - 1)\)':(C . �aft ' ` i.' � s ` +t rt t��
�; i i s . _, + i < r f 1 : . - \ ''1. „�,. ' i A -.� - , , , �-; -.. i r'' :�:a�uf ' - - - •- r�`1' ^�)t� ;
' � . % 11t j���r 'r C . H l { r .' r f , -'T- i i „tl ( +",., l it- °mo �- ✓, - >; r C
t` _/ „,-- { :. `. f -.n +a`fi :F 1 , s . -
1 .`?�,` 1f °�., : ` � :'' -:?` —mss --”
1 _ a " 'k_ \� =1 Tom..' \ f t f>ti9
' ewer, EKiC[c. ; ' �, ;t ..__•� --- _ _ • a "F _-
4 ,- ' ;ra if j'' , ' ` ' ap +n L.. -' ' '``::
CO, T.'.1 i . �'1 - ail• r / ,r hat( -` - . N l - F. `.\':�, c;
li SECT 1 f y Jam -% r . a. o i >' w =_5 i -
=: '_ :
1 a 80.930 ACRES f ", �� 4,711);1. , a --, •- l ; ' -� - -- _ :.ii_S °: ki
:: s;' 1� =- ` 3'�: .; _' - -- `� = �i fit
, , . - - ,TC_ _- ram --
?� ' < - ', ,,r_,_ ir- -it:. _ :.
`
( - r 1 f'' i :' • r ;X` 1 I r • •\ ); Q tiE - - -' -_ om .�
t ,- `: _--=- . _lam I t s•i',, it'. • i 1 - - -' _ , -, ∎_ _ _�' ) 1 %Ili / / C E !8.!33 ACRES 1 : 4 sta«t"fru .r 1 \ �� ;y G �k � ;: 'a ' ,1 ; I : `:76: f 95_= F,f -..
_ _:} is T -: - ;rig"
r 1 / 1 1 _mac_ _ ' ' .rt ? " ? -- a'J3,: - f I
a 6 3 .2 s : ° s• ?� x -� ,;. i T:
/ , ,- y „ -1 i `. r f t t i .: !_ • �- ` _, • r _ c- ` , y
1.• C _`:-`_ ,\,�Zzij /J
• � � ,�- ` ; t ,-t : ` � 1.ir ' , ` 1 1 ; 1 . 1 1 ` „/' 1:]w .=•h=.Y \ 9 ' -: 1 _ t
•' � _ • '/' -_-. �,`✓ 'Y- !4y``` � `t ,is `• „ '. \ ' „ `C: .� = ey, •, 'w
t ' - ; 75 -f I hie M GE Fla 5 / Pe t;. '' _ `yam , � 1 •41 _. 1” �;-
s N8�'�7 a� - Yi ZTJJ� -- _ �yl Y-Z1 .. y+�t r-- ,".7+_T1 -
E LM CIAO S. Ll'E 2t. 11
` —. - -- �- ', _ , ' ` ` _ \.,. 1, , f " r , .), , . > k � - : ��-..-- n: ` .: .
;`1 • r `i etue -q�_ _ iii , ,,, .r s `-_ ` °\- t , v "
111,,, a�e.y r2 q',` '.___- . tt$
-_ , :,` - , .\\ - '' -^J ``'; ;, `YS..f. 'Q'`t, )mi.:. ` , = a�- 1 „
I H. r - - •. -`1 ,� si'
um 77 _ ..w. w urt
,RA �%, THODSPSON— LONGFORD CORP. `
1.R • + -
a99Een 529 25 1/2 RD., SUITE 9210 �
n man/ GRAND JUNCTION. COLORADO 1 __
a y, �, ..m PH. (303) 243 -8067 i
AL
JUNTAIN RANCH - - — led
•'2 «' /4 SECTION 1 MO
-
MI Mg - - -� N
i SW V SECTION U. . PUT l
]T n. RA 94 WEST. 1. MO w
L. MERIDIAN _ x j1 /l � @ � 1 1 NN SEC. 2 \‘'s
/ID)O IS ROM //CA. raa8.VSW
XT s ` 1 " ,, \ . �<H{C (MIQY *They MIIXER
FOOT WY' ,I.w1N)I u• tot. v, t,, 1 . . 1 ..--; R'+v � `
- ,lot'+sD+aur/aD mry R.s lsdeo en) IWIE .F ` '`
et
, \ `1 ♦ - „ :1 ,? ' ?:‘ , ,:; ` 1 ♦1; 1 1 ♦, ; ` `.,� y ;
'y ♦ , � ♦ t H i i \x` • \I 1 1 `` ` ,♦ Z I n `
9 ••,%•; `.
. .. "♦ \ `. `I 61/14 t `♦` ` i , 1 11 ♦ 9 . ` , 1 '" ` 1 i ` ` ` Y I
, + i `♦ `♦ 1 C i \ \\`‘ , 1 ; 1 1 `\l 11 i' 1,1 ; I ; ``. `<` `V ,, ♦ 1 1 ,` t ♦ ' 1 `I � 1 , ` \ 1 7:'•-...).
' % 1::::‘, i`1 "` ♦ 1 \ FI ♦ 1 _ '
r. +Z GS Sf ):241.,'`::: ` ♦11 i • : i JOT — _
So01. .yY` / , ast�d!tE�� `; •`71 ` \‘: ♦ `I 1 1 li 1 1 \.'"•-, L. " Wu
z_.. ,IONi ':f `mo • • ;It` ' l
I 1 � I i . ti %' l � r W
m-
i / N� ♦,• 9 tt �'il�; `� ``I ;P11 i i i I 1 ` `I `. ■ " `"!_ f
Z�fi. A Et ` � ` ♦ . �E 1 1 I 1 \ a `. . 1 I
_ i�� %, - : us -' <} O.e... `= vi' .pl ` ,1 i { 17 � v! S � 1 Az+� mew
.Ly(��yyyyy� iF�.a /ii g\ �`I `` �1 :' _ =v t�� 1 ` � � 1 / ,`♦ I i ' `
` 4"`‘• i 7 \ I I 1 N �.
`�]..'___ «: }art.` ♦`.- ��A1 \ ;`. ti l l♦11 1 ♦ 1 ', `I, j � {. `� C`` r ; `I Y F i ,
— •
Y .ETC ;• 1 1 n i ,
f . . 'FMyRE OUfc %'- lj'' a:,( ' �; p1 I• 1 ' 1 ` ; \, \ \` .1 11 ':
it.,) y -t<1 T
y w 1 i p 0 � Siii E.5 9 '
E'EY! - yi p � i I ` 1 , \ -C r `r J i •' i S O 10-
` � , a , � S� i j - I' ♦ � ` II `. `r ` I ` �- , C J—
CO MN=
k-4, .`I♦ ,,...f..,:.; , : sk i- 'm. -' 01 i `. 1 \ , ! . `` ` ` , '� ,:% ` \ ` ' ; `_` i N { � _
, � ._ • ; ;� : ;'s I� Lf; . ` , • ti CI OOH
it
?i ♦,•1" r • ' ' ' ° , � , ' ' /: ' ``` ; , ♦, i l 1 11 , , C : 1' m r
�� ' 'i • 1 - 1 , 1 1 1, I 1 1 _I [ . _
iiz - -;0 ■ .- ■ ' I(', • •, " MIMI
/ "1t • ', I ` ` ` ` \ C 1 1' i� J
P ; " Y , 1 I ` r i 1 y
;, a /� w 'I K, -
d1 Td T. ''7 i "t ; I , { /I i t tyl i ' i i T=
d �
i f .., .?:.*Z#1: i7 1 It‘ l I 1 ,)' 1 i 1 `. `. -A ,
F =' e;� , 11 /' ; ; I t 1 1 ) . �. ,
u
• I G t G i ' 1 I 1 _ 1 1 e i ' 1 %, jT'' / n ` i `. //
j i-
`=; se, i ID `f . ; ,, _i it i ♦ 1 - i .' v WP� " ♦�4 , ` - 1 . ;!P$4,:::;;;:' t, ///
II ♦ __ . it,/ - ; I,.' � y 1 ' SA / �`il u uf S ' . ' . y � ` ,'.t``.�: w ) //
. _y 1 ' _L.' i' '.__ V.Z' • 1 ; , , C / .
, � 1 . 't.:•:-$: 1p; ;; _ - I.. r-:_- -- ' f- 1� `,`. \w 1 gf ` @ j y / {' J ` . i33
• i` t ¢ , ✓ %a ^ : �\ _ " "_ _ ---:::-----_--2-.1%1 'I ; ..'' ' 0 / .:' -., t
` � T ' , ` ' . ^: , . I '`t i , ` .4 " .4 } a e � S r , aerie
•
. 1 I . ' 1 ' iiY I
`\ ~ ' • %, 1 ,-4,- . / t i p(
- � w i i n ,CISH � F 0.`J'C ...„ E ' , IE ... . ' •-- ,-.. _ I, 1 , rtc "∎ , .-� '/ /
^w a : '♦i,i: _ arm v itt":• = '? ♦ als ; .a€R : `
NNN
: `( ' ';JE f7ftER L2Si4- "_ /F ••
- " °'T P!AK VIEW MOUNTAIN R•NCII
PARACHUTE COLORADO wit la- IN2
r . m sec.
•
wit -.
35. ACRE PARCELS 1 OF 1
I