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Home My WebLink About03023 -r 4 . ` •y ( " f X ,. , „ 3() GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N 2 i e !Ar -� 109 8th Street Suite 303 Assessor's Parcel No. .. , E y Glenwood Springs, Colorado 81801 q Phone (303) 945 -8212 q I This does not constitute 9 f 6 INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. ( ` ( PROPERTY t gDse KeVIne /O $(o y (% K; {leCO € , 5.g VW = Owner's Name ( Present Address Phone `= loag al* 1 R if e C o 2 / . System Location ' w e S t Legal Description of Ass sor's Parcel No. Park die P� a I ' + ?— r ) I (IoC LEsc41- p1rt - I t 21 0% --0 .' I351� it SYSTEM DESIGN 21 LEAC - C f-(A nc t C2 - a E 0 - y 3 ti N l tS pint(' 3 tf if T C&-IC _ 3 _� g IT S - 0 Sept Tank Capacity (gallon) Other _ --- G E • / N" f-�/ Percolation Rate (minutes /inch) Number of Bedrooms (or other) 4 a • i k' ' ' Required Absorption Area - See Attached I r 4 Special Setback Requirements: _ ! Date — Inspector : :1 y FINAL SYSTEM INSPECTION AND APPROVAL (as installed) f • s • e 1 Call for Inspection (24 hours no ce Before Covering Installation; 1 4, System Installer no -� �� c 1 Septic Tank Capacity /' 1 P1 , „ i Septic Tank I�Aanufacturer p Trade Name ` �J ... / �� ; , i Septic Tank Access withiiin 8" of surface x face , 1. Absorption Area _ C U r` J f r S 1 W C f 7 i EAR/ e y c f Absorption Area Type and /or Manufacturer or Trade Name / /1( f- / 1 ! / /r T o� i `� 7 9 (; f Y` t, Adequate compliance with County and State regulations/requirements A P pf o1' 2 , , ►i Other ikS1Ac IN Sep- 1E EN / ': P ( ' 1 ;; Date 1 ( g ~ 1 Inspecto / `n•h f o ,- RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE l *CONDITIONS: ) f K 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 1 I• 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- f nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a f requirement of the permit and cause for both legal action and revocation of the permit. ' u 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 specif ications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine -8 t ; . months In jail or both). White - APPLICANT Yellow - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER ' 4hwt, 2.3` /�, ,z_[,c a ADDRESS 10 2 - 6 I( ( � lfr PHONE £ 2s r ' S CONTRACTOR C t 6L 3, i - r_ar ADDRESS 102 -cite /ate _ I R '- e- C a PHONE (nom isAett PERMIT REQUEST FOR KNEW INNSTALLATION ( ) 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 FASTI ITY: - Near what City of Town K r C n Size of Lot Legal Description or Address 1 0 2-S(< (',LA r/ 13 ri c r n _ WASTES TYPE: (>9 DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: 'Q. S . r•-c 7 Number of Bedrooms 4 Number of Persons Co 75 Garbage Grinder Automatic Washer c) Dishwasher SOIJRCE AND TYPE OF WATER SIMPLY: WELL be SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 1 0 vv.. " Was an effort made to connect to the Community System? r n 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 INDIVIDUAI, SEWAGE DISPOSAL. SYSTEM PERMIT WII.i, NOT RE ISSUED WITHOUT A SITE PLAN. CiROI ND CONDITIONS; Depth to first Ground Water Table 6W( 10(7 Percent Ground Slope a7,, — 2 TYPE OF INDIVIDUAL.SEWAGE DISPOSAL SYSTEM PROPOSED: ,,,04 , 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 ( ) WASTEWATERPOND ( ) OTHER - DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? flr7 pERCOL,ATION TEST REST JI.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 famished 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 � �ti�li�l,ll 5 1 - A{ , Date 94t S�7� PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 SOPRIS ENGINEERING • LLC ,. Kenneth S. Rose 10286 Highway 13 Rifle. CO 81650 November 11, 1996 ) r oia Subdaon, isi Sopris Engineering Project No. 96014.01 ( / ? Dear Mr. Rose: A percolation test was done on -site at the location of the proposed septic field. The test was performed per Garfield County standards as required to determine the soil percolation rate. A profile hole of approximately eight feet in depth was dug and six inches to one foot of topsoil was encountered. The remaining soil was uniform in type and gradation. The test was performed on July 25, 1996 and the percolation rate was determined to be one inch in 3 S ptinutes for hole 01, one inch in 27 minutes for hole 82 and 46 minutes for hole k3. The average is 37 minutes for one inch of percolation. The percolation rate was very uniform for the three holes and falls close to the muddle of the required rate for a standard septic system. A standard septic system will be adequate for the on -site soils as long as the septic system is sized for the home if you have any questions or need additional information. please let me know. Sincerely, Sopris Engineering, LLC Yett teld Yancy Nichol, P.E. Project Engineer 1101 Vatpot ROAD, Surr; UL-38 • CAasONOAL;, CO 81623 • 970 - 704.03 • FAX; 970 -704 -0313