Loading...
HomeMy WebLinkAbout03106 ( GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N 3106 109 8th 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 t ,Q /, /� .Q.� o' � �y Owner's Name Id s�,,p.■ 5 ���/ �` - AK k Present Address �^ esss (- I� i 2 • P ho e p 7� (// System Location `�" `+' j �(d.��`-1-{ (0 r 't ° P AcL�'( l/' v-sI Legal Description of Assessor's Parcel No. £ A C H — ° e a t A I OC — D C'C' c o p - s-- B,oatic . G b SYSTEM DESIGN V T- Aem c c f-cS 1(. 4-.) ?, Se I Co 0 Septic Tank Capacity (gallon) Other • "3 G 4 0 1 / / . 7 Percolation Rate (minutes/inch) Number of Bedrooms (or other) /3 (S Required Absorption Area • See Attached ( 0 10 Special Setb Requirements: Date _ I q Inspector '0 C r' • FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation • System Installer 0iO F -+ Septic Tank Capacity /X AP Septic Tank Manufacturer or Trade Name 0 OeLA'k).1 Septic Tank Access within 8" of surface ( d& S Absorption Area Absorption Area Type and /or Manufacturer or Trade Name 7 Adequate compliance with County and State regulations/requirements t Y - Other IP Date 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 Chap ter 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 01 fense (5500.00 1 ine — 6 �• months in jail or both). White - APPLICANT Yellow - DEPARTMENT $ e 6- I\ 4vL-t stop � � =Y G AS CO (.0 3 T -S 7 0 «/�=& O ' rec_o_clo) 201.-A(iw 0 ) c 0 1 It J L) k 5 y 13 20% ff86 tit - to ( (C( 0 • f • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N2 3106 109 8th 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 ^ 1635 Phone r/ 5 1 ISFtE''e ' . AWL "2-i'922 Owner's Name Q� }`�{'- Present Address System LocetioK `�r�� ° ? ` " k ` / �t MA-Auk �1t3 5 Legal Description of Assessor's Parcel No. K.oe K- (-- e-ac- if - pi ec-10 —.7 1 88G k SYSTEM DESIGN t 1 Q- lit AilA°cti- ceo t 132 1 sZ • Go 0 /4-4-t T f It r l T Ef C H = 9 4 3 ate ` t o c n k o n . j) 1 CO 0 Septic Tank Capacity (gallon) Other �t\�– %,...,_ 1 / � ! Percolation Rate (minutes /inch) Number of Bedrooms (or other) J Required Absorption Area - See Attached Special Setback Requirements: -9 Date 1 _ -9 J - Inspector A G" M n 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 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. variatonfrom terms i orr spec tications contained in the application ppl cat on of a ass which , Petty Offense ( material months in )ail or both). White - APPLICANT Yellow - DEPARTMENT • INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER Hogg J. ///ca ADDRESS /1 , siAeace roar MMc Mf/e ( 8 /GS PHONE (90,285.92// /20 CONTRACTOR 4A; ,ao/zo, .z (40/474.10. a0) l'A L /CgAZSE ,,/. -.rag ADDRESS BOX 2S9 Q9 'EGn A's as23 PHONE 19s s2B- 9/63 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 PROPOSED EACH JTY. Near what City of Town P/l.[Ab/ure Size of Lot /O.96 rM.QF,5' Legal Description or Address R9O WASTES TYPE: (X) DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: ° LT /- FAA/4Y o o a.the ' Ilogs9,1woJrr4C DoOtEX /Number of Bedrooms S � 3 FMW/aa+g9) Number of Persons S l 6() Garbage Grinder 0) (4 Automatic Washer (X) Dishwasher ( 501 JRCE AND TYPE OF WATER ST IPPT.Y: (X) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: NA DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: / 2 M /LE9 Was an effort made to connect to the Community System? 9Es, oars'dC &W t/An/7Y 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 WIIJ, NOT BE ISSIJED WITHOLJT A SITE PLAN, ORO' IND CONDITIONS Depth to first Ground Water Table S/ Percent Ground Slope 2 'TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYST$M PROPOSED: ()Q 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: (}Q 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? pRRCOL.ATION TEST REST TITS: (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 J t Date / ftr 9? • PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 Shelton Drilling Corp. P.O. Box 1059, Basalt, Colo. 81621 (970) 927 -4182 Lic. # 1095 Invoice # C - 1168 Name : Bar Hicks Date : 11/10/97 Permit # : 191434 Address : o co Location : Parachute City, St, Zip Address P a Parachute. Co. 81635 Phone # : (9701 2 85 - 100 2 Hole Size Depth Type Casing ID Casing OD From - To Perforated Ft : 20 9 ft 7 0 0 -37 Estimated : 1 ft 9.0 37 Steel 5.0 Static Level 6.5 77 Steel 5.0 5.0 35 - 77 Total Drilled : 81 ft Recommended Pump Set Depth 75 Ft. Pumping 15 GPM. For Pump Installation We Recommend : Aqua Tec Pump 984 -0311 (Tom Platzer) Samuelson J Pump & M Pump Co 945-6159 (Raun R (Rick Holub) Samuelson) Special Instructions : Feet @ $ Per Foot = $ Price Per Foot : Feet © $ Per Foot = $ Total Invoice $ Conditions Of Payment : Minimum Char.e Applies Due By 11/20/97 .a $ 2,500.00 PLEASE READ THE FOLLOWING RECOMMENDATIONS 1.* WE STRONGLY RECOMMEND A VALID PUMP TEST BE CONDUCTED BY A LICENSED PUMP INSTALLER TO DETERMINE THE ACTUAL WELL PRODUCTION AND WATER QUALITY. THIS SHOULD ESTABLISH THE ACTUAL WELL PRODUCTION PARAMETERS WHICH WE CANNOT DETERMINE WHILE DRILLING. 2. On Monitoring /Observation Holes (test holes) it Is the customer's responsibility to obtain the proper permit fore the well il put to beneficial tasist you whe ever possible In fi ling out the app op ate welp lugged and nw abandoned. We will be happy to application. 3. The landowner is ultimately responsible for the plugging and abandoning of dry holes or replaced wells, according to State Rules and Regulations. Please contact us for details and /or prices. 4. N LL ARE D A INVOICE EA A. U HANDLING CHAR E PER MONTH MAY BE ADD • D I AYSF OM DAYS BILLING. Please call us if you have any questions . THANK YOU 1 • ' • • .0) ut - till11 rii • t- 1 •• o . . ,Ic's.(1" t \ • ... \ . ,cra...t;.°:::::::...:13,,..0?......„.:,..,..b...... t • . tn. t 1 1 . • ra 10 co .... ..-4.e. , , .• , _.,, 03 til A i t d e i!' 90 c i t Isia ii *0) ( iji I, t 4 , 7 j a, t t° w zi t t , z t t . 0) t n cy) l --- . s t-' . 1 1 0 -30-, i 1 ,' • .4 N' r r% rti ts . .1 •••■•■ • 11 0 e I >))* tri N I t 0 tt I P •1 - .....--3 • 1 1 66 1 • 4. t I I oP ' I • > I-3 s : 1 (A t• I I OA i i Ill : i W XI b I . 0 • -. - \ ,....• , ..• 0 0 %.4 ir 1 . . • ---- .-- . • .1> r • I " 2 I 1: •:? .c.) '.7 • l . , r. • - _tio b•••4 1 • a to k v c• --3 0 • • t•-• b in ° ril 0 ) * I••••/ I vti N C/) ' I I t' • .. : ' • IP 1 t % cf) _ C/) - • b-3 \ I \ \ 1 SI t t , I .1t1 1 \ / ell N sem 0 . . I .... i po , . \\ it • - - ,.. :,-,.--... ..... ,0,..cr 1 1 o 11 • m< t:1 I R i> \ ill o o • . . 1 2 u ‘ • % -. , ■ p. . 1 , • • • PARCEL #1 LEGAL DESCRIPTION A parcel of land situated In the SE1 /4 SW1 /4, NW1 /4 SE1 /4 and Lot 9 all In Section 6, Township 7 South, Range 95 West of the 6th Principal Meridian, Garfield County, Colorado, being more particularly described ap follows: Beginning at a point on the Southerly Right —of —Way line of 1 -70, said point being the Southwesterly corner of Parcel ,91 described herein, whence the Southwest comer of Section 6 of said Township and Range bears S 79'46'08" W 1587.83 feet; thence N 44'49'51" E 1339.12 feet along sold Southerly R.O.W. of I -70 . to o point on the South line of NE1/4 SW1/4 of said Section 6; thence S 87'41'08" E. 106.31 feet along sold South line to the Southeast corner of sold NE1 /4 SW1 /4; thence N 01'08'44" E 78.97 feet along the East line of said NE1 /4 SW1 /4 to a point on said Southerly R,O.W. of 1 -70; ' thence N 60'00'47" E 747.61 feet along said Southerly R.O.W. to the Intersection point with the Northerly R.O.W. of old Hwy. 6. thence S 41'55'54" W 1818.63 feet along soid Northerly R.O.W. to a point on the Easterly Ilne of the 1 -70 West Access Road; thence S 77'59'48" . W 301,67 feat along said West Access; '.' • thence N 84'39'12 " W 189.90 feet along said West Access to the Point of Beginning containing 10.46 acres more or less. ,••• PRESORTED FIRST CLASS MAIL Carfielo' County U.S. POSTAGE GLENWOOD SPRING' • . GEORGIA CHAMBERLAIN, TREASURER COLORADO 81602 PERMIT NO. 32 P.O. BOX 1069 GLENWOOD SPRINGS, CO 81602-1069 FORWARDING Arlrl Anr conREciforJ nit)! • LEGAL DESCRIPTION (MAY BE INCOMPLETE) P11 'V IAI 1' 1:.11 L W H • • ri j\411... Y OF LIS F.G PG 0 0601 F ;El 1•1 0601 1..:1 1-(.:. 11 11 A C: f.' • ** REFLECTS A TEMPORARY PROPERTY TAX CREDIT OR TEMFCR MILL LEVY RATE REDUCTION PURSUANT TO C R S 39.1-111 5 FC • THE PURPOSE OF EFFECTING A REFUND IN ACCORDANCE WITH SECTION 20 OF ARTICLE X OF THE STATE CONSTITUTION r TAXES PAYABLE IN TAXING AUTHORITY NAME TAX LEVY CREDIT ** NET LEVY TAX DOLLAR) 1, C:1 I 11. ; ' '; : 1A1.11::: "1 (::111)1\1T -- A 1. 'I I • A I-t F 1 1 C.11:::11. II \IT Y -- ' •• 1 r Ardz El...0 (:.:OUNTY . ..-:• 1 10 1 ::: 1 AL 3ARE: Fa. (7.1 C Ai 1 1 • 1•• • ' . RURAL. 1 „ ‘(••• (....1111 fr. 11111F 1 LI A T E.1 C.5".11‘i:•TE :.01..OP A Y .)1 - I I •• I :I Id A I `. • 1RAI\ID EC:F. VE: Ft I: It • AND VAI t CI 1 : I I / • 1 f1. 1 l I .. 111 1"ikAu11 1l:I1 „11■1•1•A IN (.111 !. A.' • 1 , • • A mill is . 001 of one dollar. TOTAL TAX LEVY x total valuations / 1000 = TAX DUE 25.. IN THE ABSENCE OF STATE LEGISLATIVE FUNDING. YOUR SCHOOL GENERAL FUND LEVY WOULD HAVE BEEN , ACTUAL ASSESSED 1ST HALF 2ND HALF FULL TAX DESCRIPTION VALUATION VALUATION DUE BY FEB. 28TH DUE BY JUNE 15TH O DUE BY APRIL 30