HomeMy WebLinkAbout03252 'A eRq.%,4r w,,t fl j °P°°4�" S f i'+'h "u, ,c.. x R"i.1 r e . ,� r. 1 ,., , ,.,^� • k
I yy
a � —w
3.5
ir a -� GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit nit ti c
109 8th Street Suite 303 Assessor's Parcel No. 4 iJ
} Glenwood Springs, Colorado 81601 r ;
{( , Phone 303) 945.8212 ,r
4 ,- - sast _ •�• ��. *.�: -. ', This does not constitute
t n a building or use permit.
. ° r
(, INDIVIDUAL SEWAGE DISPOSAL PERMIT ,ILIF
� PROPERTY �� /8 05, fs /g /�i, ;
,�r�,, / yy / ������pp.V� /1 • - _J. ;-mow. Phone � / ,i
r
Owner's Nam�e�.�'�`f" "`Present Address - <-
i . CO' C 12_.11 CIC{(t_0o C�,
1 a
} r System Location
. Legal Description of Assessor's Parcel No. --
( p C. K_ LC A C H IS 7t-fw
CMAA - & (5 c 9 = cou 4.t17s k"
SYSTEM DESIGN ,,
t 4 ../ T ACtirc(CP 3tf n6Fr z. 41 l( r
� , ' rt J TO li F-8 r. - 1( t f
Septic Tank Capacity (gallon) Other � `
r n� r
, ? I 1 7 1 Percolation Rate (minutes/inch) Number of Bedrooms (or other) ■ t} '- •
Requ Absorption Area - See Attached e
r Special Setback Requirements: j ' f
i 4
Date r D`( • 9 9 _ Inspec /I 1` n r N 1 a �,, u
• ?
t - FINAL SYSTEM INSPECTION AND APPROVAL (as installed) k ,
9 Call for Inspection (24 hours notice) Before Covering Installation
i y .,
ZAM Eyc R {
System Installer '
c,
i Septic Tank Capacity 1 e d -+'1 A - - - -- r r ?
k Septic T Manufacturer or Trade Name D E t rt N 0 y f
` " !,•—
r ; Septic Tank Access within r of surface
3 7 it C r,/ o
' Absorption Area ` I f" S. n �( ( Ai__ — "L
�1
( Absorption Area Type and /or L S Manufactur or Trade Name r �r F 1 L T / . .47 ��S + ,
f /'� /
Adequate compliance with County and State regulations/requirements L/ )'
S , Other
r o— r�-
I D ate Inspector '
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE '
•CONDITIONS:
s ' 1. All Installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter � ` b
1 25, Article 10 C.R.S. 1973, Revised 1984.
t 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- r S
nection to or use with any dwelling or structures not approvedby the Building and Zoning office shall automatically be a violation or a E �+
requirement of the permit and cause for both legal action and revocation of the permit. - '
■
j', 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material ; +.
i variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine — 8 i. ;.
months In Jail or both). C ti
• f 1
k +
white - APPLICANJ Yellow - DEPARTMENT ___ ______4_
lipr . ..
INDIVIDUAL SEWAGE DISPOSAL SYSTEMJPPLICATION
OWNER g athditit f Atkit e L/
ADDRESS 1°1" t% o V Ast (at 0 That PHONE 770-90 0
CONTRACTOR 4 P01. "-
ADDRESS I (Aa.L.1_, _St -'--' PHONE {Ca C ino
PERMIT REQUEST FOR NW 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:
Near what City of Town 1..s' * J 4-.- Size of Lot 2' PQl 1 r y
Legal Description or Address tag-- -'A t 102.0 Clt l 1 L
WASTES TYPE: (- i5WELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE OO ee --_ .
BUILDING OR SERVICE TYPE: 5 F ft._. * S S �
4 k n '""'`��'o
Number of Bedrooms Il 1114sA.oltAt.- 4 k °AC. Number of Persons
( ) Garbage Grinder t ( ) Automatic Washer ( ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (.ELL ( ) SPRING ( ) STREAM OR CREEK
I .. ^. n i : er, : v A - • i •• - . i.xw lit Ito 0 P
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ern%
Was an effort made to connect to the Community System? N
A site plan is required to be submitted that indicates the followin¢ 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. a fovt.tc4 by II ? M
GROUND CONDITIONS:
Depth to first Ground Water Table ta; ^" 0
Percent Ground Slope° Cis
2
06 -28 -1997 09:378M Executiue Housing Consult 1 301 907 7329 P.15 ^
y Jcr A A +•vv ••v .v..
VVRRIII ■LC RCI'1l CJln1t. '1V 17 LJV J c . • .
•
•
• • BJ *ADAMS AND COMPANY .
•
Real Nye On Higher
/� Anelycl unw u
IRSLE Q
ETANOATIO 7AOTERIOLOOICAL WATER TEA ( • ROA 1EUT
WOW$AA11 WATER & IMITATION 011TPwT ` r ,(,. •
P.O. 80S Q00 _ PEYUEI$ _ —
7N0WPU11 VILLAGE. 00.11110 MEMMANE FILTEA
EWA 101 MPL � 8ainpl Lout1 Uo • oIAED( 0 _
SAE?A OATS 5. T EUPVIV21 VERIFIED
�f �� u . CHLORINE Ip »CI AUDIT ^ PRISCNI
COURIY �..E; AmAMPtER R ESID UAL l7 MWl t
( ) 11041 LOW 1 1 ROUT E 1 UT10N SYSTEM SUPPLY •n
A,91U81E0
1 I NON CAMMUNICe I 1 CHILE SAWS! 1 ) PROCESS WAIEA CWNT: COUTOAM1100 Ml 2 • .
1 yyyY ) OWLS P'USIA ( 1 RAW I`z 1 OAOUNO 1 ) IURMCE IAURYL SWAM( BROTH
1( 1 PAR/411 1 1 &MIA PHAROS( MIME _ yl y1
POSE: 1E All WOO E6 TION 11 ROT SHAME %THE IAMILE ma 54 w !
REMARK$ L411 k •
IMUM TO • I . f ,Ii I nr I .. / -S eoe .
AOORE61 0 ` rte. C M PN COUFORMI.00ML g •
LL 11 /�2 RESULIY GREATER IRAN ONE
CITY'STATE / / - .. - P li . • • J COI IPORM PER 100 MLINQ CALLA •
SEE WPM PON TIME LIMrtA1gNS, tAMPIIII • INSIAUCEI' AND DEFINPIONS DAIHRI NPUA WR11 MINIMUM
WPM
1AFMKRO 1061Rat 710) LOON
•
Sao 0 30
•
•
•
•
•
17 KEARNS ROAD • PO Box 6699 • SNOWMASS VILLAGE, COLORADO 81615 • (970) 923 -2111 • EMAIL: email @hjac.net • FAX (970) 923 -2927
06 -28 -1997 09:36r'1M Executive Housing Consult 1 .)6i '>dr (.) o
a
IP JEROME QAMBA 80ApWc4 i WS AND COMPANY � :,
CMOWING ENGINEERS & LAND SURVEYORS .,
Real Estate On Higher Ground L C 1t
n1/THatREE'r,DUTEPU • 1 .• ..
RO. BOX 1431 PAGOIA PPM, COl0r1 lit Fl
OlFJ M a INS-1350 rAlOgMO 116014136 PKONS: An) 7713741 FAX: taxya am , .•,e• Ito'
Mat hvtl l4saeso Mx: (kY! 944-1410
August 26, 1994
' Chuck Hotchkiss
o840 County Rd. 112
Carbondale, Co. 81623 •
Dear Mr. Hotchkiss:
Jerome Gamba & Associates is pleased to have the opportunity to work with you in the development •
of the septic systems for lots B and C. Please find herewith the results of the Percolation Test
performed on Friday, August 19, 1994.
Percolation Rate (Min. /In.)
TEST PIT 1 TEST PIT 2 TEST PIT 3
LOT 8 60 • • 30 30 •
• - •• es 60—
• I! you have any further questions concerning the percolation test, please feel free to contact us at our
Glenwood Springs office. •
Sincerely yours; ' •
JEROME GAMBA & ASSOCIATES, Inc. •
� 2 � ` ( 7b 3o 2 .
(.:".• a. X
Mike Roth, Engineering Technician '—
coo . .
cc: Stuart Title of Glenwood Springs Inc.
0 0 V
ViggPerc. apt .
•
•
17 KhARNS Roan • PO Box 6699 • SNOWMASS VILLAGE., COLORADO 81615 • (970) 923-211] • EMAIL: email @hjac.net • Fax (970) 923 -2927