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Home My WebLink AboutApplication-Permit.pdfGarfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601-Phone: (970)945-8212 Fax: (970)384-3470 Project Address 38200 River Frontage RD NEW CASTLE, CO 81647-o wne r Informatl on Parcel No. 218105400250 Address PO Box 1578 Subdivision Scott Miller Glenwood Springs CO 81602 Contractor(s) Phone Primary Contractor S2M Construction Co. Inc. {970j945-1174 Yes Proposed Construction I Details Engineered septic system Valuation: Total Sq Feet: FEES DUE FEES PAID Section Township Range 5 6 91 Phone Cell 970-945-1174 Required Inspections: Fo"",p"U",""II, 1 (970)384-5003 Inspection IVR $ 0.00 o See Permit Record Amount Amt paid AmtDut;! Septic Fee -New Total: Friday, February 26,2010 $73.00 $73.00 Inv # SEPT-2-1 0-20037 $ 73.00 $}3.00. Building Department Copy 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 GARFIELD COUNTY SEPTIC PERMIT APPLICATION 108 8th Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212/Fax: 970-384-3470 /Inspection Line: 970-384-5003 www.!!arfield-countv.com Parcel ~O¢?hiS info~~~vailable at the assessors ~O 970-945-9134) ? I : f .--'·00 -Z <.,-Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description 3' l3 ZOD 5o.:n1.... I<-l "~I£... ~D"uAA.;K.cI, IV Eil-J c"f.\'srl e Co. Jl/('Y"} ~:t3 Lot No: Block No: Subd.1 Exemption: l.tI2C,> Owner: (property owner) Mailing Address 8/(,,0 c.... Ph: AI! Ph: S e,,,,#, I'V\. 1/G .2-yO '130 ..... \ S" J& r-:.: , ,J-y".o ,,-Yeo 9 to 'i'-lS'"-/17'-1 Cj70-Z30--l0S-7 i""l .... .:", f',." .U ,':; \? Contractor: Mailing Address J Ph: All Ph: 52./'11 /!o'K' Co. I., ll' So'\-I'VIG-S 1'1-111 c;: m~!('nt ' Mailing Address L:;-I G.'" t' .~ J('I' Ph: AltPh: -r ) is-17 J3ll-1bs {WI;; ~ l-'l TEE 10 I <'it.( s-g I.;:, "1 r., PERMIT REQUEST FOR~ ( ) New Installation ( ) Alteration ( ) Repair WASTE TYPE: ( )Dwelling ( )T ransient Use (~ommercial or industria! ( )Non-Domestic wastes ( )Other Describe BUILDING OR SERVICE TYPE: I'> L::~ -::: Number of bedrooms Garbage Grinder ( )Yes ( )No SOURCE & TYPE OF WATER SUPPLY: (>elWELL ( )SPRING ( )STREAM OR CREEK ( )CISTERN If supplied by COMMUNITY WATER, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ,,-,"'IA Was an effort made to connect to the Community System? f YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN GROUND CONDITIONS: Depth to 1" Ground Water Table Percent Ground Slope TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED: (1)Septic Tank ( )Aeration Plant ( )Vault ( )Vault Prtvy ( )Composting Toilet ( )Recyciing, Potable Use i lOther-Describe ( )Recyciing, other use ( )Pit Privy ( )Incineration Toilet ( )ChemicalT oilet FINAL DISPOSAL BY: ( )Absorption trench, Bed or Pit ( )Underground Dispersal ( )Above Ground Dispersal ()<lEvapotranspiration ( )Sand filter ( )Wastewater pond ( )Other-Describe Will effluent be discharged directly Into waters of the state? ( )YES (,'<)NO PERCOLATION TEST RESULT: (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 & telephone of RPE who made soil absorption test: Name, address & 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 test and reports as may be required by the local health department to be made and furnished by the applicant or by the local heallh department for purposed of Ihe 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 submirted 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 departmenl 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 !~~~n ~VJ!:?:OVided by law. • /-It . ',~ 1A~~ z:. 0/0 OWNERS SIGNATURE DATE v'-o V\..."", , , ., ~.~ STAFF USE ONLY Permit Fee: i) P~ Total fees: '73,OU BUildin! 44j: 'I :) ,0"b Septic peS~?-r -2-\ 0 -\ 442' Issue Date: Building &$:~:t ~\W\~~ 2/24/10 APPROVAL DATE GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 401 Glenwood Springs, Colorado 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Permit Assessor's Parcel No. This does not constitute a building or use permit. Owner's Name 8t(!{ NiC£ 1: 10/1t .(, Itt\. Present Address <3 g ZOtJ St?, t(/ViCK f(phone P'~::::I IT <l-230 "-/PS"""7 System Location· ___________________________ ~ ___ _ Legal Description of Assessor's Parcel No. 2/$/-&S-9" --CJ 0 -Z.s-O SYSTEM DESIGN U tl tJ Septic Tank Capacity (gallon) _____ Other _,-./..E. 5"""-,CJ,,,-_ Percolation Rate (minutes/inch) Number of Bedrooms (or other) __~ _ Required Absorption Area -See Attached ItJ!J/cltJd (;£VA/'omJJ>l'ttUlTlo,d 5Mrp e£,P Special Setback Requirements: Date _______ Inspector /1;6/1 Ct!?tII U17t)/e:AJG/A I~4""e/A J& FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer _______________________________ _ Septic Tank Capacity __ L/(-'U'.~'(/'_..lLd:......... ____________________ _ Septic Tank Manufacturer or Trade Name ______________________ _ Septic Tank Access within 8" of surface _______________________ _ AbsorptionArea/t1tl,KINI/i!tlAe'~A{s/jI?A71oN SAAiP B£P? Absorption Area Type and/or Manufacturer or Trade Name _____________ .......,-___ _ Adequate compliance with County and State regulations/requirements _____________ _ Other ________________________ ~---------_ Date ________ Inspector VAN' v.4lAl! S();/#161/Ct:?«Al77)Y ?,4;~ 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.RS. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Connection 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 1, Petty Offense ($500.00 fine -6 months in jail or both). White -APPLICANT Yellow -DEPARTMENT CIVIL ENGINEERING May 11,2010 Garfield County Building Department 108 8th Street Suite 401 Glenwood Springs, CO 81601 Re: Tract 3 Rippy Exemption ISDS -HCE Job No. 2091034.00 To Whom it may concern: LAND SURVEYING The following letter is to confirm the Engineer of Record's acceptance of the constructed individual sewage disposal system for the new building installed on Tract 3 of the Rippy Exemption located south of I-70 and west of the Town of New Castle in Garfield County, Colorado. The design included a 1,000 gallon septic tank just south of the new building, a piped section of 4" PVC solid pipe with cleanouts, a distribution box to evenly split the effluent flow, and a 100'xlOO' evapotranspiration sand bed sewage disposal system. These units were installed at the location and configuration shown on the approved design drawings. The system has been completed with the intent of the original design. Please contact me at High Country Engineering, Inc. if you have any questions or need additional information. Sincerely, ,INC. 1517 Blake Avenue, Suite 1O! Glenwood Springs, CO 81601 Telephone (970) 945-8676 -Fax (970) 945-2555 14 Inverness Drive East Suite F-120 Englewood, CO 801 ! 2 Telephone (303) 925"0544 -Fax (303) 925-0547