Loading...
HomeMy WebLinkAboutApplication-PermitGarfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601- Phone: (970)945-8212 Fax: {970)384-3470 Issue Date: 4/27/2012 Expires: 04/27/2013 Project Address 000262 WOODEN DEER CARBONDALE, CO Owner Information Clinton & Susan Omang Contractorjs} Proposed Construction I Details Septic for residence FEES DUE Fee Septic Fee -New Total: Friday, April 27, 2012 Parcel No. Subdivision Section Township Range 239325204020 WOODEN DEER SUB Address Phone Cell 262 Wooden Deer RD Carbondale CO 81635- (970)704-5040 (970)948-9144 19 Bluecreek TR Carbondale CO 81635- Phone Primary Contractor Valuation: Total Sq Feet: FEES PAID $ 0.00 0 Amount Inv Total Paytype Amt Paid Amt Due $73.00 $73.00 Inv# SEPT-4-12-21827 $ 73.00 Check# 111 $73.00 $ 0.00 Required Inspections: Fo' '"'P""•"' ""' 1 (888)868-5306 Inspection IVR See Permit Record Building Department Copy 2 1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 108 8'h Stre et, Suite 401, Glenwood Springs, CO 8160 1 Ph:970-945-82 12 Fx:970-384-3440 Inspe ction Line:888-868-5306 www.gar fie ld-county.com SEPTIC PERMIT APPLICATION AP R I 2 20 12 GARFIELD CUUNTY BUILDING & PLANNING Parcel Nogtiis info1111 afon is ava11ab/e at the assessors office 970-945-9134) I Lot Size: Lot No: Block ~ '231325?040711 Y.,I flCRt.s 7(} .. Subd./Exemption : ())1..~0hP N Pf:ER ,(° m:z,. Job Address: (if an address has not been assigned, please provide CR, HWY or Street Name & City) or and legal description ·- 02-.C,2 W OODtN DE&R ~DI C-fl R f!:;ofV Ppt LE Owner: (proMrty 01t11er) Mailing Address C DltlG ~t7~7';;f 15o ~fo All Ph : CE.'-'- C.L-INT) ,<\us AN 0MAN6' i°t i?JLll€Cl<_it!-TRI ~12-(,,.°3 070 I tf '-{-8 • '1 11.f'-I Con?1tor: ,L/NT (\N\AN.C.. Mailing Address I f Ph: , ( Alt Ph ; 1 I Engineer: Nfpt Mailing Address Ph : Alt Ph: PERMIT REQUEST FOR: P<1' New Installation ( ) Alteration ( ) Repair WASTE TYPE: K)'Dwelling ( )Transient Use ( )Commercial or industrial ( )Non-Domestic wastes ( )Other -Describe BUILDING OR SERVICE TYPE: Jtl..cS [J2e/VG.F, Number of bedrooms 4 Garbage Grinder ( )Yes ( )No SOURCE & TYPE OF WATER SUPPLY: k<JWELL ( )SPRING ( )STREAM OR CREEK If supplied by COMMUNITY WATER, give name of supplier: li~QO be N D~~ IZ C'Q i'V\Ml.d /\.Jrr:t We L, L ( )CISTERN DISTANCE TO NEAREST COMMUNrTY SEWER SYSTEM : A l l'F\ Was an effort made to connect to the Community System? . YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN GROUND CONDITIONS: Depth to 1st Ground Water Table Percent Ground Slope TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED: ~Septic Tank ( }Aeration Plant ( )Vault ( )VaultPrivy ( )Composting Toilet ( )Recycling, Potable Use ( )Recycling, other use ( )PitPrivy ( )Incineration Toilet ( )Chemical Toilet ( )Other-Describe FINAL DISPOSAL BY: riAbsorption trench, Bed or Pit ( )Underground Dispersal ( )Above Ground Dispersal ( }Evapotranspiration ( )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, ~the Engineer does the Peroola!ion 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 & tel ep hone of RPE respons ible 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 furn ished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the pennit Is subject to such tenns and conditions as deemed necessary to insure compliance with ru les an d 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 re lied on by the local department of health In evaluating the same for purposes of issuing the pennit 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 legal action for perjury as provid/-1J3w. ' J ~ -_,., j I "/1 I " OWNERS SIGNATURE I ~ ,,_ / DATE I .c/-v-Id' STAFF USE ONLY Permit Fee: u./2.-Perk Fee: Total fees: 7g~ Fees Paid: Balance~ '/3 EH 7~ .f!fl. . , Building Permit: Septic Permit: Issue Date: -JL/5;)-. 0'f'5?J Building & Planning Dept: ~/{;?/ d!a~~ 'DAJE f!eturn to: Garfield County 108 8th Street Suite 401 Glenwood Springs, CO 81601- !owner's Information I Clinton & Susan Omang 19 Bluecreek TR Carbondale, CO 81635- Date Fee Name 04/20/2012 Septic Fee -New Payments Receipt Garfield County 108 8th Street Suite 401 Glenwood Springs, CO 81601- Phone: (970)945-8212 Fax: (970)384-3470 Invoice Number: SEPT-4-12-21827 Invoice Date: April 20, 2012 Permit Number: SEPT -4-12-2453 Bond Number: I comments: I SEPT+ 12-2453 Fee Type Fixed Total Fees Due: Date Pay Type Check Number Amount Paid 04/20/2012 Check 111 $73.00 Total Paid: Fee Amount $73.00 $73.00 Change $0.00 $73.00 Total Due: $0.00 I Friday, April 20, 2012 C IVIL ENG INEERING January 23, 2013 Garfield County Building Department 108 Eighth Street, Suite 401 Glenwood Springs, CO 81601 Re: Omang Residence at 262 Wooden Deer Road HCE Project Number 2121043.00 To whom it may concern, LAND SURVEY ING On January 23, 2013, High Country Engineering (HCE) personnel performed a final inspection of the ISDS system for 262 Wooden Deer Road. HCE also performed inspections of the installation of the septic tank and infiltrator field when the components were initially set in place. The vertical and hori zontal layout of the infiltrators units has been altered from the original design but was done to work better with the topography of the property. The direction of flow in each row of trench infiltrators remained per plan and the number of rows also stayed at 6. The number of units on each row of units is the only change from the initial design. The tank was placed according to the design with a cleanout upstream of the septic tank. The connection to the pipe under near the house has yet to be completed but the both sections of pipe are exposed and can be connected at anytime. The following letter is to confirm the engineer's acceptance of the septic system for the Omang Residence at 262 Wooden Deer Road. The system has been installed according to the intent of the original design and meets the capacity requirements for a 5 bedroom home with the soil conditions onsite. If you have any questions, or need additional information, please contact us. Sincerely, 1S17 Rlake Avenue, Suite 101 G len woo d Springs, CO 81601 970 .945.8676 phone 970.945 .2555 fax www.hce ng.com Mission Statement "To provide quality serv ice, striving for perfection , while maintaining th e highe st level of in tegrit y." (-------------------.. ---------- House ~/ -r--~ i) I{" . _I~-D 0