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
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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."
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