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HomeMy WebLinkAbout04469,(j:\i:r3_:) w:"16tH~' v,l/:;r1 I ()ts ch ~-1 1 JC) ., ~~ $\l>J l-~~C)7; c~1¥r \l'J--\ GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Permit Assessor's Parcel No. Glenwood Springs, Coloradof 81601 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Phone (970) 945-8212 owner's NamJ\J\c,U1.,wenE't1 V1r(l'Vlt Present Address 'JI ~VyotcG l)fnnt.:j Pd --1 L System Location L\7-ffj C '\(__ 2i?J \ ~ \ \ + I~ 0 This does not constitute a building or use permit. ?iYl Phone ?:'J.ol£J ' 25) 3 :-1 1-7c1-'2l/' ·n· ·c)·Lf 1 <? Legal Description of Assessor's Parcel No. ~c!-~~~~~"./~~--o'-~-~-~~~-~V~cz~---------------- SYSTEM DESIGN ,/f200 Septic Tank Capacity (gallon) ______ Other ~o 3 _...,..=---Percolation Rate (minutes/inch) Number of Bedrooms (or other) ------ 10 "'? ;:;-><i" r-r-R.oc/c //>e: t. v Required Absorption Area, See Attached ,;:.>' , :,.,, -~ ,, A/ . LV .,,--~ m4 HI 0 6/ .ts .:;r c?_, ,C /, //!/ 1'7;1 /£./v C / 1 -/· -> .!i ""\ • . Special Setback Requirements: ~-_,, ( ');r;/. I-/_ I)/ z1_ 1£P_ -I-6S 6<4 f/ /0 a I?' c:-.... "" ' _,, > c d Date -7 -7--{/ b Inspector C,@.,,:."( c/....-;:::;,,:....?~-­ /' FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer (0 [.\Y"NV\__ ' \ ." "'O . -r-,1' -. , (i " ~--_) Septic Tank· CapacitY-~' ~v~u~~--~9_,,-f-j=.A~,~-!?~.~--·-·1·_,.{ ___ 1,..J_v_'·"'-'_'~'(,_..;_1 _· c_. __ v_~--~----------- \ W\.' k,_,V\ ·e-AJ·-~\_. Septic Tank Manufacturer or Trade Name------------------------------ Septic Tank Access ...yithin 8" o1_§urface -LJ.1'.tl"'x-'---------------------------- Absorption Area sLSf,v'l\1 h ,;,, bco_/\A-.J, ( :;;)o i ?.J ) 1/ 1 '()-L ·t' //J . fl z/ l/-!D Absorption Area Type and/or Manufacturer or Trade Name \{;l1A11A/LJ1 t1. : .. -o 'C {:fj__l .. (..<--1( __ Adequate compliance with County and State regulations/requirements~----------------- Other _____________________ ~-----~~------------ •' /1 ~)· . fl--; /ii Ii/ . ,-; . I ' I -r" 1 <1:, ;'· dv 11 , , Date __ ~--'---'---/-""_,'---Inspector__,__,_\"'-'-/§"-"'/""; fw·r'-"'"'''f-c-"~-'l-'\-'-P"''"-:i-"-!"X1c::-:...· ____________ _ 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. 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 Offense ($500.00 fine - 6 months in jail or both). White -APPLICANT Yellow -DEPARTMENT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 GARFIELD COUNTY SEPTIC PERMIT APPLICA T!ON 108 8ili Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212 I Fax: 970-384-3470 I Inspection Line: 970-384-5003 www .e:arfield-countv .cont Parcel No; (this infonna\ion is available at the assessors office 970-945-9134)-tf: :J J 7Cf 34;)._ oo l/o :J Job Address: {irz3r;s9s not ;;;:a~4~ease Jf~ Cr]jo/ Street Name SYJ+a~d l&cription Lot Size: Lj. · k Lot No: I Block No: , Subd.I Exemption: 0 •(~ Owner: {property owner) Mailing Address 3/ lJ f'66 Pe/Vily 'fi':of Ph: Alt Ph: J{,Jee ,.,-/:f f'l1c fl,. -, \I ;:;~ ,., .,,n./,.,,,,;,IL l:,0010 ff 'fl 3ti .).<,,'/ J !'.:.v J>-1(7 H'/ 9o 73 l ~tractor: £x /, 'fe·· feco,.,., -:J:Ac. , Mailing Address f.JG:.. IJ. :J;). S ) Ji Ph: q 70 '171 ;no 0 Alt Ph: 11s-o~ . c.. a "'~~·10 , C..O C. ? I 970 sJ!-0<'?0::2 Engine~.r: Mailing Address ~ Ph: Alt Ph: PERMIT REQUEST FOR: ( 1 New Installation J><l Alteration ... o.,n v. 8 WJWm • WASTE TYPE: ~Dwelling ( )Transient Use ( )Commercial or industrial ( )Non-Domestic wastes Other -Describe BUILDING OR SERVICE TYPE: Number of bedrooms 3 Garbage Grinder ( )Yes OQNo SOURCE & TYPE OF WATER SUPPLY: O(lWELL ( )SPRING ( )STREAM OR CREEK ( )CISTERN If supplied by COMMUNITY WATER, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: A /111/e< 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 1" Ground Water Table Percent Ground Slope TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED: (A)Septic Tank ( )Aeration Plant ( )Vault ( )Vault Privy ( )Composting Toilet ( )Recycling, Potable Use ( )Recycling, other use ( )Pit Privy ( )Incineration Toil et ( )Chemical Toilet ( )Other-Describe FINAL DISPOSAL BY: !)()Absorption 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 O<)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 health department for purposed of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as de8med 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 o~er:lnted based upon said application and legal action forperju~d , ~ __, /', ~ 'n,V OWNERS SIGNATURE · DATE I STAFF USE ONLY Permit Fee: GO Perk Fee: Total fees: oa Building Permit#: 50, '5D-- Septic Permit #: J ( f I {tJ q Issue Lte/ d 7 (IJ( I Building & Planning Dept: APPROVAL DATE I \ ~ \ fc \ \& \ \~ \ \ aj \ ,"_ Parcel Detail Page 1 of4 Garfield County Assessor/Treasurer Parcel Detail Information AssessorLJreasureLPJo~_S.e!lrch I A.s.sJ:.ssor Subs.eLQJ!.eD' I Assessor Saks Search Cle!kcl'l Recorder Reception Search Basic;Jiµildingl::haracteristks I Tax Information l:\JJ£d Detail I Value Detail I S!il.es Detail I Residenti!!ILComnwrc;iaUmprovement Detail Land .D\:ltail I I'hotogrnphs I Mill Leyy Revenues Detail I Tax Area II Account Number II Parcel Number II 2007 Mill Levy I I 023 II R023724 II 217934200402 II 45.551 I Owner Name and Mailing Address !MCQUEENEY, VINCENT A & MEGAN A HILL- 131 W 866 PENNY ROAD !BARRINGTON HILLS, IL 60118 Assessor's Parcel Description (Not to be used as a legal description) lsECT,TWN,RNG:34-6-92 DESC: TR IN jE112NW PRE:R023302 BK:0599 PG:0281 IBK: 1728 PG:97 RECPT:682608 BK: 1728 IPG:103 RECPT:682611BK:l728 PG:lOl IRECPT:682610 BK:1660 PG:503 IRECPT:668175 BK:l660 PG:501 IRECPT:668174 BK:1660 PG:500 IRECPT:668173 BK: 1564 PG:676 IRECPT:647356 BK:1564 PG:674 IRECPT:647355 BK:l118 PG:274 IRECPT:541371 BK:l007 PG:0575 IBK:0868 PG:0603 BK:0718 PG:0358 IBK:0668 PG:0139 BK:0652 PG:0340 Location http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=217934200402 I I I I I I I I I I I I I I I I 6/26/2008 Parcel Detail Page 2 of4 I Physical Address: jj4359 331 COUNTY RD SILT I I Subdivision: I I Land Acres: 1140.06 I I Land Sq Ft: Jlo I Section II Townshi[l II Range I I 34 II 6 II 92 I 2008 Property Tax Valuation Information 11 Actual Value II Assessed Value I I Land: II 200,00011 15,9201 I Improvements: II 367,62011 29,2601 I Total: II 567,62011 45,1801 Additional_y~al11e Detail Most Recent Sale Sale Date: 119119/2005 Sale Price: 11540,000 Additional Sales Detilll Basic Building Characteristics . Number of Residential 1 Buildings: Number of Comm/Ind 0 Buildings: I Residential Building Occurrence 1 Characteristics I 2 STORY: 11624 I 1STORY:111,024 I TOTAL HEATED AREA: 112,272 I llSINGLE FAM.RES-ABSTRACT CODE: .:IMPROVEMTS I ARCHITECTURAL STYLE: 112-STORY I I EXTERIOR WALL:. llWD SIDING I I ROOF COVER: llPREF AB MET I I ROOF STRUCTURE: llGABLE I http://www.garcoact.com/assessor/parcel.asp?Parce!Number=217934200402 6/26/2008 Parcel Detail Page 3 of 4 INTERIOR WALL: llDRYWALL I FLOOR: llHARDWOOD I FLOOR: llcARPET I FLOOR: llSHT VINYL I I HEATING FUEL: llGAS I HEATING TYPE: llFORCED AIR I STORIES: llSTORIES 2.0 I BATHS: j3 ROOMS: 17 UNITS: j 1 BEDROOMS: 14 YEAR BUILT: 111996 I Tax Information I Tax Year II Transaction Type II Amount I I 2007 II Tax Payment: Second Half II ($1,029.oo)I 2007 II Tax Payment: First Half II ($1,029.oo)I 2007 II Tax Amount II $2,058.ool 2006 II Tax Payment: Second Half II {$928.84)1 2006 II Tax Payment: First Half II ($928.84)1 I 2006 II Tax Amount II $1,857.681 I 2005 II Tax Payment: Second Half II ($929.49)1 I 2005 II Tax Payment: First Half II ($929.49)1 I 2005 II Tax Amount II $1,858.981 I 2004 II Tax Payment: Second Half II ($632.oo)I I 2004 II Tax Payment: First Half II ($632.00)I I 2004 II Tax Amount II $1,264.ool I 2003 II Tax Payment: Second Half II ($703.51)1 I 2003 II Tax Payment: First Half II ($703.51)/ I 2003 II Tax Amount II $1,407.021 I 2002 II Tax Payment: Second Half II ($741.26)1 I 2002 II Tax Payment: First Half II ($741.26)1 I 2002 II Tax Amount II $1,482.521 I 2001 II Tax Payment: Second Half II ($737.39)/ I 2001 II Tax Payment: First Half · II ($737.39)1 I 2001 II Tax Amount II $1,474.781 http://www.garcoact.com/ assessor/parcel.asp ?ParcelN umber=217934200402 6/26/2008 Parcel Detail I 2000 II Tax Payment: Second Half II ($607.5721 I 2000 II Tax Payment: First Half II ($607.57)1 2000 II Tax Amount II $1,215.141 1999 II Tax Payment: Second Half II ($604.69)1 1999 II Tax Payment: First Half II ($604.6921 1999 II Tax Amount II $1,209.381 Mill LeyY Reve1:mes Detail TQP of Page Assessor_Patabase Search QptiQps I Trea~wer_ Database Sear_cbJ)__p_tions Clerk & R_e_corder DataJw_s~Search Op1ions Page 4 of 4 The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 -2008 Good Turns Software. All Rights Reserved. Database & Web Design by Good Tums Software. http://www.garcoact.com/assessor/parcel.asp?Parce1Number=217934200402 6/26/2008 FROM:KICKAPDD FARMS Phone: 847-366-2513 Fax: 847-844-9073 FAX 8478449073 AT1N: Jena or whom it may concern Fax: 384-3470 From: Vincent McQueeney Date: June 26, 2008 Re: Matt Johnson Comments: T0:19703843470 Vincent McQueeney 31 w952 Penny Rd Barrington, IL 60110 Pages: 1 I am the owner of 4359 County Rd 331 Silt and I give my permission for Matt Johnson to obtain any and all permits deemed necessary for my property. Please call or fax me if you require anything else to relay this authority upon Matt. RECEf\/.EiJ JUN 2 6 2008 GARl'IELD COU BUILDtNG & PLAN NTY NING