HomeMy WebLinkAbout04445This does not constitute
a building or use permit.
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
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rvnou�ifcaiv1
Owner's Narne � �W Present Address eslik
System Location W 6 1 - J1 L-+
Legal Description of Assessor's Parcel No. aN
SYSTEM DESIGN
Septic Tank Capacity (gallon)
Percolation Rate (minutes/inch)
Required Absorption Area - See Attached
Special Setback
Requirements:
Date " `-' V _ Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
Other
Permit 4 4 4 5
Assessor's Parcel No,
Phone
Number of Bedrooms (or other)
System Installer A-55 4ei ■ //v'S74 I t gr- 717-.
Septic Tank Capacity rY e A-2/VA L ■ `,6 A! -51,+ 2J7/77p
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface
Absorption Area _ _ _.
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other
Date. Inspector ..
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 1$500.00 fine — 6
months in jail or both).
While - APPLICANT Yellow - DEPARTMENT
GARFIELD COUNTY SPTIC .PERMII'APPLICATION
108 8th Street, Suite 401', Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-34701 Inspection Line: 970-384-5003
ww gad-mid-minty—cm
STAFF USE ONLY
1permit Feet*
Septic ' ermit #:
Build
73
Perk Fee:
'24/oO
5-11
APPROVAL
Total fees:
/73 V"
Issue Date:
DATE
Building Permit #:
?d - P73.00 5/1? -to& -tko5
Parcel No: (this information is available at the assessors office 970-945-9134)
�1Ir. -10 ` 2"-
2
Job Address: (ian address has not been assigned, pleas° S1 Hwy or Street Warne & City) or and legal description
— s /jT
3
c _
Lot Size: Lot No: Block No: Subd.1 Exemption:
; /0-7,5- r`%C g vS.
4
Owner: (property owner)
TArtiztv ocr r ) /V
H cAp.rv‘S ILL(
Mailing AddressS / T
43(X 6 c;7
Ph:
S 76-0)32
Alt Ph:
377- - 9/1)--,
5
ContractoriMailing
�S 8o - l Lb zs 3tEL ' i
Address
C3a k ? 0 y' 5 /I- `
Ph:
Se) C •- Sl..? 3
Alt Ph: .
, 37 5- - G . / 3
6
Engineer:
Mailing Address
Ph:
Alt Ph:
7
PERMIT REQUEST FOR: (/ New Installation f_f( ) Alteration ( ) Repair
commercial
8
WASTE TYPE: Dwelfin)Transient Use or industrial )Non- Domestic wastes
() g ( �} (
( )Other -- Describe
9
BUILDING OR SERVICE TYPE: r-9 fn_7FE-
Number of bedrooms
0
Garbage Grinder ( )Yes ()3'Jo
10
SOURCE & TYPE OF WATER SUPPLY: ( NELL ( }SPRING ( }STREAM OR CREEK ( }CISTERN
If supplied by COMMUNITY WATER, give name of supplier:
11
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to the Community System?
QC) I
,1
E
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN
12
GROUND CONDITIONS: UIQ
Depth to 15, Ground Water Table Percent Ground Slope ad
13
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED:
(y)Septic Tank ( )Aeration Plant ( }Vault ( }Vault Privy ()Composting Toilet
( }Recycling, Potable Use ( )Recycling, other use ( )Pit Privy ( )Incineration Toilet ( )Chemical Toilet
( }Other- Describe
14
FINAL DISPOSAL BY:
( }Absorption trench, Bed or Pit (y)Underground
( }Wastewater pond ( )Other-
Dispersal ( )Above Ground Dispersal ( )Evapotranspiration ( )Sand filter
Describe
15
Will effluent be discharged directly into waters of the state? ( )YES ()INC '
16
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
No._
Minutes per inch in hole No.2 Minutes per inch in hole
Name, address & telephone of RPE who made soil
Name, address & telephone of RPE responsible
absorption test:
for design of the system:
17
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 deemed 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 1 at,nyr falsifn or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application
and legs h for per proved
tie, 1 ( L .s .u'J[,,e(
OWNER ATURE `` DATE
STAFF USE ONLY
1permit Feet*
Septic ' ermit #:
Build
73
Perk Fee:
'24/oO
5-11
APPROVAL
Total fees:
/73 V"
Issue Date:
DATE
Building Permit #:
?d - P73.00 5/1? -to& -tko5
0
25
50
75 100
SCALE 1" = 50'
RANGEB❑X MONUMENT
AT THE CENTERLINE
INTERSECTI❑N OF 9TH
STREET AND GRAND AVE
7
POINT ❑F
BEGINNING
PARCEL OWNED BY:
RICHARD D. GILSTRAP
BOOK 580, PAGE 458
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2
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SOUTHERLY RIGHT -DF -WAY LINE U,S, HIGHWAY 6 & 24
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In
GREEN DIAMOND PROPERTY
PARCEL A
PARCEL OWNED BY:
INTERMOUNTAIN TRANSFER 8, STORAGE
BOOK 767, PAGE 872
EXI •. TING MINI ST❑R GE L
30. 0 5.00
0
t")
6
25.00 30.20 25.00
w.
5,87ei24'15"E.
-sV•C0--
PROPOSED 30
STORAGE BUILDING
NORTHERLY
RIGHT -CIF --WA Y
408,97
9.42
to
NITS
EXISTING
J
�FND. REBAR & CAP
PROPERTY CORNER
160.60 9.98
STEEL STORAGE BUILDIN
—_-�— 160.60
EflhiG�RETE,- SLAB'
PARCEL B
RECEPTION NO. 296282
BOOK 532, PAGE 665
P0.#`I'
pme
e1C/�
Rapti ,
Go
td -
10 F UTILITY
EASEMENTN8512' _--_`___
8.11
LINE UNION PACIFIC RAILRCI 00DENVER 418.44 40.30
AD (FORMERLY - -
g,
RIO GRANDE]
4 FT WII
LOADING
DOCK
EASEMENT
51.32
trt
� I
ro LOADING
v- DOCK
�j17
_. -F"
LC.
40.30
STEEL MII
STORAGE 01
BUILDING I
-4
d ` p{
28.42
az
W
-n • !I
H W
L. U
(0¢
FND. REBAR P. CAP
PROPERTY CORNER
GREEN DIAMOND PROPERTY
PARCEL C
S.O2007'10"E.
PARCEL OWNED BYt
BUISCUIT INVESTMENT CO, INC.
BOOK 977, PAGE 008
RETAINING WALL
CROV WI- LI_
UPDATED 6-28-05
LEGAL DESCRIPTION - PARCEL B (By Others)
A tract of land situate in the NE1/4 of' the NE1/4 of Section 10,
Township 5 South, Range 92 West of' the 6th Principal Meridian,
being more particularly described as follows:
Beginning at a point on the west line of said NE1/4 of' the NE1/4 of
Section 10, whence the northwest corner of' said NE1/4 of' the NE1/4
of Section 10 bears North 876.19 feet; also whence the survey
monument at the intersection of the center lines of Ninth Street
and Grand Avenue in the Town of Silt, Colorado, bears N.57006'27'W.
1614.96 feet; with all bearings contained herein being relative to
a bearing of East on said Grand Avenue center line; thence
5.87024'15"E, 408.97 feet to a fence line; thence S,02007'10'E.
227,71 feet along said fence line to a point on the northerly
right-of-way line of the Denver and Rio Grande Western Railroad;
thence N.85012'00 -W. 418.44 feet along said northerly right-of-way
line of' the Denver and Rio Grand Western Railroad to said west line
of the NE1/4 of the NE1/4 of' Section 10; thence North 211,07 feet
alongsaid west tine of the NE1/4 of the NE1/4 of' Section 10 to the
poinof beginning, containing 2,075 acres more or less.
Subject to a utility easement being10 feet in width, and lying
easterly of, adjacent to and paralel to the west boundary of the
above described tract of land, also being10 feet in width and
tyinnortherly of, adjacent to and paralel to the south boundary
of the above described tract of land.
Also subject to an easement for ingress, egress and utility
purposes bieng 30 feet in width and Lying westerly of, adjacent to
and parallel to the east boundary of the above described tract of
land.
IMPROVEMENT L❑CATI❑N CERTIFICATE
I hereby certify that this Improvement Location Certlficate was prepared
for Richard D. Cromwell, that it is not a land survey plat, or
improvement survey plat, and that it is not to be relied upon for the
establishment of fence, building or other future Improvement lines.
I further certify that the improvements on the above described parcel on
this date, June 28, 2005, except utility connections, are entirely
within the boundaries of' the parcel, except as shown, that there are no
encroachments upon -the described premises by improvements on any
adjoining premises, except as indicated, and that -there is no apparent
evidence or sign of any easement crossing or burdening any part of said
parcel, except as noted.
UPDATED 6-28-05 - ADDED NEW EXISTING STORAGE BUILDING
AND SHOWED PROPOSED STORAGE BUILDING
COMWELL I.L.C.
NE1/4NE1/4 SEC 10, T.6 S,, R.92 W. 6TH P.M,
DATE
SCALE
9/28/02
1" = 50'
JOB NO.
DRAWN
02011
MLC
SHALE COUNTRY SURVEYING
215 HUTTON AVE. RIFLE, CO 81650 PHONE (970) 625-3977