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HomeMy WebLinkAbout04466.of2L1fcid GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 4 4 4 6 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY I /y ` Owner's Name `/v��,ll C, 'J -1t f'� �` �. Present Address } �1 `)7Y System Location Dr 7-1 0- v Assessor's Parcel No. This does not constitute a building or use permit. Phone 'II 5 Legal Description of Assessor's Parcel No. S�5 Ci C? lx ULA' SYSTEM DESIGN 75-; i o /9 Septic Tank Capacity (gallon) Other ie.I A Percolation Rate (minutes/inch) Number of Bedrooms (or other) /0475- -' R,9 5-4'7 v44) , l- 5 /// ,L7cA/ / erti , s SSS. /7, /f ,25'f".0 -11 Required Absorption Area - See Attached Special Setback Requirements: �! Date `(O `.J 0 '- �i v Inspector:::77/4-1 11/V2/ -S C---) %LI FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer Septic Tank Capacity 4572 0 Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface ,/-1/4 i i c - Absorption Area `F' ` / /AI Be , Absorption Area Type and/or Manufacturer or Trade Name Ir e'f 4,%t c 2-5-& /57c) Adequate compliance with County and State regulations/requirements Other Date %� 794C.f!Z t✓_.. 0 CJ Inspector (1.-/a-17 72��--vim`"'--^--- (� RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: /0—/q -o6 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 ($500.00 fine —6 months in jail or both). pV ae White - APPLICANT Yellow - DEPARTMENT GARFIELD COUNTY SEPTIC PERMIT APPLICATION 108 8t Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003 www. • al -field -co nty.com STAFF USE ONLY Permit Fee:O a -� Parcel No: (this information is available at the assessors offic �% /770-945-9134) ,�/�} Ca -Z. v 1 ,�/ 5? NO VI/ cxt`z%Pno/& 2 Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description 0 7 (00,,v 7 P, /117 3 Lot Size: 3 M g0 Lot No: Block No: Subd./ Exemption: 4 0 er: (property owner) 9vt 01vial/3 Mailing Address pa no( 9‘51 Cchvititop y" co 570:2 Ph: 77O -75-o3 Alt Ph: 6/8-3.27 5 Contractor:-Yorh1/ E VOSOlg Ary4, /7Tht- Mailing Address a 5- (a AD /if 6't'ff/G� Ph: 9V C Aft Ph: 2/$ 751, 6 Engineer: Mailing Address 9/60/ Ph: Alt Ph: 7 PERMIT REQUEST FOR: fn) New Installation ( ) Alteration ( ) Repair 8 WASTE TYPE: (>1k/welling ( )Transient Use ( )Commercial or industrial )Non- Domestic wastes ( )Other — Describe 9 BUILDING OR SERVICE TYPE: 561. ,0 wt t `% Number of bedrooms Garbage Grinder ( )Yes SyQNo 10 SOURCE & TYPE OF WATER SUPPLY: XWELL ( )SPRING ( )STREAM OR CREEK ( )CISTERN If supplied by COMMUNITY WATER, give name of supplier: ! 2tstr Alit - 14U4 fl -7& tin- z> , i-,k:c I 1 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: / {'i/SL- 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 12 GROUND CONDITIONS: Depth to 1u Ground Water Table Percent Ground Slope 13 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED: Weptic 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 ( )Underground Dispersal ( )Above Ground Dispersal ( )Evapotranspiration ( )Sand filter ( )Wastewater ( )Other- Describe pond 15 Will effluent be discharged directly into waters of the state? ( )YES p0 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 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: 17 Applicant acknowledges that the completeness the local health department to be made and furnished issuance of the permit is subject to such terms reports submitted herewith and required to be and are designed to b relied on by the local understand that an a ificafion pr repr• and legal action f r ur f d : 9 Y L of the application is conditional upon such further mandatory and additional test and reports as may be required by by the applicant or by the local health department for purposed of the evaluation of the application; and the and conditions as deemed necessary to insure compliance with rules and regulations made, information and submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief department of health in evaluating the same for purposes of issuing the permit applied for herein. I further -ntation may result in the denial of the application or revocation of any permit granted based upon said application �� 6 -rte - /.�..G V— 03 (a --.1,0"6-171-------- OWNERS SIG ATURE DATE STAFF USE ONLY Permit Fee:O a -� Perk Fee: 1b0,°U Total fee • O u 1.1 Building Permit #: _ Septic Permit #: Issue Date: Building & Planning Dept: APPROVAL DATE rN c ttk ti ti 11 1 1 1d, 52% i i --- /Ivp N m.• • ?m '` .Q 10� tin Me•c„ Nn, COQ` ' s nit - o. 'tiT,S (in , �a n N hp. en3 N\.fir7 \ I Q i Q OtkoF 1 I 1 (1/1' I I I </ ) I I lm} \ I I. 2 tnN 4 \\ ` 1 Parcel Detail Page 1 of 3 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Property Search 1 Assessor Subset Query_ 1 Assessor Sales Search Clerk & Recorder Reception Search Basic Building Characteristics 1 Tax Information Parcel Detail 1 Value Detail 1 Sales Detail 1 Residential/Commercial Improvement Detail Land Detail 1 Photographs 1 Mill Levy Revenues Detail Tax Area 008 Account Number R080794 Parcel Number 218528100028 2007 Mill Levy 60.596 Owner Name and Mailing Address OWENS, PAUL R. & DERYL PO BOX 264 GLENWOOD SPGS, CO 81602-0264 Assessor's Parcel Description (Not to be used as a legal description) SECT,TWN,RNG:28-6-89 DESC: TR IN NE AKA PARCEL C_SCARROW EXEMPTION PRE:R080770 BK:0692 PG:0633 BK:0860 PG:0793 BK:0826 PG:0225 BK:0826 PG:0224 BK:0813 PG:0266 BK:0768 PG:0098 Location Physical Address: 127 COUNTY RD GLENWOOD SPRINGS Subdivision: Land Acres: 2.15 Land Sq Ft: 0 Section Township Range 28 6 89 http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R080794 6/24/2008 Parcel Detail Page 2 of 3 2008 Property Tax Valuation Information Additional Value Detail Most Recent Sale Sale Date: Sale Price: 4/28/1993 28,000 Additional Sales Detail Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 0 0 No Building Records Found Tax Information Tax Year Actual Value Assessed Value Land: 66,000 5,250 Improvements: 0 0 Total: 66,000 5,250 Additional Value Detail Most Recent Sale Sale Date: Sale Price: 4/28/1993 28,000 Additional Sales Detail Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 0 0 No Building Records Found Tax Information Tax Year Transaction Type Amount 2007 Tax Payment: Whole ($318.12) 2007 Tax Amount $318.12 2006 Tax Payment: Whole ($303.32) 2006 Tax Amount $303.32 2005 Tax Payment: Whole ($303.54) 2005 Tax Amount $303.54 2004 Interest Payment ($3.26) 2004 Interest Charge $3.26 2004 Tax Payment: Whole ($325.66) 2004 Tax Amount $325.66 2003 Tax Payment: Whole ($287.26) 2003 Tax Amount $287.26 http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R080794 6/24/2008 Parcel Detail Page 3 of 3 2002 Tax Payment: Second Half ($168.74) 2002 Tax Payment: First Half ($168.74) 2002 Tax Amount $337.48 2001 Tax Payment: Whole ($339.70) 2001 Tax Amount $339.70 2000 Tax Payment: Whole ($377.22) 2000 Tax Amount $377.22 1999 Tax Payment: Whole ($347.90) 1999 Tax Amount $347.90 Mill Levy Revenues Detail lop of Page Assessor Database Search Options 1 Treasurer Database Search Options jerk 8 _R_ecorder Database Search Options Garfield County Home Page 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 Turns Software. http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R080794 6/24/2008