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HomeMy WebLinkAbout04413GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name System Location Present Address i9 A (16j Legal ©ascription of Assessor's Parcel No. 7-.4 4 t00Q8 SYSTEM DESIGN } Permit i Assessor's Parcel No. This does not constitute a building or use permit. Phone is A :44 I 7 Septic Tank Capacity (gallon) Other Percolation Rate (minutes/inch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: Date . � .r�- Pc vbtic ,,/14 L oy Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation f / ' f System Installer 'y>t` Septic Tank Manufacturer or Trade Name (-1612(1(.1--4/ Septic Tank Capacity 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 4i/f? Date _::,.� . a" Inspectorlr°!ilr'�.%e 'i2r 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 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER t1r1V) VellYmaigtql# (�`A, ew er ADDRESS 010 C.trc, d,. ! ` � (44H�t���NE4 i L? --98 2 6 (0) CONTRACTORS tn2-1' -- Kid( 14 ADDRESS c(-32 PHONE C- g(7cQ10 PERMIT REQUEST FOR ( ) NEW INSTALLATION ( ) ALTERATION EPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4). iso LOCATION OF PR9,PORED FACT ITY: Near what City of Town 64Q --v`&00, D C t S Size of Lot f o g qg 4 Qr J Legal Description or Address . _S45 3DuL_ ~ky P.tmj -- ( „,„K„4 &j C WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE .0 -<t -COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER _ DESCRIBE BUILDING OR SERVICE TYPE: CO rckcd Number of Bedrooms ( ) Garbage Grinder ( ) Automatic Washer Number of Persons ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: , --WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: &) Was an effort made to connect to the Community System? N A site • lan is reuired to be submitted that indicates the followin t MINIMUM distances: Leach Field to Well: Septic Tank to Well: Leach Field to Irrigation Ditches, Stream or Water Course: 100 feet 50 feet 50 feet Septic System (septic tank & disposal field) to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS: Depth to first Ground Water Table Percent Ground Slope N �"7a 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (>0 SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET( ) OTHER -DESCRIBE FINAL DISPOSAL BY: (.>d ABSORPTION TRENCH BED OR PIT ( ) UNDERGROUND DISPERSAL ( ) ABOVE GROUND DISPERSAL ( ) OTHER -DESCRIBE ( ) EVAPOTRANSPIRATION ( ) SAND FILTER ( ) WASTEWATER POND WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? fJ 0 PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes per inch in hole No. 1 Minutes Minutes per inch in hole No. 2 per inch in hole No. 3 Minutes per inch in hole No. Name, address and telephone of RPE who made soil absorption tests: Name, address and 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 tests 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 that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. Signed (�/T PLEASE DRAW AN Date ACCURATE MAP TO YOUR PROPERTY!! 3 S74'22'14'W 0,69' FOUND #5 REBAR & CAP, L,S,#18478 N PROPANE O TANK LOT 3 ik 63 EVERGREEN 1`1 COMMERCIAL CENTER N,bGjk� FENCE (TYP) ADJOINER BUILDING 10 #5 REBAR & S.#18478 SS9'49'03'W 0.70' OVERHEAD ELECTRICAL LINE GUY WIRE & ANCHOR 1.5' WIDE TIRE RACK 557'20'02"W 0.11' D #5 REBAR & CAP, L.S.#5447 D O Z ADJOIN ER BUILDING B" STEEL POST (TYP) 20' INGRESS AND 4 EGRESS HOLY CROSS ES ESM T. REC# 321070 J MOBILE HOME MANAGEMENT CORP. PARCEL# 239501400137 — /ERHANG r,9. 1 / OTh /;f +1+w N� rV FOUND #5 REBAR & CAP, L.S.# ILLEGIBLE 1'489.34'21"W (DEED) 284.97' (DEED) Parcel Detail Page 1 of 4 Garfield County AssessorlTreasurer Parcel Detail Information Assessor/Treasurer Property Search 1 Assessor Subset Query I Assessor Sales Search Clerk &. Recorder Reception Search Basic Building,mCh_ racteriGstics 1 lax Parcel Detail 1 Value Detail 1 Sales Detail j Residential/Commercial Improvement Detail Lana�d Detail 1 Photographs Tax Area Account Number Parcel Number 2007 Mill Levy 011 R111266 239501400082 60.843 Owner Name and Mailing Address KLEIN, KELLY MANAGING MEMBER OF K& L LLC 108 CROWN DR BASALT, CO 81621 Legal Description SECT,TWN,RNG:1-7-89 DESC: TR IN LOT 20 BK:0505 PG:0445 RECPT:736422 RECPT:736421 BK:0806 PG:0614 Location Physical Address: 5451 154 COUNTY RD GLENWOOD SPRINGS Subdivision: Land Acres: 0 Land Sq Ft: 81,893 Section Township Range 1 7 89 2007 Property Tax Valuation Information 11 11 http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=239501400082 1/18/2008 Pal -eel Detail Page 2 of 4 11 Actual Value 1 Assessed Value Land: Improvements: Total: 348,050 22,410 370,460 100,930 6,500 107,430 Sale Date: Sale Price: 10/25/2007 800,000 Basic Building Characteristics Number of Residential 0 Buildings: TOTAL HEATED AREA: Number of Comm/Ind 1 Buildings: ARCHITECTURAL STYLE: L 1 Commercial/Industrial Building Occurrence 1. Characteristics TOTAL HEATED AREA: 0 ABSTRACT CODE: WAREHOUSE/STORAGE-IMPS. ARCHITECTURAL STYLE: WAREHOUSE EXTERIOR WALL: PREFAB MTL ROOF COVER: PREFAB -MET ROOF STRUCTURE: PREFAB -MET INTERIOR WALL: UNFINISHED FLOOR: UNFINISHED FLOOR: CON ON GRD HEATING FUEL: NONE HEATING TYPE: NONE STORIES: STORIES 1.0 BATHS: ,0 ROOMS: 1 UNITS: 1 BEDROOMS: 0 YEAR BUILT 1975 Tax Year 2007 Tax Information Transaction Type Tax Amount 11 Amount $6,536.36 11 hllp://www.garcoact.com/assessor/parcel.asp?ParcelNumber=239501400082 1/18/2008 Parcel Detail Page 3 of 4 2006 1 Tax Payment: Second Half if ($2,607.42)1 2006 2006 2005 2005 2005 Tax Payment: First Half Tax Amount Tax Payment: Second Half Tax Payment: First Half Tax Amount ($2,607.42) $5,214.84 ($2,618.74) ($2,618.74) $5,237.48 2004 Tax Payment: Second Half ($2,887.74) 2004 Tax Payment: First Half ($2,887.74) 2004 Tax Amount $5,775.48 2003 Tax Payment: Second Half ($2,427.76), 2003 Tax Payment: First Half ($2,427.76) 2003 Tax Amount $4,855.52 2002 Tax Payment: Second Half ($1,993.92) 2002 Tax Payment: First Half ($1,993.92) 2002 Tax Amount $3,987.84 2001 Tax Payment: Whole ($4,009.96) 2001 Tax Amount $4,009.96 2000 Fee Payment ($7.00) 2000 Fee Charge $7.00 2000 Interest Payment ($205.40) 2000 Interest Charge $205.40 2000 Tax Sale Redemption I ($4,107.98) 2000 Interest Payment ($267.18) 2000 Tax Payment: Whole ($3,816.80) 2000 Interest Charge $267.18 2000 Fee Payment ($4.00) 2000 Fee Payment ($20.00) 2000 Tax Sale $4,107.98 2000 Fee Charge $4.00 2000 Fee Charge $8.00 2000 Fee Charge $12.00 2000 Tax Amount $3,816.80 1999 Interest Charge $354.33 1999 Interest Payment ($354.33) 1999 Fee Charge $7.00 1999 Fee Payment ($7.00) 1999 Tax Sale Redemption ($4,049.49) 1999 Tax Sale $4,049.49 http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=239501400082 1/18/2008 Parcel Detail Page 4 of 4 1999 Fee Payment . ($17.00) 1999 Fee Payment ($4.00) 1999 Fee Charge $4.00 1999 Interest Payment ($263.55) 1999 Interest Charge $263.55 1999 Tax Payment: Whole ($3,764.94) 1999 Fee Charge $17.00 1999 Tax Amount $3,764.94 To_p of Page Assessor Database Search Options 1 Treasurer Database Search Options Clerk & Recorder Database Search Option$ 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?ParcelNumber---239501400082 1/18/2008