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HomeMy WebLinkAbout04376GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970} 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY (OCT( Jr)eNt'+ � r t�)� Owner's Name's 1iWi l C C F v. (A hPr se t Address CV:5`) 9 ce h.f)0 kik ( (.>(--' Phone Qt ) System Location rt- o 150 clz (3 r7 Legal Description of Assessor's Parcel No �jI ` 1 )11 l T/fieYV\p 1\t1 SYSTEM DESIGN 1)3L , ivEko Assessor's Parcel No. This does not constitute a building or use permit. 15-n Septic Tank Capacity (gallon) Other Percolation Rate (minutes/inch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: 5 51 [11 no -4. ( 1 97G1/3 Vnu�A ,c11 0,04 Date \ 0 /21 - 01 Inspector P. �A�(tri FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer 0 01 J)' Septic Tank Capacity 1 �(i Septic Tank Manufacturer or Trade Name D n(.( 5 D r\ Septic Tank Access within 8" of surface Absorption Area t, UkA tib ) LA Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements.4 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 ($500.00 fine —6 months in jail or both). White - APPLICANT Yellow - DEPARTMENT OWNER ADDRESS�"ti CONTRACTOR ADDRESS INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION _ D,,-d„c L c_rce4 (,-�.� LL C FHONE qt -15 -- S vl r, GWS (36 PHONE 36� 92 PERMIT REQUEST FOR (> NEW INSTALLATION ( ) ALTERATION ( ) REPAIR 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). LOCATION OF PROPOSED FACILITY: 63- Near what City of Town '' Cg4t"t— Size of Lot ZS . c-cf-t--- Legal Description or Address ?' c"r A IS P f Y &'&4'/ WASTES TYPE: (>4" DWELLING d (5D ) TRANSIENT USE L "- ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER — DESCRIBE 4 BUILDING OR SERVICE TY E: --kA Q -k /(DUC s kr.e-v Number of Bedrooms ! �er�,e 547t1( 5 Number of Persons Z (x) Garbage Grinder (2=Automatic Washer (,4 Dishwasher (IF) SOURCE AND TYPE OF WATER SUPPLY: (,9 WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: i DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: L -v ‘......3c7,(Z. �• �' Was an effort made to connect to the Community System? PO A site plan is required to be submitted that indicates the following MINIMUM distances: Leach Field to Well: Septic Tank to Well: Leach Field to Irrigation Ditches, Stream or Water Course: Septic System (septic tank & disposal field) to Property Lines: 100 feet 50 feet 50 feet 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS: r Depth to first Ground Water Table 1 Percent Ground Slope 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (K) SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET( ) FINAL DISPOSAL BY: OTHER -DESCRIBE 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? 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 per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes Name, address and telephone of RPE who made soil absorption tests: per inch in hole No. 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 uposaid application and in legal action for perjury as provided by law. Signed Date PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 • G Designate North Arrow Your Neighbor's Name & Address Your Plot - Shape to Fit (No Scale) Your Neighbor's Name & Address FiC+4. t4 S ) Locate well, all streams, irrigation ditchs, and any water courses. Draw in your house, septic tank & system, detached garages, and driveway. If a change of location is necessary, you must submit a corrected drawing, before a Certificate of Occupation will be issued. County Road (Note the Road Number and Name) <4- r(7.c., --- eric clwpwin60\wpdocslplot.loc L3 fl) 1 11 1 1 o - ce 0 0 0 ,•e0 c4 e 0 0 0 0 0 0 0 0 t,8 01 01 0 o e 0 0 0 0 0 0 4.7a 0 0 0 ea 0 0 0 0 0 0 0 0 0 0 0 1\0, 00 0 0 0 0 414 (.4 0 0 4.A. 0 fp 0 e 0 e eeo Oil 00000 0 0 0 0 0 10 0 0 0 0, 0 (.1 f4.11 eg, Ca 4.1 t% Clt.A 11 el 0 ei 4:1 S 1-0-rer0M-1. 01 0 0 01 0 0 0 tit 0 0 0 oic)A -PrGIOSC), oc\ 1... F.t. .,,. 1; tl . el . , r J Parcel Detail Page 1 of 3 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Property Search f 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 f Residential/Commercial Improvement Detail Land Detail 1 Photographs Tax Area 004 Account Number R040331 Parcel Number 212336200051 Mill Levy 63.379 Owner Name and Mailing Address ORCHARD CREEK RANCH LLC 950 GREENWAY DR GLENWOOD SPGS, CO 81601 Legal Description DESC: TR. IN W2SW SEC. 25 & W2NW SEC. 36 DESC: AKA PARCEL A BROWN EXEMPTION PRE:R040232 BK:1940 PG:507 RECPT:726080 BK:1884 PG:360 RECPT:715240 BK:1884 PG:357 RECPT:715239 BK:1884 PG:355 RECPT:715238 BK:1884 PG:354 RECPT:715237 BK:0885 PG:0166 BK:0880 PG:0749 BK:0819 PG:0060 Location Physical Address: NEW CASTLE Subdivision: Land Acres: 25.67 Land Sq Ft: 0 http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R040331 10/11/2007 Parcel Detail Page 2 of 3 Property Tax Valuation Information Sale Date: Sale Price: 1/15/2007 1,555,000 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: 435,000 126,150 Improvements: 0 0 Total: 435,000 126,150 Sale Date: Sale Price: 1/15/2007 1,555,000 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 2006 Tax Payment: Whole ($7,351.96) 2006 Tax Amount $7,351.96 2005 Tax Payment: Second Half ($3,677.37) 2005 Tax Payment: First Half ($3,677.37) 2005 Tax Amount $7,354.74 2004 Interest Payment ($70.98) 2004 Interest Charge $70.98 2004 Tax Payment: Whole ($7,098.46) 2004 Tax Amount $7,098.46 2003 Tax Payment: Second Half ($3,126.68) 2003 Tax Payment: First Half ($3,126.68) 2003 Tax Amount $6,253.36 2002 Tax Payment: Whole ($5,686.88) 2002 Tax Amount $5,686.88 2001 Interest Payment ($171.70) 2001 Tax Payment: Whole ($5,723.44) 2001 Interest Charge $171.70 http:I/www. garcoact.com/assessor/Parcel.asp?AccountNumber=R040331 10/11/2007 Parcel Detail Page 3 of 3 2001 Tax Amount $5,723.44 2000 Interest Payment ($413.57) 2000 Fee Charge $7.00 2000 Fee Payment ($7.00) 2000 Tax Sale Redemption ($4,595.26) 2000 Interest Charge $413.57 2000 Fee Charge $4.00 2000 Tax Payment: Whole ($4,270.80) 2000 Interest Payment ($298.96) 2000 Fee Payment ($4.00) 2000 Fee Payment ($21.50) 2000 Tax Sale $4,595.26 2000 Interest Charge $298.96 2000 Fee Charge $8.00 2000 Fee Charge $13.50 2000 Tax Amount $4,270.80 1999 Tax Payment: Second Half ($1,968.90) 1999 Tax Payment: First Half ($1,968.90) 1999 Tax Amount $3,937.80 Top of Page Assessor Database Search Options I Treasurer Database Search Options Clerk & Recorder 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 - 2006 Good Turns Software. All Rights Reserved. Database & Web Design by Good Turns Software. http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R040331 10/11/2007