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Permit N: 3702
109 8th Street Suite 303 Assessor's Parcel No.
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Glenwood Springs, Colorado 81601
Phone (303) 945·8212 -----t
t INDIVIDUAL SEWAGE DISPOSAL PERMIT
This does not constitute
a building or use permit.
J PROPERTY H: ~~+ lJJo. D<i"' I Owner'sNam~+u 5r I rreVJ.esentAddress3'>;;l.~5t-. ef3to E;.s ~'"6 thone C/</5-:JC/<(7
l System Location ___ __,_,S}<J.<Y--"-J.-#-2__,,,_C"""-,,i(-'-'";)=-'{-'-"'j"--i)'-----'--. _,,,,,_(-'-',fi.,_,_/-=-fo-=-C/~7-----l Legal Oescrlptlon of Assessor's Parcel No. -------f/_q_,__J.....c5=:c.._--=J'-(;-..l._-_0_0_-_:_0::....::0:-1.t( _____ _:_ __ _
t SYSTEM DESIGN
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_____ Septic Tank Capacity (gallon) ______ Other
_____ Percolation Rate (minutes/inch) Number of Bedrooms (or other) ____ _
Required Absorption Area· See Attached
Special Setback Requirements: t rJ&!•
I Date ____________ Inspector--------------------------'-·'-
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l ,, FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
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Call for Inspection (24 hours notice) Before Covering Installation
System Installer-----------------------~---''------------
Septic Tank CapacltY-------------------------------------
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----------------------------------------~
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Date ___ l.___::_ ____ _:_ __ 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).
Whtte. APPLICANT Yellow -DEPARTMENT
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SCHENK, KERST & d'eWINTER, LLP
A PARTNERSHIP OF PROFESSIONAL CORPORATIONS
ATTORNEYS AT LAW
JOHN R. SCHENK
DAN KERST
WILLIAM J. deWINTER, III
CAROLYN M. STRAUlMAN
Garfield County Building and
Planning Department
109 Eighth Street, Suite 303
Glenwood Springs, CO 81601
302 EIGHn-t STREET, SUITE 310
GLENWOOD SPRINGS, COLORADO 81601
TELEPHONE: (970) 945-2447
TELECOPIER: (970) 945-2440
June 20, 2002
Re: Warren Stults Trust
Building Permit 8317
ISDS Permit
Ladies and Gentlemen:
Attached please find an Individual Sewage Disposal System Application on behalf of the
Warren Stults Trust, together with a check in the sum of $50.00 in payment of the permit fee. You
will note that the percolation test has been completed by Paul S. Bussone, a registered professional
engineer.
Please advise me if you require anything further for issuance of the permit. Thank you for
your attention to this matter.
DK/bg
Encl.
O.Wlt\Saoho·WILlltl'l'aMIT.wpol
" INDIVIDUAL SEWAGE DI,SPOSAL SYSTEM APPLICATION
OWNER warren Stults Trust -----:::-;r,:-;=o-v:::=-<:--------------------------c o Dan Kers
ADDRESS 302 Eighth Street, Suite 310, Glenwood Sprgs PHONE_9_4_5_-2_4_4_7 _____ _
CONTRACTOR_om_e_r ____________________________ _
ADDRESS __ c~/_o_D_a_n_K_e_rs_t __________ _ PHONE 945-2447
PERMIT REQUEST FOR (x ) 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 PRQPOSED FACILITY:
NearwhmCityofTown_--"N~ew,;;,....oc.=.as~t:..:l.=.e ______ ,-------S~i~ze,.,....ofwL~oat_6_0_ac_r_e_s_+_-__ _
Legal Description or Address ....,s"'e~e ....:a;.,;;t,,;;,;ta""c"""h e=-a-"-oe=-e_a_s __ 5.~J'C""'d.-'---'9_C-'-I("-·-==):.... 'f.:..:3=----1/lµ.L.J .:...• C~·c.....::g_/_6_1.f_./'----
WASTES TYPE: (x) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER-DESCRIBE. ________________ _
BUILDING OR SERVICE TYPE:_A_c_ce_s_s_or...:y'--Dw_e_1_1_in-=g_u_n_i_t _______________ _
Number ofBedrooms _--"3 ____________ _ Number of Persons __ 2 ____ _
( ) Garbage Grinder ( x) Automatic Washer
SOURCE AND TYPE OF WATER SQPPL Y: ( X) WELL
( ) Dishwasher
( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:_....;.;N,_;/A"----------------
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Approximately 12 miles
Was an effort made to connect to the Community System?_......._ _____________ _
A site plan Is required to be submitted that Indicates the following MINIMUM distances:
Leach Field to Well: 100 feet
Septic Tank to Well: SO feet
Leach Field to Irrigation Ditches, Stream or Water Course: SO feet
Septic System to Property Lines: 10 feet
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT
A SITE PLAN.
GRQUND CONDITIONS:
Depth to first Ground Water Table_......:6.=.B...:f:..:e.=.et,;;__ ___________________ _
Percent Ground Slope_-=.l..::..'ls+:...---------------------------
2
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: . . . .
. ( X) SEPTIC TANK ( ) AERATION PLANT ( ) VAULT
( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POT ABLE USE
( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OlHER USE
( ) CHEMICAL TOILET ( ) OlHER -DESCRIBE
FINAL DISPOSAL BY:
( ) ABSORPTION TRENCH, BED OR PIT ( ) EV APOTRANSPIRATION
(x ) UNDERGROUND DISPERSAL ( ) SAND FILTER
( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OlHER -DESCRIBE · · · · -
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF 1HE STATE?_N_o ____ _
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, ifthe Engineer does the
Percolation Test)
Minutes l!.. 4-per inch in hole No. I Minutes 13 · 4 per inch in hole NO. 3
Minutes 14-•'I per inch in hole No. 2 Minutes I~· "I per inch i:!'Y~~
Name, address and telephone ofRPE who made soil absorption tests: fM1. S, ~u s.s ONE. 1 '3"1'0
R>..., peg.p s A (I u'.?..C,..l R ) PA'e.A:e-tt<.rie I c.o Bl "1 '6 s
Name, address and telephone ofRPE responsible for design of the system: S Gt !JJ\€' Q .s q ko hl-f..::
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 pennit 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 pennit applied for herein. I further understand that any
falsification or misrepresentation may result in the denial of the application or revocation of any pennit granted based
upon said application and in legal action for perjury as provided by law.
·~~··· Date_ ..... 6'-~_..../-'-Y-~_o_z... ____ _
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
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JOHN R. SCHENK
DAN KERST
WILLIAM 1. dcWINTER, Ill
CAROLYN M. SlRAUlMAN
SCHENK, KERST & deWINTER, LLP
A PARTNERSHIP OF PROFESSIONAL CORPORATIONS
ATIORNEYS AT LAW
302 EIGHTH STREET, SUITE 310
GLENWOOD SPRINGS, COLORADO 81601
TELEPHONE: (970) 945-2447
TELECOPIER' (970) 945-2440
August 14, 2002
Garfield County Planning Department
109 8th Street
Glenwood Springs, CO 81601
Re: Warren Stults Trust Septic Permit
Attn: Kathy
Dear Kathy:
RECEIVED
AUG 1 4 2002
GARFIELD COUNTY
BUILDING & PLANNING
I enclose the supporting documentation and design of septic system provided by Resource
Engineering, Inc. to attach to the above referenced application, being Permit No. 3702.
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encl.
Please let me know if anything further is needed in t
tzen,
Par al to
DAN KERST
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Resource Engineering, Inc.
909 Colorado Avenue
GLENWOOD SPRINGS, COLORADO 81601
(970) 945-6777
Joe WARe&h\ STuL\ s -rg.vs T
SHEET NO. I OF_~'2-~---
CALCULATED ev· _ __,_f_,,S'-"B""----DATE f> Ii 3 /o 2. I
CHECKEOBY _______ DATE ____ _
SCALE _____________ _
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0 PRODUCT 207
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Resource Engineering, Inc.
909 Colorado Avenue
GLENWOOD SPRINGS, COLORADO 81601
(970) 945-6777
--
SHEET NO.
CALCULATED BY
CHECKED BY----------DATE------
SCALE __________________ _
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PAULS. BUSSONE, P.E.
398 PONDEROSA CIRCLE
PARACHUTE, CO 81635
(970) 285-1233
August 29, 2002
Garfield County Building and Planning
108 Eighth Street
Glenwood Springs, CO 81601
Re: Warren Stults Trust Property
ISDS Permit #3702
To Whom It May Concern:
RJ~) f :}j~JVED
AUG ~f 2002
Ai ~f /ELD COUNTY _..,JUJ1NG & PLANHfHG
On August 22, 2002, I inspected the installation of the septic tank and leach field system at
the Warren Stults Trust Property in Garfield County. The ISDS System consists of an existing 1,000
gallon septic tank (approximate) and anew 350 gallon septic tank, distribution piping and gravel-less
trench type leach field. The gravel-less trench leach field consists of four trenches with a total of 15
units in a 5, 4, 3, 3 combination.
All components of the ISDS System are properly installed in accordance with my design and
meet the applicable Garfield County standards.
emb
Re~ec fully submitted,
/'£ ~VL(,,F~
Paul S. Bussone, P.E.