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HomeMy WebLinkAbout043183:5 ISO GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Perau, Ronald Owner's Name r Present Address ywant1itIn��E/0111 System Location Permit 4 318 Assessor's Parcel No. ca\v-ts\-031-c-x)-IrC5kc\ This does not constitute a building or use permit. C 7/3 l ne 79-7717 Legal Description of Assessor's Parcel No SYSTEM DESIGN Septic Tank Capacity (gallon) Other c),\ OC)—O\0\ 50-102-0 00. Percolation Rate (minutes/inch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: Date Inspector FINAL. SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation ej\e System Installer Septic Tank Capacity 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 ($500.00 fine —6 months in jail or both). White - APPLICANT Yellow - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER t 714441 ADDRESS loSC)l 7 "IAA -):67' 1i ONE 1M-2277 CONTRACTOR afifit 45 ao c ADDRESS PHONE 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: Near what City of Town A(1 -g2 Size of Lot €76 QcfleS' Legal Description or Address /7/c gee Ski -07/'62. 1%,147/C WA 5° WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER—DESCRIBE tiC fisc.:. ./ BUILDING OR SERVICE TYPE: /pa" w %la2>a Number of Bedrooms Number of Persons ( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL SPRING If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 44 Was an effort made to connect to the Community System? ( ) STREAM OR CREEK A site • Ian is re i uired to be submitted that indicates the followin ' MINIMUM distances: Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 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 5° 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (y) 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: ABSORPTION TRENCH, BED OR PIT-.TfI % RckTot2Z ( ) EVAPOTRANSPIRATION UNDERGROUND DISPERSAL ( ) SAND FILTER ABOVE GROUND DISPERSAL ( ) WASTEWATER POND OTHER -DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? Ori 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 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: ,52,we ? 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 fumished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the pewit 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 /k4 ,? > Date 47-497--07 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 0 \o z \ En - 0 \0 [ / & ct \\ CD tt\ CU /�\ \tfi cd 0 \0 {ƒ/\/ 5 \ 0~ /ct 00 CA \cd 0 0 (4 c cr\ Parcel Detail Garfield County Assessor/Treasurer Parcel Detail Information Page 1 of 4 Assessor/Treasurer Property Search Assessor Subset Query 1 Assessor Sales Search Clerk ..................... ..... . Sege ... Basic Building Characteristics. 1 Tax Information Parcel Detail Value Detail 1 Sales Detail 1 Residential/Commercial Improvement Detail Land. Detail 1 Photographs Tax Area Account Number Parcel Number Mill Levy 015 R015052 218105100019 44.504 Owner Name and Mailing Address PERAU, RONALD G. & LISBETH 6501 COUNTY ROAD 214 NEW CASTLE, CO 81647-9786 Legal Description SECT,TWN,RNG:5-6-91 DESC: FR. OF LAND IN LOT 1. BK:0521 PG:0060 BK:0901 PG:0198 Location Physical Address: 6501 214 COUNTY RD NEW CASTLE Subdivision: Land Acres: 4.75 Land Sq Ft: 0 Section Township Range 5 6 91 Property Tax Valuation Information Actual Value Assessed Value 11 http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R015052 5/30/2007 Parcel Detail Page 2 of 4 Land: 11 Improvements: Total: 157,00011 199,300 356,300 12,5001 15,860 28,360 Sale Date: Sale Price: Basic Building Characteristics Number of Residential Residential Building Occurrence 1 Characteristics Buildings: 1 Number of Comm/Ind ABSTRACT CODE: Buildings: 0 Tax Year 2006 2006 Tax Information Transaction Type Interest Charge Tax Payment: Whole Amount $11.48 ($1,148.20) http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R015052 5/30/2007 Residential Building Occurrence 1 Characteristics TOTAL HEATED AREA: 2,018 ABSTRACT CODE: SINGLE FAM.RES- IMPROVEMTS ARCHITECTURAL STYLE: 1 -STORY EXTERIOR WALL- MASONITE ROOF COVER: COMP SHNGL ROOF STRUCTURE: GABLE INTERIOR WALL: DRYWALL FLOOR: CARPET FLOOR: SHT VINYL HEATING FUEL: GAS HEATING TYPE: HOT WATER STORIES: STORIES 1.0 BATHS: 3 ROOMS: 7 UNITS: 1 BEDROOMS: 4 YEAR BUILT: 1971 Tax Year 2006 2006 Tax Information Transaction Type Interest Charge Tax Payment: Whole Amount $11.48 ($1,148.20) http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R015052 5/30/2007 Parcel Detail Page 3 of 4 2006 Interest Payment ($11.48) 2006 Tax Amount $1,148.20 2005 Interest Payment ($11.48) 2005 Interest Charge $11.48 2005 Tax Payment: Whole ($1,148.44) 2005 Tax Amount $1,148.44 2004 Interest Payment ($32.89) 2004 Interest Charge $32.89 2004 Tax Payment: Whole ($1,096.36) 2004 Tax Amount $1,096.36 2003 Tax Payment: Whole ($1,219.40) 2003 Interest Payment ($36.58) 2003 Interest Charge $36.58 2003 Tax Amount $1,219.40 2002 Interest Charge $51.16 2002 Tax Payment: Whole ($1,278.88) 2002 Interest Payment ($51.16) 2002 Tax Amount $1,278.88 2001 Tax Payment: Second Half ($636.02) 2001 Tax Payment: First Half ($636.02) 2001 Tax Amount $1,272.04 2000 Tax Payment: Second Half ($633.20) 2000 Interest Payment ($12.66) 2000 Interest Charge $12.66 2000 Tax Payment: First Half ($633.20) 2000 Tax Amount $1,266.40 1999 Tax Payment: Second Half ($630.18) 1999 Tax Payment: First Half ($630.18) 1999 Tax Amount $1,260.36 Rip of Page Assessor Database Search Options 1 Treasurer Database Search Options Clerk & Recorder Database Search Options Garfield County Home Page http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=12015052 5/30/2007