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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.
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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
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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