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Home My WebLink About03797: ! ' l ....... '-. \ GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N'.:. 3797 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81601 Phone (303) 945-8212 This does not constitute SYSTEM DESIGN __ l'-)--"5',-'o"---Septic Tank Capacity (gallon) _ _,,/~)"----Percolation Rate (minutes/inch) Required Absorption Area -See Attached Special Setback Requirements: ______ ,Other , Number of Bedrooms (or other) Lj + J -, r .6"'0<" /QCi J-,:!; 11~ ,f (~.,,,./, h1:zo 5'-/)-t:::!;l /~-~ ,/, ,',/.,t-11.,,. /)..fJF?) T~~/-)t•), ,,.'</ ;.Jc:J /;5</c:!:J / ,:?c;. • f1 ,if,,,,.,__,,,. ~r"P-::;, /_"!_, c"'t:J 9(-/.)·"~ {-;i :..,7<( c±:7 / ,.,.,_ _y_/i ·JI~ 1).,.,1?' 5 lj.p /) </I _t>c-~ ""15 .::i;-(. ZYJ-· Date_~.::~·6'~· o_· ...i'~ __ Inspector ~~/.;;;'>'~'?9..<.2\,'h'-L~~;,,....,.,~:;;..-::~,,..~-------- FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer·_~;~',,{,<""~~----------------------------------- ' 7, Septic Tank Capacity_~'--'"'-''""---------------------------------- ,f' Septic Tank Manufacturer or Trade Name -'..&µ~===-------------------------- Septic Tank Access within 8" of surface -""'""'""----------------------------- / II Absorption Area ___ ~·~---..;·_·~----------------------------------, .~~!'. Jf . Absorption Area Type and/or Manufacturer or Trade Name -'"'· 4''4'·"'L1.it-, ~./"-~" ..JM""'""""""Zk?"°':;.,;, ______________ _ Adequate compliance with County and State regulations/requirements _ _..~~/'-'·~·,~··-"c:..) ________________ _ t:~ •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 requir&m8nts. 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 ind· ctual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con · ed in the application of permit commits a Class I, Petty Offense ($500.00 fine -6 months in jail or both). W . ·APPLICANT Yellow -DEPARTMENT ,, ' I • • ' INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION :"::ss ~~~~·&'"~')}(~;"' · 21:.·~:-ee .. s CONTRACTOR. __ .:).~4--=I.!{~~--------~~~~~~~~~~~ PHONE ----- PERMIT REQUEST FOR ( ,/) NEW INST ALLA TI ON ( ) 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 ofTown. __ $}_1-0/--'J-_____________ Size of Lot ~ ,,-1 Cl.Cf'oe...S. Legal Description or Address ~ SJ./l~;,_,e._ Sl/.J. ~. "'$>/C,.~'2_ -, WASTES TYPE: ( /) DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ()OTHER-DESCRIBE _______________ _ BUILDING OR SERVICE TYPE~---.LL:~;::,6~1'_..d,,,,tt.::=1.1,_,e""'g,._,,•_· --------------- Number of Bedrooms _ _._ __________ N.umber of Persons_5~---- ( l) Garbage Grinder ( /) Automatic Washer SOURCE AND TYPE OF WATER SUPPLY: ()) WELL If supplied by Community Water, give name of supplier: ( /.) Dishwasher ( ) SPRING ( ) STREAM OR CREEK DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:. __ lj-+-'IM<""-'-;~/€~S~---- Was an effort made to connect to the Community System? -~J..b~-·----------- A site plan is required to be submitted that indicates the followini: 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 __________________________ _ 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: cJ> SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PITPRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET( ) OTHER-DESCRIBE FINAL DISPOSAL BY: (~ ABSORPTION TRENCH, BED OR PIT ( ) EV APOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER-DESCRIBE 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 er inch in hole No. 2 Minutes er inch in hole No. Name, address and telephone ofRPE who made soil absorption tests: ------------- Name, address and telephone ofRPE 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 ~.c..q,..."D .~)~'Ut.. Date_tl ~__;:;lo---'/e;~3'=---- PLEASE DRA w AN ACCURA~ TO YOUR'PROPERTY!! 3 .... • A tract of land sftuate in thB Nt/2 of thtJ 5£1/4 of thB NW1/4 of Sttetlon 25, Township 5 South. RangB 92 ~st of thB 6th P.M. bttlng more particularly ducnbed as follows: Bttginning at a point at tho inters~tion of tho SoutMr!y right of way of Odin Drive, Asgard Subdivision, Stte0nd Rllng, County of Garfield, state of Colorado, and tho Centerline of tho Former-$ lm'gotion Ditch, wht1nce the NE comer of said Nf/2 of the SEl/4 of thf!I NWl/4 bflars N 40"18'24• C 161.46 fHf (fittld tie N41"42'Jt" £ 162.89 Ifft): thence along said Southerly right of way on the following covrsB$. N 75'1J'OO" W 14.49 fut; thence 124.70 f~t along the arc of a 125. 79 foqt rodiu# curvt1 to the left whlch ore subtends o chord bearing S 7i1-2J'20" lr 119.61. faot; thence S 47'59'QJ" W 206.65 feet: thBncd 122.44 fut along the ate of a 234. 17 loot radius curve to the right which subtends a chord bearing S 62'57'48" W 121.05 ffNlt; thence S 7756'JJ'" W 127.CH fHt; thence .J29.25 feet along the arc of a 760. 78 foot radius curve to the Mft which arc subtends a chord bearing S 65" .J2'39• W 326.69 feet: thence S 5.r08'00" W 178.52 fHt; thence 126.16 feet along tM arc of a 161.76 foot radius curve to the right which subt.nds a chord bearing S 75'"29'22" W 123.00 fut: thence leovi,'}3 sold southerly right of way on a course bearing S 7TJ6 '49" W 14.J.21 fut to the SW comer of aoid N1/2 of the 5£1/4 of the NW1/4,· th~ along the Southerly line of said N1/2 of the 5£1/4 of thtt NWl/4 N 81¥27'24• E 592.69 feet to a point on tM cent<trllne of said FormMS lm"gaUon Dl'tch: then~ olong said ditch cent<trll'ne th<t fol/owing COUt'BeS N .J5"1t'J6" £ 66.15 feet,· thenc<t N 50"55'21" E 115.14 fHt,· thence N 76'11'11" £ 98.JO feet; tMnc<t N 56'05'21" £ 124.49 fHt; thenc. N 4733'31" £ 170.J.J fHt: thence N 26"20'21" E 152 . .J2 feet; thence N 44·27•29• E 90,58 feet." thence N 80"01'19" E 40.01 feet to th• Point of Beginning. COUNTY OF IWIFIE:LD STATE OF COLORADO o' 100' 200' 300' ---------- L-t26.t7' R-161.76' A_.,,,,,44·~·29• N 11'36'49" E BRG-S 75"29°22" W C LEN• 12J.00' s 89'27'24. w L=.J29.25' R•760.78' A.=24'"47°48" BRG•N 65"32'.39" E C LCN=J26.69' CERTIFICATION I Richard Ho/son, · nffd surveyor in the State of Colorado, certify that I ha'Ve locot;:d · es for the properly shown hereon and h~ Indicated NE COR.Nt:l/4SEl/4M'l1/4 SEC. 25, T5S, R92W FOUND 8UI ALUM. CAP th<t locatio vem<tnts a.s directed by th<t property owner or the owner's hBllJOn. This cttrtiflcotion applles to propos«i RECORD nE N 40't8'24" E 161.48 FIELD nE N 41'42'31" E 162.89' Improve sttnt an tmprovttment Location CertificatB or Im pro FOtJNO 25' w.c. L=122.44' R•234,17' l>-29'57'29" BRC•S 62'57'48" W C LEN-121.05' ODIN D~l\IE N~ E__....-m ~ 121.u~ II' ,.,e).\ ~~·· lll1lllllf WJJJM I/A RlclMrd /,. llo/aa 1.8. ,_ f?n II' 6cC -- L=124.70' R•125.79' N 75'1:$'00" W 1>=5(>48'05" 14.49~ BRG•N 76'23"2.0" E C L£N=119.66' '-.._ - .~~ ~~ <---...CENTERLINE FARMERS /RR/GA noN DITCH • FOUND R&c --11111'1' "' ltl/ll lllll/fNln/~ --.. -Jlm''PO ,_ llUtlJr .._ 592.69' SOUTH UNt NE1/4SEt/4NWt/4 t-10.J•,.--D.4W J/29/rul_.,, 2030t8 I R-111/RR nwn •