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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945·8212
Permit N~ 3821
Assessor's Parcel No.
' INDIVIDUAL SEWAGE DISPOSAL PERMIT
This does not constitute
a building or use permit.
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P@OPERTY . m ~\
Owner's Name&~! Q hr1S PresentAd:ress::to@;CR "°&:)\
System Location 3W CJL ~D I Xorn·c.bl j'. k§
LSgal Description of Assessor's Parcel No. aID 7~ J /::;;)-~ -OD 7
SYSTEM DESIGN
/()0() Septic Tank Capacity (gallon) ______ Other
__ L/_O~--Percolatlon Rate (minutes/inch) Numb~of Bedroo']S (or other) :::r:
9'J7 IP /l l"r.,/{ ~ c~ ~j' d
.5--z;o ¢ .;..;, ~..__J ~ dJ 7 <--<-->~~ r
boo/1 t~ &./ ~ ..?z /d3Y6/,,, 3fij'l 2Y8)
Required Absorption Area -See Attached
Special Setback Requirements:
Date_~r-;~-_,/_-_6-=-3 _____ Inspector -~;Liu_· _,., __ ,..,~;/~,1-~~-~..,.~ef~-~·-----------
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (2~ hours notice) Before Covering Installation
' System lnstaller_,l~•'-'1 ,,_,' _· '.o..1"'i,."-·-''-.'------------------------------------
J. L'.''b Septic Tank Capacity_~~J'-'-"--) _________________________________ _
Septic Tank ~anufacturer or Trade Name _{p=~~f'"'.RAY'116w''<'-'~.,_,-------------------------
Septic Tank Access within 8" of surface _,,,,,_.Z.fr. ____________________________ _
Absorption Area --"~"-· '1_-"-i).M.-'--'-.'-'J;i'-~Vl~·I~, -"tl_,.'-'~"'-'"-"'J,"-'-----------------------
f1 \ 1.}-.I---co'A,~
Absorption Area Type and/or Manufacturer or Trade Name _>,.,~,../'J\-"'-1"""''"''£.A.ll~~li~M=u\ ___ (_~..,"'\r-~-.,\Q~----------
'' Adequate compliance with County and State regulations/requirements-"+c..uL-------------------
Other------------------------r------.---------------
Date--+<'l...o-\.._.C::'---"'-D_?)'-----__ Inspector --+fJ""-""'UA,_,_H.L.<. dH--'1'1_1
..c..clj,_' 6.__,. (i\~--------
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 automatlcally be a violation or a
requirement of the ~it and cause for both legal action and revocation of the perm)t.
3. Any person who con cts, alters. or installs an individual seWage disposal system in a manner which involves a knowing and materi..i
variation from the ter 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
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER CHRIS BEASLEY
ADDRESS 3656 COUNTY ROAD 301
CONTRACTOR OWNER INSTALLED
PHONE 970-285-7396
ADDRESS PHONE
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PERMIT REQUEST FOR (X) NEW INSTALLATION (X) 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 m test holes (See page~).
LOCATION OF PROPOSED FACILITY:
Near what City of Town PARACHUTE Size of Lot 7.5ACRES
Legal Description or Address TRACT 48A MORRISANIA RANCH, LOT 48 AND 49
WASTES TYPE: (X) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUS1RIAL ()NON-DOMESTIC WASTES
( ) OTHER-DESCRIBE __________ _
BUILDING OR SERVICE TYPE: RESIDENTIAL HOME ADDITION
NumberofBedrooms 5 NumberofPersons 5
( ) Garbage Grinder (X ) Automatic Washer ( X ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (X) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 3 MILES
Was an effort made to connect to the Community System? NO
A site plan is required to be submitted that indicates the following 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 / ,5:0 6+
Percent Ground Slope ~l~_-_2~-~---------------
TYPE OF INDIVIDUAL SEW AGE DISPOSAL SYSTEM PROPOSED:
(X)SEPTICTANK ()AERATIONPLANT ()VAULT
()VAULT PRIVY ()COMPOSTING TOILET ()RECYCLING, POTABLE USE
()PIT PRIVY ()INCINERATION TOILET ()RECYCLING, OTHER USE
()CHEMICAL TOILET() OTHER-DESCRIBE _________ _
FINAL DISPOSAL BY:
(X) ABSORPTION TRENCH, BED OR PIT
( ) UNDERGROUND DISPERSAL
( ) ABOVE GROUND DISPERSAL
( ) OTHER-DESCRIBE,
( ) EVAPOTRANSP!RATION
( ) SAND FILTER
( ) WASTEW ATERFOND
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?
PERCOLATION TEST RES UL TS: (To be completed by Registered Professional Engineer, if the Engineer does the
Percolation Test)
Minutes __ ~per inch in hole No. I Minutes ___ Jer inch in hole No. 3
Minutes per 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 of RPE responsible for design of the system:
Apphcant 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.
Signedd1
FLEASEDRAW
Date G•>-<) 3
YOUR PROPERTY! 1
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Chris Beasley
3656 County Road 301
Parachute, CO 81635-9119
970-285-7396
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Zip
18162
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John
Broderick
3758
Morrisania Rd.
W•terwell
l!wtmg Sepuc field \
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Driveway
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~ Shed
3656 County Rd 301 (Morrisania Rd)
Gerhard
Rill
Morrisania Rd.
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County Road No. 301
Aluminum Cap
LS No. 18480
N 89°43'55" E 492.72'
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Proposed Septic Field
Approx. 85' From
Proposed Addltlon
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Detail
S 89"09'1 B" W 326.50'
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suRvEYSERVICES. iNC
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BOOKCLIFJ"SURVE"Y SD!:V!CES. !NC
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Rifle. Cob-ado 81650
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PROPERTY DESCRIP110N
TRACT 4&4. OF THE A.MENDED FINAL PLAT MORRJSANIA RANCH, A
PORTION OF LOT 48 AND LOT 49
1!QI§§.
1) DATEOFSURVEYWASSEPraMBER, 2002
2.) THIS SURVEY WAS PREPARED Wl'IHOUT THE BENEFIT OF A
CURREN!' 1TI'LE COMMITMENT AND DOES NOT REPRESENT A 11TLE
SEARCH BY THIS SURVEYOR OR BOOK CUFF SURVEY SERVICES, INC.
OF THE PROPERTY SHOWN TO DETERMINE OWNERSHIP,
COMPAT!BILlTY W111f ADJOINING PARCELS, OR EASEMENT OR
ENCUMBRANCES OF RECORDS AFFEC17NG THIS PARCEL.
3) THE PROPOSED BUILDING SITE AND LEACH FIELD ARE NOT
LOCATED WTTHIN A 30% SLOPE AREA.
4.} THIS SITE PU!N DOES NOT REPRESENT A BOUNDARY,
IMPROVEMENT OR IMPROVEMENT WCA110N CERTIFICA1E SURVEY
BY S<XJKCLlFF SURVEY SERVICES, INC. OR AND OF ITS ASSOC1A1ES.
5.J APPROXIMATE ELEVATION OF 'IHE SITE, BASE:O ON THE usas
RULISON QUAD, EQUALS 6100 FEET NGVD 29
SURVEYOR'S STATEMENT
SITE PLAN CHAlS BEASLEY
38511 COUNTY 1'10.0.0 301
~ARACl«JTE. 008111.35
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