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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
Owner's Name
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Vr useS
Present Address
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System Location GO-Dbb LI (151 -A -Th
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Permit 4 2 1 0
Assessor's Parcel No.
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
This does not constitute
a building or use permit.
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Phone Q 1 4 cR— [ -f
,(0aL0
Septic Tank Capacity (gallon) Other
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
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
/0
*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).
u6. Inspector
1 i
r'
RETAIN WITH RECEIPT RECORDS AT CON(TRUCTIOM SITE
Whsle - APPLICANT Yellow - DEPARTMENT
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name
VV r di LA\ Present Address
System Location lDL i
Legal Description of Assessor's Parcel No r�yr� t11 - 1— 0C
SYSTEM DESIGN
f f,
Permit
Assessor's Parcel No.
This does not constitute
a building or use permit.
Phone H 7 —
( _ ,(.0Q(4)
Septic Tank Capacity (gallon) Other
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
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 f �'-� t •j
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 eitC e
ADDRESS 7zes,V 11,0407
CONTRACTOR ('cj n ei2
ADDRESS S /fiyt e / v <
PHONE CNS' Z 2l,
PHONE
PERMIT REQUEST FOR OQ 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: (st)
Near what City of Town 6:40 ra o 1 Set Size of Lo
Legal Description or Address , CI L° ,% � �C,L1/1, gaaNtirk
WASTES TYPE:
( ) DWELLING ( ) TRANSIENT USE
(COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER --DESCRIBE
BUILDING OR SERVICE TYPE: rr•
Qjvi. 1 l_ DI v -r
Number of Bedrooms
( ) Garbage Grinder ( ) Automatic Washer
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL
If supplied bCommunity Water ive name of supplier:
Number of Persons
1
( ) Dishwasher
( ) SPRING
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
( ) STREAM OR CREEK
U lA
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: 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:
(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
( ) UNDERGROUND DISPERSAL
( ) ABOVE GROUND DISPERSAL
( ) OTHER -DESCRIBE
( ) EVAPOTRANSPIRATION
( ) SAND FILTER
( ) WASTEWATER POND
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 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:
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 depai Lnient 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 perinit 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.
XSigned Date
PLEArS WAW AN ACCURATE MAP T OUR PROPERTY!!
3
Designate North Arrow
Your Neighbor's
Name & Address
Your Plot - Shape to Fit
(No Scale)
0
eX (36
\3 {Lpt
Locate well, all streams, irrigation ditchs, and any water cours s. raw in your house,
septic tank & system, detached garages, and dive ay.
If a change of location is necessary, you must submit a corr:'cted drawing, before a
Certificate of Occupation will be issue
Your Neighbor's
Name & Address
County Road (Note the Road Number and Name)
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JUL-17-2007 12:59P FROM:ROARING FORK RENTALS 19706253614 TO:9459435 P.1
6SCHMUESER ', GORDON i MEYER
ENGINEERS SURVEYORS
October 17, 2006
Garfield County Building and Planning
Andy Schwaller — Chief Building Official
108 8th Street, Suite 201
Glenwood Springs, Colorado 81601
GLENW00D SPRINGS ASPEN CRESTua Bur'1E
I 16 W. 6Th. SUITE 200 P.O. BOX 2 F 55 P,0, BOR 3099
GLENWOOD SPRINGS, CO 81601 ASPEN, CO 818 1 2 CPE1ITED BUTTE, ca a t 254
970.945- 1 004 670-925-8727 970-349.5355
FX 970945.5948 FxI 970.025-4157 FK! 870-349.5358
RE: CHOICE VENTURES (ROARING FORK RENTALS ISDS)
Dear Mr. Schwaller:
SGM visited the site on 10/16/06 to evaluate the completion and construction of the septic
system for Roaring Fork Rentals property. The septic system appeared to be complete and in
reasonable conformity to the approved plans.
If you have any questions please contact me directly at (970) 945-1004.
Sincerely,
Schmueser Gordon Meyer, Inc.
Brandyn J. Bair, E.I.
Design Engineer
CC: Jeff Orosz
Roaring Fork Rentals
PO Box 1670
Rifle, Colorado 81650
12006-4651RF Rentals ISDS acceptance tatter
UL -1? -2007 07:25A FROM:ROARING FORK RENTALS 1970E253614 T0:9459435 P.1
Roaring Fork Rentals, Inc.
7264 Hwy 82
Glenwood Springs, Co 81620
970-945-2626
July 17, 2007
To Whom It May Concern:
Due to excessively busy schedules, we will be unable to have our parking lot
asphalted until the end of August. We have contracted Asphalt Services to
complete the job.
Sincerely,
Jeffery Orosz
President
Roaring Fork Rentals, Inc.