Loading...
HomeMy WebLinkAboutApplicationVCV BAN03�i018 ,o1,;l oOF cAln AAVAgi • Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION 0 New Installation WASTE TYPE CI Dwelling 0 Other Describe 0 Transient Use ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT APPLICATION 0 Alteration 0 Repair 0 Comm./Industrial 0 Non -Domestic INVOLVED PARTIES Property Owner: Josh Appleton/ Ashlie Bowles Mailing Address: 364 Glen Eagle Circle New Castle, Co. 81647 Phone: ((970) 948-520 Email Address: bowlesashlie@gmail.com Contractor: Phone:( Mailing Address: Email Address: Engineer: Phone: ( Mailing Address: Email Address: ) PROJECT NAME AND LOCATION Job Address: 7625 County Rd 312 New Castle, Co 81647 Assessor's Parcel Number: 218332200078 Building or Service Type: Residential Sub. 32 Lot 6 Block 90 #Bedrooms: 4 Garbage Disposal(Y/N)_v Distance to Nearest Community Sewer System: Was an effort made to connect to the Community Sewer System: Type of OWTS Ground Conditions No Irl Septic Tank ❑ Aeration Plant © Vault ❑ Recycling, Potable Use 0 Recycling ❑ Chemical Toilet 0 Other 0 Vault Privy 0 Pit Privy ❑ Composting Toilet ❑ Incineration Toilet Depth to 15t Ground water table Percent Ground Slope Final Disposal by Water Source & Type Effluent O Absorption trench, Bed or Pit 0 Underground Dispersal 0 O Evapotranspiration 0 Wastewater Pond 0 Sand Filter Above Ground Dispersal O Other © Well 0 Spring 0 Stream or Creek Iia Cistern O Community Water System Name Will Effluent be discharged directly into waters of the State? ❑ Yes CI No CERTIFICATION Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test 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. 1 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 legal action for perjury as provided by law. I hereby acknowledge that I have read and understand the Notice and Certification above as well as have ua•vided the required information which is correct and accurate to the best of my knowledge. I, Property Owner Print and Sign Zimwr Date OFFICIAL USE ONLY Special Conditions: Permit Fee: 17,3— Perk Fee: iSU— Total Fees: 2--/-3. 00 Fees Paid: 213. o0 Permit 13ite- 5011 Septic Permit: scpTBuilding _ 501 x- Iss date Ii I l I g Balance Due: ilc BUILDING/ PLANNING DIVISION: •� rfio/aoi, Signed Approval Date QD.*tn.(o) 1Wowl, s vg IVicinit Map I 175.1.10 f 1000' 84'4]'94' f. 'act,a1 32 ▪ ;• 11!41 213.3. 29.1' w� 6.26.116' TT... Peki .r Rrgrnl r TArr.1 A M 1 1 15•..15 35 SAv. -M ,9 11105.11 rM Mae. CAI.- 1/13 tbw S1c01r 31 ! 1/A• 5.3...:11.. Re es 1/4• 6o- . ra 11343 \ li GRAPHIC • ■ iv[-ugrall�` (A (a 1 Ina3 a 4' • Indicates Rubor and Cop 10.003 AC. ea. 7/11 Carr S.cto1 32 1: wN.., Ca w .e5f.n 5e• LS 1(a 31113 5.A In F3. . Ea0i Prot Lt.. 1( Notes: 89 4) 15 W 1. THIS PPIZEE2117 13 ABJECT 10 RESUE4s[IOHS, RE STRICT105, 00194`x71 MCI LASo0115 A MECCAS) 01 114 PUO, 2. 11411 OE n113 surrEr 11.35 0016753. 1554. 3. 5.331: Cr 5E411.4= 104 11115 r^JA1t7 3 A 14.1.1/AC (5 3 00.11•,5' s BENIN nE ABAOEST C3B45 DC 3rC 4101 32, A 0.0 5A:5 W 114 MACE A'+6 T( S1TIES5 =BCE ra SIE MAA -WIT O09E1 Cr surto. 31. 3:_f34114.14 CAP L.S. 1p. 1 KiR E0.10 111 H.10E, 1H15 LLAT 55 105525£0 SITHRJT R[ 1EHTIT OTR TITLE 00141710?. 4, 5. T3415 9.11VET nay 5AA0 OH OCOAC1455 OP REMO PROVIDED 5T TIE 0.1(x7 AAO EzIST174 11114.5XF3 MAO 141 PLACE. 0. COII1 0• 1013515 ASS C 55 CKIPPATI PlOCELa 6 1E RES'0.1:41r, 0 175 PROUTT Dra 7. 310 0'04 75.411 3.3.0-4552 n0.'03.5 311. arE ALCM) AY6I-47f •55( Ay £104'r0(M (751 AET1 AL13-1111 75111,AB 110.5 u 075(0 55 CRL 3.j-.1-455. EE 3YO..20 5010,(.4710.1HAA,4A41,1 PaZ OEC A74 CH.13 fra1 Moral pr IAA LAA{ GCS R 4 7S 510,13 AAD A P LIM:1 £ AU 555 3431 MOM iC AC 1016112 2.3 .WF ariLlY54Y .W7 ALL OMER 73717111 J[ 0115!1ED (55555 411232 s AE 5211+45 LY 55 SrM A CK 016 507001 IARTOETYrSWONR7. MI6.1iH 1175517 WrY 5x15 MAW) 5(535171445 .4 MGN] -10 TA45-.40-44 04 RER.lA1105 55/04 AES 1f SEVETA"T L1l.ltr5I101 .1551E 14475 413 1143 (55.3117 M.6.45,6 CTiP(A4I13 YALE 1.147315 CWSRB TT 440 (/554 .ACM./ AAAL 0413544 MC IKACPSIr1!3. In7PI£ Ptet4. 1 65 1J 5)x K31 K 3415540 704 510 ACSr[]Iit WT WKS A 9.,3CM: 17 440 hE CCS A4Y( 25 4CCA D SI 5C :55414 w)JIf 1C OrElS 5204(175 441.1.6416-t- 1,_ 011.641.5.= 1,- 1503.7510 (51305(515 1E.2N100 1117 r4. CV C.M1✓ 3. 007040 IFC 5415331.15 Cr 577,11CTLKS AM, 1405 3r51:0G 975E SP1tS1C 1.41455.5101 PLAMEArT l0 5 3 5 4515358- E 39.22' - 1016 Surveyors Certificate 5 1, 30)55 E. 416E5. 50 155(51 STA1E THAT 1 AL A 3.£0131(550 6110 MhetICR LICE/AAA IAC3R DC %A.s W TFE 51A15 if 50.05400. 5)5.11 TH11 41T 13 A TAX. CO'13CT 1.0 LPA.OL Eft ILA( CrM CAW f 7]1(15)1 101 RAT AS 1513 CUT. 11.41115, ti(51CAIE0 110 ABM IE4EO., 13.11 5.514 /1417 513 *115 7TfA1 Ak 1001/111 311(".1475 v' 1110 e4i'54117 345 K 100 AKER W APER713101 A70 C PCCTLT SCSI 1M 3./017104 40 01100106 0 17E 4.015. (11(10115 170 STREETS Of SA10 9101013101 A3 T7[ VW ARE 311100 LEVI TIE CF.0 0 1M 5JJtb11NCE 511N 15531[153( REC.EATIEM 0342/4110 tH[ 3Ata1V13104 0 LAID. iM WITNESS *MCC 1 NAVE SCT IW O 5(0 sty- 10 "2 AAT Or 5 5 OO HE' A.O. 115. 1 'Ea°•'i� r ;�:? - •4�:4 ii�9 rs 3II SAO 3011; E. Al . t.5. 511113 County Surveygfs Certificate P Ir' e3 ;CE -ft�4y� AF RO.iD TOR 05)85]. 44 /031 RC ICE 11E AC05)CT Or 15.5(5_ O.LLCULA710r15 40 CW'.1✓. MAIM, 70 C.R.1 D1 ET Sip, 7 V9)f� aver r, Mortgagee: 4LP115 BMA Or C1530•04LE 5350 117 113, GAMIC -MX. CO. Le. C. T +L 51 51 1;. {, .1_•ti.:L�, A5 11 L._ 75..•,_6 ALPINE STA/5 A MECUM COM Er 6 .,, pi; u. - T7E 5IX[50(2L IlSIR(y[S1 Y.a51f1H?K1.5550 P(rfpE 1E 11v5DAY Of 3 e:,55✓l 1913.. 51 .: A A,. r 7515(51 1rf 14110 420 orrJ113 SELL IIT [04135101 EAP If£5: ir1iL-- 3511 F�' ..731:75 �i7C