HomeMy WebLinkAboutApplicationGarfield County
mmunity I]evela{�men t Department
8`' Street, Suite 401
a Glenwood Springs, CO
Re(',ElV 108 81601
��P 2 �01
P:6lek..0 OpT.(97r0) 945-8212
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0 New Installation
INDIVIDUAL SEWAGE
DISPOSAL SYSTEM
(ISDS)
PERMIT APPLICATION
0 Alteration
• Repair
WASTE TYPE
• Dwelling
0 Transient Use
0 Comm/Industrial
0 Non -Domestic
0 Other Describe
INVOLVED PARTIES
Property Owner: John and Patty Buxman
Mailing Address: 1103 Sunking Drive
Phone: ( ,)
Contractor: Pifco Excavating & Trucking
Mailing Address: 372 Crystal Park Redstone, Co 81623
Phone:
970
)963-8176
Engineer:
Phone: (
)
Mailing Address:
PROJECT NAME AND LOCATION
Job Address: 1103 Sunking Drive
Assessor's Parcel Number: 239521105002 Sub. Oak Meadows
Building or Service Type: single family
Distance to Nearest Community Sewer System: n/a
Was an effort made to connect to the Community Sewer System: n/a
Lot 2 Block 3
#Bedrooms: 4 Garbage Grinder /L
Type of ISDS
▪ Septic Tank 0 Aeration Plant
O Recycling, Potable Use
0 Vault 1 0 Vault Privy 0 Composting Toilet
0 Recyclin- g - 0 Pit Privy I, 0 Incineration Toilet
O Chemical Toilet
0 Other.
Ground Conditions
Depth to 1" Ground water table
Percent Ground Slope
Final Disposal by
O Absorption trench, Bed or Piti 0 Underground Dispersal ; 0 Above Ground Dispersal
O Evapotranspiration
I0 Wastewater Pond I 0 Sand Filter
O Other
Water Source & Type ■ Well 0 Spring
O Community Water System Name
Effluent
0 Stream or Creek 0 Cistern
Will Effluent be discharged directly into waters of the State? 0 Yes
■ No
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PLEASE DRAW AN ACCURAT MAP'TO YOUR PROPERTY
4:,-r a 12104 3
Page Three
1:161 444 .3
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMMF IRRIGATION DITCF, gDADWAYS, AND BOUNDARY LINES
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(TO BE RETURNED, TO BLDG. & SANI. DEPT.)