HomeMy WebLinkAboutApplicationGørfield County ONSITE WASTEWATER
TREATMENT SYSTEM
(owrs)
PERM¡T APPTICATION
Community Development Department
RECEIVED 108 8th Street, Suite 401
.^Glenwood Springs, CO 81601
APR UE ?0lg p7ots45-s2t2
GARFIELDCOU@
CO{IIITUI{IW BEVELOP MET{T
TYPE OF CONSTRUCTION
tr New lnstallation tr Alteration ,, Repair
WASTE TYPE
ßt Dwelline E Transient Use tr Comm./lndustrial tr Non-Domestic
E other Describe
C¡t *¡>r¡-r*
INVOTVED PARTIES
Properryowner: Snivtveu,¡c*ui>¡uu Én¡UY'na¡ef Phone:
€_
-T'7Mailing Address:r( CAt--t sg P-P
Email Address:
cc)(>
Phone:TroI LUrCee'i-ê
Mailing Address:
contractor: HOmeP
Email Address:
t\.
Address: Adrlã .ælbera 6qt7¿Ai 4*eouEmail
Engineer:
Mailing Address
PROJECT NAME AND TOCATION
Assessor's parcer Numb "r,lM:l!-'W'48,ru. Ì\lrf t Alvrtc lot I etock I
Was an effort made to connect to the Community Sewer System:
Job Address:
1 -5 ì-1rLéÊ,
Nt:
#Bedrooms:4 GarbageBuilding or Service Type 5,lwéî*ø-'Èc-s
to)l- (Ê- tbÉ
Dístance to Nearest Community Sewer System:
E Vault E Vault Privy n Composting ToiletF Septicrank E Aeration Plant
E Recycling, Potable Use E Recycling E tit Rrivy E lncineration Toilet
E other
Type of OWTS
E Chemical Toilet
Depth to 1't Ground water table rnòßrTrt$l I'Percent Ground Slope tæGround Conditions
{ nbsorption trench, Bed or Pit E Underground Dispersal E Above Ground Dispersal
E Evapotransp¡rat¡on E Wastewater Pond E Sand F¡lter
E other
FinalDisposalby
f wett E Spring E Stream or Creek E CisternWater Source & Type
E Community Water System Name t
Effluent Will Effluent be discharged directly into waters of the State? E Yes No
CERTIFICATION
Applicant acknowledges that the completeness of the application is conditional upon such further
niãna.tory and addiiional test and reþorts as Tay be required by the local health de,partment to be
made and'furnished bv the applicant ôr by the local health department for purposed of the evaluation
of ifre application; and the isiuance of thd permit is subject to such terms and conditions as deemed
necessary to insuie compliance with rules ánd regulations made, information and.reports submitted
herewith'and required tò be submitted by the apþlicant are or wlll be represented to be true and
correct to the beit of my knowledge and belief and are designed to be relied on by the local
àeþartment of health in evaluatin[the same for purposes of issuing the.permit a,pplied for herein. I
further understand that any falsifiıation or misrepresentation may result in the denia.l 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 p which is correct and accurate to the best of my knowledge.
4-os-\1
Property and Sign ùrrL Date
OFFICIAI USE ONLY ooü
Special Conditions:
F""üï'wTotal Fees:#?5. oo,,^ttlhÐ Perk Fee:
N ÌÞ
lssue Date:
-lJ . 8. lg
Balance Due:sol .*Septic fermit:
ßrcrt:- :'?eß-
Building Permit
ì{ lA
Àò ô
Date
BUILDING/ PLANNING
Ðo c {+ lozL 7s*
IMPROVEMENT LOCATION SURYEY MÀP OF:
R OBtrRT NTESTA}üTK SUEÐTVTST ON trXtrÀ4FTTOlV
A TRACT OF IAND SITUATED INT LOT 1 OF SECTION 11,
TOWNSHIP B SOUTH, RANGE BS WEST OF THE 6Ih P.M
COUNTY OF GARFItrLD, S'I'ATE O.þ' COLORADO
SHEET 1 OF T
?rre*r, ['lønr
%r\c frø*> Çtrtz'FOUNO REBÆ/CAP
L.S. I t4Íttu6'20Ê O,aJ'FRW TRUE MW
RO.4Dy,4y AS-BAILr (SO' R-O-y
PEÊ EXEUPUON PL'T.iND
nrLE ExcgpfloìÌ t{0. tz)
i
I
I
I
Fd{D
L.S. {
WAR./CAP
&ECWC
RANgARMR ¿,s I
FmD SlôUtN PLAæ F@st coFwrR tr scrø ?fA' RæW OF lHÊ 8H P,M.FOUNO RæAR/Cþ
LLEAELE
s2316'44'E 2.62'
€ROU RUE C&NÉR
I
f
i
A2
/,/
."1
I
,aru,"rr ",r*4$\
,rrr^nr-J /uu"
SI
¿.s,d
PROPER1Y DESCRIPT¡ON
YARD ilrIE EXCÍP|I2 r UO.A T.RÁCT OP TTÌ{D STTÙATeD IT LOI I SITTION
'', TOYNSTilP 830M4, RÁilEE AA 7ES7 OF T¡]E SIXTE PRTI,ICTPA¿ EERDTAIC/R?IeID C0üNry, CoIORIÐO. BEII# IYOß?IIEASÍSRLr Op rfjr
NONTEEISTERTY RTCfuOF-TAr ITNE OF CÅFFIEø MUN?'' POAD NO
'54
AS EIIT¿T ¿¿N' Iil PACE ATD EEITø .YORE PAPI']CAIIELT
ÐESCRIÈED ÅA ML¿OT*
B8etLr¡Ìrilc A? A Hr*? ôì/ sÀrt N2MITEASTîRIr ,Afêf!r-o!r-rÁy¿r,NE TEEilCE A SrùUî -WUtüt rtr ph4c¿ pon îÈE ,ryo&îavasr
coR.ilEÊ oF SAID Sü:no t tt BE!¿R' il 87.58'0î' r 954.e5 SEEt?EE ,CE t{ 16.2A3/ E 24t 94 FExt ?ttEilcE nÌ zaça,¿s" ¿ aa-ti
FEE1'; rEEll?E S 00'32'31" .î 1Z-1A FEef; ?FEltCE s 54.i5,14. E27.t4 FtrEI ?HEltcE il 76.tO'49,' ¿ ßı,e? tÃE?; I,FEtWE S Orpe'g7.4 E8:28 .l'ÊEî; 70 a POII'|| Oìt ?tIE AOUlIiyESîEnLr ruC¡!?-OF-HïtIì¡E 0F A 30 foal'VrU¿ ßO/tDrAr ÀS EUTLI. il¡ ptÁCE: |ïEÍCIAr,ot{e sÁIt soufnrEsrgRty &tcIt7-of,Íar ilil¿ oN îIrEFatZOfnø ?EReE COUR.j.ís: S 66.26',tO- E e1.7g IEET; I¡lEilC,t11r.89 FEE?; A62^ttr 7äE tnc OF A t24.1O .rOO7 n¿nUS CUet¡E ?O?EE PcH4
3i,'!ffif'íiíf;'i;cfnf'öå:ìtrr'tiìË'6fi ffiú"rtr #íÊ;; "
-- '
66'ge'45' r ßís4 FsÍt' ro A potvr oil ùiE NoRrEîasr,ERì,rßleHl-oF-trAy IIils OF SÁID muÙry nO.¿D NO. t6J; rnAIlCE ÁIOilesAIÞ ]toPt¿tE/srgRLr Rrc.Èr-oP,rAr ¿ntE o¡¡ rgg ¡o¿¿ortuc munCOARSES ll 45'09'21" r 2ê,79 .FEer; ?ttEltE 6ê,sz fEgp; Ånil6,'l!E ÁRC OF .¿ 245.42 FOO? ßAttUS CARïA rO nt¿ ¿¿¡t' r¡ø c¡tozt0f nltcJt BE¿u?s ì! 6frr'22- y 6a.60 ÌêE¿, I'HEMCE ß233 fEM:AtÐÌtt T¡rE,¿Æ 0Í I 3!6.96 ÍOOî nAÐnrs CAAV¿ rO rÈe Hcm'r¡{E ctunD wtrcí e8Ans N is.ts,4t" y tgt.sz FEE7,; ?HEtrcE r,t3-7!q'0q: lf 26.4a Fe&l; îo ruE þütr oF BßVrìflvt{C, Co TATM!\¿C3.5A ÁCnE' &ORE Oß ¿ESS.
,q
\\'%"^
"--.q*"
æNC.
PANO POW
STdE REîÀINING VIALL ff ÆAR/àAP
L.S. I 28013Ëat¡X¡n¡6
lãoo 6/rücx-¡ ¡rt'rtK-stÊFs
RA|ßOAD reP¡il8R5
ßEaAR/Cpt4ttl
\FtG
\\ir
\^
tñFU_tenfc¡c.FerÐ_.
F*rugD
REsAR/CÆt1lî
3.53 ACRE,S !
26,9'
POÆR
sEr
LS
REEAR/CAP
, 28643
25' HUY CRO'S ASSffiAnN. NC.HGHT-Ú.WAY EATMTPû REC, 14ffi01
coa¡Tr oF cÁnnêtrD
sTaTE OF COLOßL0O
TMPROVAMT'NT I,OCÁTION SURVEY CERTI¡'¡CArEI EENEEY S?,4T8 TEAT TEIS T]IPßOVÃ:IEN? ¿OCÅNON|SANI'8T T/45 PREPÁRE.D BY SOPR.TS EIIêT.A'EîRTIIC,
'.¿C.6E) roR s¿aut¿ ¿ c¿aot¿¿ ,ut¡o ¿ov u ctan¡¡l¿
AI,ID T.4ND TITI,E CAAEA]V?EE CO!]rPA}/r.
(ñ.ôç
rEA?AUB,IEC? ?O
SET ffiAR/CAP
LS. I 28613
EASEMET,/1'SOf RECORD
12' &P
{28613
5gr!.s
NOTES;
t) ÐA?¿02 AND OZ 2004.
GRAPHIC SCALE
z) DArE oF pÊEpARA?IoN: JUry 07, poo4.
g) BASfs oF BEARD'¿2: A BEAEÍt\E oÍ N 7ríg'ot' rBEftrEEN,Á FOANÐ s70!ÍE coÈl'rEn -tfoP
"ÍtE
NF COAi.¿ÈOF StCnoN, l, ÁMD A .rùtt¡vD neBAR ANt Ct|p LJ.! 141i1AT ?HE SOA?TT TES? PROPER?Y COR¡TEN Of S¿Tø Jbr UßO88Rr ìIIES-LANIK SABDTqTSI1¡I EXEIPUON ,¿S SAOYü
4) BÁSIS ot', sußlEr tÈE ¿¿tOn¿m pl,4r oF røE
ROEENT AT]ESTÀNIK SLIBDTYTSTON E.TEITPUON , I/ARIOUSDOCU¡{Tilng O,T RÃIORD ÀNN NlE S¿IBDITrySTON TOT COB.IÌEß',AS Sr{Or,i¡,
5) rnc sttRVEr .ooês No? coìls?rrur¿: A frrlx sql4Rcr!q{lglRrs ølctNrEil/\.q uc ßn) ?0.ÐEf.Enur.t{trOTNERS¡{IP ON E4SETIEA/TS OF ßãCOND FOR ÅL].I.AÌÍORþÀ?TON RECANDI]IE EASEUE.IIIS, RTCAr-OF_r.¿Y
ÅND/OR TI?IE OF RECOR' SE RE¿ÌED UPON î¡!'IIErUS trISTED IN ]¡O?¿'1 ÁND TItg ?InE C2illl¡ITaîìtr
PREP|4NED BT LIì¡D r.I?TE CAÁRAIIîEE CO,IIPAÌîr CASENo. C!.F24450 EÌff:CnVE DArE o6/s/o4.
SOPRI.S RIVGIIV EERIIVG
CIyIL CONSULTÁNTS
502 MAIN STREET, SUITE A3
CARBONDALE, COLORADO 81623
(e7o) 704-ail1
caRr.g rAB¿E
CURYE zENCffÌ R,4DIUS ?.4ileENr CT{ORI)BEÅRINC DEL?,4
flla9't2¿ ¿o'ßn n5'ñn tÊ's 40.,19"?0" E 5/".92'OO"
C2 ß8 9.e 245.¿2',?4.8¿'ßa ßn N 53"1t'22" v 16"04'02"
C3 ,.?2.?.9'-qtß.qA 67./4't3/.37'M ¿g,t.t'¿¿" øl 2,9'55'17'
( trr fEÞ? )
lineh:S lL
l,[,c
21111