HomeMy WebLinkAbout0179 4, 1
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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT R S 1 (this does not constitute
a building or use permit)
Owner no1apA tt Rams
System Location Chelvn Acres
Licensed Contractor. C- 001 -, �;�' a.ikl?t',' n"v . #1/172°/V iliCz
* Conditional Construction approval is hereby granted for a/ gallon
Septic Tank orb_ Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate / inches in — € minutes / 0 sq. ft.
absorption area per bedroom 7`i`12'?
i1 of bedrooms x • /Osq. ft. minimum requirement = lo3CJsc" F " . 79% c^ .::1,5-7•ST at)
May we suggest /a, / .54p , 4.e /tn6" zee? t c - '&77_0 /c> e 4 &`-7 &e& t.r 7 (Yr - /4)6
Date '7' — / /-- 7 ' Inspector eaf' r%'
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to c erin any part.
o$6ie3 cleanout to within 12" of final grade or aerated access ports above grade.
eon, ,r_er Proper materials and assembly. ar-c,n/G?L is cat/c3:2 t - c
Adequate absorption (or dispersal) area.
–d Adequate compliance with permit requirements.
-- compliance with County and State regulations /requirements.
Date 7 _c 2 Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 66.44.4, CRS 1965, amended 66.3.14, CRS 1963.
2. This permit is valid only for connection to structures which have fully complied with County Zoning and
building requirements. Connection to or use with any dwelling or structures not approved by the building
and Zoning office shall automatically -be a violation of a requirement of the permit and cause for both
legal action and revocation of the permit.
3. Section I11, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a_kpowing and material variation from the terms or specifications con.
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or
both.
• pI. &RACO DEPARTMENT OF HEALTH ° c
` Water Pollution Control Division Pc R-cm v\-L_
4210 East 11th Avenue
Denver, Colorado 80220 •
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: Roland N. Same
Mail Address:1606 Blake CityGlnwd. Spqs. Zip81601 Phone 945 -8199
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
xg xy
1. Location of facility: County Garfield Subdivision
RXX)CXO(RXIXXXX Chelyn Acres — 4 — mile
Legal description SEE ATTACHED Lot size 2.196 acres
2. No. of bedrooms 3 + -- Septic tank capacity Aeration unit capacity 1250_gal.
3. Source of domestic water: Public (name):
i'ri,'ate: Well x Depth Other Depth to first ground water table
(See Attached)
4. Is facility within boundaries of a city /town or sanitation district? NO
5. Dlszance to nearest sewer system: 10 miles
Have you attempted to arrange a connection with the system? NO1
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in minutes per inch
of drop in water level after holes have been soaked for 24 hours
Test to be run in bottom of 8ft. hole for drywell.
7. Name, address, and telephone of person who made soil absorption tests:_____
To be run by sanitarians office.
8. Name, address, and telephone of person responsible for design of the system:__
DO ON ENGINEERED PRODUCTS, Tr. c, A. Dahling
,. , 7 /9 7�� �! i_s
/ Date 9',a ur7f O11T1' r e//.. .
*Required by Article 66- 28- 12(CRS, 1963, 1967 Perm. Sum. Supp.) o
* *Required in areas which have been identified as areas in which dance! of pcilution
of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in #Aic!', then:
is no local septic tank ordinance.
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SCHEDULE A
JJJ[[[��� Order Number: 1216 Commitment Number: CGS 1163
1. . Effective date: MAY 17, 1973 AT 8:00 O'CLOCK A.M. Premium
2. Policy or Policies to be issued: Amount of Insurance
(a) Standard Owner's $
Standard Owner's (marketability) $ 12,750.00 $64.20
Proposed Insured: SUB- DIVIDERS RATE
ROLAND N. BAME and JEAN M. BAME
lb) Standard Mortgagee's $
A.L.T.A. Mortgagee's $
Proposed Insured:
(t) L easehold $
P.tro used I ow red. TAX CERTIFICATE 3.00
TOTAL $67.20
3. The estate or interest in the land described or referred to in this Commitment and covered herein is FEE SIMPLE
4. Title to the Fee estate or interest in said land is at the effective date hereof vested in:
CONSTANCE HILLEY CHAMBERS
5. The land referred to in this Commitment is described as follows: / RA.c T r- / C. l/. / ,4c Res
parcel of land situate in the Wk of Section 3, Township 7 South, Range 89 J
West, 6th P.M., more particularly described as follows:
Commencing at the < Section Corner common to Sections 3 and 4, Township 7
South, Range 89 West, 6th P.M.;
thence N. 78 °09'00" E. a distance of 1672.21 feet to the SW Corner of said
parcel of land and the true point of beginning;
thence S. 70 °10'50" E. a distance of 235.78 feet to the SE Corner;
thence N. 19 °49'10" E. a distance of 395.78 feet to the NE Corner;
thence N. 70 °10'50" W. a distance of 122.62 feet to the NW Corner;
thence S. 63 °15'10" W. a distance of 139.98 feet along the center line of
Four Mile Creek;
thence S. 46 °58'30" W. a distance of 61.55 feet along the center line of
Four Mile Creek;
thence S. 63 °26'00" W. a distance of 89.44 feet along the center line of
Four Mile Creek;
thence S. 02 °50'00" E. a distance of 189.20 feet along the center line of
Four Mile Creek to the SW Corner of said parcel of land and the true point
of beginning.
re COUNTY OF GARFIELD
STATE OF COLORADO
•
Page 2
STEWA14'l''1'I'1'
GUARANTY COMPANY
•
•
one detached, single - family dwelling together with private
'garage, guest house, private stable or barn, or other res-
idential
outbuilding.
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•
-" ta R.t -572 COLORADO DIVISION OF WATER RESOURCES
101 Columbine Bldg., 1845 Sherman St., Denver, Colorado 80203
• PERMIT APPLICATION FORM
.Application must
be complete where ( ) A PERMIT TO USE GROUND WATER
applicable. Type or (X) A PERMIT TO CONSTRUCT A WELL
print in BLACK FOR: (X) A PERMIT TO INSTALL A PUMP
INK. No overstrikes
or erasures unless ( ) REPLACEMENT FOR NO.
initialed.
( IOTHER
(1) APPLICANT - mailing address FOR OFFICE USE ONLY DO NOT WRITE IN THIS COLUMN
NAME __ ___ - Receipt No. /
STREET— __ .__ —_ —. _. Basin -- Dist.
CITY
(State) (Zip) CONDITIONS OF APPROVAL
TELEPHONE NO. This well shall be used in such a way as to cause
no material injury to existing water rights. The
(2) LOCATION OF PROPOSED WELL issuanceof the permit does not assure the applicant
that no injury will occur to another vested water
right or preclude another owner of a vested water
County - F( ' r <-. (1- right from seeking relief in a civil court action.
_- < of the 'G, Section
Twp. - - - -- — - • Rng. __.. • P.M.
(3) WATER USE AND WELL DATA
Proposed maximum pumping rate (gpm) /
Average annual amount of ground water
to be appropriated (acre-feet): ,
Number of acres to be irrigated: ;/� n- <
Proposed total depth (feet): �
Aquifer ground water is to be obtained from:
Owner's well designation
GROUND WATER TO BE USED FOR:
( ) HOUSEHOLD USE ONLY - no irrigation (0)
(X) DOMESTIC (1) ( ) INDUSTRIAL (5)
( ) LIVESTOCK (2) ( ) IRRIGATION (6)
( 1 COMMERCIAL (4) ( ) MUNICIPAL (8)
1 1 OTHER (9) APPLICATION APPROVED
PERMIT NUMBER
(4) DRILLER
DATE ISSUED
Name ( / ?r 4' C C EXPIRATION DATE
Street J )=-"-1 eS 6/
City (O9 A.1)04_ 4,4 1/210 91 ' Y (STATE ENGINEER)
(State) ( p
Telephone No. 76 P to ' Lie. No �- r 7 BY
1.0. COUNTY
.4
MIIIIk
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(5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW
which the water will be used must be indicated on the diagram below. by distances from section lines.
Us,e the CENTER SECTION (1 section, 640 acres) for the well locatio n.
' -- -)- -- H — + -- - - I - - -. -(- - -- --+- -- -- 4 - — -( ' 0 ft. from No _sec. line
(north or south)
r
--m - - - 1 MILE, 5280 FEET - -- - 11 ) 0 O ft. from w J e s sec. line
1 tc r east et west)
± + - - + '(- ± I - ± 4 ✓' _ I k_ y 4 1 4 4 . • 5 r / ; e+ r Ch
LOT BLOCK FILING *
I
-- NORTH SECTION LINE !
SUBDIVISION r a--€ t g y I'*+ f 2-
1- - • - -i- 1 I I — i I
I I I I I (7) TRACT ON WHICH WELL WILL BE
NORTH LOCATED
4 w * Z D
No. of acres i L ? (• . Will this be
J N
I z 1 -1
- m the only well on this tract? Vr`
1-
n
to
1e
I XI . ( o (8) PROPOSED CASING PROGRAM
z
y r I Plain Casing
•J- w _ +
{ — m f
_ i n. from _ ft . to __ -_ ft.
1 I I
1 rt
in. from ft. to ft.
_ + SOUTH SECTION LINE . -- _._I_ ' -- -+ P erforated casing
_ I I 1 � Sc c�,e » /_ in. from , • e - -_ f t. to / ,_ ft.
I '- 4 4 4 -i- -f in. from _ ft. to ft.
I
I 1 1 (9) FOR REPLACEMENT WELLS givedistance -
° I and direction from old well and plans for plugging
1 - (, — -H — T I -- --- -- -I- -- -I- -- --- -- -}- it:
•
The scale of the diagram is 2 inches = 1 mile - - --
Each small square represents 40 acres.
= WATER EQUIVALENTS TABLE (Rounded Figures)
An acre-foot covers 1 acre of land 1 foot deep
1 cubic foot per second Ids) ...449 gallons per minute (gPm)
A family of 5 will require approximately 1 acre -foot of water per year.
1 acre -foot ... 43,560 cubic feet ... 325,900 gallons.
1,000 gpm pumped continuously for one day produces 4.42 acre-feet.
(10) LAND ON WHICH GROUND WATER WILL BE USED: p
Owner(s): No. of acres: ;r 7
ri
Legal description: / 1. a C rT i . / 7 a / 91 /4 a_.p S
(1 DETAILED DESCRIPTION of the use of ground water:
.SD ,tea , ,-/ 7/d p
(12) OTHER WATER RIGHTS used on this land, including wells. .
Type or right Used for (purpose) Description of land on which used
•
(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF HIS KNOWLEDGE.
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SIGNATURE OF APPLICANT(Sl - -
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