HomeMy WebLinkAbout01249 Y y ' ; 'GARFIELD COUNTY BU(LD
t ♦ 1
ING AND SANITAT'10�1 DEPARTMENT
r "' r 2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945-8241
1
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT la 1249 a building or use permit.
Owner David Mork & Nanna Schnv
System Location __L.ot -d9, DpsrCk Creak Subdivision
Licensed Installer White Mt. Construction
tif= /it/. CT -lZrn /c-t- e
•
Conditional Construction approval is hereby granted for a 1,000 gallon a {],T-7--e- o Trp - $3(t— 6 /L2 --/fj
XX Septic Tank or Aerated treatment unit. (7,�`7 Nc r ,7 Z " 7 al /
r 7 39 >t- 0 . 9 . flci° .C) ,7e-- r'.cft
Absorption area (or dispersal area) computed as follows: /7' ZC?7t/T - r . ?E'7r- e
t AV ut�rc7r✓ ,e - /?e=.
Perc rate of one inch in 0 —S minutes requires a minimum of r-J 7 9 sq. ft. of absorption area per bedroom. S967
/7-c —read XeJD
Therefore the no. of bedrooms 3 x -;` 79' sq. ft. minimum requirement = a total of cee„asq. ft. of absorption area.
May we suggest , /.., /X 7'!/ / ?- 1L ,Se ee (t rnz'C'O (. c -e: - c6 19tSlce -der
e 1ais-,vv
Date 049 -� 6,aa -- Inspector ,CT7) eCt <:
,C g� . o t — -- 8 S syrcrL. x.),{), .�- x_> a �.n- r
FINAL APPROVAL OF SYSTEM: 8'/'//t3 ,r °j ?- e (Sere- ff -Tr fpz
(c_-_-_,---'
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover-
ing any part.
dr-- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface..,
//�J,�,,--- Proper materials and assembly.
4-> rtec'/riZXTrade name of septic tank or aerated treatment unit.
�
G Adequate absorption (or dispersal) area.
"`� Adequate compliance with permit requirements.
�/G Adequate compliance with County and State regulations /requirements.
/,/� /GT 7-C) J�'"PG- -T3r s- 14./.. 0 01,•• ° 7-t "gar �d&5. Y t l /n p.
Other !•" 5f�.e %1- , e),c r ,r/ u et-fltJ /1- er?ClSts Flee - 4. —
Date 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 au-
thority granted in 66 - 44 - 4, CRS 1963, 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 viola-
tion of a requirement of the permit and cause for both legal action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in-
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I,
Petty Offense (S500.00 fine — 6 months in jail or both).
` I I Applicant: Green Copy Department: Pink Copy
/
(.:[R '3AV n'IORK AJAUr.)ft SCMOJ
b r NE ss - -- R'Q,i X Wog _Age i_c koco -- — 1 I'9NE 9
-AUAD Th Iii `NAAhUR SCCEQ/ ---- .---- -=------ .--------- -- - -- -- '
ADDRESS SAM( _ _ PHONE S e _ _____
CONTRACTOR _(44h- efas!1 COSMuC7IAO — -- —
ADDRESS 037: SOP/1-15 C, &Gk n, , Bctitoga : e¢ PHONE 9%9- 3.127
1S PLE.MIT FOR: + (yQ New Installation ( ) Alteration ( ) Repair ' h
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable i;ater wells,
soil percolation test holes, soil profiles in test holes.
LOCATION OF PROPOSED FACILITY: County _Grfes tE.L3 0 __________ —_
Near that City or Town _C4. pJ2Al - -___ __ -- —__ -- _— Lot Size 5./2_40
Legal Description _101 $19,' 1AW� IC �'(.m0) -------------- - - - - -- —•
Ga
— _q FIB° co. cute. _
, —
,'ASTFS TYPE: (yQ Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non - domestic Wastes
\\ ( ) Other - Describe:
BUILDING OR SERVICE TYPE: RlaIa�i9G — Number of Persons _ - 2 __—
Number of Bedrooms - 3 t
Garbage grinder (X) Automatic washer (7 Dishwasher ggc,�O 0 oo,0,.y
SOURCE AND TYPE OF WATER SUPPLY: ( ) well fjC spring ( ) stream S or creek
Give depth of all wells within 180 feet of system: ti0! —
If supplied by community water, give name of supplier: ? « eR-F StA'
GROUND CONDITIONS: re-7
Depth to bedrock: ? G//v
Depth to first Ground Water Table: ? �S- / 4-
Percent ground slope: NONE
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: WOO FeertLoss "R't jZ Ac'?. U?
Was an effort made to connect to community system? NO _
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: .
(>4 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: �i.'
(>1 Absorption Trench Bed or Pit ( ) Evapotranspiration
• ( ) Underground Dispers. ( ) Sand Filter. .
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe: _ — —
7 s 5 ' ; i 1 • S i L i -1 r - v 1 - ; i E D D ' - 'itY L Y i 3 S OF i F 1 i1? N
S1SaLM IS ULSi':';tD FOR -- - ?-- •
--- -- _------- . —__ - -- G I.LC';S i ER CAY •
If the system is to be designed by a P.cgistered Professional Engineer (I�:PE), state
rate of shown in test holes shon on the location map, in rain;tes per inch
of drop in water level after holes have been soaked for 24 hours: A. _ __
.. j.. _ —_J — - -- -- - - - - --
SOIL PERCOLATION TEST RESULTS:! i t
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.
Narne, 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__completengs , of the application is conditional
upon such further mandatory and additional tests and reports as ray be required
by the local heal th department_ to be made and . furnished by the applicant or by -
the local health department tor purposes 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 adopted under Article 10,
Title 25, C. R. S. 1973 as amended. The undersigned hereby certifies that all
statements made, information and reports submitted herewith and required to be
submitted by the applicant are or wil1_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 issuing the permit 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
" `y /(
rjj provided by law.
Date /0/13/92 Signed -.-r6 dd_
• - Dam k. 4TO
PLEASE DP.AW AN ACCURATE MAP TO YOUR PROPERTY S.R. r '' 4 I"y CARIOu9a�
f 133 S _, r ••••4 TO tteas -U,u€
C, ROAS
SCHOOL
. ^mss
C!AN.STA L ZIIJLGZ
N. • 4b7aq
094ttox 9 M Lt > 8
...---:- 1 ` LEFT Ana ditoCSiu6 -
1140 M4e- aere5 - _
Der> 7t
&,-ir '771-
5 TH
S& »PC 5VSTZ )1
r • i
^tip' "IMPOR M GE
„ DATE c a WHILE � C T OU WER ' —C. t'' `
✓ r E
;• M r
OF
Area Code i ..■-�
^I & Exchange •
=ail � .I��'
=III =IN
_ lle i ; .-
Mee i / ,'.���
a V
w Operator a fi
aq .
w �f CaomPloe
SCHMUESER & ASSOCIATES
201 Centennial Street t LE44[[t 11 riaQKISEJ UTUd
• Suite 306 — Box 113
GLENWOOD SPRINGS, COLORADO 81601
DATE 8 3 JOB NO
8-
S—
(303) 9454468 ATTENTION ,
Fd F
TO (r / id RE
JJJ I, /, /lieu Re 15 5 i enS 41 y l � (� e-54OY
Gun Cie 1d C trxn �y_ En v. l�fea I $14 ntl S
• Z 0 /+ E/a K.z CQ
\ G, it n w "e Sp
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
P B
❑ Shop drawings Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
WO 8- Y -83
NMI
THESE ARE TR MITTED as checked below:
• or approval ❑ Approved as submitted ❑ Resubmit coples for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
A ,De 5 /6o•c.i p.9 8/H /t. eif'P /LOVE 4D
Nc/ c ,97Lern O/I/ E/VGt o.-S en et rV..S
eO."5' OG Aera-70 / />' /GI -c—C
(
COPY TO
l e-4 ta
SIGNED:
nw.crnaa (rvesa /m. ea eaaIUo 11 enclosures en not es noted, kindly notify us et once.
I ..