The URL can be used to link to this page

Home My WebLink About01374 GARFIELD COUNTV'BUILDING AND SANITATION DEPARTMENT 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 9454241 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT - 1374 a building or use permit. I owner Will & Kimberly Cavanaugh System Location 243 Road ADaroximately 4401# New Castle Licensed Installer Owner Conditional Construction approval is hereby granted for a 750 gallon X Septic Tank or Aerated treatment unit. • Absorption area (or dispersal area) computed as follows: s Perc rate of one inch in minutes requires a minimum of'^ sq. ft. of absorption � � per bedroom. ef re hrr te ofbe Op rfn x ftr eru Ther rt1,rEpulyerrie t - al ' v sorption area. f=' ^�+ ox�TG �nT6 ' .(rj rfi��ti C' ••��Jf�vZfH'C ' C� of K- q. ft. of May we suggest , je"E -��4C " " wre,. ' Z� / ' /�' � /JC •5 /J _S<..j' Date 6 - -�i -�y Inspector ! lr /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 cover• ing any part. Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground air _surface. rsi --- -- '��roo��per materials and assembly. ( :e name of seotic tank or aerated treatment unit. " O 13 Adequate absorption (or dispersal) area. /a! 1C 7 . e t - Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. Other Date �� (' Inspector �J i 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 66.444, CRS 1963, amended 663 -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 1, Petty Offense (5500.00 fine - 6 months in jail or both). Applicant: Green Copy Department: Pink Copy it naaYaaaaa anauun.■uu nIAM aaaaaaauaSe — — County Utticlai: ER */ II Kim RUG/ eau ana h vs ADDRESS Am 372, NEW Ca 6 TLL' PHONEag'( 2a 18 CONTRACTOR CQMRR — Rvi CIER ADDRESS PHONE PERMIT REQUEST FOR: (X) New Installation ( ) Alteration ( ) Repair Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes. (See page 4.) LOCATION OF PROPOSED FACILITY: County G. ARfl ELJ) tlear what City of Town NECc) C Lot Size Jo AcE'ES Legal Description A meek, . a Lily) 89 parrd Ik,MESTG=A) Elul/2y SufVEy ttS3 Si ri. irvrMwNS/*tia 1 / spurn RANGE ell a,tsro kw. %'P) /nag F R Ts .LM y tilkz/ WASTES TYPE: (QC.) Dwelling ( ) Transient Use QS EYAi6 ir } ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: , j cV[&aa4 -u Number of bedrooms,' Oi ii i ao oA IAA . of persons ( ) Garbage grinder (x) Automatic washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (x ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: A R X 1 '10 If supplied by community water, give name or supplier: GROUND CONDITIONS: 7 ie_ S c s . Depth to bedrock: MO R r 7'N4AI (06 l NC h '4S '� l Depth to first Ground Water Table: $/# Tt-h'f O A'' Percent ground slope: (, — 1) %� DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: g i Was an effort made to connect to community system? PO TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: x) 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: , C) Absorption Trench, Bed or Pit ( ) Evapotranspiration (. ) Underground Dispersal ( ) Sand Filter • ( ) Above Ground Dispersal ( Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? N 0 Page 2 3 SOIL PLKUULNIJUN ILSI KLSULIS: (10 De compietea Dy rcey!SCYreu rry eSS1th ai L '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._ Name, 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 completeness of the application is conditional upon such further mandatory and additional tests 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 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 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. I further under- stand 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 per- jury as 6;-- provided by { law. f Date �� O Y Signed tC/ -1 se / PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY 1 4, Zu3 ?D. A/ MARK k2 4 44 ho. T ti wen Zoe foRD R.D N kw Casrl. Z Page 3 . + PLOT PLAN AND DESIGN FEATURES: Include by measured distance location of wells, springs, potable water supply lines, cisterns, buildings, property lines, subsoil drains, lake, water course, stream, dry gulch and show location of proposed system by direction and distance from dwelling or other fixed reference object, and additional submissions in support of this application such as data, plans, specifications, statements and commitments. -_ 98 PRoP n �r Nou N SEPT tit Q Rau fi�ECo gli � w DR • j m�P g2, z � Q o a °, lu F- V e E Page 4 1 se. 1 .l , V . EXHIBIT A A Parcel of land being part of Homestead Entry Survey No. 53, situated in Township 4 South, Range 91 West of the 6th P.M., more particularly described as follows: ' Beginning at a stone corner properly marked as Corner No. 1 of H.E.S. No. 53, the true point of beginning; thence along the Westerly boundary line of H.E.S. 53, N. 16 °41'41" E. 432.63 feet; thence leaving said boundary line S. 80 °41'27" E. 826.33 feet to the Easterly boundary line of N.E.S. No. 53; thence along the Easterly boundary line, S. 01 °47'27" E. 530.08 feet to Corner No. 9 of H.E.S. No. 53; thence N. 75 °24'00" W. 988.20 feet to Corner No. 1 of H.E.S. No. 53, the true point of Beginning. COUNTY OF GARFIELD STATE OF COLORADO