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HomeMy WebLinkAbout01591 I 4 z d •ARIIIIELD COUNTY BUILDING AND SANITATION DEPARTMENT e 109 8th 81treet Suite 303 REPAIR ONLY — NO CBAi>t z Glenwood Brings, Colorado 8 1 • ftttorle (303) 945- '— Akrer pe I . Ka l l + IS cote 2 • Fr 4 y et d o tfS a SJhls does not constitute ~ $ INDIVIDUAL SEWAGE DISPOSAL PERMIT N 1 ` S � � e �e /ow !s a building or use permit. Owner Elisabeth C. Considine cur e a 4-k h o u s e . System Location 0531 CO. itl. 153, Cartondale (Big Four Ranch) Licensed Installer Willow a Kendall ~ ,y4 p Arm r f • Conditional Construction approval is hereby granted for a . 7 S O gallon T T � re Y n SA /..S i I'' ...-- Septic Tank or Aerated treatment Unit. i '' I i i t Absorption area for dispersal area/ computed as follows: Pero rate of one inch ins minutes requires a minimum of / (F' / ■ Therefore the no. of bedrooms x aa sq. ft, f , minimum require' // `` May we suggest: !4 t L 7 ' X 3 e a e e �>, �s� S eP O l u r ham./ Date /474 ef 7 Inspect° 7 `' k �/ A> US C. — 0 VC FINAL APPROVAL OF SYSTEM: 04 c/ / ` ? / ° �/ ),--- wi4 oci.Q 7 > /— No system shall be deemed to be in compliance With the Sewage Disposal La W- ing any part. (2 // t / -0 P `7o(Jl /r �j ? • y Q Pc - Septic Tank Septic for inspection and cleaning within 12'' i " surface. � �CA P Proper materials and assembly. {/ /` //4 c 2 Pc Trade name of septic tank or aerated treatment unit. 7' 4 p Adequate absorption (or dispersal) area I' e S t el e ti c e)-- 1000 11 a-1 K: /0 e�GPw r I c2 < ro. C r e � and l V / 1 ,�Ir — Adequate compliance with permit requirements. / /1 / z' /�'r'f' o x 3 tP, / p etth 'trp /cis w / /8a"a 4 ve/, O k Adequate compliance with County and State regulations /requirements. J ""..-- Other . //,, Date / / /4- /i. 7 Inspector I t .. /./ Usi RETAIN WITH RECEIPT RECORDS AT VONSTRUCTION SITE / "CONDITIONS: 1. All Installation must comply withal! requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 2. Thls permit Is valid only for connection tp 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. Any person who constructs, alters, or Installs an IndlvIQpal sewage disposal system In a manner which involves a knowing and material variation from the terms orspecificationscontained Inthe application of permit commitsa Class 1, Petty Offense ($500.00 tine — 6 months in Jell or both.). Applicant: Green COPY D.partm.nt: Pink CopY 6 4ARg1ELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 FOP ArR ONLY — 10 CHAIM Glenwood Springs, Colorado 8 1 Phone (303) 945 - 1 ,1-.Ak I 441 i5 per wI" tS -o r . 4 INDIVIDUAL SEWAGE DISPOSAL PERMIT �p 15 a b ll r�,O /cry et A 0 Lr$ eSJhis doesnot constitute w - $ ; L e Lel ow i building or use permit. Owner Elizabeth C. Considine 1 �r eac1 House , System Location 0531 OD. M. 153, Carbtsldale (Sig /bur Ranch) Licensed Installer _WiIkek K6[Yb111 [[ ,y p , Conditional Construction approval is hereby granted for a 7? V gallon '"r T P f� Y v ha � � k'�/`yy1 / / Septic Tank or _ Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch inC minutes requires a minimum of /(Y sq. sq. ft. of absorption area per bedroom, Therefore the no. of bedrooms 2 •"' x A / sq. ft. minimum requirement = a total of ingssq. ft. of absorption area. May we suggest: /2 c L7 r x e c e `/� /^ Date —� 7 l InsPecto �<, , "41 I I. -.,.+ 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. �`. U Y\ ._ Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. 0 Proper materials and assembly. / a K Trade name of septic tank or aerated treatment unit. T o e G( c h ( 0 y e 77:1- PQ C -!, Q ✓. Adequate absorption (or dispersal) area. k � s t C! e v e) ^ ! 0 U 0 y c `' I D )3 e / f.2 �\ ..— Adequate compliance with permit requirements. Gan C re fe rind /2. K4 o x -. } / 1 ,. / e r/ C /r P /c /s Iv/ /& `/) :t V o / r a_ Adequate compliance with County and State regulations /requirements. J "-`.---- _ Other . Date _ / / /4 7 Inspector ( 441` 1142-47 RETAIN WITH RECEIPT RECORDS AT ONSTRUCTION SITE CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 2. This permit is valid only for connection tp 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. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 months in (ail or both.). Applicant: Green Copy Department: Pink Copy INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION iLs( , / App oval by (MICR i71 ���) (dln w / /r t Co my Official: G ov 5 - s . ADDRESS • C' r , • •41. , PHON 'T 3 IiO CENTRft 1"lod� Lr nco� Iv Sr e VI 22 • d U` aCIZA = . A@@RFS-S. Con /yra. ph - Yeti O.)7 PHONE PERMIT REQUEST FOR: ( ) 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 J 4.) LOCATION OF PROPOSED FACILITY: County ( efili (C� Near what City of Town Lot Size 700 + Ar2FS Legal Description 053/ 1 Qf f) __. This /5 771E EA5 . , e IIi � — i sit ! ! : _r its ;40 , WASTES TYPE: ( V(Dwelling r a ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Number of bedrooms �, Number of persons 1 ( v) Garbage grinder ( vj Automatic washer ( ' Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( V) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: 0)20 6127,(,(_ t « I - p If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: ())/_ 01,04) f'1 Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: .4 Mites Was an effort made to connect to community system? id 0 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ('l 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: (X) 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? NO Appl(crrhon. - Reel k FThgd Die»roa. proste Ofemo a e nsta 6s. ail Center DC G /emit d Sites, Ce . oar - ia$7 Page 2 RC/ INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by OIJNER LI�A�E'ila C County Official: ADDRESS 20 Ctr /Jz/J (:;; PHONE _ 0 cp=p, _ 17 5r Son 0 zc, S Co 802 O 3 ADDRES /afj ,,.j rjr AJOT «ked Ou r- PHONE PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration ( 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( 1 Yf7C((J Near what City of Town nog - Lot Size � f)4c e 5 Legal Description 6, ` 5 t - / %!ir tired •cSC- Z16 fC.. Rhin( P,0130jc . itveie WASTES TYPE: ( - "'Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Number of bedrooms 2-- Number of persons ( r) Garbage grinder ( Al washer ( Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (i/) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: /511e, (,Ue(l f' /fja If supplied by Community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: /44114/,(i/C Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: zf // 5 Was an effort made to connect to community system? 06 TYPE OF INDIV AL SEWAGE DISPOSAL SYSTEM PROPOSED: ( 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: ( ) 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? AppkL o/, .fl (6d 69 4 Du9moZ r,nttci, p4 net Coaskr-S4 Gv Li(Y. bra le- (1e , S s Co . � l( pies -6 7/2- 6G / . ` /Qa7 Page 2 J INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: OWNER= - l1w66c 4 C, ana. rr, e_nv e� u' 1 ADDRESS o3/ r�2�LS3 r o' 7 - PHONE / dot- T "" ` . CONTRACTOR c -" �f /. . r I F� �e n �_ ( /.c /- f s9/ , ADDRESS PHOyI /, re's" , „ PERMIT REQUEST FOR: ( ) New Installation ( Alteration ( ) Repair Attach separate sheets or report showing entire area with respect to surrounding areas, i topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes. (See pa e 4.) LOCATION OF PROPOSED FACILITY: County �r F -c /c-/ Near what City of Town C , L47on2 V t / ( - Lot Size 'roc/4;x. Legal Description as £,e2,/ / 3 C'Zc /e — e�vi 4y e e 4° vsr �, /� l - fc°mo�elo [__,e_ i P ���0 2 ���r�oH .-- e��hfu -1 �re,� WASTES TYPE: ( .4 Dwelling ( ) Transient Use ~ 3 6 2- c. ) ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: 2 _/c ' //a- I Number of bedrooms z- Number of persons / ( ) Garbage grinder (.-j Automatic washer (t-- Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ✓) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: /S O If supplied by community water, give name or supplier: ------- GROUND CONDITIONS: Depth to bedrock: 4 -1,1 4 n. o Depth to first Ground Water Table: t/ u -a rt Percent ground slope: /-`/ -7 /, 5 7- DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 47:- pr-,./1. Was an effort made to connect to community system? N TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( , 1 - 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: (✓J 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? v 1 - L Page 2 . SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) 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 i -s 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 provided by law. Date /o /Z/ ,g 3 Signed PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY • 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. ill( f1 6 e{-c-• r it I PO . ,)usis - A is) r. ._ _ a vr Se `�� � i / 4dd,� o.icel / j e9,l ,'7 J ,5Ii /000ry c 3 elan c' y� eYP� l /en /Al ve?c/er 44 r Connee l V; c'x....s/, /81 /fr civ /�%�s /u /�� G.n4P /-/err.,,1 14 / -9 j iievt- #( fava lee p I - ii /4 / g 6 fki, -te Page 4 emo • ptr• Cvns7 Co • 2/ 5vfrrn� 1 .._ OCT / !488 Z 4" GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT , • • AIR LY - Do CWiiCE 10 8th Street Suite 303 Glenwood Springs, Colorado 81601 • ` Phone (303) 945 -8212 - e + ee-raN +i . ' Cn!� /uy e. e 019'S L' Shis does not constitute • INDIVIDUAL SEWAGE DISPOSAL PERMIT ' ' r+ a 1 9 1. _SLLe ✓ 6e10 o (f 1 a building or use permit. ' • Elizabeth C. Considine ' r e a h /t o u! e. . Owner _ ;';k e 0 531 Go. Rd. 153 P Sys(em Location r Carkrmdale ) (Big Four Ranch) 'lF 4 , . C l ensed Installer' ,1j ker R Kendal 1 i ....Conditional Construction approval is hereby granted for a 7.0 d gallon T e c ~O ' i '^ G eh{'V(� ` ✓ . ( -tom l.5'2 • ' Septic Tank or __ _ Aerated treatment unit.) . '' •.�Y ` ' " _;; ` ,;` 1 7 9 4 ti • « •••P:• : • vl orption area (or dispersal area) computed as follows ; r :•9/perc rate of one inch inW-C . ft. of minutes requires a minimum of �b / sq absorption area per bedroom. A r a I - 72 � 4 ' . :' fore the no. of bedrooms L x sq ft rt requirement a total of ?� ..lCSq. ft. of absorption area 3.'e ) „h < , t P / e • t� May we augpeat: �� Z7 ) � « e , . IV //2 eran tab `. +y� Date Q /1 ¢ ' (I nspecto ��/ / , t ' 666 7 •INA I APPR. OVA I,OF SYSTEM: F r b '% F� 4 .:i4, o syst shall be deemed to be in compliance with the Sewage Disposal Laws nti) -the sa se nbledjystem is approved prior to cover. w;�fn any part. V x' ! . 4 t ? /ms` aVESIfl D d � \ . Septic Tank access for inspection and cleaning withi of ground surface or aerate acce sports above ground ' ;�+�"",'t (� surface � /�� �y ,/ , � � ') O' -) Proper materials and assembly. ��A J P Al � � u( :J s ' ADD non {_ �i5 e ns s , 0 K Trade name of septic tank or aerated treatment unit. • rw O e q e C-.t Cot- e ro l-• act l .. �• � V \r` ` "Adequate absorption (or dispersal) area. 1 i �-e SOC(. i° t�jC� ^ O D t7. 0. r � o. e � 1 't / c� L '. _. . • 0 _ Adequate compliance with permit requirements. h C Ye etc, f/ K x40 / X 3 N i �t +F \ /e c/cs Pe /r.Ls •/ / %n 4 yekv a. Adequate compliance with County and State regulations /require!» ntz, u v tt "y C 1 l ✓ y Other f r:,yty r f {� < 111 h r r ate 7 _ Inspector _ _ iii OHI.Y — IC CFARGE Permit f iI< 0531 153, CaTb0Iiddle ' i (trig Four Ranch: aW ti � CHARGES - • Name of Applicant Elizabeth C. Considine `su tyl� J a( `. a. ip , Percolation Test $TtU 0tf NO CI3 U43E ` ' (Includes final Inspection) Amount Paid _ Y,• t.^:1:::, ' ` s' Permit Processing Fee $50I1ti : a } „ g Date Paid November 4, 1987 .�� •: 1.t15 . 'K�fi r 1 Cashier Lois J. Iutzen • ' t r ' Money rdar ; ,: z y .'4., .it sx t x 7r 2�"fi t'ra4;'' • ALL • CHECKS ARE TO BE MADE PAYABLE TO GARFIELD COUNTY TREASURER l °�7 %' X . , . •• "r' ': j . Treasurer: Receipt White Copy Applicant: Green Copy Department: Pink Copy ; . t.f 4, N.39 ° 27,58; E 116 .55, a 4 RAW-1-0 `: • N 10° 58 03 E 908.68 • . N 12 04 W 230.54; N14 , 52, E 436.43 N 26 ° 05 35 ' W 1 78.8 D ;ciynO. • N 08 E 295.32' -Q9 ° 50;55;; E 226.66' cn -rOcfl 1 POSSIBLE PRESCRIPTIVE O • D°10 42 E 689.09 EASEMENT ' N 89 07 E 131 3.24' CO O' S 00 03',28, E 1314 .39' ' S 89 ° 5554" E 2640.70' p S 89 ° 55� 53 E 1320.35 OGT to M g& DETAIL A / S 00 E 2623.68' SCALE I "=I00' ® 7' S 00 2755 E 1314.35' N 89 ° 49'29 ° W 1321.98' S 00 ° 27'24 ° E 717.72' N 89 ° 5714 1 E 387.58' EJ c 1 ) S 02 ° 2132 4 E 87.39 il 4 , O SEE DETAIL A THIS AREA t R u o® ca CD •1 6WESLANIK/ / \ ROAD MAINTAINED BY 1 ® WE L � . \ GARFIEL2 COUNTY ® ® ARAGE I ' BARN _ \ 0 #HOUSE r 153R - - 0531 153 121.37\0 UND REBAR '� HOUSES -� _ �Th D CAP, LINES • SPACE \ —�. 4 BARN I 19 1 COUNTY---4\ --- i ROAD III OVERHEAD ELECTRICAL IB TRANSMISSION LINE ' 1 17 1 14 �/ 15 O 13 �Stkt t SPIKE FOUND. )YlflY 12 FXar 21, 1928 E LIfABETH- C. C01JSIDINE % Chita.' Compmny foO Lai ncoLn s T Swdc • 4�cnvo✓', Ce> $a - 2- c> 3 / to