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HomeMy WebLinkAbout01794 r r. fl , mule" •Yy: 't'°m1?'%lh,a,5-y - i e ' RMIOWA a i e r 4 n �wxA9[ � . ,.. +a3M!rt4�`'5�1�,11,,:'yk, GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT V. • 109 8th Street Suite 903 Glenwood Springs, Colorado 81601 9 Phone (303) 945-8212 ISDS PERMIT FEE ONLY A �7 [1 A This does not constitute . INDIVIDUAL SEWAGE DISPOSAL PERMIT - 1 ! 94 a building or use permit. James L. 6 Kathryn L. Powers Owner i. System Location Lot 19 Pinyon Peaks Carbondale Licensed Installer Owner )1 • Conditional Construction approval is hereby granted for a /0 00 gallon ____V____ Septic Tank or _ Aerated treatment unit. 1 Absorption area (or dispersal area) computed as follows: -- s e e_ crt // "et . vu4e by r4-!f. NNu21l- !F /;' 13 Z Perc rate of one inch in 7_ minutes requires a minimum of sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x sq. / f f t. minimum requirement = a total of sq. ft. of absorption area. May we suggest: - S e <e s / •f �{ �-., c- he Li _ � q ( '' Date_ / Inspector � X11 ✓WL. � � � .-- FINAL APPROVAL OF SYSTEM: � ✓ ' / No system shall be deemed to be in compliance with the Sewage Disposal L aws until the assembled system is approved prior to cover• ing any part. ,p 7 n 0 Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. / Proper materials and assembly. i i Trade name of septic tank or aerated treatment unit, coggegeLL 10311 . 1 Adequate absorption (or dispersal) area. 1/ _. Adequate compliance with permit requirements. _ Adequate compliance with County and State regulations /requirements. Other . Date /dr 2'0 7 O _ —_ _ Inspector ._ � RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION 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 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. 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 tine — 6 months in jail or both.). • Applicant: Green Copy Department: Pink Copy IOW Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by OWNER James L . a+J kcih, L, Power.s County Official Y G /7 /q6 rrn ir c ° o ADDRESS 9379 (csl Fax Hai Place En (p. goat PHONE 3 77o -7Y96 D S { ' G S n CONTRACTOR P t � k u a � or _ } e t ADDRESS PHONE p tc�.5-a is Y PERMIT REQUEST FOR: (V) New Installation ( ) Alteration ( ) Repair Attach separate sheets or report showing entire area with respect to surroun reas, ,/ / topography of area, habitable building, location of potable water wells, soi p colatio o J test holes, soil profiles in test holes. (See page 4.) D ti LOCATION OF PROPOSED FACILITY: County 6'4rf ear/ F e or Near what City of Town CceLancrale �yv Lot Size 3 • / c�. U � Legal Description Lot / Prnro& Peaks 51.6d v,r ,a,., WASTES TYPE: ( ✓) Dwelling ( ✓(Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: str 7G M, / home Number of bedrooms 3 Number of persons 3 (✓) Garbage grinder ( ✓rAutomatic washer ( SOURCE AND TYPE OF WATER SUPPLY: ( ,/) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: h —e_ If supplied by community water, give name or supplier: Y,nyo, -, Peaks I/orteownes Associc/FR GROUND CONDITIONS: (See alIccted 3 U 6 s0 1 ' I s> prof/4 6y Cho - Ah l i/,e„ n Depth to bedrock: Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (k) 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? Na • IM 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 Mo. Nance, address and telephone of RPE who made soil absorption tests: Name, address and telephone of RPE responsible for design of the system: ( see allaled svLso1l SAKI y, tut Iod In, retool elle,co toil m feed, Gy (Ae &k' 1ct,rc IV") 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 permtt 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 Jvhe 6 1970 Signed vme� E .� PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY C� ra /1t ht-,47 9 /4ke (r y s14 ( S y iocc/ Not /A C o vr, / y I; oo C/ 112 l% Tvrm itfk o- Cov. -ly 2occl 112 av,c/ c/nivc Pas/ Crys /a( O3 Jwf jfen Ai( k 114aA kez "2" 7AL vhfo svcd,vslak, o f „ Anyak, Pea s,5 h (.) Pr,VQ V/) ill TO y kQ StJWfVIr /Ot c inc( f.irt -, rcG /i/ 0 So $u cf (Cocci (tia , tee) Tvrr, Jeff o „ Coin's Lent (in,.Eeco © Ailea C600f CD' ivrn left ac rocs NIve,,t chic roper Paae 3 I/ Chen@Northern, Inc. Consulting Engineers and Scientists 5080 Road 154 Glenwood Springs, Woad() 81601 303945.7456 303 945 -2363 Facsimile r , N SUBSOIL STUDY FOR FOUNDATION DESIGN PROPOSED RESIDENCE LOT 19, PINYON PEAKS SUBDIVISION SAGE SWALE ROAD MISSOURI HEIGHTS GARFIEID COUNTY, COLORADO • 1 /Zo 76- / s � ; � / / / 40/e. / o c c. Q / PVZ 4-. S 74 {- a t P' 1 . . .. , . . 1 • 1 Prepared For: James L. Powers 303 East 17th Avenue, Suite 700 Denver CO 80203 -1274 Job No. 4 337 90 May 15, 1990 TABLE I1 4 337 90 ? TEST RE Ur 1 TEST g DEPTH To DEPTH TO ROLE Hg �* OF START OF »1D OF L>ROP IN RCOIA HOLE f (In.) (Min.) (I) ( ItTIHRVAL H LATION INTERVAL (Inches) (Min. /IrKi�) P -1 15 10 3 1/2 .I 41/2 • 1 *The test holes (1 -foot 4 1/2 , diameter),were excavated 5 1/2 n 1/2 by hand at the bottom of 5 1/2 3 -foot deep backhoe pits. 6 1/2 Total depth of percolation 6 tests was 3 to 4 feet below 6 1/2 1/2 natural ground surface. 6 1/2 I 7 1/2 7 7 1/2 1/2 i • 7 1/2 8 1/2 • 20 P -2 18 10 4 5 1 5 , 5 3/4 3/4 Z v q G 7 5 3 / 4 6 1/2 3/4 •21 b. 1/2 7 1/2 2 _0 7. 8 • 1 • 8 8 1/2 1/2 8 1/2 9 1/2 20 • P -3 12 10 2 1/4 2 1/2 , 1/4 `, 2 1/2 �� /p C --- l /07 �71�/in. 3 1/2 �--' V--- 3 3 1/4 1/4 � � 7 /o c7 " 3 1/4 l /b`7 S 3 1/2 1/4 t erms A° t Ac a, 3 1/2 ` 3 1/2 0 3 1/2 3 3/4 1/4 3 3/4 4 1/4 40 11 li 1 4A-trc L. fivs.ne s 4.0//..1, 0 -., - . gab C.- f-,-1-kr. -C4 a II ' = _./ , _2 A A x ,.....e.... - b - , a A -X-11 I ••■■■■■ c...1■111■10.1M0walIMIIPM~OPIIMOOPIRgesel., CO 0 a X 6.3 x 3 ... 0 h hr / - •dg 4- --K.--42--X/ 3- t.- .... le-Zr ,37A1..240_4--4 0 e —..,...—.....—..................... atanaillala 3 ita‘Pii_ % ... 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