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Home My WebLink About01847 ` if ' GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT r 109 8th Street Suite 303 Glenwood Springs, Colorado 81801 Phone (303) 945 -8212 1 This does not constitute • INDIVIDUAL SEWAGE DISPOSAL PERMIT ' \ -o 1 84'7 a building or use permit / Yf� -') Owner Io1= ,I. Stanford £t Wayrsr_3urld System Location 1 n11 1 )lwy 82 Carbondale _ Licensed Installer !_add Constrttetioa inc. • Conditional Construction approval is hereby granted for a / t) gallon S C E_ -( .I 1 ; r ' i — — Septic Tank or _ Aerated treatment unit. G CI t t ' le - � - �+ f R' h lc ci h ,.i -` e ! ' Absorption area (or dispersal area) computed as follows: c( v C' (t — it f" , 1. Perc rate of one inch in / r ? ,-)_. minutes requires a minimum of —sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms NA x sq. ft. minimum requirement = a total of — _sq. ft. of absorption area. May we suggest: i Date , r / r / L _Inspector .,fin✓ � ( %W C h u.., 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 surface. Proper materials and assembly. / / �tr name o/ septic tank or aerated treatment unit, / GU U ..,/, �ncf e it �a t l of Yr•---I ^�J Re t-C X n7r' 4trdtor ,.z F >9 Cle d. /° 1 / ./ /� quate absorption (or dispersal) area. r : /3 / s ,6 . n - i /f is peps s R1 Rf- e c tYJs/u (C/'c / G- —^ Adequate compliance with pemit requirements. Y T / Adequate compliance with County and State regulations /requirements. _ Other i • Date S r i ... 1 , / ' - _ 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 fine — 6 months in fail or both.). Applicant: Green Copy Department: Pink Copy P H D , . • , , � \ ( � / FOR ` -S.-- MAI^ -% DATE It IaC TIMER R.%t V . M 1 ,A .12 >„ ,,, AF 1R4& e , „,-,---177,--e-t., ,.. , c i s p n PHONE rrr *' "T' # ® ''^ AREA CODE NUMBER EXTE SION r rt ':+ i MESSAGE , •. � • • •„ • `" @@@ m d SIGNS TOPS FORM 4003 e Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by + II ounty O fficial: , .R 1\ 7 A LJ J �'TAsa Fo' • ANSI k)e »e- gt,,d cl ` . . 0 � # iS� n . '/� DRESS 1( \4w'( eZ Carc_ES,,,,p✓ic.fc C PHONE %.3- I7-ro / ( CONTRACTOR � C'n�?sT. I�H�� C�a�d L , ADDRESS t(9311 lAAW( fit `R,crSP o 4e. PIIONE 9G3-/2/o ',PERMIT REQUEST FOR: ( New Installation ( ) Alteration ( ) Repair Attach separate sheets 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 �■4007.4.D Near what City of Town ez.C./ut/C.tA Siazhve,s Lot Size 3.11-1 nc y Legal Description Lnl-3 'l-4, to ' Sac 1 T. 7 S. e, C3C? k( . l 00% P vn. &.a42.FtEt....0 c.,e,u.tii- t c��., WASTES TYPE: ( ) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes Cy)) Other - Describe O�tff� 1frrwe corns' BUILDING OR SERVICE TYPE: L-- u,ft - T Ceai„nwt -_ Number of bedrooms /.g/1. ' Number of persons it- ( ) Garbage grinder ( ) 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: If supplied by community water, give name or supplier: ,(/,4 GROUND CONDITIONS: Depth to bedrock: LO _ Depth to first Ground Water Table: p� 1 Percent ground slope: to qn DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 1,,,IA. ' Was an effort made to connect to community system? ' . hpl TYPE OF INDIVIDUAL 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: ($4 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? a) " i n... n' - .. _RCOLATION 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. ,dame, 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 periiiEt,i3'sub,iect to such terns 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 niy 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. q Date / /) O c/o Signed ttJ 610 PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY • L- /5 t ith pit) h vi t AnDI • 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 conini tments SEC kte Err Page 4 •' S .)afl ��i�_ b • p 0 ella ---- --- N \ \ iI1:H gi b/ \ o \ ft: \ \ 1 iv \ lAiir --- X., . 0 4 o ---- edilear ------------ ■ ........VozerifIlesisare''01.1 e • Re t-16.. 5e4o E. .a"•QA"T( @AS'tn' 5 \hah 0 0 v./AY Ma - a A �Atc'2L of L Sitos74,o nJ L0 4 ia...o 18 5 / T 5. Z. 89 w. , ( t R M. Go ri &GO c�ti ay E. !" - &ocd" -s-7--_------- vat 72/- IC Nestel4gr_7rr_4, ,e4c_ cagszete,,ime jraff_T _ _ I Y-2. a 4.{ 0 fr-ke I .4e /__ iS a /1 . /0_4 k eac-4 Ard_Ati LA 1 : - . 1 7 _c_t lt kt o il? /4 , F, ,, -,7a _-„- 71.2,aeh. l :72)Ci c - 1!27,a_f-4,_ I ,........................0. ±-€-4--4 4 i p_er- r __. _c2......_ _4424 _1. = Az?, ,s.. a c c : La` x_ze JaH ll.el_Llece A_e tektAg_hatine 7 i _ e_e_s) Iliatsa__M ,,1 ii/S i -0 . de ___T l I r 1 DD CONSTRUCTION INCORPORATED 16911 Highway 82 • Carbondale, Colorado 81623 ir 4S W p i October 24, 1990 Garfield County Building Department RE: Septic 'System, Stanford Building Dear Sirs: Per your request, we are ate ressing your question concerning the number of occupants that wil be using the building. The long term goal of the project is, to eventually place four buildings on this site The buildings w*11 vary in use, but on an average, there should be no more thap twelve people using the facilities on a regular basis. If you have any further quehtions, please do not hesitate to contact us. Sincerely, RUDD CONSTRUCTION, INC. 17 7atii. iiiefia Mark Przybylsk Project Manager • Telephope 303/963 -1210