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Home My WebLink About01956 ., 4 w , . I "v, ^. m*a; ;+,: pl®! .4' gst'. ' ,'. 3' ' i xtit:t Vi i$ . ., ti" A) GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 • Glenwood Springs, Colorado 81601 Phone (803) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT N 1956 a building or use permit. Owner P4 & Mirhalk). Rvrhaan System Location Lot 3. Rock Creek Subdivision, Carbondale Licensed Installer Miner Conditional Construction approval is hereby granted for a /flOC' gallon pi Septic Tank or Aerated treatment unit. Absorption area (or dispersal areal computed as follows: qk Perc rate of one inch in r / minutes requires a minimum of / ` I sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x / `" . / sq. ft. minimum requirement = a total of >r/ / sq. ft. of absorption area. "c May we suggest: 7-40.4)4/1., f , ' ' 7 ) `�l Wi - ,` — n . / / I f c ar l. i!v art / c Date y/ 2 Inspector / //_ / r �+ . ll P 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 eerated access ports above ground surface. �.� Proper materials and assembly. x j .,: %, 3. Trade name of septic tank or aerated treatment unit. Adequate absorption (or dispersal) area. p, + _ Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. Other Date 1 ' '� ,� : Inspector t RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 'CONDITIONS: 1. All Installation must comply with all requirements of theColorado State Board of Health Individual Sewage Disposal Systems Chapter 26, 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 (all or both.). Applicant: " Green Co1+y Department: Pink Copy $� * i2 ter, _ `6 /SAS a..e 7 � $d t i t e ! ,S09 Application INDIVIDUAL SEWAGE DIS_POSA_L SYSTEM APPLICATION Approval by OIJNER �� nom" p County Official: ADDRESS O lc( cc C R-1 craSZ. F tJc P � PHONE 'VC 3 ( CAQ o CONTRACTOR Se ADDRESS bit - C, r fln& PHONE 7C3(cou ( V / PERMIT REQUEST FOR:} -Wew 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 /2,11,21)? Near what City of Town Lot Size S Legal Description _ WASTES TYPE: (7 Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Number of bedrooms . Number of persons ' Garbage grinder ( ) Automatic washer (74 Dishwasher l SOURCE AND TYPE OF WATER SUPPLY: ( ) well (,y spring ( ) stream or creek Give depth of all wells within 180 feet of system: If supplied by community water, give name or supplier: 1 ?ocL cceaL- Sc Cor Set ; GROUND CONDITIONS: Depth to bedrock:_ 1.1 L) c Depth to first Ground Water Table: utif-k.�,_; Percent ground slope: S— --7 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: - Wog - _ Was an effort made to connect to connnunity system? - 7 1 --r ^ 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: cwer-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? • • Paae 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 Mo. Name, address and telephone of RPE who made soil absorption tests: Naive, 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 permtt,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 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 i legal action for per- jury as provided by law. Date -�( 5� . _ Signed PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY • • Page 3 • 1 .l •� 4. 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 comnitments. _ • 1 11.9 C. ,.. I _ ' � 7� i. . r Page 4 Maintenance of Common Open Space 4.10 • properties within the PUD that have a right of enjoyment of the Common Open Space, and any unpaid assessments shall become a tax lien on said properties. The County Commissioners shall file a notice of such lien in the office of the Garfield County Clerk and Recorder upon the properties affected by such lien within the PUD and shall certify such unpaid assessments for collection, enforcement, and remittance in the manner provided by law for the collection, enforcement, and remittance of general property taxes. 4.11 FEE The County Commissioners may establish a fee schedule for PUD applications to cover the costs of processing and review in addition to the fee required for processing other Zone District Amendments. 4.12 ENFORCEMENT AND MODIFICATION OF PROVISIONS OF TILE PLAN 4.12.01 The provisions of the Plan relating to the use of land and the location of Common Open Space shall run in favor of the County and shall be enforceable in law or in equity by the County without limitation on any powers or regulation otherwise granted by law. 4.12.02 All provisions of the Plan shall run in favor of the residents, occupants and • owners of the PUD, but only to the extent expressly provided in the flan and in accordance with the terms of the Plan, and, to that extent, said provisions, whether recorded by plat, covenant, easement or otherwise, may be enforced at law or in equity by such residents, occupants or owners acting individually, jointly or through an organization designated in the Plan to act on Ihei r behalf. 4.12.03 All those provisions of the Plan authorized to be enforced by the County may be modified, removed or released by the County, subject to the following: (1) No modification, removal or release of the provisions of the Plan by the County shall affect the rights of the residents, occupants and owners of the PUD to maintain and enforce those provisions at law or in equity; and (2) No substantial modifications, removal or release of the provisions of the Plan by the County shall be permitted except upon a finding by the County, following a public hearing called and held in accordance with the provisions of Section 24 -67 -104, C.R.S., that the modification, removal or release is consistent with the efficient development and preservation of the entice PUD, does not affect in a substantially adverse manner either the enjoyment of land abutting upon or across a street from the PUD, or the public intere:,t, and is not granted solely to confer a special benefit upon any person. 4.12.04 Residents and owners of the PUD may, to the extent and in the manner • expressly authorized by the provisions of the Plan, modify, remove or release their rights to enforce the provisions of the Plan, but no such action sh all a lTect the right of the County to enforce the provisions of the Plan. 42-1