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HomeMy WebLinkAbout02020 F p .- "t ' ,f GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N 202 • 1' 109 8th Street Suite 303 A is Parcel No. 1 • Glenwood Springs, Colorado 81601 4 ( Phone (303) 945 -8212 A Se C. S OS This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. *009 4. PROPERTY • t 4 Owner's Name Holy Cross Electric Assoc. Address awl 82, Glenwood Springf 945 -5491 fi System Location 3799 Hwy 82, Glenwood Springe CO 1 f Legal Description of Assessor's Parcel No. SYSTEM DESIGN sae t, ptp ter V - �'Rt,- aH C 1^� i i Septic Tank Capacity (gallon) Other Y d F _a, F{ i Percolation Rate (minutes /inch) Number of Bedrooms (or other) t Required Absorption Area -See Attached A C s t^1 hl Gan- -ran-a2 d, As -IOC, 1 Special Setback Requirements: 4 1 Date /0//4 .- , Inspector. , r ,, //i d " FINAL SYSTEM INSPECTION AND APPROVAL (-s i .tailed) • I — a u,, for Inspection (24 hours notice) Before Cove ng Installation 1 System Installer , ,•trn -A`'4- Septic Tank Capacity O ° I COO r 1 ' D r E l 000 ycc (r Ovid 0 tie ,b051 r2 -44 1144" {c ' CPU ' J • Septic Tank Manufacturer or Trade Name t le t} A/A ro A/r � F7E 'f'i4A B 4 i 1 4 — Septic Tank Access within 8" of surface —66.-9 7 'T`t .q+r apt, • 4 _ Absorption Area - . . I • - C _.- * '' - • , i .� J .. . . — 0 • • ,r / I 1 / p �t- , •, A Absorption Area Type and /or Manufacturer or Trade Name q - ,b -tpry^ /y Adequate compliance with County and State regulations /requirements ©K 11/ o 93--. '7✓'(/t Sys lei.i -r v eto,ir e cl alferu +A nt - 4»%.. iV1I 41a 1 de l A( I yh 46 41 1 Other 6 ,¢'Pc dl/r /C6Pc/ ' s �CIr aPr wln�5 Date ///.7 Y7 / 9 . Inspector :f J 3 ../A _ S S. ,..la pr - RETAIN WITH RECEIP ' • • RDS 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. Con- . nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or 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 — 8 months In Jail or both). . Applicant: Green Copy 1 Department: Pink Co Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by — — — County Official: OWNER 'Nnly Cross Electric. Association --__ _— dl ► 0:111. 9UnRESS 3799 Hwy 82 I'110NE945 5491 _ }� d4y CO,. AC Unknown - - - -- -- — — ye" L A )o ` 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_ Garfield Near what City of Town Glenwood Springs Lot Size 13.4 acres Legal Description SW 1/4 of the NW 1/4 o ection 27, Township 65, Range 89 W, of the 6th P.M. WASTES TYPE: ( ) Dwelling ( ) Transient Use ( X ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe — BUILDING OR SERVICE TYPE: Office and Warehouse T — _ Number of bedrooms N/A ^ Number of persons 64 (X) Garbage grinder ( ) Automatic washer ( X) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( X ) well ( ) spring ( ) stream or creek Ginn depth of all wells within 180 feet of system: _ 11. ,lpplied by community water, give name or supplier: _ — _ GROUND CONDITIONS: Depth to bedrock: + 20' Depth to first Ground Water Table: _ - Percent ground slope: 5.7% DISTANCE TO NEAREST COMMUNITY SEWER SYS1EM: 1 mile Was an effort made to connect to community system? No 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: ( X) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: — WI EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF TIIE STATE No — • • • ., SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) 'Minutes 26 per inch in hole No. 1 Minutes per inch in hole No. 3 • Minutes 8 per inch in hole No. 2 Minutes per inch in hole No.__ N: , address and telephone of RPE who made soil absorption tests: Tom Zancanella Name, address and telephone of RPE responsible for design of the system: Tom Zancanella Jerome Gamba & Assoc, PO Box 1458, Glenwood Springs CO 81602 945 -2550 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 perul't.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. 1 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. �^ time_y 7 >. Date 9 — 1/'- 90 — Signed Pad/' �-�: _ P '.SE DRAW AND ACCURATE MAP TO YOUR PROPERTY cc ll'' • • Page 3 • I f i s �� y `[�[�• ! • 1 r.A.. / L:. I . ,. 1 A ffir JEROME GAMBA & ASSOCIATES, INC. Ie bEP ,1 4 1992 CONSULTING ENGINEERS 84 LAND SURVEYORS L At GARFIED COON" 800 COLORADO AVENUE PO SOX 1458 P.O. BOX 4808 GLENWOOD SPRINGS, COLORADO 81602 -1458 PAGOSA SPRINGS, COLORADO •91167• - PHONE: (303) 945 -2550 FAX (303) 945 -1410 PHONE: (303) 731 -5743 NXOtaHdn September 11, 1992 BUILDING & SANITATION DEPARTMENT 109 8TH STREET /SUITE 303 GLENWOOD SPRINGS CO 81601 ATTN: Jim McMurray Dear Mr. McMurray, Enclosed please find the "Individual Sewage Disposal System application" and corresponding plans for the Holy Cross Electric Waste Water Treatment project. Please review these items at your convenience. If you have any questions on the enclosed information, please feel free to contact our office at 945 -2550. Sincerely, Nathan J. Bell Jerome Gamba & Assoc., Inc. NJB:ka cc: John McClenahan 4 MAY 05 ' 92 13:18 HOLY CROSS ELECTRIC R • 1/3 ` HOLY CROSS ELECTRIC ASSOCIATION INC 31)9.11101 IWAY 87 ) \ L• O0)) 9.13•5991 - 1'. O. I)ItAWli It 2150 ( �y.i FAX: 945.4081 I I \'A 61.10 51'111 N1:S. U)LOItApq 81601 •••,,,...111 y°° " 4.\ NAY S 1992 1 FAX TRANSMITTAL SHEET FiFiELD C.C)UtV'r1 To: -r,: Frr✓ -o - Date: S 5 -c te- ex-Cke Carr, ChnTh. f Fax # 9 t-/S - is ?cj From: / - S ' "ac-n /0 Number of pages (including this cover sheet): Subject: e `- r->r-T79770vc' Our Fax 4: (303) 945 -4081 Please advise us immediately of any transmission problems. Message: Pie " e - •ib-� • F ' aft., +. MAY 05 '92 13 :18 HOLY CROSS ELECTRIC P.2'3 PFe.. 4D6 . r' If? taci&ea hicro . .,. Co n -, , c � � _ c� I e . _ 5C3 • • • • s MaY E15 '92 13 18 HOLY CROSS ELECTRIC P.3 /3 tit lt` lP 1 ° ---- P , 1 < ME R1 `3 WASH S. 001.4 t a . q -- Ut~1N41. ; 4 - tY W O t--15 W4 5 \-A 17, CO t o WATE GL_O E - t.._ A v& O rC{ -.1ANI R =obe'i t 1 S .141 kit` ek1A -Jce 5+400' 1-- WA TL. GLO S & p 2c a L ._, AT t o t-.! ■ Jot 1- o 14.2'r c R. 0 5 S - C L. -E C. - 1 - R. k c. Co. 5�41�t 17 10 t•.t S F a. A c, PI~,oPctS t`17 H 01t r - , L 'AAOO D 7p) l f. i ..) s c. Sh. ELDORADO ENGINEERING COMPANY CONSULTING ENGINEERS • REGISTERED LAND SURVEYORS • 803 COLORADO AVENUE P.O. BOX 669 GLENWOOD SPRINGS, COLORADO 81601 303 -945- 6917 of A / V «ass CZ r c. -002._ r _. x/047 h /efl WA ?I( °- .619 / 30 C'mp/C C J F S @ / Z 4/ S /C C ^ L 4 - e - , FM f� r 1 - 7 / 0 / CC- / n a 0 ( A l o l o c i S P & o i fen Es s! T e' . 5 0 - CP -f c5' _ 4 4- 6?-z/4- 05)(1,s t-- /a 4- c) Gt_I s/64, s N o — see Pei('A afloh fr --00 C- d y G Qa- 0' 4vs a c- o'o 77mk C / a/) Li C, 30 k re'e'4 rizY.)(`''S /� ) _ lies ''' I 1. ` " 2 G