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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N- 204 7
o
109 8th Street Suite 303 Assessor's Parcel No.
Glenwood Springs, Colorado 81601 2463 101 00
Phone (303) 945-8212
it
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This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. I
PROPERTY 1
Owner's Name Barbara Faaohin Present Address F.O. Box 126, Carbondale Phone 961 -9909
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System Location 0163 County Road 118, Carbondale
Legal Description of Assessor's Parcel No. AIWMr'1c'yy. `"+P(In 7Yi S k'a fSH1 ` 4 kis we c - � ( r 4 Y
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% ere cit leYc4pq" Pet Ct7JCl1`io n ry
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SYSTEM DESIGN 2 f c/%c, /e /f.�ons 4, Aeft /3s /QL /, P E - , a-F &r)c /r'l vv cI, Z nr .
di 25 Q Septic Tank Capacity (gallon) Other
7 Percolation Rate (minutes/inch) Number of Bedrooms (or other) 8
*
Required Absorption Area - See Attached I
Special Setback Requirements: �/� g
Date / Z Inspector / / / - ` t y , ✓!�� {i
FINAL SYSTEM INSPECTION AND APPROVAL (as inStailed) (/
Call for Inspection (24 hours notice) Before Covering nstallation
System Installer . \
Septic Tank Capacity t 'Y
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Septic Tank Manufacturer or Trade M
ti, me � \ � t �
Septic Tank Access within 8" of su c _ I
t
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Absorption Area , �
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Absorption Area Type and /or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other
Date 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. 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 1 1 1
requirement of the permit and cause for both legal action and revocation of the permit. S
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 jail or both).
Applicant: Green Copy Department: Pink Copy
PROPOSED WEST SYSTEM
•
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
County Official:
OWNER Barbara Faschinq, Mt. Sopris Inn
ADDRESS P.O. Box 126. Carbondale, CO 81621 PHONE 963 - 22D9 v
ONTRACTOR (0165 County Road 118, Carbondale)
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 1 mile South of Carbondale Lot Size . 15_2 arrps
Legal Description Located in the NW /4, NE /4, Section 10, T.85., R.88W.
See attached legal description
WASTES TYPE: °! I
( ) Dwelling ( ) Transient Us.- "
( ) Commercial or Institutional ( ) Non- domesti. stl!��� ?_ 1 1992
(x ) Other - Describe Guest rooms r= lFiftCLDCODNIY
BUILDING OR SERVICE TYPE: 8 quest rooms with private baths (1 hiiilrling)
Number of bedrooms 6 Number of persons 16 � - • - ••
( ) 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: 140 ft. (95 ft. to groundwater)
supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock: more than 130 'ft.
Depth to first Ground Water Table: 95 ft.
Percent ground slope: 2%
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 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:
I EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? nn
SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.)
Minutes 4 per inch in hole No. 1 Minutes 4 per inch in hole No. 3
Minutes 7 per inch in hole No. 2 Minutes per inch in hole No._
ame, address and telephone of RPE who made soil absorption tests: Peter Belau
Name, address and telephone of RPE responsible for design of the system:
Peter Belau, Enartech, Inc., P.O. Drawer 160, Glenwood Springs, Co 81602 945 - 2236
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 ts'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 healt;,
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 7�a / � �� Signed — •�
'ASE DRAW AND ACCURATE MAP TO YOUR PROPERTY Peter Belau, P.E.
See attached Location Map
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GARFIELD COui
03 945.2236 CHECKED BY DATE
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ATTACHMENT TO:
APPLICATION
SPECIAL /CONDITIONAL USE PERMIT
Legal Description for:
Mt. Sopris Inn
0165 County Road 118
Carbondale, CO 81623
Tract of land located in Lot 2 of Section 10, Township 8 South, Range 88 W. of 6th
P.M.
Described as follows:
Beginning at a point from which the NO. 1/4 corner of Section 10, Township 8 SO.,
Range 88 W. of 6th P.M., bears N. 49° 05' W. 599.7' thence S. 78° 13' E. 736 feet;
more or less to center of Crystal River thence Southerly along center of Crystal
River 772' more or less, to a point; thence SO. 80° 49' W. 697' more or less, thence
N. 40° 17' E. 1024.22' to place of beginning.
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- -mr - ENARTECH Inc.
wellielairs.- CONSULTING ENGINEERS AND HYDROLOGISTS MT. SOPRIS INN
a I 0 DRAWER 160
GLENWOOD SPRINGS COLORADO 81602 LOCATION MAP
MOM 945-2236