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o GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N- 2 0 9 • 7 ,
109 8th Street Sulte 903 A re Parcel No.
-4 . ,... Glenwood Springs, Colorado 81801
•Y Phone (309) 945 -8212 3
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This does not constitute
'' INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
PROPERTY $
Owner's Warne R. Peter & Debra E. • NattrigtaiR t Address 29 Olen Eagle Circle, Nev %nee 984 -3655 1
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System Location County Road 368, New Castle i
- Legal Description of Assessor's Parcel No. 1
SYSTEM DESIGN ' I'
, 4 60 0 Septic Tank Capacity, (gallon) Other .i
/1.:6;1 a 6i p P ercolation Rate (minutesfinchi Number of Bedrooms (or other) 3
1 0 / l/ r "b° t..Q .cs'-e . . A P -c.
. Required Absorption Area'- See Attached 4 f p M 7 , r A 7 d ,- 3,3 P te" f
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Special Setback Requirements: id/ It Co 717 :h c 1 d Y" 3 7 r C.!,C { a,_
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, Date 6 / / 3 Inspector . 4 ( 4) .. d ` + 'i � i _ r-2ntJ-p t 1 •
ry
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FINAL SYSTEM INSPECTION AND APPROVAL (as Installed)
Cali for Inspection (24 hours notice) Before Covering installation
System Installer
Septic Tank Capacity j, 0 0 0 ` >
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Septic Tank Manufacturer or Trade Name a bLA �, Fil .4.-t._ o
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Septic Tank Access within 8" of surface
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Absorption Area p era c4 / ^'r k % C �Y ^ fI P t j fA/hPS // /ee�. f 6 &e }-a `x'16-+9 Tn r!: s '
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Absorption Area Type and /or Manufacturer or Trade Name f°o'ndc.C.iv
Adequate compliance with County and State regulations/requirements 4----- t
Other "'
Date // -- 9 " 7 Inspectorf ef I
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RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE ' f
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•CONDITIONS:
. 1. All installation must complywith all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter
25, Article 10 C.R.S. 1973, Revised 1984. j
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 i
requirement of the permit and cause for both legal action and revocation of the permit. ff
3. Any person who constructs, alters, or installs an Individual sewage disposal system in a manner which involves a knowing and material + 1
variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 ! t
months In Jail or both).
Applicant: Green Copy Department: Pink Copy c
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Application
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
:runty Official:
OWNER 6. /44 de40 e. /''bri - i 7 o a
ADDRESS .v 49ale cac N•? PHONE 9fv 3 6} i 1‘ i
CONTRACTOR_ Sett _
ADDRESS PHONE
PERMIT REQUEST FOR: (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 ‘,929 7 co
Near what City of Town e✓r w (45, Lot Size IVO cescicf -
Legal Description 1 341 i s S £ ID t.-
WASTES TYPE: (KI Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other 7
BUILDING OR SERVICE TYPE: (es/Dena
Number of bedrooms 3 Number of persons 5l
( -) Garbage grinder ( q Automatic washer (KT Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( K
stream or creek
Give depth of all wells within 180 feet of system: Rvo/YOr
If supplied by community water, give name or supplier: --
GROUND CONDITIONS:
Depth to bedrock: / co / 4-
Depth to first Ground Water Table: .Vor , rsa ^. /op / --
Percent ground slope: 6 - b'
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: / f.2/ r "-
Was an effort made to connect to community system?
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:
( ) 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? nee.)
Page 2
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A new residence to be located on a 40 acres + privately owned
parcel. Approximately 25 acres are under crop and being ir-
rigated through a new gated pipe irrigation system. Source of
water is the Colorado River.
Riverbend is located appr. 700 feet to the east and north.
There are no known water wells and /or sewage systems within appr.
3,000'of the residence. Some monitoring wells for the mine
project were drilled in the past within 1,500' of the new house,
but all holes were found to be dry to a depth of appr. 100'.
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