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Home My WebLink About02418 ..., .. GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N — 2 4 1 8 109 8th Street Suite 303 Assessor's Parcel No. r Glenwood Springs, Colorado 81801 Phone (303) 945-8212 $' This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Owner's Name t3eoage Clemons present Address 41 NW 128 Avenue, Florida phone_ 305 -969 -6733 System Location 0980 Wooden Deer Road, Wooden Deer, Lot 1, Carbondale R� Legal Description of Assessor's Parcel No. y + SYSTEM DESIGN Et /, : ` !S Septic Tank Capacity (gallon) Other h r,,. 3 / '.c 11 -,.: Percolation Rate (minutes /inch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: y 1 __ '> Date Inspector ` °'�" /,. ' c t i. r- , ; / _., / I FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation / � W, }. System Installer )_ )(yr 'tr.t .(ti Septic Tank Capacity 5 7) 0 r) g Septic Tank Manufacturer or Trade Name ( a_tv-,i , gg Septic Tank Access within 8" of surface 4---- S i Absorption Area / // ._ r. � If l { H� Absorption Area Type and /or Manufacturer or Trade Name (Pr C ( 4r *- :'-rr r -,e t / �'r +' ii Adequate compliance with County and State regulations /requirements /11 Other gg �t Date _ . .._ Inspector ..._:_�....'... ,rnli / w A 1 'C. -AA,. -' . l 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 3 25, Article 10 C.R.S. 1973, Revised 1984. A: 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 • t requirement of the permit and cause for both legal action and revocation of the permit. i " 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 — lll months in )ail or both). r Applicant: Green Copy Department: Pink Copy !t, I I INDIVIDIAL SEWAGE DISPOSAT, SYSTEM APPLICATION OWNER (L L t ti e,v h ADDRESS 9/ - A" /f At C "Lai //o . e 73 PHONE Jos OT - ‘13 4 3 CONTRACTOR ,Uo F a 5 C A-c. Va 4 f t,-/ ADDRESS t l3r.-A-- •.j9/ Carbev ,)a /c CO PHONE 163 -- PERMIT REQUEST FOR ( KEW 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). ' y /J LOCATION OF PROPOSED FACII,ITY: COUNTY ,/1.,, j.A.,/-e -1 Near what City or Town C., ,1,-w / !� �/ Lot 1 Legal Description /. I �ac Ain . 41,,4.1.• f WASTES TYPE: (»iE welling ( ) Transient Use ( ) Commercial or Industrial ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Number of bedrooms: _3 Number of persons 3 ( 0/Garbage Grinder (Automatic Washer ( )talishwasher SOURCE AND TYPE OF WATER SIMPLY: () WELL () SPRING () STREAM OR CREEK Give depth of all wells within 180 feet of system: If supplied by communtiy water, give name of supplier: GROI IND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent Ground Slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (el Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: FINAL (1 OSAL BY: bsorption Trench, Bed or Pit O Evapotranspiration nderground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? PERCOLATION TEST RESUI.TS: (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. Name, 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 appliction 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 is subject to such terns and conditions as deemed necessary to inusrecompliance with , rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements make, 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 bre relied on by the local department of health in evluating the same fro purposes of issuing the permit applied for herein. I further understand 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 perjury as provided by law. Signed Date PLEASE DRAW AN ACCT IRATE MAP TO YOIJR PROPERTY -r David A. Powell P.O. Box 631 Carbondale, CO 81623 963 -9869 April 23, 1995 Mr. Art Hougland Chief Building Official Garfield County Building and Planning 109 8th Street, Suite 303 Glenwood Springs, Colorado 81601 Re: Clemons Residence Lot 1, Wooden Deer Subd. Garfield County, CO Dear Mr. Hoagland: On April 24, 1995, percolation testing was performed at the above residence. Three trenches running in an east -west direction spaced approximately 20' plus /minus apart, approximately 3 feet deep and located in the proposed absorbtion area were observed. The trenches were dug using a backhoe and an approximate 1' x 1' x 1' deep hole was hand dug at the bottom of the trench. The holes were filled with water within 24 hours prior to the testing and were refilled with water to a depth of 12" prior to final measurement. The average percolation rate for the three holes was 16_.1 minutes /inc,h,_ Assuming a 4 bedroom (3 bedroom + den) load to the seepage area, the following areas should be considered minimums: Seepage 1534 square feet Seepage trench - 1151 square feet, These areas include standard adjustments for a garbage grinder and automatic washing machine. The septic tank for this residence at the above loading should be a 1250_ gallon tank. If you have any questions please call me at 303 - 963 -9869. Since elf, 4pA AD 0 11F��h�ii cO 4A44.64 David A. Powell, PE i j �y ; Colo. Reg. No. 25850y'. APR -25 -95 TUE 11:01 P.01 04/24/95 19 ;15 FAX 3039639669 D/F POVVELL I21001 David A. Powell P.O. Box 631 Carbondale, CO 81623 963 -9869 April 24, 1995 Mr. Art Hoagland Chief Building Official • Garfield County Building and Planning 109 8th Street, Suite 303 Glenwood Springs, Colorado 81601 Re: Clemons Residence Lot 1, Wooden Deer Subd. Garfield County, CO Dear Mr. Hoagland; On April 23, 1995, percolation testing was performed at the above residence. Three trenches running in an east -west directior spaced approximately 20' plus /minus apart, approximately 3 feet deep and located in the proposed absorbtion area were observed. The trenches were dug using a backhoe and an approximate 1' x 1' x 1' deep hole was hand dug at the bottom of the trench. The holes were filled with water within 24 hours prior to the testing and were refilled with water to a depth of 12" prior to final measurement. The average percolation rate for the three holes was ;A- 3 .mi1!.kt e s/ in.,. Assuming a 3 bedroom load to the seepage area, the followine areas should be considered minimums: Seepage bed_,___ 1_12 square feet Seepage trench 863 square feet These areas include standard adjustments for a garbage grinder and automatic washing machine. The septic tank for this residence at the above loading should be a 10QQ`gaiigM_tank. If you have any questions please call me at 303-963-9869. ACl `k Sincere � 40�.....,.!� � �Grw°�P / 'y�SYA. AO`.11,4 CIV r'svid A. Poi, PE Colo. Rey. No. 25351'. 1 R' �i '1`