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HomeMy WebLinkAbout02462 u► ; - 4.1 '• 4 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit ive 2462 t f. 109 8th Street Suite 303 Assessor's Parcel No. ! to Glenwood Springs, Colorado 81601 s Phone (303) 945 -8212 to t ' f. This doesnot.constitute C y INDIVIDUAL SEWAGE DISPOSAL PERMIT a baring or ,se permit. { :p PROPERTY I Paul Popish 47000 Highway 82, Aspen , 925 - g. Owner's Name Present Address Phone_ 6 ' System Location C ounty Road 106 , ( Cooperton), Carbondale i 4. Legal Description of Assessor's Parcel No. pow! 7fPG/C4i'? /S 70 1, nr,-T ur y 7 - 477 f'riiC. / /O4 .2-f- V SYSTEM DESIGN ,_. - pm. p14r'z fi g 4/(r!a OP f nofr /O 4 CdC // / /rte , to i / « ` (' Septic Tank Capacity (gallon) -Other .1 # , 4- 3, / ,, . - Percolation Rate (minutes /inch) Number of Bedrooms (or other) , i F( 1. P (tccA't •t-- .0 c,c t.I\ i j r,..\ 1y Required Absorption Area - See Attached " (� . . � Special Setback Requirements: /, i. , x - �.1 7 ' * J L.✓ ., C ., ..L L , r -- ..,, .2. ( `' f 2 i. \• Ih Date /I- / -' / Inspector ) - - "C F'f CI P A . (f ' 8 FINAL SYSTEM INSPECTION AND APPROVAL (as installed) 40, Call for Inspection (24 hours notice) Before Covering Installation e1 System Installer_ 17 /jee t / 244 7/42A/ A Septic Tank Capacity /Pa° A > Septic Tank Manufacturer or Trade Name 2 /eedi zCe /a'," 5 - - l i t'±' / s' Septic Tank Access within 8" of surface yt'e , , 7 L y % L -, §. p Absorption Area //f ` /C )e ? ' i /� ) ■� Absorption Area Type /'.� � ���� � � �/�"iS �7 Gi )( J and /or Manufacturer or Trade Name .¢ /JA&'' NAT /f/. r 1e' / ,T t Adequate compliance with County and State regulations /requirements / .4 l, i Other • 4i Date , FV.75 - 1 75 Inspector ,i A2, P J Ai? 5 LJ %lZ � i j:. 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. 4 t 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- nectiontoor with any dwelling or structures not approved by the Building and Zoning office shall automatically bea violation or ir requirement of the permit and cause for both legal action and revocation of the permit. 4 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material y 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). It Applicant: Green Copy Department: Pink Copy DU TO foe /f roN or wcz 46 or one-en— tyo• pnaorcaTr�S) THr /so;. se ao ye /lrenalreo Ta Qr DOSiCNq' ci'49 v'- w? 44~ 0 7,t cotorn%Po RnntciflnirC R E• - L �� / " "r �� F IND[YIf?UAL_SEWA -D SPOSALSYSTGM APP!.JCATION OWN PR 11Ut_ 1'c{\vsR ADDRESS 'V c6C> F\o-+y .sa pc r4 CC, PIJONE S s - CONTRACTOR — Coa x - 1. 0.o« <aNwc vsZ ADDRESS fob Z3\ CAtjhcN4A Les- Co PHONE S6N -kQ\ PERMIT REQUEST FOR (PQ NEW INSTALLATION () ALTERATION () REPAIR Attack 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_[ PItOPnSEI? EACILITY: COUNTY Ener (CC IN Near what City or Town Ct\RAe tl,a,LF Lot AsAAef L t- Lal e Description _ ALOCK \v{ Amei- (RCPT Moo-) 11/43 S14`\e1 o �d�p6R-roru a� ierc 9 WASTESLLYPE: 7) Dwelling ( ) Transient Use ( ) Commercial or Industrial ( ) Non - domestic Wastes ( ) Other - Describe � BUILDING OR SERVICE TYPE: ` �ts'r CN'c V AC. Number of bedrooms: 3 • Number of persons W o ( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher SOLRCILANDSYIULQl'_ ATEILSUP_PLY: () WELL () SPRING () STREAM OR CREEK Give depth of all wells within In feet of system: Neroe If supplied by communiiy water, give name of supplier: G PR6enoor le C, \T \(. GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: _ ,- Percent Ground Slope: DISTANCE TO NEAREST COMMUN SEWER SYSTEM: CARBoNApte C `s Was an effort made to connect to community system? yL'S TYPE OF INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PROPOSED: 4 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: Pd Absorption 'Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCI IARGED DIRECTLY INTO WATERS OF THE STATE? (vo • PERCOLATIOI_TEST_RESULTS: (To be completed by Registered Professional Engineer) Minutes per inch in hole No. 1 Minutes 1 T per inch in Hole No. 3 1 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 terms and conditions as deemed necessaryto inusre compliance 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 subinitted herewith and required to be submitted by the applicant are or will be represented to he 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. 1 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 S- PLEAS ED_RAWJ NJSCCURATILMAP_T2YOLR PROPLI?`TY_ • , pOUC37 itOffle 9 VA, a P I pZ;3 6 ao 46 C /0 4 7 cam' 0'I F o'-e2 /1i 1",b, a o nn-t oP1st - k -. lb. Sl I bt►\ - 1. - 5 ,,--, 5 -\a -•c\S i.Ct L C 1i 05 N - _____ _-` —___ G ' ( t\ C, Q c �e�. tv % r--. y G1b J T �i 6 3 . NSW .fl ,n 0 2 5 Cl 1 ` 1- 9 k x ma ke" 14- - -7/ 6• '? ( A � v- 2 'f al " '� ? i : i 0 I • I) o C a l S N I 1 f . a - - -- 3 <' PPRI<iN6 v i 1 n c � • n ..D lii M -zI E CO, R�_ 4 ■oco °avid A. Powell P.O. Box 631 Carbondale. CO 81623 963 - 986'9 August 21. 1995 Mr. Art Hoagland Chief Building Official Garfield County Building and Planning 109 8th Street, Suite 303 Glenwood Springs, Colorado 81601 Re: Popish Residence 1213 County Road 106 Permit No. 5582 Garfield County, CO Dear Mr. Hoagland: Seepage pit sizing based upon percolation tests previously performed by You department requires that the pit be sized as as follows / 7 /7 9 3,3 3fy 1. 16.75' x 16.75' x 9' deep or 2. 12.5' x 12.5' x 12' deep or 3. 9.5' x 9.5' x 16' deep If you have any questions please call me at 303 - 963 -9869. Sincerely. _o�pOREGj David A. Powell, PE i • Colo. Reg. No. 25851 f ; 25851 % , , I 4rm = l • II �NA4En F . : 4 .4cd S etfr - e. ) Mm �EFF WADLEY ; 2' ti�gl r CONSTRUCTIONALIST P.O. BOX 888 CARBONDALE, COLORADO 81628 TELEPHONE (808) 968 -1910 WSISL 4)-tuts o c ), L 0 _,.. ezre , ja ct_ et-A. N 9- cr Anag , P" -m-Ajc ,k (1-4 k cs \ \\0-ea- ‘ka OctitS