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Home My WebLink About02468 f r GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit Ni. 2 4 6 109 8th Street Suite ans Assessor's Parcel No. Glenwood Springs, Colorer Phone (303) 945 -821 EI I IV/4-12L-Al l C INDIVIDUAL SEWAGE DISPOSAL PERMIT t ii PROPERTY � Owner's Name Wendy Caldwell Present Address 428 1-e-4"-- V - CN✓',r+r/ C System Location "D 5 , County Road 127, ( <S crS C47)-I D�'..a-/�� — i4 � Legal Description of Assessor's Parcel No. ri - -f - gdn�g(f, — ) i SYSTEM DESIGN A% c.c.ottytit �V �qj / ` Septic Tank Capacity (gallon) 0 ' r \ ' _,.:.:-- N [ kl / a 1 k I / it /44 ' V PI ` R, Percolation Rate (minutes /inch) Number of Bedrooms (or other) 2 Required Absorption Area - See Attached '" -�'2i- ,y c - -7 ' �' , "r � - " � � N 3 L1 I , ''' 1Prx 12 i 12 D pizgg NC i70 Special Setback Requirements: /U F'bl /No r /IS li r J k. 6-7 ' Date .. / Inspector I. K f 1 � .] � . t , 7iZ'i / -.lei ✓ 4»q- .,:.4:..- FINAL SYSTEM INSPECTION AND APPROVAL (as installed) U Call for Inspection (24 hours notice) Before Covering Installation System Installer ED 1-04L'7'19R -S A ' r Septic Tank Capacity l -3 y la K 144- @, d D 0 ) f Septic Tank Manufacturer or Trade Name � Lr4�i Septic Tank Access within 8" of surface .�� p / / � 1 ��R /' /r / C L: Absorption Area //H J t 3 . r ?RF Pi/1 4 1° p `( 3 6 Absorption Area Type and /or Manufacturer or Trade Name v Adequate compliance with County and State regulations /requirements 't/ .p tF Other 1t q Sf Date [f `V i S Inspector - t RETAIN WITH RECEIPT RECORDS AT CON TRUCTION SITE X *CONDITIONS: ` i' 1. All installation must comply with all requirements of fhb Colorado State Board of Health Individual Sewage Disposal Systems Chapter w.; 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- ,t. 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 — 6 months in jail or both). j Applicant: Green Copy Department: Pink Copy K , 1' rr . I f .' , I Uk GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N_ 2 4 6 8 • 109 8th Street Suite 303 Assessor's Parcel No. 4 Glenwood Springs, Colorado 81601 Phone (303) 945-8212 I This does not constitute Jo INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY it Owner's Name Wendy Caldwell Present Address 428 Pine St., 0.8. Phone_ 945 -0480 /- County Road 127, G#enwood Springs 3 System Location (`) 5? O ? Legal Description of Assessor's Parcel No. i . SYSTEM DESIGN , t k 7i ,r'V Septic Tank Capacity (gallon) Other , : - .. N ew /f'luln#1 s.) r�lR � / Percolation Rate (minutes /inch) Number of Bedrooms (or other) 2 p .# Required Absorption Area - See Attached 'r' 4 ''""°' - - ^ r r . r " " /� � i A x i }- � 1 �_,_Z da le rte-- A _ per 7 , 3 1 - 1 Special Setback Requirements: 1 Ai '/'or' , tt' r 'S L. '/: ,,'S. r. Inspector MI / -� '/ - II, / CY< r. "∎ j: FINAL SYSTEM INSPECTION AND APPROVAL (as installed) )' Call for Inspection (24 hours notice) Before Covering Installation System installer_ab 4 417'F9 -S - i Septic Tank Capacity JR Y I an X 1+ Cl , d O 0 ) } , Septic Tank Manufacturer or Trade Name O.4PC 1 Septic Tank Access within 6" of surface __Ve � 4 It Absorption Area � / .p h 3. 2-Rif I</r^� '' x ab f .., V , Absorption Area Type and /or Manufacturer or Trade Name Adequate compliance with County and State regulations /requirements' A2-1 gg4 Other 5 O JJ it Date C� '17 ` f C. Inspector �,e_ s R/ RETAIN WITH RECEIPT RECORDS AT CON TRUCTION SITE I *CONDITIONS: s , 1. 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter g 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 ji j . 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 0 6 variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 4 s months in jail or both). Applicant: Green Copy Department: Pink Copy d r +r /" /3 - c.' . 1 . INDI V I DUAL.SLW Ab L P_ ISPnSAL _SYSTEIYLAP_P_LICAA_ OWNER , 1 P 1 OCilrtL , _, ,,. . IIONE ADDRESS I 5 : % i! 1 CONTRACTOR 56- PHONE Dr /c rlS�6 ADDRESS • REPAIR ALTERATION ( ) NEW INSTALLATION P O P }+ of area, PERMIT REQUEST FOR (� Attach separate sheets or report showing entire area with Fes respect to surrounding areas, topography y habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4). COUNTY ' r • LOCATION OF PROPnSLI?_I?A�'ILIT_ : Lot what City or "Town 6LLLzi000/1 * T f -- p f. o . /. r F c,4 o N • P s FC7 Leg;+l Description 7KAc e 1. 1:-/# -.�. /1Pr�4� &–G— - t /' ( Transient Use WAS' 1'LS_1'YPL: (vrbwelling ( ) Commercial or Industrial ( ) Non- domestic Wastes ( ) Other - Describe BUILDINGOR SERVICE TYPE: 'ern ate at Arse 5e _ Number of persons Number of bedrooms: 2 0-1-Dishwasher ( ) Garbage Grinder ( ) Automatic Washer SPRING O STREAM OR CREEK SOURC ANDTY1'_Ln1'= 1'�ATER_SUPPLY: 0,r/1/4/ELL ( ) Give depth of all wells within 180 feet of system: a/l If supplied by communtiy water, give name of supplier: .;ROUND_ CONUrUIONS: T Depth to bedrock:—_ 6 / Depth to first Ground Water'l'ahl - ,� i Percent Ground Slope: / i DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: • " Was an effort made to connect to community system? / ' TYPE OF INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PROPOSED: (Septic Tank ( ) Aeration Plant ( ) Van cling, potable use ( ) Vault Privy ( Composting Toilet ( y ( ) Pit Privy ( Incineration Toilet ( ) Recycling, other use O Chemical Toilet () Other - Describe: FINAL DISPOSAL IIY: transpiration (1Ahsorption'Trench, Bed or Pit O Sand Evapotranspiration ( ) Underground Dispersal ( ) Wastewater it e Pond ( Above Ground Dispersal ( ) Other - Describe: WILL EFFLUENT BE DISCI IARGED DIRECTLY INTO WATERS OF THE STATE? emeouvrioN Tr:ST_Rl:Su S: (I'o be completed by Registered Professional Engineer) Minutes per inch in Hole No. 3 Minutes per inch in hole No. I r inch in Hole No. Minutes per inch in hole No. 2 Minutes pe Name, address and telephone of RPE who made soil absorption tests: Name, address and telephone of RPE responsible for design of the system: • and a t an tests and re as n aylbe the appliction is local health conditional department to such e made and furnished b and t e aitional tests P y the applicant o n it 15suhjecl such ► terms and condl feed eel n loon > re co with is of the per , rides and regulations adopted under Article 10,'fille25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements will be re resented be true and reports tcorrect submitted herewith of m a knowledge and belief and are tde re des i applicant are or w� P aigne applied for herein. 1 further ` un understand ll> t anytfalsification ortmesrepresentation may result in the denial opplied o 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. Date `°Z Signet _'... ' —' — PLEASE_ _RAW_AN_ACCURA'l'E_MA1'_T4 YOUR_PR_OP_ERTY "' r • P_LO _PLAN -AN an ESIGN EfINE L1?,LS 1 lines, cisterns, buildings, potable water supp Y proposed system by property by measured distance location of wells, ream, dry y gulch and show location of prop Y properly lines, subsoil drains, lake, watercourse, stream, dry direction and distance fro dwelling ellin f otheifi fixed statements object, dnd additional commitments. submissions in support of this application such � I� / 0 kci<61 t .jPR(Nfi ) 100 l00•••• GR EEK Mi tX --� / ,4 ‘ -- ro. 12 COG N -)(- Sr A 15 ; HT poi* - W Ci ° z'41 tern t4 e ri m A Q *y wg-? • :3 if re4 /'' 2. 1 - 7A._ _ _ ----kf- miL. -_-- El - _....af Q. kw - , V i I . . 42 " ---C. 4 d . IR • ,- .. nri•.„.... ... , . ,, • , . • . • ...ir . . . . - ;r te : • rfr . r L 4 ♦ r ' ^ " . f A- r a 7 .. t r Cam' S t �f. +�+ } ' ^ __ — 1 , Y f ;:,,,,,:4` '.r N.`' , ., Y . , A ' ,:s i T r .� ,.v s ♦ gyp/ ��'' i 40, y \ , e ♦ — wafters company box 2323 building contractors glenwood springs, colorodo 81602 (970) 945 -2851 „ ri Garfield County Bluilding Dept. FEB O �6 109 8th Street Suite 303 Glenwood Springs, CO. 81601 CARFI LD COUNTY Feb. 1, 1995 Attn: Don Owens Re: Caldwell Residence Sewage Permit # 2468 Location: County Rd. 127, Glenwood Springs Dear Don, This letter is to amend the specifications to the Septic Permit from a 750 gallon tank to a 1000 gallon tank capacity and the drywell dimensions to 14' x 13' x 13'. Please see the enclosed dated pictures. :in.- V) Ilk