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Home My WebLink About02476 d " i, GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit IV_ 2 4 7 Gm • ' 109 8th Street Suite 303 Assessor's Parcel No. A Glenwood Springs, Colorado 81601 r ) Phone (303) 945.8212, • ' • This does not constitute . INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. 2 x fi PROPERTY t 4 . Owner's Name David Partain Present Address 2450 County Roa _i N•rPflortek 984 -2265 i `> r System Location 2450 County Road 214, New Castle Legal Description of Assessor's Parcel No. V4311.44 • SYSTEM DESIGN _E Septic Tank Capacity (gallon) Other ' t ' a / /A ) /4 Percolation Rate (minutes/ins Number of Bedrooms (or other) 3 P Y io- IL'yrr cW/ PCS t Required Absorption Area - See Attached ` TK -i/••7 por Toil a 1 Pd.S ° A S)/0 ya t peetiCe d F.r arF trot- a Special Setback Requirements: • 4 Date Q` LC 4.S" Inspector irjary/` 7. Par ..° - 3 o f ,s. FINAL SYSTEM INSPECTION AND APPROVAL (as installed) w 5 Call for Inspection (24 hours notice) Before Covering Installation k `d' • System Installer_ AM if Septic Tank Capacity /1'4 P Septic Tank Manufacturer or Trade Name ?'rA �' Yq I Septic Tank Access within 8" of surface Yr s SSA Absorption Area G- \a ? i ' r Absorption Area Type and /or Manufacturer or Trade Name Gas 4 1A)r r r.«n7, (a 24 ( r/ Adequate compliance with County and State regulations /requirements r i/f s ih 1 , K Other Date - - J ° cJS Inspector kis.... ..4;-- Yt A... RETAIN WITH RECEIPT RECORDS AT CONSf RUCTION SITE •CONDITIONS: t 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter i r 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 I f 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 Y variation from the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine —6 I months in jail or both). ' • t Applicant: Green Copy Department: Pink Copy t u ' • • • • .I IND_IY_iDUALSEWAG ILD __ISPDSALSYSTIBYLARPi.ICATION OWNER 1/4 i,Pc0 I b 1 t New C L - ADDRESS 24 SO enon1'Y gb. ? I `f PHONE 9 f4 - Lzi S CONTRACTOR -- Ott r, G—t2 — )) ADDRESS Sti Ar E CP.0, BOX A 31- CAt�"' i ONE 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). LOCATIOILO PROPOSEDEACILIT_Y: COUNTY 6 /A - 2FI L�l.-0� Near what City or Town 1.) Elk) C A 1- Lot Z- I.egal Description WASTI:STYPE: (NA Dwelling ( ) Transient Use ( ) Commercial or Industrial ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: MFL. }4-oo51= (MOW- LA-k) Number of bedrooms: 3 Number of persons q ( ) Garbage Grinder 00 Automatic Washer ( ) Dishwasher SOURCI.ANLTXPEDE_WATER SUP_P_LY: () WELL () SPRING () STREAM OR CREEK Give depth of all wells within IRO feet of system: ti) If supplied by communtiy water, give name of supplier: IJOro C GROLINDSONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent Ground Slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: U tJ k-Koto•. -• Was an effort made to connect to community system? N/A TYPE Of INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (X) Septic Tank— � ? 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 ( Q Other - Describe: 1 N'FI Lt gp tOR- WiLL EFFLUENT BE DiSCiIARGED DIRECTLY INTO WATERS OF TI-TE STATE? N(7 • • P_ERCOLATIQN TEST RESULTS: (o 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 sui)ject to such terms 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 hest 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 P_LEASILi2RAW_ANACCt!ItAI MA P_T4 YntI RAMORER`L'Y • \ \ \ CO \ l ,- � >> S \ 4? h L ( . �T \ t V 1 \ \ O LOT 3 \ \ . CRFFe 2.391 AC ± �\ . `jq9 \ \ \ \ y\ -40, N � \ \ D _ D .. , ^. e s% • eAS eM OP/TOy\ �, . _ _ . ■ ■ i e N� \ y I q) ■ t � h g, . ' , c am S� s x + Sr S � >r __, ,Il i ' SO R 9 0 \ \ I LOT 2 1.-\ X `V ' 2.001 AC ± N N °: 5,..,,,\E 1 So , , ,\ Np 0 , PROPERTY DESCRIPTION -1 (LOT 2) LA \ A PARCEL OF' LAND SITUATED IN THE SE1 /4NW1/4 OF SECTION 12, TOWNSHIP 6 .t ,\ SOUTH, RANGE 91 WEST, OF THE SIXTH PRINCIPAL MERIDIAN, COUNTY OF GARFIELD, STATE OF COLORADO; SAID PARCEL OF LAND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: 01 \ COMMENCING AT THE NW1/16 CORNER OF SAID SEC110N 12; THENCE cA , N 88'50'36" E ALONG THE NORTHERLY LINE OF SAID SE1 /4NW1 /4 519.32 FEET TO A POINT ON THE SOUTHWESTERLY RIGHT -OF -WAY LINE OF COUNTY ROAD \ NO. 314; THENCE LEAVING SAID NORTHERLY LINE S 64'04'28" E ALONG THE SOUTHWESTERLY RIGHT-OF--WAY UNE OF SAID COUNTY ROAD 189.40 FEET TO THE TRUE POINT OF BEGINNING; THENCE CONTINUING ALONG SAID RIGHT -OF- WAY UNE S 64'04'28" E 190.73 FEET; THENCE CONTINUING ALONG SAID RIGHT -OF -WAY UNE S 56'26'02" E 59.14 FEET; THENCE CONTINUING ALONG ti SAID RIGHT -OF -WAY UNE S 55'43'01" E 95.49 FEET; THENCE LEAVING SAID `S) 96\ RIGHT -OF -WAY UNE S 3317'17" W 314.37 FEET; THENCE N 57'37'35" W `.) • >S''.. 98.15 FEET; THENCE N 20'07'34" W 146.73 FEET; THENCE N 50'49'00" W ` \ 103.11 FEET; THENCE N 25'55'32" E 197.02 FEET TO A POINT ON THE �Y SOUTHWESTERLY RIGHT -OF -WAY LINE OF SAID COUNTY ROAD, THE TRUE POINT 726 OF BEGINNING; SAID PARCEL OF LAND CONTAINING 2.001 ACRES, MORE OR '8q LESS. r -. • Lot 1- Z Lx 15 +1 K . ) L � Co ,...,y' I •!_? Q 4 j S f 1 C-AL 1 A. , 5 WT c- ID15 FOSA- L ->" '. 7 -IO -= 7 T BY' 1 Py =- • .._ I K E XIS + wAi t_.--rz \ \ '>=- t eor.n >: pl? oP� - 1•-� o -'- - w C- l., l.� j � o � 7 Oti Lot n 1 , � I `/ PA r•-.1 S ( //�� E x l �+ L _ � z c G , iz , 314 V FO•,iL- Pol k1eW GAN 5 +IG / C.o(O, oN \ . . 9 3 1 3-2.4L: , cm S + . IWq Y i Vici )N 1 IIIIW v En57 1 WA tl� / - L ` x, / / �' : �° P X` mz� ---Cr. _ -.9AJ SS � '�� ,; / / m' =714/. a Le • e, A � i o 32 \ \ v SH ' \ / 9 57. \ \ ++ k � 33„ \ t --., 7 - ,\ - \ \ \ x/ L 4 cf 7p 7 O F • ?w !.s• i 4 31 7 E S'I • tt .s< 10' WATERLINE x I EASEMENT 5 0 ' / SPIGOT • /t LOT LOT 1 L I Q / \ 2.187 AC ± x a J a/ / z x \ I - 11 \+ N� u HOUSE \ to J � LP TANK on W: TIE TO NW1 16 SEC 12 Lino N 64'29 01 W 1123.39 • 69%;-......,_ WELL EASEMENT, R =8.0' N 6 2�3 5 6 � . \ 1 3