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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2582
109 8th Street Suite 303 Assessor's Parcel No.
Glenwood Springs, Colorado 81801
Phone 1303) 945 -8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
PROPERTY
Owner's Name Jerr & Janis Marshal Present Address 3536 Peany Lane, Canal phone 614- 833 -1835
Winchester, Ohio
System Location 1100 Sun King Drive, Oak Meadows, Lot 3, Glenwood Springs
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN 1^-e,Ci TetTFAitED, VOO F04 ANoThee PaecoR Nee - s 0 e's'6',✓ SyS,
H, N.nom
/000 Septic Tank Capacity (gallon) Othifr W /rip' Centsnie C•.e.wasee
�eZ 0 Percolation Rate (minutes/inch) umber of Bedrooms (or other) 3 -
/" /N 4 /+IVv 'r 5
Required Absorption Area - See Attached ��_ Taw- -
�
R F F
Special Setback Requirements:
Date. `f- -/_ 2' Inspector Cat
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer_ M iW le frkettral
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Septic Tank Capacity t4- • • i I ' a � tit #'�
Septic Tank Manufacturer or Trade Name
Q=er C13,
Septic Tank Access within 8" of surfaceS / P/t'''I "
� � " -" " � -tr41
O� ��� " " /Lisa - 2 _ 7 ` D� / 1-144,11-1 / 1-144,11-1 Absorption Area
i Absorption Area Type and /or Manufacturer or Trade Name 4V1 i WO' -
Adequate compliance with County and State regulations/requirements ` C "- - -�
Other
Date Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE t
*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.
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
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).
White - APPLICANT Yellow - DEPARTMENT
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Application
IN121V1DUAL .S11WA_CiL 121SL'O>_SAL SYSTENtAPPLICATICIN. Approval By
County Official
OWNER Jerry & Janis Marshel _____________644----__
ADDRrss
3536 Pean Lane ,Canal Winchester,Ohid'IiON163 -1.835
_ — -- -
l'nnatnic e Pn --
ON "I'RACI'OR -_ -�R- — _pSi—
PO Box 231 G1_enwood S s CO 8160 2 P110NE945 -Z5 Q2. r- - - - - -- - - - - -
ADDRESS Alteration ORepair
B ach se RGQU h FOR: (x) New Installation ( )
\Mach separate sheets or report showing entire area with respect to surrounding areas, lupugral>Iry of area,
iabitable building, location of potable water wells, soil percolation test Boles, soil profiles in lest notes
See page 4). County `; �' a
I 4�1; Town ;lenwood Springs Lot Size 3 ,_5-_acr__ee - - - - - - __
:ear what City or "Town 3 .. - - - - -- -
Legal Description Lot-- 3--- B1- ° - °k -2 Filin•
--___—
( Transient Use
WASTES " , > ; : O) Dwelling Non-domestic se Wastes
( ) Commercial or Institutional ( )
( ) Other - Describe --- -- ___ ----
13
)1NG OR SERVICE TYPE: - Side- Family Dwelhn� _____ - - -
--- -- - - - - .
Number of bedrooms. 3_ -- --- - Number of persons_ _2±__
( x Garbage grinder 60i Autocratic Washer (x Dishwasher > i i ( ) slic�un or clod:
well () I b
S�1�Cl:f�I�?"1�Y1'�'1'�'A1'LR S[_ll'I�I.Y. () - - --
Give depth of all wells within Ltect o system: k P9 -----
1 f supplied by community water, give name of supplier: __ Oa- -. - - —
GftO[ NnXQN1J._LIC.NS.:
Depth to bedrock: —
Depth to first Ground Water I a e: - - -- - -
-
Percent ground slope: - - -_-- __--
D1STANC 1i"I'O NEAREST COMMUNITY SEW ER SYSTEM
Was an effort made to connect to community system? _ - - - - - -- -
l'YPI3OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(X Aer
Scptl r
Pivy O ation Plant ( ) Vault
Recycling, potable use
O ' � posting Toilet ilel ( )
Vault Privy ( Composting Recycling, other use
( C Privy ( Oth - D e Toilet O — y .- b _ - -_ -- — ____ --
( Other - Describe: - _ —
Chemical "Toilet ( )
FINAL DISPOSAL 13Y: Evapotranspiration
4,04 Absorption Trench, Bed or Pit O Sand Filler
) Underground Dispersal Wastewater dFilter
Pond
( ) Above Ground Dispersal ( )
O Other - Describe:
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?
•
• .
t1iLS: (To be completed by Registered Professional Engineer)
Minutes per
inLL. nutes�1- A1-1.5?l� 1 _ _ per inch inn- hole No. 1 Minutes - - -- per inch iii 1tole No. 3
inch in
— Minutes per inch u1 H ole No. -_-
Minutes _— per inch in hole No. 2
dame, address and telephone of RTE who made sod absorption tes s.-__ - - --
\fame, address and telephone of ItPli responsible for design of the system;__— --
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and a ananowled d that
as may be completeness t application
required the isconditional t
local health dehttincutto beltnadetaneltlurnished
and additional tests b y I
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 necessary to insure compliance with
rules and regulations adopted under Article 10, Title, 25, C.R.S. 191 s, as auneoded. 'Hie under signed hcteby
certifies that all statements made, 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 lily knowledge and belief and
aredesigned to be relied on by the local department of health in evaluating lltesanie for purposes ofissuing
e permit applied for herein. 1 further understand that any falsification or misrepresentation may result in
e denial of the application or revocation of any permit granted based upon said application and in legal
action for perjury as provided by law.
Sig 111)..- ! _ t
Date -
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OLAVTRY ti r_ 4
NG#NCCRANG ` ? - JUN 2 7 1996 -^
�T JU
W� GARFIELD CiOUfsITY
June 26, 1996
Garfield County Building Department
Attn: Don Owens
109 8th Street, 3rd Floor
Glenwood Springs, CO 81601
RE: Lot 3, Block 2, Filing 3, Oak Meadows Subdivision, ISDS
HCE File # 96004.13
Dear Mr. Owens:
On June 23, 1996, HCE personnel observed the visible construction of the Individual Sewage
Disposal System on the subject property southeasterly of Glenwood Springs, Colorado. The
sand filter /mound system was in place, as well as the septic tank. It appeared that the construc-
tion in place was in conformance with the intent of the design. The size of the gravel to sand
interface exceeded the design size.
If you have any questions or need additional information, please contact us.
Sincerely,
HIGH
/C/OAUNTRY ENGINEERING, INC.
T. it
P. eck, P.E.
incipal Engineer
TPB /tmc
cc: Duane Neuman, D. M. Neuman Construction
Larry Martin, Ron Martin Construction
923 Cooper Avenue • Glenwood Springs, CO 81601
Telephone: (970) 945 -8676 • FAX: (970) 945 -2555
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