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Home My WebLink About02601 • �y • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2 6 0 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Owner's Name Mark Morrie P resen t Address 161 Oak La Gle Phone 923 -2030 System Location 161 Oak Lane, Westbank, Glenwood Springs Legal Description of Assessor's Parcel No. SYSTEM DESIGN /n r,i • /a S 0 Septic Tank Capacity (gallon) 649.4 i6. eta• '.tether / Percolation Rate (minutes /inch) Number of Bedrooms (or other) 4 /N 7Ayri✓ 90041 t,c.lc/ °Ac / /Sec Required Absorption Area - See Attached OR o /w/ /67XH 7D.efe/C an. /N A SFU tt'Z y87! i Special Setback Requirements: G72 a/ /4'ni r2A 74.2/6/1, .aiff /iv A lee %LH ta/1 5 T r Date .5" $ - 76 Inspector TA de fl) FINAL SYSTEM INSPECTION AND APPROVAL (as installed) i Call for Inspection (24 hours notice) Before Covering Installation System Installer Fes/ r P Septic Tank Capacity Fir /5 7/J,'6 /,Z SO Septic Tank Manufacturer or Trade Name .� Septic Tank Access within 8" of surface _ye- Absorption Area Sisr `gtace Yrr /f/rf/S / h' / 7. 4 -q ?Meta �JUX�.c3' Tom �I Ora 07/-; Absorption Area Type and /or Manufacturer or Trade Name SO ✓ /r, 56, e S Adequate compliance with County and State regulations/requirements / PC Other a 7'O ( // !/t Date .S /U tI Inspector g-°mc 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 G.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 oflhe'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 • + INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER NbVIZts ADDRESS ((p1 OA-K LAN PHONE, CONTRACTOR pr. -I-r) (Zecst -C. ADDRESS Dios t S OD 6 S %i6 t_ PHONE 9'-(5 SS/ `} PERMIT REQUEST FOR ( ) NEW INSTALLATION ( ) ALTERATION ( REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topograph of ea, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4). LOCATION OF PROPOSED FACILITY: COUNTY ('• >AW Ezn Near what City or Town CL rrwocr.( 3 rr AlAr Size of Lot Legal Description or Address /(o/ l) Adfc cAs1/4^4_- WASTES TYPE: xi DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: Ke aN7 5,Rt , Number of Bedrooms _ Number of Persons 3 (X Garbage Grinder (X) Automatic Washer - 00 Dishwasher SOIIRCE AND TYPE OF WATER SUPPLY; ( WELL ( ) SPRING ( ) STREAM OR CREEK Give depth of all wells within 180 feet of system: / If supplied by Community Water, give name of supplier Walizt.A iir ASS oc_ 'An 4...) GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water 'fable Percent Ground Slope DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 5"-i le Was an effort made to connect to community system? ( ) YES PC) NO TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (x) 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: (kl ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL. ( ) WASTEWATER POND ( ) OTIIER- DESCRIBE WILL EFFLUENT BE DISCI-IARGED DIRECTLY INTO WATERS OF THE STATE? 2 -ti PERCOLATION TEST RESULTS; (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. Nance, 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 application 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 proposes 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 pules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby 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 time and conTect to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for 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 b :ed upon said application and in legal action for perjury as provided by law. SignA Date 5 PLEASE AW AN URATE MAP 10 YOUR PROPERTY!! 3 )S° s8 3 03° >0 /8 „ / 8 l i ds 62 en Cam) 5 z /v s 145 z dyr vu i V% 3 S -3 8 /l, Pg_ 1 AirAw S3 k / °6 4S —3 = - 8/6) 36 _ 3n av� 3S a• °c 7 1y/P? /5/44 7z sc G •t 7% 7 A gl.,C _ 6.7 ' ,o 2G() J z l 3 - F 6 7() oR„ Zcz //Vice 72 47t'15 /47iv -A-c t .C2 /u ReP - 19 6 6") Gtr C;2 a l 7 vA--/z tx/i- /VA 79/ = /v /� f GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2 601 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81601 Phone (303) 945-8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Owner's Name Hark 2brris Present Address 161 Oak Lane, Glenwood Phone 923 -2030 System Location 161 Oak Lane, Westbank, Glenwood Springs Legal Description of Assessor's Parcel No. SYSTEM DESIGN /0/ i.v SO Septic Tank Capacity (gallon) 6-3 ,V3A A'agadither Percolation Rate (minutes/inch) Number of Bedrooms (or other) 4 /// 7/1/..V $ ,Coc_ /resc;a />en Required Absorption Area - See Attached (7,C aF, /wtie 2�'/I7r/ /8'.c /1 /„/ w 84 fl-'' ;is/ Afi Special Setback Requirements: OE o4/ /NFia l.2/r27'A /.(3 /c' nil f vw .0 re(-,q ic VC/ dt Date �r f • 76 Inspector <T7)/(49-. FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer Septic Tank Capacity Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface Absorption Area Absorption Area Type and /or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Date Inspector 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. 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 j .,...•"C; - `:° GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2601 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81801 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY a Owner's N9me /lark 1brris P resen t Add ress 161 Oak Lan Gl enwoo d Phone 9 23 -2030 System Location 161 Oak Lane, Westbank, Glenwood Springs y,. Legal Description of Assessor's Parcel No. _ t - _ 8YSTEM•bESION""" _--.__ .. .. ^._ _,___ fin /a, SO Septic Tank Capacity (gallon) c34, t4htf 1OM4Dther 7 / Percolation Rate (minutes/inch) Number of Bedrooms (or other) 4 /" //✓ ir7 /N SOOtb ,P-0cx1erm-++ Seo Required Absorption Area • See Attached p,C p.6 /NF74- 7/47 403.)c filer. /N A $t0 -5 Special Setback Requirements: LJ2 al 7NtiLmAreva J a/O .O ' / N A 7 ,'a4 / /O/ Date s -`6 Inspector ∎ 3ke- FINAL SYSTEM INSPECTION AND APPROVAL (as Installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer &O n F-e Septic Tank Capacity fX757 /iv6 /02 SO Septic Tank Manufacturer or Trade Name �+. Septic Tank Access within 8" of surface Y C5 Absorption Area " ' LflPSI IM i/i• : - c r aft 1.4 - -77w - ( n Absorption Area Type and /or Manufacturer or Trade Name SD .c2'AZ7 $c`i 5 Adequate compliance with County and State regulations/requirements Other at y Cat Date S Vree Inspector Q-ae 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. 2. This permit Is valid only for connection to structures which have fully complied with County zoning and building requirements. Con - nectlon 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 ($500.00 fine —8 months In (ail or both). White APPLICANT Yellow - DEPARTMENT RO10. ROOMS SEWER DRAIN SERVICE - I ROTO- ROOTER SERVICES P.O. BOX 1800 GLENWOOD SPRINGS, CO 81602 OFFICE: 0898 HWY. 133, BLDG. 301 CARBONDALE, CO 81623 945-5519 963 -2521 925 -1833 FAX 963 -8205 MA-et H0 ekI S 65 to CAL ZANf As (.uLrbvA6Pa444 0F ,tiEw �n /.E.)worno cW6S a Pitt, D rNv� / 5U loa Uo" A4cg .PEI 6g -C-� T.- kaAor//$IOa11Musers W11LTawk sewer Ilrea k•v Its --CV✓� ff �ousi 1�IS�r16A1`Vlp+ s ox � o B ox D sox - �—� 40 ' 1 Ga cnbe. S-kel A1a.1,0Ie 1 iDB r /� 1 1 / �E.asers lids 1.. p..eme4 +4 �Ni EI4rw4or aEOaw ' it) /JN .TS nn FONT rAVEO Z� �fl� LAA,E