Loading...
HomeMy WebLinkAbout02636 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2636 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 Vickie Ho Present Address 0422 Rose Lane. Carbondalephone 963 -0377 System Location OY.gt County Road 229. Silt -- Legal Description of Assessor's Parcel No. SYSTEM DESIGN ,C /600 Septic Tank Capacity (gallon) Other / a 1N 9_ b/4Percolation Rate (minutes /inch) Number of Bedrooms (or other) 3 ti) C 4485 4)(3 , S 69 Roa+t t LE ncW , Required Absorption Area - See Attached 1�0 iufi4%,Q4 # ' • /B f d$ 34o , o - td/ rrusg /6 pas. Special Setback Requirements: Date 7— /4 _99( Inspector A( A0427 v FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer_11 N/ A r et d Septic Tank Capacity /bp0 Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface V t S Absorption Area ..T/}(" « % {'#- 9 -m it Absorption Area Type and /or Manufacturer or Trade Name 3ya / vpe ti _ 1 e/Fc/ 7a4rn ' .S Adequate compliance with County and State regulations /requirements Pf. C Other Date _7- is-94 Inspector a-.. - _ " RETAIN WITH RECEIPT RECORDS AT CON TRUCTION 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 I 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 (ail or both). White - APPLICANT Yellow - DEPARTMENT Application u.It)IVIDI JAI. SRWACE DISPOSAL. SYSTEM APPLICATION Approval By County Official OWNER " hat SAO Icier , V1pLfe f- JncktrJ.4 (ubry q03 - 0377) ADDRESS 17'1) 7 - Reno 1('4u Psi r {a, ocla le , a 3 PHONE 9/.? -//fr.?- ONTRACTOR (`i ti A o ADDRESS PHONE ERMIT REQUEST FOR: 04 New Installation () Alteration ( ) Repair 1 ttach separate sheets or report showing entire area with respect to surrounding areas, topography of area, abitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes See page 4). .00:ATION OF PROPOSED FACILITY : County ( (141.a Jear what City or Town / Lot Size .egal Description Al ar pd VASTFS TYPE : () Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non - domestic Wastes ( ) Other - Describe WILDING OR SERVICE TYPE: Avne dumber of bedrooms 3 Number of persons 1 2 ) Garbage grinder (yS) Automatic Washer ( Dishwasher iOURCE AND TYPE. OF WATT ?R SI JPPL.Y; (ye) well () spring (.) stream or creek Jive depth of all wells within 180 feet of system: Anp e- f supplied by community water, give name of supplier: NA )ROUND CONDITIONS; )epth to bedrock: )epth to first Ground Water Table: 'ercent ground slope: )1STANCE TO NEAREST COMMUNITY SEWER SYSTEM: Nas an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (k) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: ANAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? 0114 PERCOI.ATION TEST RESI JI .TS: (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. _ lame, address and telephone of RPE who made soil absorption tests; lame, 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 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. 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 true and correct 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. I 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. Date ' Signed �« (4 • /A ri-o PLEASE DRAW AN ACCT JRATE MAP TO YO1 IR PROPERTY CENTER LINE COUNTY ROAD °229 N 00'20'00 W 12022 m \ \ \ A 1 \ t boo \ ` \ m -,m mm I \ \\ rl\p O P \\ \ 1 \ \\ \\ NA\ r r Ill Ae � \ Ill cm \ \ go 6 ciA W I ° ( y� ©, F f" \ \O \ \ E I k \ \ \ l A \ \e\ ti I I- o \ S\ 1 \ ■ /f V A n DT -< °'� WA I \ ,m O N m E g` „m I I mp N U m p \ \ \ —( m .urn m I / Et \ \ \ ii ° 6 M ae \ ` \ G , � ti Po �, gym. 1> 7 l4 1 A A yr I .4_0 V \ nl _I\ ∎ p' 9 \ \\ ✓ O „ - _ — ..4 /E 9 O ,b / 9-,ICI 0 V A iti A k II 1 1 6 \\ \\ 0 11 r - O _ & 00 °36'23” E 420.96' O e A o v i V 1 O n 3 m z , SCHAUSTER /NOCKINS RESIDENCE County Road 229, Silt Meas Garfield County, Colorado • • i300K 658 nce670 • Parcel 1 A parcel of land situate in Tract 24, Section 4, Township 6 South, Range 92 West of the 6th Princiapl Meridian as shown by Plat No. 1 of the Antlers Orchard Development Company more particularly described as follows: Beginning at the West 4 corner of said Section 4, thence N 01 ° 41'59" E 657.92 ' feet to a paint on the East fenced right -of -way of County Road 229 the true point of beginning, thence along said right -of -way N 00'20'00" W 120.22 feet, thence leaving said right -of -way N 64'04'30" E 701.55 feet to a point on the East line of said Tract 24, thence along the East line of Tract 24 S 00'36'23" E 420.96 feet to the Southeast corner of Tract 24, thence along the South line of Tract 24 S 89 ° 27'31" W 634.73 feet to the true point of beginning. Said parcel of land contains 3.94 acres more or less; together with an easement for a water line and . the maintanence, repair, and construction thereof ; and a • proportionate share of irrigation water from Silt Project Water being approximately 5.91 acre feet. £Q'd tOO• °N £S :6 96.£0 adtl LVZZ£96 :aI 9NIn0WH1?J1:13N3dSe • • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 263 109 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 Vickie Rockies Present Address 0422 Rose Lane, Carbondaleph 963 -0377 _ System Location (9R o County Road 229, Silt Legal Description of Assessor's Parcel No. SYSTEM DESIGN &/X Septic Tank Capacity (gallon) Other /_ , /N ny /no/Percolation Rate (minutes/inch) Number of Bedrooms (or other) 3 No /RPLlf i->s' (-S Ro -K 4 Le/7 -ary Be - Required Absorption Area - See Attached ig4 L ti Fit-r" .zr9 /S / S EA .40 /✓ 11 / 0 12 / PE PS3 toe-s / ze 25 Special Setback Requirements: Date 7 ` /(o '" ei /e Inspector 14 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 9so — � C 0\ /D . %D - 6 ryj.cl 4- % - art Rartasz 1 atr ci2 c_ 7 f eae-a- • R4-74r to & (20 - N t I ta - t coo ti