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Home My WebLink About02731 .. -•�, i ' a 4 - � , , GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2731 • 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 Steve & Sharon Krabbe P.O. Box 941, Silt 625 -1506 Owner's Name Present Address Phone — di Sierra Bluffs Filing 2, Lot 4, Silt System Location Legal Description of Assessor's Parcel No. SYSTEM DESIGN /660 Septic Tank Capacity (gallon) Other 3 / ' /A/ ti •" Percolation Rate (minutes/inch) Number of Bedrooms (or other) / /Oit OadgoG'al�cEisr/I F /F /eE gb04�6r(r'9�d�y� Ja�� Required Absorption Area - See Attached / 3 asq VC' 4a 2,vf/L77/'*764$ Na VA, /Ys Special Setback Requirements: r, g 6 ,!// Ff"SQrRS . L U Al s r° Date 3 7-17 hian) Inspector aPiS FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer L _ - -5' ` gO /e Septic Tank Capacity /oad //�� Septic Tank Manufacturer or Trade Name ` optin/4l., Septic Tank Access within 8" of surface 7th Absorption Area / 8G 7 A I P bsorption Area Type and /or Manufacturer or Trade Name 2 6 (a vry n : 6- %/2 if TO/e .S Adequate compliance with County and State regulations/requirements - Other - • Date v �6 - 9 / Inspector A�i� 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 ($500.00 fine — 6 months in Jail or both). White - APPLICANT Yellow - DEPARTMENT • , , 01- 17- 1997 04 :01PM Regional Bank Carbondale P.e6 . , • r ` INDIVIDI JAI. SEWAGE DISPOSAL SYSTEM APPLICATION • OWNER...,. .__.__, 4a, i. Akni l4CncsLL _ ADDRESS Po ehy, ci ct i et lt- CA Pita5, PHONE to AS —s6 CONTRACTOR ADDRESS PHONE PERMIT REQUEST FOR (>4 NEW INSTALLATION ( ) ALTERATION ( ) }tEPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4 • LOCATION OF PROPOSED FACILITY: Near what City of Town 5 Cr fl to Size of Lnt 3. n 73 R(res i Legal Description or Address . - 0 t t - • WASTES TYPE: 00 DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON- DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: " a. • • 3 A Number of Persons Number of Bedrooms i , ( ) Garbage Grinder QQ Automatic Washer (k) Dishwasher ,SOURCE AND TYPE OF WATER SIJPPLy: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: 5i .KO P Wyatt Sett DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: k rr ktS Was an effort made to connect to the Community System? 1\5n"r- NQt ccAa.C. - 1 o ., Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL M ‘4 1 : u A • t • WITHOUT A SITE PLAN, OROtJA[p COND1TIONS: i . Depth to first Ground Water Table. ab0 Pr aA. ,,,tit 4&t$ I Percent Ground Slope 4 i r4 01 -17 -1997 04 :02PM Regional Bank Carbondale P.O? • Y TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (X) SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, PO'>i ABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE. f FINAL DISPOSAL BY: 1 • • (>9 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? Mn PERCOLATION TEST RESULTS, (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) 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 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 purposed of the evaluation of the application; and the isauance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulation4 made, information and reports submitted herewith and required to be submitted by the applicant are ortwill 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 revcication of any permit granted based upon said application and in legal action for perjury as provided by law. Signed A9 vv "k Date /72 7/9 7 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! • 3 ■ t Z .< 0 f ■ I 1' (V g° 0 y ° i �_ p° Z T o to - o 0 C + H ., ti ; N N S X { O ; ''erne, RI • x((.1 4 O a. N (—\ • n z Z w 0 a. = N ••-• _ — _ �V e t ri (To C \ {1 Pc- Xi \ - = 3 Q �7 r s- \ = i^ N .Nw I -- 4 ('t Ito L j L '� ti (7 a v e 3,4 '�r \, ' v. a • =1 6 p Uw ;CI] \ _ Z CD m 4 O , \ \ c ° � Oc w y h 0 ;. (- ^ O X11 o 's,zo to Q W 4 (�- r 7 7. V] . C C 0 - f) k -1% 7 ( y S i. (` 1 co 3 ( w 0 � vx / / CD m y U s -P w i CAI / / c o n 5 � . i %' • a N �i N W G mac, tri 41 1. F 3 7 P L ya - c N Cr (11 • C - ^� o = , • o w i Z pi s w o fD tR 9-, o N N 945- /o;is- Jc -»,.v 17/4' a 4 y e t t .s re-i6 7/ y S1 (. � 4.5/-b ' -17 _i /iti ,39_ m/ti