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HomeMy WebLinkAbout02901 _.. :., 1 ,va . .•:'x a :• 'ry.. - � t °f?'N'f5f'-.7 -77i rtn.771 7 v ; ".T GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2901 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(„ Diane Boor c/o John Parrington Owner's Name. Present Address Phone— d n 7 7 County Road 301 Road, Parachute System Location Legal Description of Assessor's Parcel No Co ( m /LOCLc — LCACH— Fr Cc- r9 ^c SYSTEM DESIGN - AS u N f r i L FfaC k C (... A,. ctn. ea 4 Y 09 A t l 18 ✓ r ✓ T & CNCGgcS 311 1 00 0 Septic Tank Capacity (gallon) Other I ( , S tokI4 3 Percolation Rate (minutes/inch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: Date G -91 Inspector A A Fr 0 FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer r6 ti © 1 O u '�"I`- Septic Tank Capacity /AO C> Septic Tank Manufacturer or Trade Name an f l 4 ,t»i• Septic Tank Access within 8" of surface CIS Absorption Area ,ea/ Absorption Area Type and /or Manufacturer or Trade Name c 4-/ � 1 € rta TREACE Adequate compliance with County and State regulations /requirements Other Date /9 -3 µ— 97 Inspector ° - J- a tv / L, RETAIN WITH RECEIPT RECORDS AT CONSTR ION 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 aiI or both). White - APPLICANT Yellow - DEPARTMENT rt INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER ) trA / 300 Z — ADDRESS To rf n.) � k R y x il To nJ PHONE 0..25 ' dQ v Z CONTRACTOR "f.i -,J_ j t-tv Cn &STe_ t.,C ,J ADDRESS l 4 S Co Ri3 P PHONE (a i-5 -OSo 2--- PERMIT REQUEST FOR ('---) Nt 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). LOCATION OF PROPOSED FACILITY: Near what City of Town n A C-H Size of Lot if i S /Geri Legal Description or Address 30 1 -D WASTES TYPE: (•-) ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: s l oE c< Number of Bedrooms 3 Number of Persons / ( ) Garbage Grinder (•--) Washer ( ishwasher SOI IRCE AND TYPE OF WATER SI IPPI,X: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: ?rm.. A 6 i C DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 2 Art (LC Was an effort made to connect to the Community System? A site plan is required to be submitted that indicates the following MINIMUM distances: 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 SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN, GROI INI) CONDITIONS: Depth to first Ground Water Table /UO r-T Percent Ground Slope s °/t> 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE / 2-50 GAL_-- FINAL DISPOSAL BY: ( ) ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION (.4" DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER - DESCRIBE 1 nJ FI,ri �-- S WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? pFRCOT.ATION TEST REST TITS: (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 issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations 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. Signed ; �✓" C/Py D ate ) 9 PLEASE ® AN ACCURATE MAP TO YOUR PROPERTY!! 3