HomeMy WebLinkAbout02933 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2933
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
Owner's Name Edward A. McCune Present Address P.O. Bnc ] 8, NRw fast - 1R Phone 9R4 - 2(105
System Location 0520 E]Jc Run Road, Three Elk Tom,_Tnf: 8, NAW rantin
Legal Description of Assessor's Parcel No.
no CK— r:t=ACH - Fr E C - y2
SYSTEM DESIGN t I C H A M r3C°'L c55 3 o u Fl r rS SSG Al
tr 11 Ts1 Eat0 2 S tr t i 63R
1 00 0 Septic Tank Capacity (gallon) Other
4- M 1 °r 3
Percolation Rate (minutes /inch) Number of Bedrooms (or other)
Required Absorption Area - See Attached
Special Setback Requirements:
Date 6' 1 2 _ 9 Inspector An- 0
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer �0 &C"k 5
Septic Tank Capacity—LQi' ��'((,!r/ //
Septic Tank Manufacturer or Trade Name coA' 'I�Z hti
Septic Tank Access within 8" of surface
/c,.a
6-3-19 tA 36 r f (Y-r -ro
Absorption Area ,,C._
Absorption Area Type and /or Manufacturer or Trade Narhe, C C • ' `( ! T! � ^ �>_
Adequate compliance with County and State regulations/re9uiraments
J ` /
/( �J
Other
Date 2 f ,.. 96 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 off ice 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 f ine — 8
months in )ail or both).
White - APPLICANT Yellow - DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER hiz,,,}t,1 fJ / C ,W✓G� (�
ADDRESS ,-(9- /X O i f 2- PHONE il % 209 r
CONTRACTOR
ADDRESS PHONE
PERMIT REQUEST FOR (�) NEW 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 /kC✓(�ns71C Size ofl,ot � acc.
Legal Description or Address (..r)7 S 3E/hd40✓+
WASTES TYPE: p< DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE:
Number of Bedrooms Number of Persons Z- .
( ) Garbage Grinder ( ) Automatic Washer Dishwasher
LOT JRCE AND TYPE OF WATER SI JPPLY: ( ) WELL nn ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier: 41.41 79C.
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Z.Pa_ r1,/ S
Was an effort made to connect to the Community System?
• • o: i • • 1 • 1 l • _ t iC i • i i s ' i i • • J • t .. i :lII! uI_ I\/. LL_ ''_ i_ . •
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
Y1 R II AD c._ WA EDI • A Y _M_'E• _T NI _
WITHOUT A SITE PLAN,
GROTJND CONDITIONS:
Depth to first Ground Water Table
Percent Ground Slope
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 -
FINAL DISPOSAL BY:
c4 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? +
pERCOT,ATION TEST RESTTI.TS: (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 ii A — Date ,r % 7
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
GARFIELD COUNTY
Building and Planning Department
December 11, 1997
The Garfield County Board of Commissioners adopted the 1994 Uniform Building Code by
Resolution # 96 -05 on January 22, 1996.
Under this Resolution, "Appendix Chapter 13, Energy Conservation in New Building Construction ",
Section 1302 was deleted in its entirety and replaced by the following standards:
Minimum Insulation Values are R -19 Walls, and R -29 Roofs or ceilings
The 1994 U.B.C. allows a one story dwelling constructed with 2' x 4' studs. To come close to
obtaining the R -19 factor in insulation, the Garfield County Building Department suggests using a
R -15 I-T- Density Batt, designed for a 4" wall, plus computing the sheet rock, the exterior sheathing,
the required vapor barrier (which could be Ty -Vek, Kraft Paper 15# felt, plastic or another accepted
material), could be very close to the required R -19.
Enclosed is a copy from the 1994 Uniform Building , Section 1402 -- Weather Protection, stating the
requirements of a vapor barrier.
Hopefully, this will clarify any questions or concerns you may have had concerning the insulation
requirements adopted by Garfield County Building Department.
Thank You,
Don Owens
Chief Building Official
DO /sa
Enclosure
109 8th Street, Suite 303 945- 8212/285 -7972 Glenwood Springs, Colorado 81601
- R•