HomeMy WebLinkAbout03005 n .•- •
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e a `, J GARFIEL COUNTY BUILDING AND SANITATION DEPARTMENT Permit N ° 3 0 0 5 , 1
'
109 8th Street Suite 303 A is Parcel No.
o r p Glenwood Springs, Colorado 81601 to •
Phone (303) 945-8212 r f
• l ' This does not constitute
I INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. , e
.f PROPERTY '
An M�'bt Srh t � . kg) CVO (e Gitne� d 1 3 963 - 0-156) ,! k
1 Owner's Name
f ado kAdO re / sen Address M \ C.
j System Location SE me as a ti01R
9 • Legal Description of Assessor's Parcel No.
i; (1 t�bCPc — L &AC - r — ( es- 0 6 1 c; s.
1 -' SYSTEM DESIGN t. C A C H— c / .1 A A,A r3asK 13 G O 1.0 v j 1 7
j 3 97 0
3 2 S a Septic T k C ep (c ity (gallon) t 1 Other (+ C s G t ' .T
11 X0 9 4k, ' 5
i i Percolation Rate (minutes/inch) Number of Bedrooms (or other) ± t
.: • �e
Required Absorption Area - See Attached
1
i 1 Special Setback Requirements:
t F Date D - J o r e Inspector A t—t n i ..
. I I Ao
FINAL SYSTEM I AND APPROVAL (as installed) 1
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i Call for Inspection (24 hours notice) Before Covering Installation
1" r i
a � &1 4 FA CON 5 7`nvcT,o tC/
,. System Installer. -,,
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Septic Tank Capacity C i'i / ` " "
' S eptic Tank Manufacturer or Trade Name Coe A r''
I t 7 SGG ti l
' Septic Tank Access within 8" of surface � rerun . ;
i; C3'OI 3 1 6 v�r 1 7 5 1N oC�' y C
t Absorption Area C
' " fl S t:
1v Dli / v _i�K
Absorption Area Type end /or Manufacturer or Trade Name \ 4 a
e
} Adequate compliance with County and State regulations/requirements L.---- ,
; / } ;,
V
0 Other x ` x � �`` n _ r '
t. Date v C —Q V Insp ector A& `"` fr O f r
• RETAIN WITH RECEIPT R ECORDS AT CONSTRUCTION SITE F. f f
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✓ *CONDITIONS: --‘ Tr
, i, 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 perm Is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- t
? 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. 4
u 1 3. Any person who constructs, alters, or Installs an individual sewage disposal system In a manner which involves a knowing and material
t variation from the terms or specif ications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine —13 k
months in )ail or both).
:
White - APPLICANT Yellow •DEPARTMENT i.
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER' COLORADO ROCKY MOUNTAIN SCHOOL
ADDRESS 1493 COUNTY ROAD 106 PHONE 970 9632562
CONTRACTOR M & M CONSTRUCTION
ADDRESS GLENWOOD SPRINGS, CO. 81601 PHONE 970 9457173
PERMIT REQUEST FOR ( ) NEW INSTALLATION (x» 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 CARBONDALE. COLORADO Size cant 342 acres
Legal Description or Address 1493 COUNTY ROAD 1 fl& CARRONDAI'F - ('n R1 A2'1
WASTES TYPE: (x) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: RFSTDFNTTAI
Number of Bedrooms FOUR Number of Persons 6
( x) Garbage Grinder (X) Automatic Washer (x) Dishwasher
501TRCE AND TYPE OF WATER SIJPPN ( ) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of' supplier: TOWN or CARRDNDAtF
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 1/2 mi 1 P
Was an effort made to connect to the Community System? yPs. was not feasible •
• i'. I • rI I I i[ • I i 1 i i I: IA hi t4 ' 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
It Al AD .: 1 . 1 • 11 U tU • ■1 :
WITHOUT A SITE PLAN,
GRO1 JND CONDITIONS;
Depth to first Ground Water Table
Percent Ground Slope relatively flat
2
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(XX) 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:
(XX) 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? NO
PERCOLATION TEST REST JI.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: say., T - Df !s1 Coker'
nerNwnnn SPRINGS CO 81601 (970) 945 - 1004
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 grant ' based upon said plica ' n and in legal action for perjury as provided by law.
Signed _ . L/_ i. Date
/7^ gd
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
• . Colorado
a ...
Rocky Mountain School
1493 County Road 106
Carbondale, Colorado 81623
Phone 970 - 963 -2562
CRMSC S ■ Fax 970 - 963 -9865
July 27, 1998
Garfield County
Building and Sanitation Department
109 8th Street, Suite 303
Glenwood Springs, CO 81601
Re: Individual Sewage Disposal System Application
Enclosed is an Individual Sewage Disposal System Application for
your review, together with the required fee. CRMS is requesting
permission to construct a septic system at the Headmaster's
residence on campus. All other buildings on campus that were
previously on the schools old lagoon system have now been tied in
to the new Crystal River Sewer Intercept line. Construction of this
main intercept line was completed by the Town of Carbondale late
last fall. Last week the school completed the final hook -up to the
stub outs provided by the Town of Carbondale. On completion of this
septic system, the school will abandon the lagoon system and
reclaim the area as required by state and county regulations.
If you have any questions, please give me a call at 963 -2562.
Ve t ly your , Zfrieszto-
J mes F. Laframboise CPA
Susiness Officer
Encls: Application
Check
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