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HomeMy WebLinkAbout03005 n .•- • f J' 1 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 • r 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. -,, ' • — 0 O % . 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 i ✓ *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 Al�6F> /9P aancr, I BMA Junction Q3---- Denver 0BOmij 1 Glenwood swinge S +0 to 1i' 1 h I- I v — aa �' -1 , I s cso m> '?A g¢ a ■ flours �c#' .1 m Carbonate / O � Stop;-.1 Old Okla NJ' �j c`' Dormitory ' Crysta l s r Dory ` D O a O R St W: 6 field o Solar Dormitory Heath .�. N r 10 Faculty r r , Act. IS Holden 1 Da r Dory I I- House / . :,, AMP Bar Fork SClerwe Center Preschool New Boys ,. 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