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k GARF IELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N° 1061 r E,
Assessor's Parcel No. a ° i
11 109 8th Street Suite 303 4
; t Glenwpod Springs, Colorado 81601
{ ' one (
% /Ph303) 945 -8212 )
b9 4 4.,
This does not constitute ,v ,
I, • 1 INDIVIDUAL SEWAGE DISPOSAL PERMIT
a building or use permit. I' G
a l st
PROPORTY
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$-F9. >S Co Sib''/ .r.., `k i Owner's Name k'
`\^evl Present Address '30) (�,nQ�.G 4 ( Kt La a . Phone �aS. - 53.0 % f
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d System Location OC 11 c • , t►•I' • f 1�V1 _ ,•'.. Co ` O �o
t F Legal Description of Assessor's Parcel No. '
n i SYSTEM DES N
I,
Po � 77 e, Wei (0114 y � -n , k (
E /`>� Septic Tank Capacity (gallon) Other �'
V R f
° 1 Percolation Rate (minutes /inch) Number of Bedrooms (or other) / , 1
Required Absorption Area - See Attached G
( i: Special Setback Requirementa: g el e / . � /� i5" {/ 09 �" „ t
F Date . 4i!spector / 0 4' At v t �" „,/,,,,,:- 1 , ` y et ') 666
4, FINAL SYSTEM INSPECTION AND APPROVAL (as installed) J 1
• Call for Inspection (24 hours notice) Befog, Co ing Installation w r 6
a
, r System Installer � At, ��
� , 1'
•' Septic Tenk Capacity ' AP „,,o, G � ' / alt Vi a 1
/ I� $ 4
Septic Tank Manuf: cture or Tr a N: - .� .. ' .� i+. .. — l e/44th it
- ,LI►�
Septic Tank Across within 8 of -urface 41, ��' ��� . t
90 t
r , I
Abso rp tion Area r Lt /a i r' • / �' G I ✓ , j
� nufacturer or Tiled° Name I, !' 1
' . 'Absorption ylfea Type ind /• i .J� , • I
' t 1 Adequate compliance with County and State regulations/requirements 1. 1
r ! ;
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J
( : 4 Other ' ' 1017r4/111/4P: '
1 A Date Iy / a pector Y ai/. r' � s �`_ � 4 14
t -' I',
RETA&N,W RECEIPT RECORDS AT C6NSTM6CTIQ SITE
*CONDITIONS: ". r \ A 1
r 1. All installation must comply with all requirements of the Colorado State Board of Health IndivldualSewage Disposal Systems Chapter ! 4
25, Article 10 C.R.S. 1973, Revised 1984.
-
't . 2. This permit is valid only for connection to structures which have fully complied with County zopfnn building requirements. Con-
nection to or use with any dwelling or structures not approved by the Building and Zoning office effall aOto¢letically be a violation or a A I,
( : requirement of the permit and cause for both legal action and revocation of the permit. ",�,t.! . 1' -f ;
i. 3. Any person who constructs, alters, or installs an individual sewage disposal system In a manner whlchlr%%glves k ,,/,
t4inQQp@nd material k 1
S
variation from the terms or specifications contained in the application of permit commits a Class t. Betty Offense ($50000 fine - M ,
months in )ail or both). ` ', , Ic..4
AA
r . White - APPLICANT Yellow - DEPARTMENT r" -"71s
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
, OWNER YVARQFt') se -C4
ADDRESS 32A Carte Il R d y r? d PHONE 9'2 - 7534 n
CONTRACTOR, trii
ADDRESS PHONE 7N -5 51'7 i.✓oiK
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 FACIT,ITY
Near what City of Town 61in &Amy/ Size of Lot 2 .5 A c ers
Legal Description or Address
WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE .visndi, /woe/ (.4 - 40 LA so) aJ 4Acc
BUILDING OR SERVICE TYPE:
Number of Bedrooms Z- Number of Persons 7- 3
if Garbage Grinder ISO Automatic Washer (0 Dishwasher
501 JRCE AND TYPE OF WATER SUPPI Y: '< WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 5 rr. i l 4 S
Was an effort made to connect to the Community System? l` 0
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 RE ISSUED
WITHOUT A SITE PLAN.
GR O1 JND CONDITIONS:
Depth to first Ground Water Table
Percent Ground Slope
2
_
•
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Yk 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:
p< 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? N 0
pERCOT,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 • application and in legal action for perjury as provided by law.
Signed Date /0 2 9 Sr
PLEASE ' • W AN ACCURATE MAP TO YOUR PROPERTY!!
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e.-.:-.0, i ,'� Y k l y • w `15 ,,,' 7,, 4.M- 4-w vY , 1 ^ " 'Vy - 7 ; . t. + � }, This does not constitute
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,te i '� .,,...'
(Al 1 ,, I l GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH .
'7 1 , 2014 Blake Avenue
e 'i tvi , 2 Glenwood Springs, Colorado 81601 .
Phone (303) 945 -7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N O 87
O George M, & EsteTb Locke •
System Location 6 miles S. of Glenwood
Licensed Contractor _— ,ObLit) , e /— ' {' 11
* Conditional Construction approval is hereby granted for a /0 /) (l gallon
-%
1. Septic Tank or ' Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in C minutes requires a minimum of /J 5` sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 3 x /RC sq. ft. minimum requirement = a total of 3 7 sq. ft. of absorption area.
/ or �
May we suggest /t j D y ceve �� �
/ I X �(� X �� / � Pt° t � 1
/
/ r
Date 7/7 �g E Inspector ' i /, ; `- .." ..,a i /
FINAL APPROVAL OF SYSTEM: �,p
1 -L4 - kb
No system,shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover-
. ing any part. /
" 9 1( Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
• -` )f( Proper materials apd assemy(y. /
(o or /.t-- / MO 9c
%� I� Trade nar9e of septic tank or aerated treatfnent unit. •
(`a , / s � Adequate absorption (or dispersal) area.
C. 1( Adequate compliance with permit requirements.
(T 'C Adequate compliance with County and State regulations /requirements.
Other 7l , * n' A ('', , ,��/
Date -".y /
In / 4 iJ Inspector G' �� • " �vY"
!/` RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE ,
'CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au-
thority granted in 66-44-4, CRS 1963, amended 66-3-14, CRS 1963.
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements.
.. Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a viola-
tion of a requirement of the permit and cause for both legal action and revocation of the permit.
3. Section 111, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in-
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1,
Petty Offense ($500.00 fine — 6 months in jail or both).
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
' ,.,,,,,,,,,,,,,,,,, _. (TO BE RETURNED TO BLDG. & SANI. DEPT.)
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Garfield County
BUILDING & PLANNING DEPARTMENT
Code Compliance Office
shackett(acearfield -cou nty.com
January 15, 2001
Jeffery S. Warren
324 Coryell Ridge Road
Glenwood Springs, CO 81601
Mr. Warren,
This is to confirm information we discussed during a compliance meeting on your property on this date.
Concerning building permit 6963. A gas pipe pressure test is the only remaining inspection to be performed.
It can be done at the time of final inspection. A plan change should be submitted to the county building
department that shows the rear deck that was added to the original work authorized by the permit. A rail that
meets uniform building code requirements must be added to the deck. We have approved installation of the
modular office building, as built, with the exception of the rear deck and hand rail which must be approved at
a final inspection.
Concerning individual sewage disposal system permit 3061. The use of a five hundred gallon storage tank in
lieu of a septic tank and leach field is approved under the following conditions. That both gray water
discharge from sinks and black water discharge from toilets be piped to the tank. That the tank have an
approved alarm system that warns of impending overflow and that the tank be pumped in a timely manner
and the effluent be legally disposed of.
It is understood that the above items of compliance will be prepared for final inspection on or before
February 5, 2002, per my letter of January 2, 2002.
Please be advised that construction of retaining walls that exceed four feet in height is required to be
permitted by the county.
Sincerely,
Steve Hackett
Compliance Officer
EC's MB AE
109 8th Street, Suite 303, Glenwood Springs, Colorado 81601
(970) 945 -8212 (970) 285 -7972 Fax: (970) 384 -3470