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HomeMy WebLinkAboutSP-1241GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945-8241 REPAIR OF EXISTING SYSTEM - PERK FEE ONLY INDIVIDUAL SEWAGE DISPOSAL PERMIT -• 1241 This does not constitute a building or use permit. Owner Walter Huber System Location 1793 County Road 245, Hew Castle Licensed Installer William Betzel Sys -9'/z Conditional Construction approval is hereby granted for a XXX Septic Tank or Aerated treatment unit. 1,000 gallon Absorption area (or dispersal area) computed as follows: Perc rate of one inch in 4r) _ minutes requires a minimum of Therefore the no. of bedrooms May we suggest Date sq ft of absorption area per bedroom. 3 x sq ft minimum requirement = a total of I4Osq ft of absorption area. rat' X (04 x 3 ' o -L zA 1 48' x ' 8 Z- Inspector FINAL APPROVAL OF SYSTEM: 'ct Lc� QI4141 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. A/577.(]6. Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground /� surface. rale Proper materials and assembly. 11 Trade name of septic tank or aerated treatment unit. EX. (L5,7-7,06::. 4 'e2 7 &4rc ,7'7,:9.tj Adequate absorption (or dispersal) area,/04y�rL 0.-- Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Other 7 %� Date f� --4a-/ ��� Inspector 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 III, 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 I, Petty Offense ($500.00 fine — 6 months in jail or both). Applicant: Green Copy Department: Pink Copy �rr� ���aaa�e,aaaa.a,•aarali.aanAU. aaaaaamaaa.••aaaaaaaaaaa ALM M.auaaaaagaraL • • - � APPLICANT ADDRESS CONTRACTOR ADDRESS PONE icy 3 •- z e PHONE PHION E 3S PE,,T rcR: }( ) New Installation ( ) Alteration ( ) Repair ` '..)4('..)4(. ;, AtI.;ch f.-1;,:_rate sheets, or report showing .entire area with respect to surrounding arta<., ;,:'_;r-aphy of area, habitable buildings, location of potable water wells, soil i,i'�.o;at on test holes, soil profiles in test holes. • LOCATION OF PROPOSED FACILITY: County` 40/'•A`-'4/ Near. what .City or Town 2,__6e... Legal Description WASTES -TYPE: (y) Dwelling ( ) Commercial or_.Ins-titutional ( ) Non-domestic Wastes ( ) Other -- Describe: Lot Size Zl t 1!i (' ) Transient Use BUILDING OR SERVICE TYPE: /'rte/c%. / Number of Bedrooms 3` ' - ( ) Garbage grinder ()() Automatic washer SOURCE AND TYPE OF WATER SUPPLY: (X) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: If supplied by community water, give name of supplier: GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: so /zee 7`-' Percent ground slope: /�-• 7' 7s, 2a /ee7. DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 2. fr /e -A Number of Persons 3 (X) Dishwasher Was an effort made to connect to community system? TYPE OF_INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (X) Septic Tank ( ) Vault Privy ( ) Pit Privy ( ) Chemical Toilet FINAL DISPOSAL BY: ( ) Absorption Trench, Bed ( ) Underground Dispersal ( ) Above Ground Dispersal ( ) Other - Describe: ( ( 0 ) Aeration Plant ( ) Vault ) Composting Toilet ( ) Recycling, potable use ) Incineration Toilet ( ) Recycling, other use ) Other - Describe: or Pit ( ) Evapotranspiration ( ) Sand Filter. ( ) Wastewater Pond"' 0 AS L • • 1'1 .`L i... r n.- -• • r C' 1 ' FD i CR '.a.Lr;';S ;'ER DAY If tLe system is to be design~d by a Registered Professional Engineer (F E), state rate of r:bsorption in test holes shown on the location r.ap, in minutes rier inch • - of drop in water level after- Lules have been soaked for 24 hours: 1 �.. 1 - SOIL PERCOLATION TEST' RESULTS:! - ..,_-1 P. `.,• Winutes - per inch in hole No.' 1 Minutes - per inch in hole No. 3 • I,i„utas _ per "Inch in hole No..2 Minutes _ per inch in hole No. __ ! me, address, and telephone of RPE who -made soil absorption tests: address, and telephone of RPE responsible for design of the system: Afplicant acknowledgeihat.,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 ,appl icapt..or by . . the local health department,,for, purposes of the. evaluation of the application; and". the issuance of the permit is subject to such terms and conditions as deemed. .-c. necessary to insure compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973 as amended. The undersigned hereby certifies that all statements 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 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 bylaw. Date y/% / Ere -- Signed PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY t 4z fe. T'1(0 ''� 1�� of dI N f_F.iiiu FS: Inc111:ie by rwlcesured distance location of wells, springs, p otble water supply cisterns, buildings, -property lines, subsoil drains, lake,.water course, strcari, dry gulch and show location of proposed system by direction and distance from d elling or..other_fixed reference object,%and additional submissions in support of this;application_suph.as data, plans, specifications, statements and:. LUik1I! threntS. 1 1 6© Z. eat/7 J—iiq' ke I.3 Link Nate. Tester Address 1487, PERCOLATION TEST DATA z Profile hole V r, Lc 610 TEST HOLE #1 #2 di #3 T TIME (Min.) Level Drop Level Drop Level Drop o �j Z 'r ‘ V'' S% 5 //�w a �/ if u �b � Ir 01111 M "r 10 ��r 3, r, / ' le2�� 00:�r 4 4o/� P 15 �' 1 ;di i � �kr"7 2 of 1f ��f 20 _%' z � /d` �` � CQ4 ) r , rl `7y 476, It 25 r Ye l'‘, 67 ZO r( 30 35 40 45 50 55 60 Percolation Rate minutes per inch.