HomeMy WebLinkAboutExisting Septic PermitThis does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Inwood Springs, Colorado 81601
FPC I LE AWED - RATE KNOWN 11- FEL I' L T Phone 13031 945-7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT 11U 798
Owner
James R. Clough
System Location log S, Filing 2, Westbank Sub.
Licensed Contractor
hPh
t9479 <i%ris'Tb 4 /e/,
Conditional Construction approval is hereby granted for a 1,250
gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Parc rate of one inch inminutes requires a minimum of 230
1 G gJt - 3'a fo —etAA k,�a�n,6•a�,l
� yr
sq ft of absorption area per bedroom.
Therefore the no. of bedrooms 4 x 230 sq ft minimum requirement = a total of . 920 cq ft. of absorption area.
May we suggest keen Leach Field 24' x 40' x 3' or 18' x ' x 3' or 12' x 1-,' x s'
Date December 13, 1979 Inspector`�
FINAL APPROVAL OF SYSTEM:
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.
o/c
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Proper m / rials a
/-?....,r-C) al_
assembly.
ffT ade name of ptic tank or aerated treatment unit.
Q% Adequate absorption (or dispersal) area.
OK Adequate compliance with permit requirements.
OR, Adequate compliance with County and State regulations/requirements.
Other
Date
f/i? f
Inspector �/tMj
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 1,
Petty Offense (5500.00 fine - 6 months in jail or both).
Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy
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mI
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION
Owner:t�/17vs e CC_ ars Fe
Fees Paid $
Date
Mail Address: cfADeit C41...4;z City: 646 Zip: g./6).-3. Phone: 7e341745
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable buildings, location of potable water wells, soil percola-
tion test holes, soil profiles in test holes (see Page 3).
1. Location of Facility: County GARFIELD
City or Town
Legal Description Aar s 714a., 10 - it Lot Size / V-
2. No. of Bedrooms V Septic Tank Capacity /3 S15 Aeration Unit Capacity
3. Source of Domestic Water: Public (name): OD,•mum/ r -y
Private: Well Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city/town or sanitation district? Ao
5. Distance to nearest sewer system: .<47-,e
Have you attempted to arrange a connection with the system?
If rejected, what was the reason?
/10 £ysr s-, OL.W17'424t
6. If R.P.E. tested, state rate of absorption in test holes shown on the location map, in
minutes per inch of drop in water level after holes have been soaked for 24 hours:
7. Name, address, and telephone of R.P.E. who made soil absorption tests:
8. Name, address, and telephone of R.P.E. responsible for design of the system:
9. Express permission is hereby granted for the inspection of the above property by any
member of the Garfield County Building & Sanitation Department and/or such persons as
they may designate. Any withdrawal of this permission shall be in writing and receipt
acknowledged by the County Building & Sanitation Department.
10. I have been given an opportunity to read the Individual Sewage Disposal Systems Regula-
tions of Garfield County and I hereby agree to comply with all terms, conditions and
requirements included therein.
D e
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
ature o Ap
scant
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r
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!
y0N0'
friOilt '14;44
ST
Page Three
.l-111 AJ rrn•-w ae
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES. STREAMS. IRRIGATOR DCC'U , ROADWAYS, AND BOUNDARY LINES
(TO BE RETURNEQ.TO BLDG. & SANI. DEPT.)
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