HomeMy WebLinkAboutApplication- Permittil
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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014,, lake Avenue
Glenwood Spr rigs; Colorado 81801
Phone ( 03) 945.8241
INDIVIDUAL SEWAGE DISPOSALPERMIT .4
Owner_
System L
License
This does not constitute f
albuilding or use p#rmlt.
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^-. 1/ 1 t
` } rr a 11000 gallon
nt unit.
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�—&~G_0.€-,?-__________,...,,,,z_inImUr of sq ft of absorption ar
77/ �m k Pyr bedroom.
77����/� „sq. ft. minimum requirement = a total of �_sq ft of absorption area.
FINAL APPROVAL -bre.
1
Inspector
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to Covera
Ing any part.
0 re...-- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground .•
rr l surface.
a l Proper materials and assembly.
Ler&iiii Trade name of septic tank or aerated treatment unit. ]
/ J
O� Adequate absorption (or dispersal) area..;, / j �' �& / O 4441
ofc. Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Other
7/lR8z
Date
M
Inspector
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5- // 2/$ 2._ G
RETAIN WITH RECEIPT RE.'tORDS 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'd!CRS 1963.
2. This permit is valid only for connection to structures ioh have fully complied.with County zoning end building requirements.
Connection to or use with any dwelling or structures n." approved by the Building and Zoning office shall automatically be a viola-
tion of a requirement of the permit and cause for both 1 a'I fiction and revocation of the permit.
3, Section 111, 3.24 requires any person who constructt; 8Item 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). II
Applicant: Organ Cojiy O}partm.nt: Pink Copy
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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945.8241
INDIVIDUAL SEWAGE DISPOSAL PERMIT .1
Owner Ken Lowery
System Location
1134
This does not constitute
a'building or use permit.
935 Highway 325, Rifle
Licensed Installer
" Conditional Construction approval is hereby granted for a 1,000 gallon
XX Septic Tank or Aerated treatment unit.
��h �l��lN� F'�' �•'L'Q i"i1
Perc rate of one inch in �_, minutes requires a minimum of sq ft of absorption ar per bedroom.
Absorptiorvarea (or dispersal area) computed as follows:
Therefore the no. of bedrooms 3 x
May we suggest
Date "7__A
l
FINAL APPROVAL OF SYSTEM:
sq ft minimum requirement = a total of
Inspector
sq ft of absorption area.
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.
OK— Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface,
Proper materials and assembly.
Trade name of septic tank or aerated treatment unit. (r --Te) ,(,._
Cr---Leirdid_
Adequate absorption (or dispersal) area./& X ��/ •.€44,1 6(1
OI�'. Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Other
Date M (£.s.q 7•nI r Z Inspector I r
eirAdo-Ff inikk )1:1_
bz/8 _�-
'> Z1&.C/
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
:I ! r. • .
*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 (5500.00 fine — 6 months in jail or both).
Applicant: Green Copy Department: Plnk Copy
Page Two Fees Paid $ /5 OC
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date /4 j g
1
AL(liVq;;45P
Owner: wW4.1
,
Mail Address: 15'02;1 -- 's3S City: fLiij..tZip:moilokPhone: 98Y:Zi1k
exA
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).
Near What
1. Location of Facility: County GARFIELD City or Town
Location Address &/or
Legal Description 9 3 �,Z S Lot Size 1( AC -C-s.
2. No. of Bedrooms 3 Septic Tank. Capacity /Ow Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): 40
r
Private: Well Depth /CD Other Depth to 1st ground water table /ZS -
4.
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4. Is facility within boundaries of a city/town or sanitation district? Pr.
5. Distance to nearest sewer system:
Have you attempted to arrange a connection with the system? tOlD
If rejected, what was the reason?
To d—ar
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.
/7 tit[
Date
Signatur f A'slicant
(TO BE RETURNED TO ENVIRON. HEALTH DEPT.) lv /Z 2;05 r
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
1
Page Three
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDAhT LINES
(TO BE RETURNED TO ENVIRON.
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