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HomeMy WebLinkAbout00195 •. 41 • "4 GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Wake Avenue Glenwood Springs, Colorado 81601 FEE ONLY PERMIT # S 195 (this does not constitute r _ a building or use permit) Owner. Ruri au of 1 and Managomont System Location Rifle Licensed Contractor J. E Raysinaar * Conditional Construction approval is hereby granted for a gallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate inches in minutes sq. ft. absorption area per bedroom N of bedrooms x sq. ft. minimum requirement May we suggest Plans approved as attached - Date Atycucl: s 1975 Inspector 1 aer,pt 1 Kl nkprlw•, tP r, fll rAr inr. /by/ t,lb !hN 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 covering any part. Septic Tank cleanout to Ithin 12" of final grade or aerated access ports above grade. coves Proper materials and assembly. -W (!'c et G 01 N 11 C s /C* 4 C (os c) 1 OR Adequate absorption (or dispersal) area. iD /C Adequate compliance with permit requirements. / �`� uate de compliance with County and S. ate regulations /requirements. 4 P tY Date ‘14 Z 7 4 /9 7 4 Inspector /fQ'' 00142-00e 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 authority granted ih 66.44.4, CRS 1963, amended 66.8.14, CRS 1988. 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 violation of a requirement of the permit and cause for both legal action and revocation of the permit. 8. Section III, 3.24 requires any person who Constructs, alte @s, or installs an individual sewage disposal t system in a manner which involves a knowing and material variation from the terms or specifications con• II tained in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or both. — — Bldg. Official Appvl. (Building Zoning SB -35) — INDIVIDUAL DISPOSAL SYSTEMS APPLICATION Fees Paid NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM ** Owner: BUREAU OF LAND MANAGEMENT Mail Address: P. 0. BOX 1509 City :Grand Junction, Colpj 81501 Phone :303 242 - 8515 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. 1. Location of facility: County GARFIELD City or Town N/A Legal Description Within the SW*,SWII,Sec. 23, T.5S. Size Unknown, BLM Lands R.94 W. of the 6th P.M. 2. No. of Bedrooms 3 For Septic Tank Capacity 1000 Gal.Aeration Unit Capacity N/A Design Purposes 3. Source of Domestic Water: Public (name): No Spring North of Site Private: Well Depth Other/ Depth to first ground water table Not en 4. Is facility within boundaries of a city /town or sanitation district? Nn countered 5. Distance to nearest sewer system: N/A Have you attempted to arrange a connection with the system? N/A If rejected, what was the reason? N/A 6. 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: 50 minutes per inch 7. Name, address, and telephone of person who made soil absorption tests: H J rraham S(:ARROW AND WAIKFR. INC.. P. 0. Box 460, Glenwood Springs, Colorado 303 - 945 - 5574 8. Name, address, and telephone of person responsible for design of the system: Saxon as 7 above 9. Express permission is hereby granted for the inspection of the above property by any member of the Garfield County Environmental Health Department and /or such persons as they may designate. Any withdrawal of this permission shall be in writing and receipt acknowledged by the County Environmental Health Department. 10. I have been given an opportunity to read the Individual Disposal Systems Regulations of Garfield County and I hereby agree to comply with all term , conditio d requirements included therein. Olt 4urp l / � f 73 t f , Date / ignature o i ner PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY ON THIS SHEET OF PAPER - • , '- ( \, • R. 93 W., ' R 94 W. eo- I.�ao,o oc. „ . W. NE I �UTN ZONE 13 c . __ Q l R p11 --� ��' i e: - _ MP I S ' 1 ° . • ice 1+ o n e • >'oo.000c l - T_ J' a — l 7 4 L tt J' - - r LE • I,� I I li US S IIII ill" e , t r_..... pli \ , IIII MA % LT_ 4. — �: == ^ :.; . ' 4 � . \ ` � � J � , /i �� _^ tea 1 ' * • A \_ as h 31 38 31 7 .__:,,_ ..c.= ______*_,.. r1 o 416 • � 3 9 1 • A > >. 1 p `" n \! 1\ � _ - oa eom 4 = ,_ • /� c \ • M �{t. ®p � w I 1 " . Fq 0 V • 9.•�:R3.}�f O ATE T 1 -1:-. R tr -- r7 ��' ECREA O ARE - i s ° c `• L < .,... 5 . , RIFLE / / a NO ' s . eda a4 • _ ■ �\ � ( l u u T. 5 S. I t R. • 5-4 1 ® o a w ■ < _ ^`' by '� ---i n • • ' i @4� g o y . "i ►- t -6 ' . `. 'y N m ar• ` r Rgia „,, q W Antl/ V r PAR LE "I - r -” ` Y t c i / �� o 1 N � "� 111:* F 0 v I f„"" 'a' ` F i n �\ L 1 . ti: - i - 'rat . All _Eon .� nv i Polnt I _ ve t p S I T C , .0'k _ � Ncnirr West A NIIPoInt )1 •� '• • - r • _ -t---.$-' 1 / lal s�[� s.�Y /� / A nvil P I - fl �� \;\ } N L+ — _ 8 ay \ I ' 1 — .` �"F t __::::-• R ■■ Rifle - Ty `♦•' °e ueeau :err I l � i. -- 1..... I f - • • \ i � J �tl o• [ ! e Oar c e~ , h' l _ ' � . „ \ / ., / r' ,,_ • N II I ` u � ,I °[ 3T. 6 S. F 6 I • \/ l rt--i\ 1 N �p 1 -� S /FLC� 1 ' � • III / / / °�� Y - _ r� f . r-0; - I, 0 19 li 1 F ., \4. u lson " C C , l " � F C l \ \\ \1 7 . tir L ... 1 .-h---- ^� t 0 : � 1 �S' Grass l ( ■ v-� June 11, 1975 Mr. Bruck Carrol BUREAU OF LAND MANAGEMENT P. 0. Box 1509 Grand Junction, Colorado 81501 Dear Mr. Carrol: As per our telephone conversation, please find enclosed the Anplication for an Individual Sewage Disposal System. As we discussed on the telephone, you will have to obtain the services of a Registered Professional Engineer to design your system since you have a commercially designated status. Upon completion of the proposed design, again please be advised that said design will have to receive approval by this office prior to construction. The fee will be $25.00 if your engineer does the percolation test, or $75.00 - -- df this office conducts the percolation test. If we may be of any assistance to you or your engineer, please do not hesitate in contacting this office. Sincerely, ENVIRONMENTAL HEALTH DEPARTMENT Edward L. Feld Deputy Sanitarian ELF /tlh encls.