HomeMy WebLinkAbout00156 I
s GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
ii i1 Jtn��y�c�r -r� PERMIT N S 156 (this does not constitute
a building or use permit)
Owner Ernest C11 nett',
System Location Block 12, Lots 20, 19, 18, 17, & 16 - (.00perton — 00 (U
Licensed Contractor owner
* Conditional Construction approval is hereby granted for a 1.000 gallon
Septic Tank orb_ Aerated treatment unit.
Absorption area (or dispersal area) computed as follows: •
Perc rate / inches in minutes // sq. ft.
absorption area per bedroom three
# of bedrooms 3 x 115 sq. ft. minimum requirement a 345 sq. ft. of Alison) ti area
May we suggest: Orywel1 10' square 6 9' deep below inlet.
Date June 3, 1976 Inspector
Ed Feld, Department (lad
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 covering any part.
OM' Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
V' te, Proper materials and assembly. 4 e TA / to
t'. t• ea Adequate absorption (or dispersal) area,
et Adequate compliance with permit requirements.
SL Adequate compliance with County and State regulations /requirements.
.... Date ./S> /7 7 i Inspector a--c tc € C-f ja.I- i-17 - ; cif
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 in 66.444, 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 violation of a requirement of the permit and cause for both
legal action and revocation of the permit.
8. Section III, 8.24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or
both.
Fees Paid $C 00
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date (p-
p- 1s
NOTIFICATION
DISCHARGE TO STATE
C ��� r /
sv SZ� I o ' g
Owner: hmLA � p kkn . dkA
Mail Address: 5te,r t i . &fai/ City: Zip: 7 Phone: %a
o
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 prpfjles in test holes. p
1. Location of facility: unty `� .Qr'X_..- City or Town `,gyp- pv�j„(1��
r�
Legal Description 5 ' c eiL <.o75 20/P/2 /7 /¢,ot Size am`
2. No. of Bedrooms Septic Tank Capacity Aeration Unit Capacity I nQ ()
3. Source of Domestic Water: Public name -it
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district?
5. Distance to nearest sewer system: tz mn i-t
Have you attempted to arrange a connection with the stem? ND c
If rejected, what was the reason?
IJ(5t '' �/
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: 256.7z-r ,et ?v,2 , 7
7. Name, address, and telephone of person who made soil absorption tests:
SCE A / T r
8. Name, address, and telephone of person responsible for design of the system:
Sera- .‘k-72.ui T Cr
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 terms, conditions and requirements
included therein.
--- n !
D1 1S Is' re.a`I And_
late Signature [df' Applicant
(TO BE RETURNED TO HEALTH DEPT.)
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PROPERTY DESCRIPTION: •• . • 1
Lots 1 thru 15 of Block 13 and Lots 6 thru 30 of Block 12 in Townsite.of
, , Cooperton. Garfield County. Colorado (recorded in Town Plat Book l.at 4
'page 16 Garfield County records),
• SURVEYORS CERTIFICATE: i
1 hereby certify that a field survey was conducted. under my . `� I
supervision on March 20 A 21. 1975 of the property shown I
.4 hereon; and that this plat is a true representation of said srvey; to the best of ray knowledge and belief.
Luther T. Musgrove, 1.5. 10386 trs arA • • 4
o .arr oaf 'AVOW ...f 'ea. . I
1,V.Yr,14 a ef? .Iriwwx «/ 'lam
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'1038 B ...
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.� a LOTS 1 -15. BLOCK 13 8 •
LOTS 6-30, BLOCK 19
DD&R1DA, •CDLDRADD
+ FOR ;
F4 ARING, FORK REAL ESTATE • •
, P,0, BOX 7,59
• P4iJj • ANOALE, COLORA00
,. -
BY
KQSGROVE
•
$W&VEY NAa
• • 6563,1Row
. GRAND .?,intlQJ o01;00.AQQ PHONE:
11, t 81,50 • 303 - 7089
I
mARCH . 26, 1975 FILE: 75 -03 -04 ,
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