HomeMy WebLinkAbout00222 ,, 11,1.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
, Glenwood Springs, Colorado 81601 `.
I REPAIR PERMIT 11 S 1N22 (this does not constitute I
a building or use permit) ';
t, Stnlnnan Sannenk "
Owner tT9F.TFn P1ir TROLISIRt
System Location Past CMC - lot ranch on loft by duck pond - .-4 9G / .- /1. n e ,!?,/, . ,
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L Contractor Lae1 $oghaa
* Conditional Construction approval is hereby granted for a /enr ?gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate / inches in 30 minutes , *5Z j sq. ft.
+ ! absorption area per bedroom .7
N of bedrooms ... x. CI sq. ft. minimum requirement = :;'.s r> ° °- rte' ' ;//f :'- 7 , f-Y, 111 ^,4 ) I ;.
May we suggest /: CAC- !' / - (' / _ c... -,- 1- yr* - e , fir. 7) ✓�"<%C
Date /..�_.. _ Z— -7 - Inspector. > �
µ 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.
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111, -- Septic Tank cleanout to within 12 of final grade or aerated access ports above grade. ,
r Proper materials and assembly.
II
GP+ - 9 P Adequate absorption (or dispersal) or dis ersal are a.
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1I1 1 j Adequate compliance with permit requirements.
Ih ' Adequate compliance with County and State regulations /requirements.
Ifl'
Date /2-- - v im' l - S
Inspector G����
jl RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
' •CONDITIONS:
h ' 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 88.44.4, CRS 1988, amended 88.8.14, CRS 1988.
' 2. This permit is valid only for connection to structures which have fully complied with County Zoning and 1 1,h'.
building requirements. Connection to or use with any dwelling or structures not approved by the building ;" I,
and Zoning office shall automatically be a violation of a requirement of the permit and cause for both 11
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Bldg. Official Appvlrciiyy
(Building Zoning SB -35)
INDIVIDUAL DISPOSAL SYSTEMS APPLICATION fl oc -)
Fees Paid $�
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: FOSTER PETROLEUM / v (Para <S//'T/✓LO C
Mail Address: COUNTY RD City: nrnr �T P*�WOOD Z ip: Phone:
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.
i
1. Location of facility: County CARFTFT.n City or Town -11, / „
Legal Description RRPATR Lot Size % /
2. No. of Bedrooms SSeptic Tank Capacity /c2D Aeration Unit Capacity
3. Source of Domestic Water: Public (name): W
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /townpil� district?
5. Distance to nearest sewer system: /
Have you attempted to arrange a connection with the system? _ „..--€2
If rejected, what was the reason?
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: SEEPERMIT
7. Name, address, and telephone of person who made soil absorption tests:
SEE PERMIT
8. Name, address, and telephone of person responsible for design of the system:
SEE PERMIT
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 s, y .*>• -ns any equirements
included therein.
r r 7 .j / FOR OWNER
D ate ignature o . ner