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11 • GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH Ca• " -
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT # S 229 (this does not constitute
a building or use permit)
Owner Ralph n. Hubbell
System Location. Lot 7, Block 6, RISC Creek Village - New Castle
Licensed Contractor owner
* Conditional Construction approval is hereby granted for a/ "CO gallon
Septic Tank or k Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate / inches in r minutes / 57) sq. ft.
absorption area per bedroom 77/ "4
1
# of bedrooms 1 3 x / `'Osq. ft. minimum requirement ' \ ` /. > '"- a' f -` . �' etci'ar'- ,k':''
t i'cV /J ,,fir'; , l . 7)
May we suggest 2: —elect c / S i = 5c1?l,'tee cc. 0. 3 et e r f.1 i' e e 40
w . 7' �/ •
Date ` ' • '�' - J •`-� 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 covering any part.
cDfr NEG
Sege Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
11i Adequate absorption (or dispersal) area.
clC Adequate compliance with permit requirements.
dequate compliance with County and State regulations /requirements.
� �7
Date �- _ 5 Inspector C /V- t /'
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirenjpnts of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 66.444, CRS 1965, amended 66.344, 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 sewag disposal
system in a manner which involves a knowing and material variation from the terms or speci cations con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 month 'n jail or
both.
1
Bldg. Official Appvl.) j
INDIVIDUAL DISPOSAL SYSTEMS APPLICATION (Building Zoning SB -3
Fees Paid $
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* _
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: M3C LL
Mail Address: /2 in City: Odkn Efft2 Phone:9f —0175
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 �4,QF/ City or Town AJC.c.0 £! S:71.c
Legal Description J p y � L., S p Lot Size &D X /1/ nt,K/,
£ C I LL AE.E Nw t
G-44 -yc„ '
2. No. of Bedrooms 3 Septic Tank Capacity ration Unit Capacity SSOO
3. Source of Domestic Water: Public (name): , Lr Cr c._ v i A tt i c, S'57CA4
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? Mo
5. Distance to nearest sewer system: / M 1 L.E
Have you attempted to arrange a connection with the system? AID
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: C. - pc ra a& ,, T --
7. Name, address, and telephone of person who made soil absorption tests:
Se - Pettak
8. Name, address, and telephone of person 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 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. /
Date ignature o 1 ner
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY ON THIS SHEET OF PAPER -
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