HomeMy WebLinkAbout00232 ,' f GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
if
f e- /tje PERMIT H S 232 (this does not constitute
a building or use permit)
II Owner cam,= 7)6"2,4 li , ��i (-- 0
System Location 48-,9 r V 6' 1 r
Licensed Contractor l J' t ' V -•, ■ e
* Conditional Construction approval is hereby granted for a /e22r') gallon
1' Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) puted as follow
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Pere rate inches in minutes sq. ft.
absorption area per bedroom ,V f9 ( r= ra I dr?t w r
N of bedrooms x sq. ft. minimum requirement '�" '��' T
May we suggest / aCO a;r - ions/ J ryfi/. /lG !,<r G /f r (: T /
r s c ..r10.4 cam G F •
Date 7/ /2
z 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.
dirite Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
_...Adequate absorption (or dispersal) area.
ag Adequate compliance with permit requirements.
.._.._Adequate compliance with County and State regulations /requirements.
Date /! "��y 7 � Inspector Otto(
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 66-44-4, 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 violation of a requirement of the permit and cause for both
legal action and revocation of the permit.
t 3. Section III, 3.24 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-
I
rained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
I!! "'L - both.
( Bldg. Official Appvl
(Building Zoning SB -3b)
INDIVIDUAL DISPOSAL SYSTEMS APPLICATION
Fees Paid $Pr i -hit
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM ** .
Owner: its a' • eP f e -ge,r1'
Mail Address: ,2 '6 tJtS /1.04.0(t City: erg— Zip:B' / /,fn Phone,0-�/g /7
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 O� / �� City or Town /�4 1 ,
£
Legal Description
PfI1= Lot Size 1��,' 7
2. No. of Bedrooms Septic Tank Capacity EX /5774 - ration Unit Capacity
1
3. -- Source of Domestic Water:- Public (name): -
Private:. Well / Depth Other Depth to first ground water table d/S
1. Is facility within boundaries of a city /town or sanitation district? ryr
Distance to nearest sewer system: /24
Have you attempted to arrange a connection with the system?
If rejected, what was -the reason? -
Rate of absorption in test holes shown on the location map, in minutes per inch of - II
drop in water level after holes have been soaked for 24 hours: ,jZt -z.- / 7
. Name, address, and telephone of person who made soil absorption tests: ! j
_ I
. Name, address, and telephone of person responsible for design of the system:
s F7= Y C / j
. 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.
. 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.
- -7 J 6�. . • ..,
Date tgnature o • r.
1