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HomeMy WebLinkAbout00242 J GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 Uo C.I*€.5iE- Tj 14/9"/ PERMIT N S 242 (this does not constitute a building or use permit) Owner . ,3 �_ Z?7-' d • /271./440 .. -/ �` Z / System Location '�'� /`"�, le .0 • Licensed Contractor de71 -A erg- 4 - C!',ren1$774)6:' * Conditional Construction approval is hereby granted for am X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: ��� /��_ Pere rate / inches in 'PS minutesaao sq. ft( `fr /T ' 11' e 7 WEYf"?,�> absorption area per bedroom 7 N of bedrooms x _ ft. minimum requirement . '4'© Sr//` ' i May we suggest /a' / A 39 "X , / 6-' nine - VCS •04), ,, Tie T .e . 7 7�S O e 4 c c•l/ c '1 Date /ta. "/ ' 76 Inspector *e' r FINAL APPROVAL OF SYSTEM: t. 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 within 12" of final gradg,or aerated access ports above grade. ' Proper materials and assembly. ' " ` tfcl I f Adequate absorption (or dispersal) area. a / Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. % Date /a - j S 7 5 Inspector 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 1968, amended 66.8.14, 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. 3. 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 (8500.00 fine • 6 months in jail or both. __. Fees Paid $# INDIVIDUAL DISPOSAL SYSTEMS APPLICATION Date 72 - IL -;mr r NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM ** Owner: ,97,. f I - /40 ,97(/z)S CL L-- . Mail Address: -9' .3 /ShYgO City: 6/A lU/ D Zip: ?/oo2 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. 1. Location of facility: County 6 // =r City or Town 6-, s • Legal Description / l/ "4= Lot Size t i c - -- . 2. No. of Bedrooms o2 Septic Tank Capacity 75 � ,/ ) Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well )( Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? /c/d 5. Distance to nearest sewer system: f /?jl Have you attempted to arrange a connection with the system? /Y0 If rejected, what was the reason? ptS>c 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: — ,G� j7 7. Name, address, and telephone of person who made soil absorption tests: _ S Fz= 1c -72a4 7 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. A- - 7 S /27,e . jft iA/ StzL Date Signature of Owne r / (TO BE RETURNED TO HEALTH DEPT.) '/ C PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY r j ooceJ kJ INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES )" h l kikv (TO BE RETURNED TO HEALTH DEPT.) / • GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL. HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 PERMIT 418 067 • (this does not constitute a building or use permit) Owner l A • > -9.0 j =' System Location r ••S/fI.7- . "l/ s /F' / AS, C. Licensed Contractor S/ reCC - • Conditional Construction appal is hereby granted for a/ a:2 gallon G Septic Tank on rov Aerated treatment unit. (C &CwNOt&,9r t, 7 e , - 7 .cE r Absorption area (or dispersal area) computed as follows: Perc rate inches in °a '� minute sq. ft. absorption area per bedroom ricrk $ of bedrooms ` a °Pa m sq. ft. minimum requirement : � � , ,e�v ` ` iT. e 9e5 r e?771 May wesuggest -4, !X a' -5e i,. Date ` 4 , 7 —7-` Inspector c "l. f.! 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. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. Date ¶/74‘ Inspector c Vd G 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 68 -44 -4. CRS 1968, amended 68.8 -14, CRS 1985. 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 HI, 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- tained in the application of permit commits a Class 1, Petty Offense ($500.00 tine - 8 months in jail or both.