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Home My WebLink About00252 This does not constitute a building or use permit. Y DEPARTMENT OF ENVIRONMENTAL HEALTH liy,. GARFIELD COUNT 2014 Blake Avenue Glenwood Springs, Colorado 81601 kl INDIVIDUAL SEWAGE DISPOSAL PERMIT NV 252 • I ' Owner Daniel F. Ogan System Location 5 miles south of Glenwood Springs i ll i. L Contractor owner * Conditional Construction approval is hereby granted for a 0_ gallon nxxw Septic Tank or Aerated treatment unit. Absorption area (or diapersal area) computed as follows: Pere rate of one inch in — minutes requires a minimum of .et sq. ft of absorption area per bedroom. Therefore the no of bedrooms . — x ,d7-6 sq. ft. minimum requirement = a total of 0-4'43 sq. ft. of absorption area May we suggest a" „vet; try:- /u'" " sea.elee ° e 3 e. co eeff' e` GQ ee.) ',ev Date .7 /fir 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 cover - ing any part. CalC,/ Tank cleanout to within 12" of final grade or aerated access ports above grade. wC./ Pro tnaterials and assembly. ,,,ygl Trade name of septic tank o aerated treatment unit. Ler �j' Adequate absorption (or dispersal) area. a Adequate compliance with permit requirements. e4e- Adequate complianceyvith County and State regulations /requirements. nifr Other Date i/ Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SI ''"*CONDITIONS: 1. All installation must comply with all requirements of the Courf Individual Sewage Disposal Regulations, adopted pursuant to au- thority 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 viola• tion of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine — 6 months in jail or both. Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy ( Bldg. Official Appvl. pJ�4 INDIVIDUAL DISPOSAL SYSTEMS APPLICATION (Building Zoning SB -33 Fees Paid $15. NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM ** Owner: DANIEL F. ()GAN Mail Address: Q,(&. iiox 93/ City: 64.r t/O ,5 Zip: &/6 -o/ Phone: ?0/: 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 GAI.FiEFI_b City or Town /T1,ENvcot) 5PRJNLS Legal Description64 /N'SE / 795 R7574Y4,P Lot Size s" J4 C.2en 2. No. of Bedrooms 3 Septic Tank Capacity /C00401--.Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well X Depth /C)(7) Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? yE5 5. Distance to nearest sewer system: 700' Have you attempted to arrange a connection with the system? M 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: x=7= 13 4/Ct 7. Name, address, and telephone of person who made soil absorption tests: 8. Name, address, and telephone of person responsible for design of the system: 5& � . AA t LT 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. Modzi p / 3 19 P6 `U ate ' S ig ature of Owner 3D; N19°3 H7" PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY Ar • �v NS tder, N H9oag' 16 "c J x,.73 6 Cy ° °a LOT 2 - 1 • `Y p T 7 5, R, (I t,J, OF THE- TH P. 1\9. I -I 2 o N trezNog • Al o.2. We" 1Ss1,7� i_pT )50,5° 5 op. ''20 o 30 3 rs '3 e,o sT / cf>cP c o c, -S INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- :1 IROO ,E , R 4 S, RR 1 D ' 5.�� '' , 4 1 RS ,o 4 y,v AoN 61-04QMD 5 P lc Dir�fi iG -rho Nt 4 PIP V)19' ,.i.9' 1- 0 (TO BE RETURNED TO HEALTH DEPT.)