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I a This does not constitute
4;,.. a building or use permit.
GARFIELD COUNTY DEPARtMENT OF ENVIRONMENTAL HEALTH
lii 2014 Blake Avenue
ALTERATION ; NO FEE /CHARGE Glenwood Springs, Colorado 81601 •
INDIVIDUAL SEWAGE DISPOSAL PERMIT No
257
�' Owner
Dave Miller
2
System Location 0125 - 156 Road - Glenwood Springs
12
Im !' Licensed Contractor owner
ilrt •
Conditional Construction approval is hereby granted for a 2.000+ gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in N/A minutes requires a minimum of N/A sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 11 /A x N/A sq. ft, minimum requirement = a to o N/A sq. ft. of absorption area
May we suggest Approval granted for monitoring and pumping access pipe. ,r r
(Diversion drain to be provided to handle peak season run -off) - �'.
Date Inspector ' r"
L npri I 5, 191b /.,< / X S3/ X / .3 pi9Y'o� sew 7V S /MS ` t . ''
FINAL APPROVAL OF SYSTEM ' Ooe71 n c-ae J � � �R Y��� *se',
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covers
ing any part.
.Septic Tank cleanout to within 1r of final grade or aerated access ports above grade. A/Etc> / Oo-e
e Proper materials and assembly.
fir' Tr ade name of septic tank or aerated treatment unit. A.y r. ��G�.v r)
����,�� /VFFG✓ r erxec> Oc.. !/")
c.". e t"- Adequate absorption (or dispersal) area "�� � e
' Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Gft :.. Other 49I-t P 24 7e 'e- Z. e 77z G�
�... 1.
Date i'7 '_ - . -- 4 ' � "' 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 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
Fees Paid 50dakr
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date .S
0 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: p.7 !/ P. /" A ! F /e ,`
Mail Address: T ,/�sS /S 6 �� City: 64 Zip: 2 /6o Phone: C=94”,-
y
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 ly �i e , ba City or Town 74_ In uJ&te
Legal Description i AO' re loite e r Lot Size /yWC
2. No. of Bedrooms . 2. Septic Tank Capacity 4,n2a Aerati on Unit Capacity. /goo
3. Source of Domestic Water: Public (name): 64° tcLo n c /
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? 442
5. Distance to nearest sewer system: , /2( /e s
Have you attempted to arrange a connection with the system? /rye,
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in minutgs,per inch of
drop in water level after holes have been soaked for 24 hours: Jl/ f( /
7. Name, address, and telephone of person who made soil absorption tests: /t
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 of the Garfield County Environmental Health Department and /or such persons ns 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 Signature o Owner
(TO BE RETURNED TO HEALTH DEPT.)
PLEASE DRAW AN ACCURATE MAP Ti YOUR PROPERTY
•
9
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
to Earl -t l or-
(TO BE RETURNED TO HEALTH DEPT.)