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HomeMy WebLinkAbout00302 Pill dr 44 .....H. 1 I ti This does not constitute 4 4J a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH : _ 2014 Blake Avenue FEE ONLY - RPE PERC Glenwood Springs, Colorado 81601 du`oui G.. INDIVIDUAL SEWAGE DISPOSAL PERMIT NV 80$ Owner William M. & Sharon L. Dickerson System Location Lot 15, Filing 2, Oak Meadows Licensed Contractor Conditional Construction approval is hereby grante for e 1,000 gallon ,, r X Septic Tank or Aerated treatrtfant unit. Absorption area (or diapersal area) computed as follows: '0/ Perc rate of one inch in 2 m requires a minimum of 210 sq. ft. of absorption area per bedroom. I Therefore the no. of bedrooms 3 x 210 sq. f t, minimum requirement = a total of 630 sq. ft. of absorption area May we suggest t 12' x 53' x 3' Seepage Bed. •.., ..,:.1,' Date Inspector June 30 1476}.' iI ' r 'FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the $ewage Disposal Laws until the assembled system is approved prior to cover - ing any peel. ' ,y' , Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. G _ 9 ' , // PropeNeiaterials and assembly. ( p zi,N0 Trade name of ,r aerated tr eatment unit. Adequate absorption (or dispersal) area. 0/X- C Adequate compliance with permit requirements. I Q / /t: Adequate compliance with Cou'ity and State regulations /requirements. k Other Date v �p 9 Inspector / RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE I M *CONDITIONS: Ili 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au- thority granted in 66-44-4, CRS 1963, amended 66-3-14, CRS 1963. 2. This permit is valid only for connection to structures Which have fully complied with County Zoning and building requirements. L Connection to or use with any dwelling or structures not approved by the building and Zoning office shall automatically be a viola- tion of a requirement of the permit and cause for both ulegal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in -. volves a knowing and material variation from the term$ or specifications contained in the application of permit commits a Class 1, Is Petty Offense ($500.00 fine - 6 months in jail or both.'. Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy ........ . _ ' — .......nm........ ... ................... Fees Paid $cR , ` INDIVIDUAL SEWAGE DISPOSAL APPLICATION ✓ Date (03371(9 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE FEjONL y — INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Q,Q.e.a @-C' Owner: 1i1,itam n. Gt Viefvo,L} L. p,r. ke.,,,,,,) Mail Address: 2V e A City: ( /rp✓,on 9275 Zip: WE,/ Phone:i'y 26 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 lc1 City or Town Legal Description 2d4 1 /) %;h, ;2 (1.1 1 t j7 ��, 1f , Lot Size i, .3: nom, 2. No. of Bedrooms 3 Septic Tank Capacity Moo Aeration Unit Capacity 3. Source of Domestic Water: Public (name): A, ; ,,,_, . , - , ' e u o , Private: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? /1,10 5. Distance to nearest sewer system: Ri^,'v4 57 < �, 4 .- pni Have you attempted to arrange a connection with the system? 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: ,/,,,,,: , 4,, 7. Name, address, and telephone of person who made soil absorption test [„/c/A/w, 4,�,eir�, 44s 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. . x I l i v e /q %‘ f(i (' f�L 4 i i0.1 frl4 kt Signa of Applicant (TO BE RETURNED TO HEALTH DEPT.) e PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • Wiee, z:. Lnts J INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES f/4il$ >, . L • , oqq b.; d (TO BE RETUR TO TH DEPT.) e 501. PERCOLATION TESTS FIELD DATA SHEET CLIENT Bill Dickerson TEST N0. GS -239 TEST LOCATION Oak Meadows No. 2. Lot 15 DATE 4/14/76 TRIAL DEPTH START DEPTH FINISH TOTAL TOTAL. MINUTES N0. START,IN TIME FINISH,IN TIME INCHES TIME MIIN. TO DNCH 20" 1528 hrs 21.0 1543 hrs 1.0 15.0 15.0 2 18.75" 1528 hrs 19.5 ,1543 hrs 0.75 15.0 20.0 1 3 20" _ 1528 hrs 20.75 , 1543 hrs 0.75 15.0 — 20,0 4 5 SOIL LOO FROM TO SOIL CLASSIFICATION MOISTURE 0 5' (CL) Clay, black, slightly sandy, silty High organics FHA• 1103.7.3 FHA• 1103 -8.5 LEACHING FIELD SEEPAGE PIT REQUIRED AREA OF TRENCH BOTTOM REQUIRED SIDEWALL AREA PER BEDROOM 215 SQ. FT. PER BEDROOM SQ. FT. REMARKS: DATE HOLE SATURATED, 4/13/76 TIME 10:00 AM DATE PERCOLATION TEST MADE 4/14/76 TIME . 11: 00 AM LINCOLN DEVORE TESTING LAB �� etirya D Morr a P. E. iii _ M.T. Weaver BY / - d OBSERVER LINCOLN- DeVORE TESTING LABORATORY - COLORADO SPRINGS, PUEBLO, COLORADO -ROCK SPRINGS, WYOMING \ _ _ __ _ _, _