HomeMy WebLinkAbout00305 . �' k !vYM"14tlYFW S 1 i; 2 4 0
1 This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH — 7";:y 2014 Blake Avenue ,C
Glenwood Springs, Colorado 81601 ' /
ALTERATION - PERC ONLY - /v / r
INDIVIDUAL SEWAGE DISPOSAL PERMIT N4 305
Owner Lovena M. M1chelsen
System Location 4951 Road 233 - Rifle, Colorado
Licensed Contractor owner
* Conditional Construction approval is hereby granted for a /00 Q gallon
[ Septic Tank or Aerated treatment unit.
Absorption area (or diapersal area) computed as follows: r ,
) f i
Perc rate of one inch in " minutes requires a minimum of a / 0 sq. ft. of absorption area per bedroom.
Therefore the no of bedrooms ` 5 x Q sq. ft. minimum requirement = a total of iOsq. ft. of absorption area
May we suggest ./ /x 6 a 2 , 3 / 4, 'eP Z •e Sett).
Date 9 ' 7- '7/� Inspector m .,,r icy"
1 s
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.
,0 i't Septic Tank cleanout to within 1r of final grade or aerated access ports above grade.
CL' / Proper materials and assembly.
',b/ C< err trade name of septic tank or aerated treatment unit.
0/ Adequate absorption (or dispersal) area
0/0 Adequate compliance with permit requirements.
�3 Cie Adequate compliance with County and State regulations /requirements. ,
Otqher /
Date I :.6L /9/ /7 / !o Inspector F QLt%7i'r L �{J.' - . ,
i i
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RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
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`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 term, or specifications contained in the application of permit commits a Class I,
I1 Petty Offense ($500.00 fine — 6 months in jail or both.'
I '''`" Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
Fees Paid $ 3,03
. INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date 1 -'I- 1(
` NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE ��� ,
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
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Owner: ---X- / , G 7.- - " e "` /' , ££ ��� -, // 4�+,
Mail Address: ' / % • City: j �!_ Zip:ir Phonef re
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIE ,� qty — SG9S
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 prpfjles in test holes. / i •
1. Location of facility: County
��� or Town 4 .... � '//
/ iii., .' ..
Legal Description ,�.- �
p Size • Jf pAte „j, ; J
2. No. of Bedrooms 2 Septic Tank Capacity Aeration Unit Capaci y
3. Source of Domestic Water: Public (name): i• �,. � /� / �� / 4 � _ , 11
Private: Well Depth Other Depth to first ground wa er table *.
4. Is facility within boundaries of a city /town or sanitation district? >0 ,
5. Distance to nearest sewer system:
X/ >
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:
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:
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.
0/
Si A pplicant
(TO BE RETURNED TO HEALTH DEPT.)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
3
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
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Mr: 111
TO BE RETURNED TO HEA TH DEPT.)
• DEPARTMENT OF HEALTH
AND ENVIRONMENTAL PROTECTION
Garfield County
OFFICIAL NOTICE
.. itt/ e so, /97e
DATE
TO tit z 74 /Cx 01 SCA/
ADDRESS !9'9.S /' ;2 33 .
LOCATION
YOUR ATTENTION IS CALLED TO THE EXISTING VIOLATION(S) FOR WHICH
YOU ARE RESPONSIBLE fri /4c e /.&SPeCTioh/ Slows
sect /snn ,c s c'V r'c r st at S Cam! ! e.Po C Z Poj S
I1 thi%Ti' ✓. a S Sn i k e 'C oio `°D a%2 yo / 5LA /C t
YOU ARE HEREBY NOTIFIED TO ABATE THE SAME. BY 7—/o 19 24
(Legal service shall include posting of this notice in a conspicuous place). This office must be
notified by letter or phone, as soon as compliance has been effected. If at the expiration of this time i t' same remains unabated, such action will be taken as required by law.
-44.-44.1.14 3 ,°,/97
T D
SANITARIAN OWNER & OCCUPANT
/34Le,/C pea ,
POSTED AT
DATE
WITNESS
Note: If this office can be of any possible assistance or aid to you in resolving the above noted
concerns, please feel free to contact us at any time.
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