HomeMy WebLinkAbout00332 t.
...-. ,
4 , ...
5 i I
so,,,, This does not conetitute
1 r 4,
a building or use peretit.
lirl GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
..,,
2014 Blake Avenue
I
REPAIR - PERC ONLY Glenwood Springs, Colorado 81601
1 INDIVIDUAL SEWAGE DISPOSAL PERMIT N2 832
Hi Owner Herbert Buchwald, Trustee
System Location Silt - 'Formerly Spaulding Ranch
I I Licensed Contractor ore." 'V Cji
1
* Conditional Construction approval is hereby granted for a 7'.sz2___ gallon
iii
/ $eptic Tank or Aerated treatment unit.
I
r '
1 Absorption are (or diapersal area computed as follows:
' (
Perc rate of one inch in A.S. minutes requires a Minimum of //7e) sq. ft of absorption area per bedroom. -;
N
Therefore the no of bedrooms ..,,, — x 44.)_ sq. ft. minimum requirement = a total ,,iit)._....sq ft of absorption area
May we suggest/ 7 " ., ,F , 3,, / kr ...' 7 5 62 ,,,3
_ ,
---
(-,-,. A
Date / - el - 74. Inspector
- r
—
FINAL APPROVAL OF SYSTEM:
?"-AAC
w
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover-
.1 ing any part.
......_11—__.. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
( name o aerated treatment unit.
4 211:10
Adequate absorption (or dispersal) area
eV Adequate compliance with permit requirements.
d e Adequate compliance with County andState regulations/requirements.
Other - 19-/PLe C in, re 'e-ea / A H liga rt --- /11 V.
CP-Ce--
at i f CP "8-44 tre c o e../ en . (tr." ,A:9 -4/ a /
Date *--- --5- '--- 7.)-‘" Inspector ..
5 7W.-erti-20-0' er 4,',..-- 5trecisfar C
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 epproved by the building end 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 $ '°D
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date q -z
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE 1 �
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner:
gamer lJ e 4I CV,ftt 4 '�1/C'7te -
Mail Address: n fit s ot)
7139 tnur.�s /{vim city: y/t*+/ , �zip: 33/4,0 Phone: gd8_.!'303
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 (Tei /Et/l City or Town
Legal Description Sa ,(+,D Sa 3t i19 Lot Si >1 ,. e
l�Qa �
2. No. of Bedrooms A Septic Tank Capacity Aeration Unit Capacity
3. Source of Domestic Water: Public (name): VS/
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or ==/ ation district?
5. Distance to nearest sewer system:
Have you attempted to arrange a connection with the sys 9 ivr ere
If rejected, what was the reason? s.2%z c, c e
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: n - !o z=se _e r
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:
14 /
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 Indivi :1 Disposal Systems Regulations of
Garfield County and I hereby agree to comply with . 1 t•rms, condition and requirements
included therein.
9/1/26 Signature o Applicant
(TO BE RETURNED TO HEALTH DEPT.)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
4
ores CA
:f
G
Ca OAPS 'C 0 �I�a crs
API
kcd (FoA nfA / '/� •
J91 M1 �A'O
i
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BU I•N REAMS, RRI -TpJ uI C S, R.'DWAYS, AND BOUNDARY LINES
rittArr Ce1-€17_, _
fl � fUc
o
_______,
(TO BE RETURNED TO HEALTH DEPT.)