HomeMy WebLinkAbout00357 • •
This does not constitute
` a building or use permit. I
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 . Blake Avenue
REPAIR — MC ONLY Glenwood Springs Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT N4' 357
'q Colorado Rocky Mountain School
v Owner
El same — oarbondale
I l h System Location
Tom Milker
di ii Licensed Contractor
l
u * Conditional Construction approval is hereby granted fora 4 gallon
Septic Tank or Aerated treatment unit. ,
IIII Absorption area (or diapersal area) computed as follows:
m Perc rate of one inch in 5 minutes requires a minimum of 125 sq. ft. of absorption area per bedroom.
Therefore the no of bedrooms 3 x 125 sq. ft, minimum requirement = a total of 375 sq. ft of absorption area
May we suggest r Deep trench 25' long and 6' deep below leach line. 'j
December 16, 2996 ' ��/
Date Inspector
FINAL APPROVAL OF SYSTEM: 1 '' 1 • t o %1 411
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.
a CSeptic Tank cleanout to within 12" of final grade or aerated access ports above grade.
�'Gle Proper materials and assembly.
Trade name of septic tank or aerated treatment unit. t is 2 .0 G
Fil 0 �� Adequate absorption (or dispersal) area." /
ii
Adequate compliance with permit requirements.
!J'`� C
Adequate compliance with County and State regulations/requirements.
q P Y
Other ^ � , ^" ^�
ti
"� Date 1)- - `' 1 Inspector ' / /�/
Irli RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
i v *CONDITIONS:
1. All installation must comply with all requirements of t he County Individual Sewage Disposal Regulations, adopted pursuant to au -. ,
iiii
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, 124 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in
S volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1
I Petty Offense ($500.00 fine — 6 months in jail or both.
�I Building Official Permit White Copy Applicant — Green Copy Dept. — Pink Copy
__ _ ICI' rasSaaina•WW WY-YIa fl a .
rr�wu.aa�.�..�����ua�..aaaa�aYa L, .I1a Y ��Ys
Fees Paid $ ��
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date (a -)Lr �(p
t A, NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE r=. p�}11Q
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM RGEC. 0'01-1
Owner: Cg4A 19f0 R PC/ ' mOV/1'Ti9,W Sc/ )o
Mail Address: CiMeon -/✓gL 5 City: C 963
Y : G O Zip: 8/62 Phone: z S"< 2-
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 G.S'Kt1/2U O Ci ty or Town Ci9A,t. z/D42L
Legal Description ' ,fc= 2 g Lot Size
2. No. of Bedrooms 3 Septic Tank Capacity - „e s AtAeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well ✓ Depth 74 Other Depth to first ground water le
4. Is facility within boundaries of a city /town or sanitation district? At
5. Distance to nearest sewer system: / t f /I $ ( ��
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: . z Ic)«;r
7. Name, address, and telephone of person who made soil absorption tests:
T ir-7 /'T
,JET 8. Name, address, and telephone of person responsible for design of the system:
, 7 t--u(�
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.
/2-/c-7
Date /i
Signature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)