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Home My WebLink About00374 ■ It a • This does not constitute lii 1 1 ( a building or use permit. . F„ .1 i GARFIELD COUNTY DEPARTM0 OF ENVIRONMENTAL HEALTH 2014 Blake Avenue 0' , P ) / / Glenwood Springs, Colorado 81601 fps ,! �� ,,, , � , V.)'' 1 1'. - 1� - - -- ' A Cabs e - INDIVIDUAL SEWAGE DISPOSAL PERMIT NV 874 ��y 41 — _13 ° i �o �. -.�=1 Q ,vt,��r Owner C- "9',y"Zs�'7 Z -.t, CrC r"! ✓V' T" r Q lt0-f An..cok — &: e.e/ &z.� C/ ect e,e et/ r t' r r s- ,a9 -� I i� System Location Hil Licensed Contractor c rr27 /3/3 yN / CAS" m7 4 4 j 1 , * Conditional Construction approval is hereby granted for a / Z gallon -Cr k' 'e r-7 �("' ) (Septic Septic Tank or Aerated treatment unit. Absorption area (or diapersal area) computed as follows: Perc rate of one inch in .'3U minutes requires a minimum of 07 '-' 2 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms x "' sq, ft. minimum requirement = a total of t i ' r zq. ft. of absorption area. May we suggest /. '' X .9-V / X 3 " 5 "Zr= .10/03-c'v er /a e-- 7 Inspector - Date - r � M. it INAL APPROVAL OF SYSTEM: N o system shall be deemed to be in compliance with the S ewage Disposal Laws until the assembled system is approved prior to cover t 1 ing any part. ,H" . •fc-XL'S7'? V4 Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. C::r. ('' Proper materials and assembly. i,. 1 ,itir 4 / "7 ,+', /,- Trade name of septic tank or aerated treatment unit. r. 1,'(. 'r+ - Adequate absorption for dispersal) area. r "c'.. 2- Adequate compliance with permit requirements. 1 I' 71i ill 1 � ..- _ - ` - 4r.. ty".7 A..' C.n < ?' -- Adequate Compliance with County and State regulations /requirements. / 91° • 47,0-0 c 1 C -- 7- 0 ; QY.C�G�t-"Z,Z- /J %',/�' -C- ,T �� h i ( Other .raip . Grn/Oc=" /ete9 -c. e''_ � " Date '" "5'' 7 i Inspector i�� RE 1 IN ,WITH RECEIPT RECORDS AT CONSTRUCTION SITE I . "CdNglTIONS: � 'l ` 1. All installation must comp y'wi all requirements of the County ntiividual Sewage Disposal Regulations, adopted pursuant to au- 1 I y I` thority granted in 66-44.4,CR 11363, amended 66-3-14, CRS 1963 i 1p � --•-' ' 't 2,j 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 +` „ l l tion of a requirement of the permit and cause for both legal action and revocation of the permit. 13. Section Ill, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in 11 wolves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I,' " Petty Offense ($500.00 fine - 6 months in jail or both. w -. - Building Official - Pgrmit White Copy Applicant - Green Copy Dept. - Pink Copy .. Fees Paid $tti /i3li4i INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION 3 -2.-11 Date ,er, --rt;. NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE w (k�Q INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM �--- /� IJO cN - YW-UE Owner: (r : . C , - 40x 11/ 2, `,.,f L. f‘co Mail Address: CoLnr Gwar shiest City: GLaA.,.a„n ,%Zip: 9 Phone: . z.d f 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 $n'po,t r City or Town , /c' >.? ma c-c Legal Description 1 &�" ',9r . " - Lot Size f gr`� �7 lGC_r &pa 4. 2. No. of Bedrooms 3 Septic Tank Capacity / 4p,, Aeration Unit Capacity IA 3. Source of Domestic Water: Public (name): Tac,cprn f—nvenv CA, Private: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? ,v0 5. Distance to nearest sewer system: 2 Pt 3 frown—e Have you attempted to arrange a connection with the system? A.n If rejected, what was the reason? 6. Rate of absorption in test holes shown on the location map, in minutes per inch of W• drop in water level after holes have been soaked for 24 hours: 7. Name, address, and telephone of person who made soil absorption tests: = -..[ 7- X /1f, 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. i - 7,7 C A aer 6 Date Signature of Applicant (TO BE RETURNED TO HEALTH DEPT.) Mr , , PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES it V. 0�0 O Ji c en/ /N6 9 ti I /, X 70' U 3 0 2 ne / �CACH Sr»o�Ay 1 r F,F� p e 0 iIoSNiel • it I SI „. N y e _ � _ ____ _ __ .1 ___._.[: a . : ,e I ?OAO li t N/c t .0 / psK/N6 - - - p/T<N i S (TO BE RETURNED TO HEALTH DEPT.) INSTRUCTION - CAR RENTAL - SALES - SERVICE • GORDON AVIATION, INC. ANDY GORDON "Charter & Helicopters Available" Box 111 PHONES: 625-1029 RIFLE. COLORADO 81650 625-1091 0.2.9J QsyvylCa GARFrEiai CODUTf Er1VVTORNi -EnTAL HEALTH 2014 BLAKE Alh,DUE GittivirCOD SPRING` , COLORADO APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT q RECEIPT # _WA VG 2 OWNER: / � ' t` a c _c ADDRESS: PHONE:_ - - - - -- CONTRACTOR: -N M cntLta _- ADDRESS'._.. ..3iil gildi.ai _PHONE:511,576,51. SITE LOCATION:41ft P® —` NO. OF BEDROOMS: 3# SIZE OF LOTS Application for an individual sewage disposal permit is hereby submitted, The individual sewage disposal system will be constructed in accordance with the regulations concerning individual, sewage disposal systems within Gat County, This application is valid for six (6) months from date s) ,. .gned DATE : __... . '4..J..- .j 1 3 _ _ _ SIGNATURE: Percula i.on test results: 0 W _ Minutes per i Recommended minimum size of leaching system: QQ 1. _.._ C‘eia r ili c edt s size Recon of tank: 0 a ic n • .‘r e�r;:de.l minimum PLOT_PLAN i- po kT I - i3ottl7 4 F - 3v � N 6 / tkA? DATE: - �1 ! SANITARIAN: _ c .4.44i _ . GARFIELD coiir4'Y P:1 ",VIR"Oi ;'.IL'IAI, ii3AIT11 • ♦ • • Field Test Data Sheet on Percolation Test PROPERTY OWNER Gel n � t C 1,- tm Coo u 7 ( PHONE 1 TAILING ADDRESS (� n LEGAL DESCRIPTION OF PROPERTY C e da c-t & -r c, o \-) I P ? G R. 1 }� r 1 LOCATION OF TEST HOLES '4 I ._ �� ic_ ., • I . . ) , �� , 1 1 II 4 Three (3) test holes recuired per system Test Hole Depths (24" minimum) - - -- 4 �) . 3 ` Diameter of Test Holes / / a- Water Remaining after 24 Hour Soak G TEST HOLE #1 I TEST HOLE #2 TEST HOLE 1)3_ D rop Time Drop Time 1 Drop Time J _ 4 C a % 3: Ala 1 "4 ayi 3 4 a� . . 4 i 1 y f y -_ 1- 1 . 1 x] _ - - - - - -- 1 I ) —I - - - - -1 _ — — L Percolation Rate Each Hole . 40.44/4/ ,l/ 0v4! /Ul 'V ��_ Average Rate _C- ______s :JO- S c /t CC _ uo s _ e _ j - - • „fr 3 C t)__ s 2 j 2 c t iti......z.vt: t . . . • c a t t .1 A z t _ I:AHE OF RESPONSIBLE PARTY RUNNING ; T., ` . � M f ` 0 PA k PIiOHE SIGNATURE G A N U A \ , C� ° HATE