HomeMy WebLinkAbout00389 This does not constitute
\*• a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
S?eizc VE0,.2.4. �kk Glenwood Springs, Colorado 81601
a l: on)l—Y
INDIVIDUAL SEWAGE DISPOSAL PERMIT NU 889
Owner s3 r A' ef]A/ srn-- e'-7" /[a /✓ 6:2 ex A/ '7?)
System Location f" /.G /et/ ( 1 col f') 7 r- a (-4 L" S (!B L)
Licensed Contractor ore> M/ ern-
ma
' Conditional Construction approval is hereby granted for a 01 y, A�'w gallon
.
1 Septic Tank or o Aerated treatment unit.
Absorption area (or diapersal area) computed as follows:
Perc rate of one inch in .5- minutes requires a minimum of /.= S sq. ft, of absorption area per bedroom.
Therefore the no of bedrooms /f x /.Z S sq. ft. minimum requirement = a total of - 0sq. ft. of absorption area
May we suggest `L e 7"F/ en / 1 G2%C1+�7 .72 Cr „flov , / „7.„
i -/
Date / '” 'T;) I s or
e0 *NOTSr This system re by Sc & Walker: St on •e
FINAL APPROVAL OF SYSTEM: identical to that. system w /addition of 1 bedroom.
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/e Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
eve Proper materials and assembly.
,A r._ A ( it Trade name of septic tank o aerated treatment uni
07C Adequate absorption (or dispersal) area.
fC/ 7c
Adequate compliance with permit requirements.
-t07 Adequate compliance with County and State regulations /requirements.
�WW
Other
Inspector
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 stitctures 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 (pf bt
StkYega).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 of ppFifications contained in the application of permit commits a' Class I,
Petty Offense (5500.00 fine — 6 months in jail or both. /
Building Official — Permit White Copy Applicant - Green Copy Dept. — Pink Copy
w.
Fees Paid $,_:;13?
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
•
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE Date 4- 2i) -7
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: .50 l � k � .611 (R4u c ( >i
Mail Address: Og&, la) Rp City: G_le_.a.raa, Sa.,.s_a Zip: 2f4)( Phone: $ (5:4
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 Ga. ' i e jcd City or Town G(eoura -0-. G, -A S
Legal Description Lot a3 Rtw-r,da Lot Size 1,01 An
2. No. of Bedrooms II Septic Tank Capacity ! 45b Aeration Unit Capacity
3. Source of Domestic Water: Public (name): )30344,4 e Witco , 444saJ
Private: Well Depth Other " Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? /.LoC
5. Distance to nearest sewer system: S
Have you attempted to arrange a connection with the system? y■l��
If rejected, what was the reason? .0
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: �c = Q2c
7. Name, address, and telephone of person who made soil absorption tests:
Si z q a4 (r t�
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.
Date 77 2
(TO BE RETURNED TO HEALTH DEPT.)