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y ' i i TflUttoes not constitute
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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
00 I NDIVIDUAL SEWAGE DISPOSAL PERMIT ' 'N9 4 ".;
Owner St. Nary of the Ctbwn Catholic Church — (Lew Bayer)
System Location Carbondale
Licensed Contractor
• Conditional Construction approval is hereby granted for a /00D gallon
fir 01,1 I Septic Tank or Aerated treatment Unit.
„m orption area (or diapersal area) computed as follows:
Pere rate of one inch in AO minutes requires a minimum of ft of absorption area per bedroom.
f�v. vcr NT
Therefore t e no. di 3 x AS sq. ft. minimum requirement = a total of y f s ssq. ft of absorption area.
May we suggest fcf / C.✓C. /O 46deorr yt/ZC n.ZS W /0 " C
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Date L. i • �o 7 /9 Inspector e / s.e'T .
0
FINAL APPROVAL OF SYSTEM: �t
No system shall be deemed to be in compliance with the Sewage isposal Laws until the assembled system is approved prior to cover-
ins any part. , /���� �,��
49/C Septic Tank cleanout to within 12" of final grade •r aerated access ports above grad
//JJ Ole Proper materials and assembly.
(ifK( Trade name of septic tank or orated treatment unit
y LEI /'C Adequate absorption (or dispersal) area
-*L... ` "ye Adequate compliance with permit requir .ments.
l
d Adequate compliance with County and Slate regulations /requirements.
Other /
Date [h-4C. ' 7 /996 Inspector ZIP.c.40. ` CC/
f
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
ii "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 Wilding 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-
,
yW' volves 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.
Building Official — Permit White Copy •Applicant — Green Copy Dept. — Pink Copy
Fees Paid $-
• = r" INDIVIDUAL SEWAGE DISPOSAL, SYSTEMS APPLICATION L-- (K o fle ° - i�
- Date NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
, /INDII /
VIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: S /Yasj e# The Cvo (.eg44/<,
Mail Address: ,Qo a Acis /o y CitY: (24 .-A;., , 4 /a Zip:'/6L3 Phone: 963-3 :Y
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW 71 {hN y P, M.
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 erari'eg City or Town (m-s9n4 w,2,1i9 -c-«
Legal Description SC t 777 t Z {7 c5 C Lot Size e2 cries pits
2. No. of Bedrooms3S0 b 5 4 ,` 1eptic Tank Capacity Aeration Unit Capacity
3. Source of Domestic Water: Public (name): Al e.S)q >n; k
Private: Well Depth Others . -DD Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? NO
5. Distance to nearest sewer system: erreXi -n)r-& /71 1-_
Have you attempted to arrange a connection with the system? Ain,
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: ,_7a /47,2 /7
7. Name, address, and telephone of person who made soil absorption tests:
.5Cr JC7?it14l/
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. -
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Dite Si na ure of Applicant C
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E 1 NO I l NUMBER - - NAM[ - __._ ___. __ OROIf___ ryS tiA: STATE _.. -.-
AMOUNT •[D.WIT W /TAX __. yNE0
i4 - - - - .
• AMOUNT
• ST. MARY OF THE CROWN CHURCH
CARBONDALE, COLORADO 81623