HomeMy WebLinkAbout00432 This does not constitute
O , a building or use permit.
GARFIELD COUNTY DEPARTMENT OF'ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT N4 482
Owner Rolland N Dowinr
System Location 1752 Sant Elk Creek Road
Licensed Contractor
Conditional Construction approval is hereby granted for a /arQ gallon
ti
er Septic Tank or Aerated treatment unit.
Absorption area (or dispersal areal computed as follows:
Perc rate of one inch in / minutes requires a minimum of /63 sq. ft of absorption area per bedroom.
Therefore the no of bedrooms x /4 sq. ftJninimum requirement = a total of •? .4 osq. ft of absorption area
aI. May we suggest .SC 4fl'Q Cs. Cl3e.0 /i7• % X
Date f 7 /777 Inspector , cr
FINAL APPROVAL OF SYSTEM: 1 ` n • t a to, • `.—(
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. /�
ON Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. 45‘20 �f "a
O/e Proper materials and assembly.
/.'S .q e�
hill) a /'e /sJ -,[/D Trade name of 11 aerated treatment unit.
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®/C Adequate absorption (or dispersal) area. •
0/C Adequate compliance with permit requirements. !,
i^L.. (V Adequate compliance with County and State regulations /requirements.
Other
Date /0A7 Inspector tv Cl /ze ��
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 -4444, 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, 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
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Fees Paid $7
Date h
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
s� INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: 1--,o J (2) D 0
Mail Address: AU 9 City• Zip: ls�lof�/Phone: 7 9 /
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 (> � d City or Town / ��`�" 4/1
( egal Description /16 A4 c ✓Lake e Lot Size J t
SC - - C - 877 -o)
2. No. of Bedrooms Septic Tank Capacity 747.) Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? district? /te
5. Distance to nearest sewer system: / 4444/:
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: Sc=z:" 4Jc,2d2C/
7. Name, address, and telephone of person who made soil absorption tests:
Tie'
8. Name, address, and telephone of person responsible for design of the system:
(/
9. 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.
�
a t Signature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
0'
J /75 ;
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
f=? z �
ma
c-Z C_
(TO BE RETURNED TO HEALTH DEPT.)
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GARFIELD COUNTY .
COLORADO
A parcel of land situated in Lot•3. of Section 18, Township 5 South, Range 90 West of
the Sixth Meridian, Tying Southerly of the East -West centerline of Said Section
18, and Northerly of the centerline of a 60 foot road easement, said parcel of land is •
de as fol lows: .
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Ceginning at a point on the East -Test centerline of said Section 18 whence the East Quer- •#+
ter Corner of Section 13, Township 5 South, Range 91 West of the Sixth Principal ;•eridian i
bears: 2:.89 °4 W. 31.80 feet; thence 5.89°48'05" E. 407.01 feet along the East -Test
cntorline of said Section 18; thence 5.00 °06'30 " - E. 593.25 feet, to a point in the center
of said road easement; thence 31.92 feet along the arc of a curvy to the right, having a
. re:<ius of 111.59 feat, the chord of which bee -s: N.78 °25'56" W. 31.81 feat; thanes N.70'
14'12" 7!. 134.62 feet along the center of said road easement; thence 99.71 feat along the
:rc of a curve to tho loft, having a radius of 533.14 foot, the chord of which bears: N.75°
35 W. 99.55'faot; thence ?1.80 ° 57'08" W. 127.43 feet along the center of said road ease -
rent; thence 27.25 feet alone the arc of n curvy to the left. having a radius of 355.13 •
f0et,.the chord of which bears: N.83°05'27" W. 27.25 feat; •honco N.00 °06'30" W. 494.67
feet to a point on the East centerline 'of said Section IS, the point`of beginning: s
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t.e above doscrip3d parcel of land contains 5.00 acres, more o'r loss. i ]
September 197 SCARRti.'1 AND WALKER ':1 ' 1 • 1
Fp5ort 0. Scarrow ..
R•vl S.. i..prch 14, I - .)74 , i,:o0i stared Land Surveyor • • ` i - ' • i
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