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This does not constitute II
�' a building or use permit.
q uill GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
III i 2014 Blake Avenue
REPAIR — NO CHARDS Glenwood Springs Colorado 81601
ili;1 INDIVIDUAL SEWAGE DISPOSAL PERMIT NV � 4
i'
'{ Joseph A. Bever I
) Owner ( Dea k naac)
II ii,
I " System Location Near Grand Valley
� Licensed Contractor t0.17-i,2 ..^." c'r — j
I - ' Conditional Construction approval is hereby granted for 750
t app d Y g ant d or gallon
IT
9
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Septic Tank or Aerated treatment Unit.
Absorption area (or dispersal area) computed as follows: 1
(maximum pero rate used 1 • in 60 mins.)
Perc rate of one inch in Nix minutes requires a minimum of N/A sq. ft. of absorption area per bedroom.
ii Therefore the no of bedrofms 2 x 330 s q. ft1' mini mum requirement = a total of 660 mum ft. of absorption area,
20' *0' seepage bed with P of gravel providing maximum firing. 1
May we suggest
20 x d0 se paq 7 p 9 / $ 9
Ju1J 8, 1977
Date Inspector
FINAL APPROVAL OF SYSTEM: C e
No system shall be deemed to be in compliance with the S Disposal Laws until the assembled system is approved prior to coven
ing any part.
ter.,; yC'� ,
,
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
',- '.'.' Proper materials and assembly. `
f ` ',V. Trade name of,faptiasankor aerated treatment unit.( fl S rn- errYir, " 7)/
t `'e Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
e ;v les"
Adequate compliance with County and S regulations /requirements.
Other
Date Inspector Inspector rr r I
i '
RETAIN WITH RECEIPT RGCORDS 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 66.3.14d 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 I9gal 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 (5500.00 fine — 6 months in jail or both.
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
Fees Paid $ p.PAl2
INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION
Date
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: /79/Z -. \/OS��N 627 6 fl2 2
Mail Address: /09/ Cj ,ael. City: K.3; //. Zip: c/ ,3ihone: y&S 7
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 a de — a .4 City or Town 1t// - 0.0
Legal Description 4 7, -) C= 7 7 01 .4-7,02 /l Lot Size 4/7 ,4trS
2. No. of Bedrooms Septic Tank Capacity Aeration Unit Capacity
3. Source of Domestic Water: Public (name): ,S%/Le,t/C, 4 ciIa7Z -71
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district?
5. Distance to nearest sewer system: m 2
Have you attempted to arrange a connection with the system? st/d
If rejected, what was the reason? j / J7"}9 -6 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: 5 c-c Pt-- =72414( TD
7. Name, address, and telephone of person who made soil absorption tests:
Se.r Per72f / T
8. Name, address, and telephone of person responsible for design of the system: ��l 1
SczT 20/7Lru- 7'��._/
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.
P IG it 'Date /Signature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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C;'1,) 0 il6-fru7
30‘ yard
3 Z:1,,,,,\ INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
a THi len I - louse
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3d s' i q 00,
(TO BE RETURNED TO HEALTH DEPT.)
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; : FARMINGTON , N. M. 87401 K.x.? w i }k tie,
"" PHONE: (505) 327 .1133 «s4.M"q 4"t4 ' . ,NT`
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SOLD NT CASH I C.O.D. I CHARGE I ON ACCT. (MDSE. REIO. PAID OUT
• OUANTITT DESCRIPTION . PRICE I� - AMOUNT
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ALL claims and returned goods MUST be accompanied by this bill
N2 1626 Recd by
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