Loading...
HomeMy WebLinkAbout00439 " ' --- '' P " P.' ' ' - 1 - 11 rcl lit ,• ...: \ i * + lw r ' Pt - , does not constitute - - a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 INDIVIDUAL SEWAGE DISPOSAL PERMIT N': 489 Owner Robert J. Richardson System Location North of Rife -- 1L04z -- . �•� Qti P1 Licensed Contractor 1 "4 1- 0 1 1 %./6i N scoA, Conditional Construction approval is hereby granted for a /2a gallon `S eptic Tank or Aerated treatment unit. ii 1! „. Absorption area (or diapersal area) computed as follows: • 1 Perc rate of one inch in Q minutes requires a minimum of J 3a sq. ft. of absorption area per bedroom. i i i iili Therefore the no. of bedrooms 'V x . 3 o sq. ft,: miniimum requirement = a total of /3 Z99. ft. of absorption area. May we suggest see /4 e oe -0 /d x7v � ; e t c P . . tt1 o T y 1 $.57.5 - X a% J) e e 74 ' Date // 7,1 Inspector �✓ - +°%��- FINAL APPROVAL OF SYSTEM: o 4 i �t"yt,r�lR, L. J c.l h I be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cove -/ ` ' No system s al b d p g P Y cover ing any part. oil ©.” Septic Tank cleanout to within 12" of final grade or aerated accessports above grade. Vh" P roper materials and assembly. ^ t w l i 0 2Z/Ii It -Trade name of •r aerated treatment unit. I HR O Adequate absorption (or dispersal) area.. a ye I * 'r 11 0 /C a 1 + Ad equa t e compliance with permit requirements. R 1 "11+` 0/C Adequate compliance with County and State regulations /requirements. µ 1 t " _ ( 1 Other y� /' �/ " II j�7 /9 zr. -f�l� t y/ - t r P Date ! ! 3 �/ 9 Inspector �tc�i ;• II 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 aid 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 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. «s 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 l, i l ( I i'1 1 � P � Petty Offense ($500.00 fine - 6 months in jail or both. 1 l +i '� Building Official Permit White Copy Applicant - Green Copy Dept. - Pink Copy _.�.. .usu.._ Fees Paid s 7S, °D INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION • Date - 7-.2a- - ? - 7 / NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: P R F, RT .3 . rRXC.41 A LOSON • .I._lll' . t Vi i., .. Mail Address: Bc51t q 4 a City: 1�2F L-E Zip: 1n4 c6 Phone: CAS-3o30 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: CountyG p R f1.E LIN City or Town 1 <2 F Lr � Legal Description-' S,,R 9 W LPM Lot Size p„gtine,. q _ ' f " __ _, AnQA 2. No. of Bedrooms y Septic Tank apacity ),D V Aeration Unit Capacity 3. Source of Domestic Water: Public (name): sip t3 Private: Well Depth OtherDepth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? 14 5. Distance to nearest sewer system: Vi,( ire. ,, Have you attempted to arrange a connection with the system? N o 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: 7. Name, address, and telephone of person who made soil absorption tests: � L 8. Name, address, and telephone of person responsible for design of the system: ,O u (1 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 - ' � ai tea. );1? I �t ate Signature of Applicant (TO BE RETURNED TO HEALTH DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY Io_ 0 � '' n tams/ auc_7Au (J dUx..A V-' STT6 )(AO usiswyc .. 0 , c,/ , eN 1 ti w 10 INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES l'hieLl .950 3 . 0101.0 1 MUM. 0 ' �� ?It rLn u nip; r t fficTI N t (TO BE RETURNED TO HEALTH DEPT.)