HomeMy WebLinkAbout00450 VI r
This does not constitute
11 a building or use permit. 1'
11 1 • GARFIELD COUNTY DEPAR MENT:OF ENVIRONMENTAL HEALTH - t1a at-} w
II 201 Blake Avenue
I m` Glenwood Springs, Colorado 81601 Q1tvrw.k 3 1 a 5(ocr1•%,
m REPAIR 6 ALTERI:2'11 - PSRC KNOWN - 190 CHAR*
, 11V '` II INDIVIDUAL SEWAGE DISPOSAL PERMIT , 450 � `
1 Owner Mark Arnove - Buffalo Valley Inn Corporation '4QJPA S4
i11
' System Location buffalo Valley inn - outside Glenwood Springs
lain ;,,
°ir Licensed Contractor Grande Corporation ,
Iii I OID
Conditional Construction approval is hereby granted fora • gallon
existing
X
lAi Septic Tank or i , r , Aerated treatment unit.
— IS 1 �4 "'`' Absorption
rat of one inch i�Pef1 areal computed as follows: 125 "i1
1 I -, qu � e r in ,minutes requires 8 minimum of sq. ft. of absorption area per bedroom.
fi 4 iii
n " 1MnTherefore the no, of bedrooms ' . l x ent 2 ? 5 sq. ft. minimum requirement = a total of 375 sq. ft. of absorption area.
11 ' R May we suggest I t kan Iine from i
R tnk to leash field. AP addition of dry ell • 'ni I '
� i s - Iy c o below mi CO be served tram a df ntian box. Apgp�ic're
111 ' 1 a 1 a grease t preceding the septic a Reconnllend pump ng 41
r 1 Date i „ on in r" 'r , oast* to provan r f
ee g saary Iswn aiaieaLry LL.. 1SPav1.i,.y azaa ry
a , , V ill ' i OV II' hi1,+1 h ` 1 a Nt1TE two ab
ed and�ed NBII if Y1r. ?t a l ° 1/2 d W j`I'911 Ihi'lli
J0.'1,11111'1 i ' s y t e e 'sha b m It I in c omp lia�Sewage Disposal La until the as§ eFibled system is gpdroved prior to cove - "' 1181 •
a'N
ii I Septic Tank cleanout to Within 12" of opal grade or aerated access ports above grade.
"Ill 111, a , ,u +.. i ler•ftla end assembly. 1 �,
all l l u �•y' r t i
,r,�
„ l2T2/2aYpde name of .eptic tank or a= ated treatment unit. e ye
I'll' 15+d/ Adequate absorption (or dispersal} area.
pit!
Adequate compliance with permit requirements.
. t'7 Adequate compliance with County and State regulations /requirements.
tilt ' Other
Data" '.77 M Inspector ' -u/
l
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
"CONDITIONS:
i 1,, .. a
9 Disposal Regulations, 1. All installation must comply with all .requirements of the County Individual Sewage Dis osal Re ul tion s, adopted pursuant to au- 1 1
thoritygranted in 66-44-4, CRS 1963, amended BB- 3.14 "'CRS 1983. '
2. This permit is valid only for connection to structure which have fully complied with County Zoning and building requirements.
Connection to or use with any dwelling or structure ' approved by the building and Zoning office shall automatically be a viola-
tion of a requirement of the. permit and cause for both I gal action and revocation of the permit.
3. Section III 3.24, requires any person who constructs b, t ern, or installs an individual sewage disposal system in a manner which in- , i
, wolves a knoWin and material variation from the term or specifications contained in the application of permit commits a Class I 1 p
iii xy1 , Petty Offense ($50 fine -- 6 months in jail or both. 0' pli
Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy .... .Iu
aixi kb' IW u �� 16 SWLis.......a .wi . :...e.. .. ...
Fees Paid $ A))
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date 7
._1 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: Mar x /'no✓.e •
Mail Address: c )t9/ / 5'9 Q/, city: (4 "f,14 s zipS/c;(:)( Phone:$'' 97
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 6arielek, City or Town C4 4 S
Legal Description CILMA4! for Lot Size
2. No. of Bedrooms Septic Tank Capacity ,/eVc2 Aeration Unit Capacity
3. Source of Domestic Water: Public (name): ( i i y of Ckl -,p
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? .9E4/74 cif 7
5. Distance to nearest sewer system: f rtt e t.
Have you attempted to arrange a connection with the system? K -
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in mtputes per inc of
drop in water level after holes have been soaked for 24 hours: \p,,, �J_ornia
7. Name, address, and telephone of person who made soil absorption tests:
P.MArytiA
8. Name, address, and telephone of person responsible for design of the system:
Sew RDM-4
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. at a PA0 ✓2
-6 92,g del...wee , f a
0/7/ ° -'.e
ate Signature of Agplicant
(TO BE RETURNED TO HEALTH DEPT.)