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Home My WebLink About00462 /. , This does not coptitute !i1 .. ild a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 REPAIR — PERC PEE ONLY r� ' ' INDIVIDUAL SEWAGE DISPOSAL PERMIT N9 462 „9i Owner Beeline 8. Reynold* a/o Tim Reynolds System Location County Road 260 - Rifle Licensed Contractor X'O t .L fir. ./.O 6--5 r % ✓ Conditional Construction approval is hereby granted for a 7 SZ? gallon K Septic Tank or. Aerated treatment unit. Absorption area (or diapersal area) computed as follows: 1 'Pert rate of one inch in /C m requires a minimum of /� "� sq. ft. of absorption area per bedroom - 3 3c) V�, Therefore the no of bedrooms " x / �`' S sq. ft minimum requirement = a total of sq. ft of absorption area - May we suggest 7.. / Ae .2.e S' .Ser"b- - 7 .c∎ - •,/ /�� - Date // — / eb 7 - Inspector „,,,,,e,„. / . 6/ " ". � FINAL APPROVAL OF SYSTEM: • • 1 _ ■ Au I ,,, No system shall be deemed to be in compliance lvith the Se ' ge Disposal Laws until the assembled system is approved prior t :cover. ii i jng any part. /l OW Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. der, P •per materials and assembly. </ rade name of septic tank or aerated treatment unit. Ort(; / Adequate absorption (or dispersal) area. ., /""�--� Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements- Other Date �0--- t e t _ 7 7 Inspector 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 66-44-4, 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. 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 I, ''` Petty Offense ($500.00 fine — 6 months in jail or both. wd. Building Official — Permit White Copy Applicant — Green Copy Dept — Pink Copy Fees Paid $,. INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION 9 � , Date NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE -p INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: Es /, S. #ain oca s eX 77A4 �,, 74 Mail Address: 031s 1o• /Al LZr City: /tic Zip: 4 ro Phone:62:2, INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percola- tion test holes, soil profiles in test holes. 1. Location of facilityy: C�unty C a2rrECn City or Town ""`7 "" "ta "ranSibpS 9Z id, 6n1 Pal Legal Description S6c .O JI gidr f6f1swlrAt4*?*$ of Size 2-' 6 r A c ,.e.rs A/W 141sevy su,nt 2. No. of Bedrooms 2- Septic Tank Capacity '7 sO Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well Depth /V49 i Other Depth to first ground water table u rn / b e 4. Is facility within boundaries of a city /town or sanitation district? A/a 5. Distance to nearest sewer system: * 0-1) Have you attempted to arrange a connection with the system �/U /� If rejected, what was the reason? pfS7Y9-u 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: c /a 4 ,.., .,...,,,A 2 e. 7. Name, address, and telephone of person who made soil absorption 2e : 8. Name, address, and telephone of person responsible for design oft system: . HA l 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. i 0• .0" , ,. *A Dat i Signature of Appli ant (TO BE RETURNED TO HEALTH DEPT.) . - , ‘, • • t - ' .- 7 uppiiiii Fri I . bill I • - - • ---- i II 1111 III di • - --- 1 t I t . I i l l 4 m gild Ildili psi 1 nat.rnamil .. „mi.!! -- tilii 1 • 1 min • • __ •3/4911 a lu m • • •1 • - • lie I I • El • ilrial IIII n----: p••l•p•rpi , I__ • ___.__I . • .. • ON 1N3R183dX3 3NVN Fees Paid 5,gp. INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION 9_,21._-)-) Date NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE -p p INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: S. ,e r oca s 4 , T.,.; 4 ., o l4 Mail Address: 03is a. /id 2,z-s City: tG c Zip: g,'4ro Phone:625-,263s( 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 & City or Town C4k4,3 ,/ .iJcl - �icunuI p S SOUPS/ Y 2 LiJ 6T11 P M Legal Description seacma wwrONEies o jt sw ii�r'1¢sw of Size fit , 6 S /4 NW wsev y slay 2. No. of Bedrooms 2 Septic Tank Capacity " Sa Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well Depth /90 i Other Depth to first ground water tablet/ter, 4. Is facility within boundaries of a city /town or sanitation district? A40 5. Distance to nearest sewer system: 1 Have you attempted to arrange a connection with the system /"/U C � , If rejected, what was the reasonl 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: g ' 4 7. Name, address, and telephone of person who made soil absorption tests: 8. Name, address, and telephone of person responsible for design oft 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. g ,per ��Da�t Signatu�rre of Appli ant (TO BE RETURNED TO HEALTH DEPT.)