HomeMy WebLinkAbout00482 ri - { - ,•
ti ��' This does not constitute -
`� a building or use permit.
of "z ` GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
i. 2014 Blake Avenue
Glenwood Springs, Colorado 81601 ,
INDIVIDUAL SEWAGE DISPOSAL PERMIT N(li 482
Owner ...tarn; Q/Iarfr
System Location kg*, C.arlw a t,.
Licensed Contractor ) .C)" ' /,43.ay
d'"'II " Conditional Construction approval is hereby granted for a i PO (7 gallon ',
_ Septic Tank or Aerated treatment unit.
PI Absorption area (or diapersal area) computed as follows:
Perc rate of one inch in minutes requires a minimum of ?flo sq. ft of absorption area per bedroom.
Therefore the no of bedrooms ,„ x - 3 #1C)sq. ft.iminimum requirement = a total of7:210 0 SO. ft. of absorption area., . ; -
May we suggest ..4 2 X 7S /� 3' S N?�rn?.°9 1 /3922
" Date / - In rre „ Inspector .7 '/ /y
FINAL APPROVAL OF SYSTEM: '1
No system shall be deemed to be in compliance with the ewage Disposal Laws until the assembled system is approved prior to cover
ing any par/.
^ , Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
-R„
HI
I �' Proper materials and assembly.
laCeaTrade name of septic tank or aerated treatment unit.
'47.- Adequate absorption (or dispersal) area d %5 * lie .SEZ'� �`
G-' r
n/ S 7?9z -e--r?J , .
i Adequate compliance with permit requirements.
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` ° `4 Adequate compliance with County and 'tate regulations /requirements.
a i Other
me �y
Date '�'�_2 a I nspecto r v. )� �� %
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".' , c
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 I11, 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, 1
Petty Offense ($500.00 fine — 6 months in jail or both. {
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
l
Fees Paid $)S C°
• INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION Date I -.-'Y-1
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
• INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: e .. S r n n v
Mail Address: 3G 3 tO, , ACto �i ,// Zip: Phone: —J
QC
•
IN 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 y G City or Town /4„ C
Legal Description Se c //� h � . Lot Size /O. Cr 4 .
(tr
2. No. of Bedrooms 3 Septic Tank Capacity /c6ct� Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well 7)< Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? //o
5. Distance to nearest sewer system: / '2 in, • s
Have you attempted to arrange a connection with the system? Wn
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in min tes 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 t
8. Name, address, and telephone of person responsible for design of the system:
9. Express permission is hereby granted for the inspection of th 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.
/14/ v. D t /9 77 A Sig . " /` A L -
(TO BE RETURNED TO HEALTH DEPT.)
E CEIPT
TAX R Tnnunr No tl . No. fLe •
` ° ° "r ` 1916 '
NOD iPRIN0i,6QlORiDO SINN '4 . " "
/ NOTICE
— y_ your taxes for 1976 become due January 1, 1977. One hell becom.s delinquent cent
I
on the 11nt b o March n u.dt —o Interest the first day of Augustrwhentth.r emir•
amount draws Interest th q '
amnt r Intert al the rate of t per cent per annum.
' If ENTIRE TAX IS PAID IN O S CHARGE PAYMENT By APRIL 30,
ASSESSOR'S IDENTIFICATION ' l
NO I
r •.....� --•• -- 'f TH':`JC °. S. 7° 42' E. 609.96 TO PO8.
490978 'TOTAL 10.4 AC.
SF.NO!i, JERRY R. & JUDITH R.
363 MIDLAND AVE.
NEW CASTLE, COLO. 81647 _ _�_�.
j 2113- 321 -70 -028 1 Jt t ; - , -
5 -90
Se:C 32. A TR. IN S }SE N. OF HWY 6
& 44 & s. OF CO. RD. 240 CONT. 10.4
- ° " AC, BEO, AT J1 PT. WHENCry THE
COR OF SsC 32 BEARS S. 7 42 '
787' THENCE N. 88 09' 28" V. . '
623.24' THENCE N. 7° 42' W.
186:).23' TO. A PT. ON CO. RD. THENCE PAID UNDER. PROTEST
NEL\ ALONG CO. RD. 219.7' THENCE S.
70 4 391.58' THENCE S. 88° 09'
28e 430' TO E. LINE OF SEC 32
--- --- --- . wile+`
-�� Payment by Check Subject to Collection.
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