HomeMy WebLinkAbout00497 1
This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
IlaPil
PEW FEE WAIVED - RATE KNOWN - FEE ONLY
INDIVIDUAL SEWAGE DISPOSAL PERMIT NV 497
Owner Domco Construction Inc.
• System Location Lot I5, Filing 3, Westbank
Licensed Contractor 72- �
• Conditional Construction approval is hereby granted fora 1,000 gallon
Septic Tank or X Aerated treatment unit.
Absorption area (or diapersal area) computed as follows:
Perc rate of one inch in 5 minutes requires a minimum of - 125 _sq, ft of absorption area per bedroom.
Therefore the no of bedrooms 3 x 125 sq. ft minimum requirement = a total of 375 sq. ft of absorption area
Mayiwe suggest Deep Field 10' Square and I1?' Deep n
Date November 29, 2977 Inspector / 2 7 / J�
4 *JJO, s This system reVteWed by Saarrow & Walker Staff on Permit N 3 6 this sys em is
FINAL APPROVAL OF SYSTEM: identical to that system. •
•
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approv prior to cover -
ing any part.
ae- Septic Tank cleanout to within 12" of final grade or aerated access nnrts ahnve grade.
�I�q9
C9.4 Proper materials and assembly.
u " ‘ /ET" Trade name of septic tank or aerated tr6atmEntmit.
<DC- Adequate absorption (or dispersal) area
/V' Adequate compliance with permit requirements,
'- OlG' Adequate compliance with County and State regulations /requirements,
Other
Date �— 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 aw
thority granted in 66-44-4, CRS 1963, amended 663 -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 npt 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 constructsrblters, or installs an individual sewage disposal system in a manner which in-
u.,,,,. 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.
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
Fees Paid $ Z
INDIVIDUAL SEWAGE DISPOSAL.SYSTEMS APPLICATION
Date (— Z Q - 7 7
D _
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: pEMCO Conlsr cTimN I IJ
Mail Address: . 8&X 1342 City: GLEN WS Zip: 8/60/ Phone: 9 . 4 1 4 .- 64S - 1 1
INEORMATION 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
Legal Description LOT 1 5" - Ill-/A/6 - 3 Lot Size 1 ,2.92 ACntS
W ESTBH V K
2. No. of Bedrooms 3 Septic Tank Capacity Aeration Unit Capacity
3. Source of Domestic Water: Public (name): C ton. Ls
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? A) 0
5. Distance to nearest sewer system: 300 YRRDS ApP DX To SEPT /c,
SVS /et'')
Have you attempted to arrange a connection with the system? A' 0
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: I" Jo 6
7. Name, address, and telephone of person who made soil absorption tests:
SE E PERM /7
8. Name, address, and telephone of person responsible for design of the system:
SE E P RM IT
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.
Date Signature f Appl i nt
(TO BE RETURNED TO HEALTH DEPT. :7a