HomeMy WebLinkAbout00499 0 This does not constitute
,y a building or use permit.
7f GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
'JI 2014 Blake Avenue
II Glenwood Springs, Colorado 81601
MC F WAIV - RATE KNOWN - FEE ONLY
II INDIVIDUAL SEWAGE DISPOSAL PERMIT Nil 499
V'r
Owner • Titus Construction
System Location Lot 10, Filing 3, Westbank
lit
87 i
l Licensed Contractor
N16is
ifi * Conditional Construction approval is hereby granted for a 125 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 4 x 125 sq. ft. minimum requirement = a total of 500 sq. ft. of absorption area.
May we suggest Deep Field 12' Square a 12' Dee : 2
_SI 1 A ,: .bate December 1, 1977 Inspector
'te'N ^ s r This system reviewed by Scarrow & Walker staff on Permit 4336 this system is
FINAL APPROVAL OF SYSTEM: identical to that with addition of 1 bedroom. , ° or , „
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is app oved priorto covef4v,
ing any part.
r'ir- Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
,,,./e-'T Trade name of septic tank or aerated treatment unit.
7 (-9e— -. Adequate absorption (or dispersal) area
Adequate compliance with permit requirements.
, C Adequate compliance with County and State regulations /requirements.
Other L5'!/
Date / --- - 2-5- .7- '�_ 7g Inspector r .----er. '
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
1 "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.
L\ 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.
Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy
IC
Fees Paid $oRj a"
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date ID =I -11
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
G/ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: 1 7 U S 0, p Iv >2%
Mail Address: s / City: (;J2rvknv. Slip: Pion/ Phone:,5 -7 >O7
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 ( r¢ It Fi t !fj City or Town
Legal Description .(v 7 iO 1-E, 'v c 3 Lot Size I.n P l3
2. No. of Bedrooms ' Septic Tank Capacity /2 S' 6 Aeration Unit Capacity
3. Source of Domestic Water: Public (name): u' 1z s 1 k
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? xi o
5. Distance to nearest sewer system: ?,t5 i' 7 i
Have you attempted to arrange a connection with the system?
If rejected, what was the reason?
- 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:
�8. Name, address, and telephone of person responsible for design of the 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.
0 Q-e- • / -0/
Date Signature of plicant
(TO BE RETURNED TO HEALTH DEPT.)