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Home My WebLink About00514 This does not constitute a b a building or use se permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Sptings,Colorado 81601 Phone (303) 945-7255 INDIVIDUAL SEWAGE DISPOSAL PERMIT N) , 514 Owner James & Beverly Kisumu System Location Lot 1 - King's Row Subdivision - Licensed Contractor see Conditional Construction approval is hereby granted for a plans gallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: iw Perc rate of one inch in 1 5 minutes requires a minimum of N/A sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x N/A sq. ft. minimum requirement = a total of N A sq. ft. of absorption area. May we suggest pines and specifications of design by Registered Prof *atonal 1:ngi.no .. approved as attached. Date yri 1 1 t , 1 ^78 Inspector FINAL APPROVAL OF SYSTEM: C 4 No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover- ing any part. (� '" t." Septic Tank access for inspection nd cleaning within 12" of ground surface or aerated access ports above ground surfa ce. - Z --- "7 I4 C) /C_- Proper materials and assembly. Trade name of septic tank or aerated treatment unit. A dequate absorption (or dispersal) area. - Adequate compliance with permit requirements. «��' Adequate compliance with County and State regulations /requirements. Other Date /( 7 ''—zr 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). � Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy Fees Paid $29O 4 INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION . Date 3--t" o r NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM • Owner: 129127,%5 'v - A6 /, ,Pi Y 4 /50.44 Mail Address: X3ax ag7 City: C thvneop Zip: _ Phone:y6'3 -24'373 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 0/04 ity or Town �.�.ai, �,iy ibp �. .___111... Legal Description 4, f '_ : ,_, �;, „ _tot Size 3 2. No. of Bedrooms 3 Septi Capacity /oopeA1. Aeration Unit Capacity 3. Source of Domestic Water: Public (name): \;yam (1 n ),, r eL w .� —. Private: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? ,j.p. 5. Distance to nearest sewer system: Have you attempted to arrange a connection with the system? 4/6, 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: 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: JA1w,C ST/,VAS 1 Zoo( . Q 7 (A vP69/1./w re . 963 —Z 9,n 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. 2- ao =��` Date Signature of Applicant (TO BE RETURNED TO HEALTH DEPT.) w PLEASE DRAW AN ACCURATE MAP TO YOUR.PROPERTY i r l. y 1 2r' INDICATE BELOW THE LOCATION OF YO R BUILDINGS, WATER SUPPLY AND DISTRI- :1 0 1 l 4' , .. it 1 _ ' , •iii1'' , ''i :$1 ' 1 F 1NT_Y__ Roan /0z / (o kl ...'‘`., W N • yy Z I ___ _ _ ..... -, _. 'I1 (TO BE RETURNED TO HEALTH DEPT.) RECEIVED OCT2 31978', • ig M M g N c a ? i � October 20, 1978 J Et U 0 Mr. Ed Feld N z Garfield County Department of Environmental Health.' g 2014`,B1akeAvenue Glenwood Springs, CO. 81601 RE: ET System for Jim Misunas Residence .. g 1 Lot :1 - Kings Row Subdivision r Z 8 Dear ED: ,,i •. '' I apologize for the delay ih get in thi §rletter to you..."ee ., z 7 cause of the extensive field information gathered by the engineers p 0 who prepared the basic designs for King's Row, Iihave amended S plans on the above system to not *include a liner::. „ ,.., 0 o Sincerely. D Rick Kinshella o > RK/jlw z8 1 .8 a