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HomeMy WebLinkAbout00520 This does not constitute a building or use permit. GARFIELDCOUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945-7255 INDIVIDUAL SEWAGE DISPOSAL PERMIT N-9 520 Owner Edward J. Taster System Location Lot 6 - Riverview Subdivision Licensed Contractor " Conditional Construction approval is hereby granted for a / gallon �t Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in 1110___ minutes requires a Minimum Of , /Q sq /ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x 0 sq. ft. minimum requirement = a total of sq. ft. of absorption area. May we suggest ./ism- X 6 ' X .3' <-,Sf' .z- �/5`'l L ` - ,eiCr Date : , � Inspector FINAL APPROVAL OF SYSTEM: �' .kref> c� - 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. /Je- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Or Proper materials and assembly. /r T 779 MC Trade name of septic tank or aerated treatment unit. O / C Adequate absorption (or dispersal) area. • O/C Adequate compliance with permit requirements. /r C-1-2/ ©/C Adequate compliance with County and State regulations /requirements. 6 � Other % Date 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„py' 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, Petty Offense ($500.00 fine - 6 months in jail or both). Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy Fees Paid $7J INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION -.12- . Date _ NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE 0 INDIVIDUAL HOME SEWAGE TREATMENT • Owner: fbtj $FAA TmSLB*. Mail Address: 085 C'Ty,Rd /27 City: 6Lb wooD3 'gZip: $' /LO/ Phone:Ss/2o/ INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW 4 °k x- A14, ^h" Js' 64 4 —G.s- Attach separate sheets or report showing entire area with resp ct 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 Q*kf,OLd City or Town QLevc'scso JJ $piS w det Legal uescription Go T6- lownei►au sewn). L ot Size ApApie iaue. 2. No. of Bedrooms .3 Septic Tank Capacity /000 Aeration Unit Capacit o foot- - 3 3. Source of Domestic Water: Public (name): Cew.wA, well Ca., colypil Private: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? 0 0 5. Distance to nearest sewer system: ' 'M it . Have you attempted to arrange a connection with the system? ..%\p If rejected, what was the reason? •6. Rate of absorption in test holes shown on the location map, in ming es per inch of , drop in water level after holes have been soaked for 24 hours: ..gy .0 ` , 4 _ • 7. Name, address, and telephone of person who made soil absorption Ts: • 8. Name, address, and telephone of person responsible for design of e syystteAm:' 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. ClIVJ ji 9Date e g a Applicant . (TO BE RETURNED TO HEALTH DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY C X 37' eri • 1 q ' p1 7, 7 7. fro INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY ANA DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNrhRY LINES X c2a yd A et- bar est L- AO (TO BE RETURNED TO HEALTH DEPT.)