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Home My WebLink About00521 • • , ,, This does not constitute a building or use permit. • GARFIELD COUNTY DEPARTMENT OF ENVII$ONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 51601 Phone (303) 945-7255 INDIVIDUAL SEWAGE DISPOSAL PERMIT NO • 521 Owner Rrsbart F. t i flesyie System Location Missouri Heights Licensed Contractor Conditional Construction approval is hereby granted for a / rDr>.--, gallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in /S minutes requires a minimum of /9c2 sq. ft. of absorption area per bedroom. Therefore the no of bedrooms -- ' x /7 sq. ft minimum requirement = a total of . S 7 jsq. ft. of absorption area / / May we suggest - Date � �� -- ?� Inspector I . FINAL APPROVAL OF SYSTEM: &Yr. tiap-P' 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. te2X Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. "r' ®./C Proper materials and assembly. a rei.A4/0 Trade name of tic tan or aerated treatment unit. ®f Adequate absorption (or dispersal) area. "Lot G loms.. t�,..a cJ c,- r�Gi- t.Ce.�w o/c Adequate compliance with permit requirements. Q ic Adequate compliance with County and State regulations /requirements. • Other Date }w—Py t ° gar 9 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 Zonipg 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 mariner which in- volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine — 6 months in jail or both). Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy F� Fees Paid $7c, > 4 � INDIVIDUAL SEWAGE DISPOSAL APPLICATION ir 'd•" 1$ •• Date e-}--B- NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM R RECEIVED APR 0 4 1978 Owner: R o BCL1 F. &I t,. LCS?ttL BO. Mail Address: 134 nStwl5it Ave Cit Wimp SPRs ,Zip: $ /6oi Phone: VIP 7kB► Nowt. 4kt• $t7h 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 G- 4RFiet_D City or Town(M'nd°RI Hc.siry ) Legal Description 5ESA -T iAcE}ytitea1T Lot 5 e 7.4t ,4c4tes 2. No. of Bedrooms 3 Septic Tank Capacity //9d f09 Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Wells/ Depth 325' Other Depth to first ground water table 2-10 4. Is facility within boundaries of a city /town or sanitatiistrict? N 5. Distance to nearest sewer system: ? �� 7 t Have you attempted to arrange a connection with the system? //v If rejected, what was the reason? �,9- 6. Rate of absorption in test holes shown on the location map, in mi per inch of drop in water level after holes have been soaked for 24 hours: . re ( "�. "_ 7. Name, address, and telephone of person who made soil absorption tests: 8. Name, address, and telephone of person responsible for design of system: 9. Express permission is hereby granted for the inspection of the above ro erty by an P P Y Y 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. AI 2-1, lc? t AAA T• G -( Date Signature of Applicant (TO BE RETURNED TO HEALTH DEPT.) • • A part of Lot 14 in Section 18, T. 7 S., R. 87 W. of the 6th P.M., situate in Garfield County, Colorado more particularly described as follows: Beginning at the NE corner of said Sec 18, thence, along the N. Section line S. 89 °55'36" • W. 1343.36 feet; thence S. 1 °08'53" W. 490.99 feet to the true point of Beginning; thence S. 1 °08'53" w. 310.0 feet; thence S. 89 °53'13" W. 1085.69 feet to the • Easterly boundary of the County road; thence along the County road N. 17 °46' W. 75.33 feet; and N. 12 °22' W. 239.27 feet; thence N. 89 °40'28" E. 1166.15 feet to the true point of beginning containing 7.98 acres more or less, together • with an easement for ingress and egress to said property along the Public Service Company of Colorado transmission line easement, but not on said easement) twenty feet in width running on a line S. 49 °22'17" E across Lot 14 in Section 18, Twp 7. S. R nge 87 W. of the 6th P..M. from the county road which crosses said Lot 14 to the property hereby conveyed. Said easement shall be used and -.- ______maintained _ by_both grantors, grantees and their successors or assigns. • Robert F . Gillespie 734 Minter Avenue Glenwood Springs Colorado 81601 1 ! I PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY '. ' 't . I ,t.t.05Pi6 «e— Pus t towctc • A A 12.40 �� I 0.00 Ipo CCkTHEU STORE R9 ... __ / , -- 4 M 1,..cs E07E2 00 DE2 / e4 Poglac 5aasv wtges ; co c47 � c4 5744 SP Ro , ,u mass - -J'7 RTE 1.3 3-► CkRBoN OAI. -, c. (b o Jo i 11 oo N INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES N o7 To St,Le No hall -V,N65 oN Pea P. 7aa,uAec oR 1QRt6 Piro( � Pn 6s6►Etw twc &E IS A- LAatre s ov t conscAGre &ack. wt+tR6 "fQ.a/oseo Roos( "LaNrv"p 0 wF.✓" d t4 • All 1.-.l Agafl 1 /S ' 316 F T • d Corrfrk yl.tue Stot o toho• e Col/01A kokP 1 0 o— D/� �---- COuNTtj kokD 103 (TO BE RETURNED TO HEA TH DEPT.)