HomeMy WebLinkAbout00532 • This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENTOF ENVIRONMENTAL HEALTH
2014 Blake Avenue
R.P.C. PEW -FEE ONLY Glenwood Springs, Colorado 81601
Phone (303) 945.7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT NA 582
•
Owner N. Baker (West Homes B Rentals - Builder)
System Location Lot 50 - Antlers Orchard Dev. Co. - 0188 Round Rise Road - Rifle
Licensed Contractor
* Conditional Construction approval is hereby granted for a 750 gallon
X Septic Tank or Aerated treatment unit.
SEE RRSUMB OF PERC. TEST
Absorption area (or dispersal area) computed as follows: ATTACHED'-
Perc rate of one inch in 25 minutes requires a minimum of 9 30 sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 2 x 230 sq. ft. minimum requirement = a total of ago sq. ft. of absorption area.
May we suggest 12' x 40' x 3' Seepage Bed.
Date April S, 1978 Inspe
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FINAL APPROVAL OF SYSTEM: `'(�
No system shall be deemed to be in compliance with the Sewage Oppose' Laws until the assembled system is approved prior to cover-
ing any part.
G'2 '%^ Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
/Ls- Proper materials and assembly. •
( ) / /H#I ff Trade name of septic tank or aerated treatment unit. / p p 0 t nAC /ter/ .S 7t' /.c 4• Q ca
!' "" Adequate absorption (or dispersal) area.
er; /'
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements. •
Other
Date ` '! • . , _ - • Inspector .1.+..+r -�� � �.'..w.- 4`_.ltc
I 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 66.444, 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 - -
- _._ - _ •_ Lsuusss.ss.n nat n.
Fees Paid AlCS
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date 4
-1 -1 2-
,
r . NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
\
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
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10,a "_ �- ( U�v I s
.ner:� j �A c ( /t/es f /ago cr £�/�e•� /a /s 2f„ , i
.+fail Addr : /9s2 /.4,„/ /3 City: /f" // Zip: /E Phone 2J---_20 6/
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 Cry,- f,:/„j City or Town
zee 10170 a/,30 o /gg 'round %roc- /'aa.'
Legal Description Lot Size Jo Ac reef
2. No. of Bedrooms .2 - Septic Tank Capacity /00c) Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well ' Depth Other Depth to first ground water table So `
4. Is facility within boundaries of a city /town or sanitation district? /V '
5. Distance to nearest sewer system: ¢ '
Have you attempted to arrange a connection with the system? /y
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in mi tes per inch of
drop in water level after holes have been soaked for 24 hours: -, d o,-- z c�
7. Name, address, and telephone of person who made soil absorption sts:
/. Yt
8. Name, address, and telephone of person responsible for design of th 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.
, ,
Date Signature of Applicant
c
(TO BE RETURNED TO HEALTH DEPT.)
�, = WILLIAM B. McDOWELL & ASSOCIATES
` Consulting Engineers
•
April 17, 1978
To Whom It May Concern
This letter report gives the results of percolation tests taken
n Lot 50 of Antlers Orchard Development Company's Plat No. 1
perc known as 0188 Round Tree Road. The attached sketch shows
olation test hole locations with respect to the proposed
absorption bed, building and well location. Following standard
procedures, the percolation rates were found to be:
Test Hole No. 1 15 minutes per inch
Test Hole No. 2 28 minutes per inch
Test Hole No. 3 28 minutes per inch
g B, Mcrj•'
.', > % %,i£ n ht
�� \F WILLIAM B. MCDOWELL & ASSOCIATES
* 49 * By: tom >fl crc,t7 l.
�. William B. McDowell, PE -LS
Encl. q TE OF 0-
a
1982 Highway 13, Rifle, Colorado 81650 Phone (303) 625 -1182