HomeMy WebLinkAbout00547 e
This does not constitute
a building or use permit.
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GARFIELD COUNTY F T ( t `
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Gle ood5 fn Co CP do 8
Phone ( 303) 945.725$ `
INDIVIDUAL SEWAGE DISPOSAL PERMIT N 7
Owner Stephen C. Sahietelbein
System Location Rifle i . 's s41
Licensed Contractor W� t 4 Y ' ' ` Q
• Conditional Construction approval is hereby granted for a vie O gallon t;
—Jr Septic Tank or Aerated treatment unit.
Absorption area (or dispersal ar ea) computed as follows:
Perc rate of one inch in A /
`£' minutes requires a minimum of _ 3 0 sq. ft. of absorption y area per bedroom.
Therefore the no. of bedrooms x no sq. ft. minimum requirement = a total of Ile_ sq. ft. of absorption area.
May we suggest S c (its* G: V c a ,ter /a `X .S �'i1 J r 42 e e es'
Date ,22t. 7 t !^777et ` , Inspector 4„(,.x
FINAL APPROVAL OF S STEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved g p y pproved prior to cover•
ing any part.
Dip— Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
(S144:- surface.
Proper materials and assembly.
P e n4me of septic tank or aerated treatment unit.
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Adequate absorption (or dispersal) area.
6frt , Adequate compliance with permit requirements.
Lamps- Adequate compliance with County and Mate regulat$bns /requirements.
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Date ?,-- —? g , Inspector
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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 llegal action and revocation of the permit.
3. Section III, 3.24 requires any persokwho construots,. 4]�tars, or installs an individual sewage disposal system in a manner which in-
volves a knowing and material variation from the term 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 bApplicant'— Green Copy Dept. — Pink Copy
�RF�r�FF'' FF�� MMppyy pp Fees Paid $ ��
• INDIVIDUAL SEWAGE DISPOSAL .micFr VAF!RI tIDN$ 1978
Date s
NOTIFICATION
DISCHARGE STATE �e...ei r
Owner: k,p�le'4 C Sic k i F rEL 8 F / A/
Mail Address: ?Q,P)OX 1 49 . 7 City: St I Zip: A(6s3. Phone:02981
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 6'Peri El D City or Town Pi F(
Legal Description /V►'�/ �y 5 � c an) Tss r L 9o t Size 29(6S/ 4
2. No. of Bedrooms j Septic Tank Capacity /000 Aeeration Unit Capacity
3. Source of Domestic Water: Public (name): /ell( 6n /76w4 (C
Private: Well Depth Other X Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? no
5. Distance to nearest sewer system: —
Have you attempted to arrange a connection with the system?
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in min es per inch of
drop in water level after holes have been soaked for 24 hours: _ cr $ e ; r ., . r
7. Name, address, and telephone of person who made soil absorption t8S
__.e t e 1 ,1.9,
8. Name, address, and telephone of person responsible for design of th = system:
9. Express permission is hereby granted for the inspection of e above p perty by any
member of the Garfield County Environmental Health Departme t 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.
1 te Signature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
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PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUtIi IES, S REAMS, RRIG. 1 DI C ES, RO'' sr , sr' :s 't'.'
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1 vim- ---1-7-) t/Ja � �, ft C �
_E -'S P ro ? ectd -ta- . l 4f
P �.c (TO BE RETURNED TO HEALTH DEPT.)
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