HomeMy WebLinkAbout00573 I '' I
This does not constitute l c"
a building or use permit
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH t
2014 Blake Avenue
Glenwood Sp Ings, Colorado 81601
p R
- HO CRAWS Phone 3031945 -7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT NF 673 •
Owner Colorado Rocky Mountain School
I
System Location Carbondale
, 1 411
Licensed Contractor Iasi JfUgthea .. ' m y.
I "r;
' Conditional Construction approval is hereby granted for a 75?) gallon
lea
Septic Tank or Aerated treatment unit.
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, Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in We - minutes requires a minimum of /V A sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 4 x N, sq. ft minimum requirement = a total of Al ft. of absorption area. " ° „ " j ilp
Date l / 7' a'V .sue c /20 0 //� C. f-- z) ' Inspector S py •+y....y nr,
May we suggest /" .0/I�{/L Ce C: x7"rG '„
FINAL APPROVAL OF SYSTEM: "030-a
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No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover. II(I ,
ing any part.
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-- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground "i I p
surface.
fek Proper materials and assembly. „m
T rade name of septic tank or aerated treatment unit. /1.2 Se./ ....nre
OIL Adequate absorption (or dispersal) area.':
/OK Adequate compliance with permit requirements. 4 P P 'IIf.
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COE - Adequate compliance with County and State regulations /requirements.
Other 1 I "
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Date Inspector / I li;ilrn�ti ,t • " ' .,
iill I'II -,
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE \ I ' r
•
*CONDITIONS: ,
1, All installation must comply with all requirement of the County 'Individual Sewaga'tisposal Regulations, adopted pursuant to au: I 0
thority granted in 66.44.4,CRS 1963, amended 66 -3.14, CRS 1963. I ul'
2- This permit is valid only for connection to structures hich have fully complied with County zoning and building requirements: "I
Connection to or use witty any dwelling or structures approyed by the Building ancl`Zoning office shall automatically be a vioia • h " I ^ '
tion of a requirement of the permit and cause for both legal action and revocation of the permit.
3. Section Ili, 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, q
Petty Offense ($500.00 fine 6 months in jail or both)
in Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy • I "
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Fees Paid $ 0) C___
INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION
Date ( -) S.-1 f
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
se- INDIVIIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: (d-4 Ricci 0 � so /
Mail Address: Cit
Y: ,_.✓: i.-. Zi P: 5.7cJ G phone:
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 Garfield City or Town aera
Legal Description 'C''' /Z -- Lot Size
2. No. of Bedrooms Septic Tank Capacity /2_6 era ion Unit Capac y
3. Source of Domestic Water: Public (name): GJ/jey-,p
Private: Welifl9 ' Depth Other Depth to first ground water table a$-
4. Is facility within boundaries of a city /town or sanitation district? 2
5. Distance to nearest sewer system: -,
Have you attempted to arrange a connection with the system? r _- O
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. N- -, a••r s any elephone of person responsible for design of the system:
/
9. Express pe• ission is hereby granted for the inspection of t : above property by any
member of he Garfield County Environmental Health Departmen 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.
L— /S Dat e 2 a !` 5 ( Applicant
(TO BE RETURNED TO HEALTH DEPT.)