HomeMy WebLinkAbout00649 This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
REPAIR & ALTERATION - NO CHARGE Phone (303) 945-7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N° 649
Owner Herbert L. & NAtAIIe 2, Gardner
System Location OdfS Cnunty Road 167 - Glenwood Springs
Licensed Contractor CE O r_ t t t 1 " e ° _ " 6f " x !r. ,may+ -r. ar y T / J(_•
` Conditional Construction approval is hereby granted for a 1 ,500 ' gallon
•or 2 -750 gal. tanks in series
r Septic Tank or Aerated treatment unit. . Gregg)
SEE '75 PERMIT W135 (Tom Se
Absorption area (or dispersal area) computed as follows: FOR PERC -
Pere rate of one inch in 5 minutes requires a minimum of 125 sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms ._5— x - 125 —sq. ft. minimum requirement = a total of 625 sq. ft. of absorption area.
May we suggest prywell I3' square and 13' deep.
Date Nnvnmber 7, 197R Inspector . r
FINAL APPROVAL OF SYSTEM:
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.
CV-- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
cS-'1a "- Proper materials and assembly.
r .
c7- f,i"�— 373 -r -
''� 4 � 7 --' =' Xir Trade name of septic tank or aerated treatment unit.
r• -' Adequate absorption (or dispersal) area.
c' . Adequate compliance with permit requirements.
- -.- Adequate compliance with County and State regulations /requirements.
Other
Date /..,-1.. - �+" - - Inspector - r 7 1 , ." 4 ,..
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. Alt 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 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 8. manner which an- ("•
. volves a knowing and material variation from the terms or specifications contained in the application of permit commits a glass 1, 1-
Petty Offense ($500.00 fine - 6 months in jail or both).
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
Fees Paid spic-
e...
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date j 1 —Z -1 g
/ NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: Herbert i. Re NAtalie J. Gardner
Mail Address: 0405 167 Road City: Glenwood spgs Zip: 81601 Phone: 945 -6166
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 ears , s„-esco
Legal Description NW corner Lot 9 Section 1 Lot Size 2.08 acres
51, R W of the th PM
2. No. of Bedrooms 5 Septic Tank Capacity 1500 Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well x Depth 100 ftOther Depth to first ground water table Game
4. Is facility within boundaries of a city /town or sanitation district? no
5. Distance to nearest sewer system: six miles
Have you attempted to arrange a connection with the system? no
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: .. yU,,,,LATSEiN
7. Name, address, and telephone of person who made soil absorption tests:
�c --r P&ruu ir e >
8. Name, address, and telephone of person responsible for design of the system:
Sew Pefe- A.4.41
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.
WA7 2er Airsdnar-i ... S gnatu e of Applicant , ` .
( TO BE RETURNED TO HEALTH DEPT.)
ur
�� PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
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(TO BE RETURNED TO HEALTH DEPT.)