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4 This does not constitute
•
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81.601
R.P.E. PVRC - FEE ONLY Phone (303) 945 -7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N9
Owner Horns 1l rthelengl
System Location Rifle Service Park Lot 7
Licensed Contractor A & B Pl umbinc
* Conditional Construction approval is hereby granted for a 1.250 gallon
Septic Tank or Aerated treatment unit. (Holding Tank)
Absorption area (01 dispersal ,area) computed as follows:
Perc rate of one inch in N/A minutes requires a minimum of N/A sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms N/A x N A sq. ft minimum requirement = a total of N/A sq. ft. of absorption area.
May we suggest installation of approved holding tank as des.tgned byy ah R.P.E. (see p lens
attached) - permit to expire as per tan); aggeements betveren de elopor and
Date Garfield County. Inspector � 'A
Parch 19, 1979
FINAL APPROVAL .OF SYSTEM:
No system shall be deemed t6 be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover-
. ing any part.
,Vi Septic Tank access for. inspection' and cleaning Within 12' of ground surface or aerated access ports above ground
surface:
Ot Proper naterial} and assembly.
Kie 097/01rade name of septic tank or aerated treatment unit.
w' Adequate absorption (or dispersal). area
�'� :A dequate comp liance,wiith permit requirements.
Adequate compliance;with County ;and State regulations /requirements.
4 ,e'"="%cce4c r e cJelt ,4 2C.r ? e 2,0.5 .0(0 O/ S e-e ra-C_
Other e SC- ...�., e a V 5 impnri err- &-f$C s
Date J e ` 7� 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 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 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 $,'S
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
• Date 3-0- 7?
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: Gu.( P1 c/ZEe' 3t`i- fznir7 .y
Mail Address: h I (I C/7 City: GZ ff:4 = Zip: SI'I(0575 Phone:g77 fer
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable buildings, location of potable water wells, soil percola-
tion test holes, soil profiles in test holes.
1. Location of facility: County Garfield Ci ty or Town (Z(
Legal Description V F r wtiiur me.k. 1 n-r "7 Lot Size 9 4 4c 4)
2. No. of Bedrooms(emileR,e - eq-t Septic Tank Capacity 1250 Aeration Unit Capacity
3. Source of Domestic Water: Public (name): Cc, w r a � .� •i'a i - to ‘rJ iu (rte
Private: Well ?( Depth 5 Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? U n
5. Distance to nearest sewer system: c Le p,,,1 4p01ictrnar
Have you attempted to arrange a connection with the system?
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in minutes per inch of
drop in water level after holes have been soaked for 24 hours: 0/14---
7. Name, address, and telephone of person who made soil absorption tests: to re4-
8. Name, address, and telephone of person responsible for design of the system:
i e a-u a-oa..e ati
,t LDaQA -DO p kVtca NFF4k r , - It% fM$-t c.M.CtJtifooD <'9�i�rx Ln X1601
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.
11 c el, 1 O1 `1q Yt4. u lWg; VW 1,�.�'11
Date Signature of Applicant /
(TO BE RETURNED TO HEALTH DEPT.)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
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. PcA-063 )cr mac= T
(TO BE RETURNED TO HEALTH DEPT.)
RECEIVED MAR 1 3 1579
March 12, 1979
it Mr. Ed Feld
o Environmental Health Officer
> w Garfield County
cc o 2014 Blake Avenue
° o Glenwood Springs, CO 81601
o
o a
Z RE: Rifle Service Park, Sewage Holding Tank for Lot 7
°w 8 Dear Ed:
cc y
z I wish to respond to some of the questions you raised on the
5 z above referenced facility.
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o 1. The holding tank will be 1250 gallon capacity pre -
N 8 cast concrete, as manufactured by Copeland Concrete.
cc
W w 2. The tank will be serviced, on call from the Owner, by
5 0 a septic tank pumper . licensed in Garfield County. Dis-
z charge will be to the treatment facility at Sleepy
Hollow Mobile Home Park.
z §
1
X 3. Access to the holding tank will from Aspen Road across
0 O the graveled area to the north side of the proposed
V) m building. (See attached plan).
8 6
a 4. The Owner will provide visual means of monitoring the
liquid level in the tank through a float system. The
z w system has not yet been specifically designed but will
consist of a float in the tank and an indicator located
2 w over the tank and above ground surface.
8 'a
o Y Should you require additional information, please feel free to
W 5
contact me.
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z Sincerely,
W
1h -,
g Dean W %rdon
o
o DWG /jlw
w Enclosure
xc: Mr. Pierre Barthelemy
- RECEIVED APR 0 5 1979
G.L.M. Company
General Contractor P.O. Box 1328 1447
Commercial Building It, .
Colorado 81
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