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HomeMy WebLinkAbout00709 .+' This does not constitute a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945-7255 INDIVIDUAL SEWAGE DISPOSAL PERMIT NV 709 Owner Orland Landauer System Location U - 306 Road Licensed Contractor owner • Conditional Construction approval is hereby granted for a 750 gallon X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in 15 minutes requires a minimum of 190 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 2 x 190 sq. ft. minimum requirement = a total of 380 sq. ft. of absorption area. May we suggest eepage Bed 12' X 32' X g' deep 0 18' 21' x? t deep ror 3 bedroom home 1,000 tank b beepaged 12 x48 x3' or 18*32'x3' deep. Date 2 .2 5 /979 Inspector et-czQ 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 ,p�arr't..( •^ +" Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Ofr Pro er mater'als and �� tcz ei t<.-! /00© Z Trade name of septic tank or aerated treatment unit. K /,- Adequate absorption (or dispersal) area. /'� X,Z / ©'R Adequate compliance with permit requirements. 0.1t Adequate compliance with County and State regulations /requirements. Other Date 4 Inspector 4 71 / -''- ...... RETAIN WITH RECEIPT RECORDS INSTRUCTION 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, CR$ 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 woo { ' �! ' ` Fees Paid $mss • INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date .6 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE ' INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: OK ,4z.' / 41.414 4)0 g Mail Address: r3ar c„t..,6,1j, 2/6 City: „ o/4 Zip: Phone:a ,S - 72i6 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 ai3O4,0d awry Se Legal Description lil S`e [ � Of �1)� 7 Lot Size ; 6 ni o o M v IV �) , / 2. No. of Bedrooms Se Tank C 50 C'igjAeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well Depth Other I./ Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? xi t) gs Distance to nearest sewer system: Sthaa Have you attempted to arrange a connection with the system? ..n 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. Name, address, and telephone of person responsible for desitn of the system : R.S -7 7/4 1 , / f� ( J1 ( ' _. . r _ G."i • . :.. �.�s_ L 'I �a._r _ • 9. Express permission is hereby granted for t • inspection of the above proper y 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 L 4_14.. f 2-11 n ure of (TO HEALTH DEPT.) ,; .., BE RETURNED TO PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY CK� 4 „1 OKI 1 • i e0 • oeI LeAC,3 L7 Sfr4 ^q p ed. Ac id w 4.a COfeanl SOO I INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- bUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES le d w Ak4 SysfeefiJ • . �' a36 ac�fs t S4-oJ A0 (TO BE RETURNED TO HEALTH DEPT.)