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HomeMy WebLinkAbout00741 'M Y This does not constitute .� a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Aimee Glenwood Springs, Colorado 81601 Phone (303) 945 -7255 INDIVIDUAL SEWAGE DISPOSAL PERMIT N? 741 Owner " A SC or T �ENc I l< System Location Carbondale L 7 6 "f 46. g Licensed Contractor t' pa) h B r- t/ • Conditional Construction approval Is hereby granted for a ,/000 gallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follbws: Perc rate of one inch in /0 minutes requires a minimum of , ��a sq. ft. of absorption area per bedroom. r / Therefore the no. of bedrooms •-� x�o S sq. ft. minimum requirement " a total of7 •' sq. ft. of absorption area. i May we suggest bL t' F:x ra, -,a R— • e -.ot / 2 >/ 2^ .• £ t �. •f • Date L C /CA / f / Inspector „4-// 9 ee /�, -e FINAL APPRO AL 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. Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. OR Proper materials and assembly. //'� (dens �+ L PA Trade name of septic tank or aerated treatment unit af/, r y Q , /no a// , Adequate absorption (or dispersal) area. As x'3 '" 9 'ff � ' 2s/ ez Adequate compliance with permit requirements. `N� fe �� � // t�d�'�'7/ S OK !/ / Adequate compliance with County and State regulations /requirements. /-e$ re- Iffy Cr— /R e Other 14 /tin mt< //LRAr Date Inspector , ���.a ,. RETAIN WITH RECEIPT RECORDS; 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 actioh and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewpge 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 Fees Paid $7S' INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date �� NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE a -train 4 lt-rcc_ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM' Owner: i 5 / , ;ij/i � � it��> ��2�i' Mail Address: f� ✓ � . y? City: Zip: 40/7 Phone &t7 / INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW �6 /2.36 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 4,a, „ Legal Description QRL .Jv Vl.t.o Lot Size 7, / £�z� 2. No. of Bedrooms • ' Septic Tank Capacity ace; Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well i Depth Other Depth to first ground water ail" 4. Is facility within boundaries of a city /town or sanitation district? 5. Distance to nearest sewer system: %5,,', 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: 7. Name, address, and telephone of person who made soil absorption tests: -8. Name, address, and telephone of person responsible for design of tt e system: 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. JYate Si t ot4pplicant 1 , (TO BE RETURNED TO HEALTH DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • I „pi g) , INDIQATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DIS RI- BUTTON LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY L NES e ' 3 �o t. I T • /log f • y get _ P (TO BE RETURNED TO HEALTH DEPT.) • _ y IEGAL tiESCRIPYION Parcei 2 `.. - t ' `' 7 of f s * ;� t`• A t c : `of'land situate in Section 33, :' Tow .. ow nship • 7 S C • • nge 87 .. ' '"�r•t i • 4 ' 'Wes o, th e 6t •• incipal Me idian being more partic } y des ,+ tr t •r fcribe4,a f o i l s �.S ' - - s .a 4 . el •„ . ate ' B eg Itne i nn pf n olcr a •• p0ln Sta the xtsting north + way 'fence ' Cte Highw No: 82 whence e sou ; th -ast corner.::; ,.�r� of • ;aid:Secti•n bea S 62. 09' 48" E 47 �. 5 feet; thence N `--- r (4,^1 ;-', Q7 2S' 51 " ", 491. fe t ' to'•n extstin! - enc- dine; n 19 30" E .191.61 f l •ng s ic _ex g fen a line; t th ce ence S S 82 . • • 00 19 ' 16 " 64 2.80 eet fe- •. to' aid 7 ' _ 'e sting'no therly ri•. t -of- + ,wa fence ti e:'of .Colora d State ghway No, d2; thence 1 , 12 feet • e is ,• +• • • -of- a y fence }i e of Co • v • e.', g 82 to the p• int ; ' •f be .. •n n n ,tng e s more "o. less *" t : � • T. e LL } agetTed ' . . ' ' ` s SIT o ;ing Range 87 , , x ,' � - a 'eg ess -sftua S ; in Se on 3 .wns • • 7 So t h, Range 87 • „ ' Vi ,'We# , of hhe, th P r c ipal Fie• • �n,-be f p ar ticular y _; s ='' " o •r lb d d a :..fa •.s :._ : - __ h - • - _ • x '� t a nni i ` *: potpt . o n t - stin per r i g h t -of- ay ence '''i'',' 'll of-:C. orado Hi 0.•82 w nce t southea t corne v ....AI Id :e tion 33 bears S 62 '9'_4 4740 35 eet; t en ce N ' `0 5 E 60.00 feet; the S 72' 002 E 2: .33 eel t e nce . "i , • , -S 0' , 16 W 6} feet to point on s fig ht •f- �v . fe e line:. thence N 72! 10' 02" 293,12 feet alo • said ' northerly right -of -way fence i1 the point of beginn ', on ' • Y e + - i DESCRIPTION parcel 1 ' � t A tree ,of Iand, in Sect o TOwns 7 . Range 81. ES7`. . , , Wes}s o Yt<he, Pr incipa} Meridian being mdre particularly des r$ 'Cribed`at follows f y; k • 13e9.".- rigg at ,:point :on 4 h e ; e xisting northerly right -of -way fence' '. ; l in g pf :Colorado:State Highway No.• "E nc southeast c orner t of sai Sect on 33 bears 5 61'1 1, E 43 17 . 22 : feet;thence N ::::72.-.7.-- '2 " , W 167.20 f along said right- of- wa N 1 g 00 9';1 E 642.80 feet t an existing fence li n e; ; thence'5 82' 19'.30" E - 170.11 f eet along said existing fence line. to, a point on' '. , +f t westerly line o tract of land described In Recep N o. � 1 ` • ? 285358 0? the records of the Clerk and Recorder's :Office..,{iarfle # _ e a s ' County; Colorado, thence S 01'- 15'.00" 14:573,41 fee a said ` R e •' Y wester)y I�n of Reception No '235358 • to the point o b __..._,..n..,‘....:4;.. f : 1 containin 2.102 acres more or less. ( ^„ Sub do easement' f ti and egres situate in Section ' •c :. ; t . r X 33 7oit n,�hjp , 54uth, Range 87 ; We s t of 6th Principal M eridian, , • ,,, ' ,...e--.:1.-- ei ator Pa r t icularly described as • follows 4 :.. >. • ' •� '—''.1"\''.' D o f T R ). ,. 4 - .. •,6 : y , ; . Y A o •_ ` �, .. e glnn i n g f f d . a point .on' the exist nort rtghu y. .fence s :.1tne, o State,Nigh _ 2 whence:'thesouthea corner i� + ` o ;ald' 1 Section 33; bears S62'.09' 48 "`E 4740.35 : feet; thence H • 0 7 . 25 ':6'' E = "60 00 feet;. thence 5,!: . ' , 10' 2" E:285,33 feet; thence : ' , 4 00 '..1 9 1 16" li 6.1.88 feet to''d po 2 " { 72 n t 4 2 2 93. 1 2 f e e therly ' right of - 4 „ w line; ta e'; t N 72' ` . 0 W 293.12 feet along said ti r. nor therly right -o -way fence lin to ;t h e point o f beginning, con • ..� taioin 0.391'acres more or less. •