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This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81801
Phone (303) 9454255
INDIVIDUAL SEWAGE DISPOSAL PERMIT Ni.,) 750
Owner Frank O. McCown •
System Location Rifle - near County Road 264
Licensed Contractor �{A/t/t 1(_ -if
Conditional Construction approval is hereby' r anted f� % S . gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in � minutes requires a minimum of .7f 0 io sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms -<' x - - in sq. ft, min requirement = a total of IF. R!% %' , sq. ft. of absorption area.
v
May we suggest
Date % �
FINAL APPROVAL OF SYSTEM:
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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-
. ing any part.
0/C Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
4716 Proper
// / _ Proper materials and assembly.
` dOP�I �D Trade name of eor aerated treatment unit.
tO/ / Adequate absorption (or dispersal) area. I l
C/C Adequate compliance with permit requirements.
e/C Adequate compliance with County and State regulations /requirements.
Other
Date _--___ 1 /9 27 Inspecto - 14-4C2 '
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 575
•, INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION
Date -t /
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM'
Owner: TWA Al - c-t) /Y
Mail Address: 40 8/ 2154/Rip City: f, /AZ- Zip: ,Q /(ASn Phone: (2,5 fl3/
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 /C
Legal Description • Q_.e R cr_x Lot Size Z. (, A Gge S
2. No. of Bedrooms .. Septic Tank Capacity / /4,1 D Aeration Unit Capacity
3. Source of Domestic Water: Public (name) :41t w/1/ /,V /T
Private: Well Depth Otherjp,q,.N4_Depth to first ground water table ( PC)
4. Is facility within boundaries of a city /town or sanitation district? (/ t5
5. Distance to nearest sewer system: / / Le-
Have you attempted to arrange a connection with the system? /j/ 0
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 the 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.
Y -- 7? „ 0 e �'��
Date S gnature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
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I PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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77,E 13 6 -z
9„3,
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
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(TO BE RETURNED TO HEALTH DEPT.)
L ReRUO vcavc -
to the point of beginning.
of Section 18, Township 6 South,
PASTEL B - All that part
6 t of the � Northerly of the County Road as
Pilate 95 West of the P.M. , lying
constructed and in place, described as follows:
Beginning at the SW corner of the NEy4NE$ of said Section 18;
thence North 432.32 feet;
thence S. 32 ° 46' E. 514.13 feet to a point on the Southerly line
of said NE}<NE4 of said Section 18;
thence South 157.26 feet to a point on the Northerly line of said
road; , W. 293.28 feet along the Northerly line of said
road N. p 1 35 of said Section 18;
road to a point on the Westerly line of the E�'�
thence North 64.62 feet along the Westerly line of the E1/4NE4 of said
Section 18 to the SW corner of the NE}4NE}4 of said Section 18, the
fx point of beginning.
93
W that part of the 18, saidhSW%NE)eand
line s
West u
t of the 6 2 t. loi described as follows:
West of the East line of said S1JANEY�,
Beginning at the NE corner of SWju$;
thence South 462.0 feet along the East line of said SW$NE)d;
• thence West 235.0 feet;
thence -North 462.0 feet to a point on the North line of said SW)4 ;
thence•East 235.0 feet along the North line of said SW%NE)4 to the NE
corner of said SW$NE}4, the point of beginning.
u oses across land formerly owned
Together F. Cabe an easement for be, beginning at the Easterly boundary
of above F. rc ofd land at Cabe, die Northeast
to a South
of above parcel of land at a point 280 feet Easterly the Northeas
corner of said land; thence extending in Ea
county road, said easement being
. Frank 0. McGown
, zf� 6° Y,',!c
• ,orothey' . McGown
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