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Home My WebLink About00765 ij 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 NO 765 Owner Albert L. Carsten System Location ?95 County Road 113 - Carbondale Licensed Contractor 0 Conditional Construction approval is hereby granted for a <'O gallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: �/ Perc rate of one inch in 7 minutes requires a minimum of / y-1 sq. ft. of absorption area per bedroom. Therefore -the no. of bedrooms 3 x 1.4„,_,L sq. ft. minimum requirement = a total of 4 c. 7sq. ft. of absorption area. May we suggest /2'/X 3(p Xr 1 / I)e e i r, o % & / A' 24 / / K 3'd ee,b Date // / y/1 Inspector `f K2t ``i 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. 0 lc. Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. K Proper materials and assembly. / I C Trade name of septic tank or aerated treatment unit. C o • / 4 OK Adequate absorption (or dispersal) area. m K Adequate compliance with permit requirements. 0 C Adequate compliance with County and State regulations /requirements. � Othher // Date i�P / 10 Inspector 711 L/ r I >11..I .L,(� 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 _ .�. a �........u.uu ................... 011lLAC USe Page Two Fees Paid $75i INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date q - 1 Owner: aet _ i. cif s ir's,/ Mail Address: P(/ ,(j0J{ A1C7 City: 6: C, ».1irv/I Zip: 8/(O/ Phone: •/O.vt 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 (see Page 3). 1. Location of Facility: County GARFIELD City or Town C (ALL 3 0 . Legal Description ;e s d Lot Size 7 S __ CirE s 2. No. of Bedrooms 3 Septic Tank. Capacity /2,579 Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well X Depth Other Depth to 1st ground water table yg 4. Is facility within boundaries of a city /town or sanitation district? I(J,I 5. Distance to nearest sewer system: Have you attempted to arrange a connection with the system? If rejected, what was the reason? 6. If R.P.E. tested, state 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 R.P.E. who made soil absorption tests: 8. Name, address, and telephone of R.P.E. responsible for design of the system: g. Express permission is hereby granted for the inspection of the above property by any member of the Garfield County Building & Sanitation Department and /or such persons as they may designate. Any withdrawal of this permission shall be in writing and receipt acknowledged by the County Building & Sanitation Department. 10. I have been given an opportunity to read the Individual Sewage Disposal Systems Regula- tions of Garfield County and I hereby agree to comply with all terms, conditions and requirements included therein. 7 —X l / Date Signatur of applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) rya ~ SHIP TO 'Cattle Creek COPELAND CONCRETE INCORPORATED Manufacturers of Precast Concrete Products Also Distributor of Related Items 28803 U.S. Hwy. 6 & 24 Rifle, Colorado 81650 • 625-1112 SOLD To Al Corcten ?c County Road 113 • • Crr',c Colo. 81623 DATE C.O.D. ( RESALE MDSE. RETD. JOB NO. P. 0. NUMBER .;apt. 21, Y9 CUSTOMER NO. SALESMAN PHONE NO. PERSON CALLING JOB NAME Coleeta 945 -7891 WEIGHT ITEM S am e' 'DESC -,� �) °�'- UNIT PRICE EXTENSION 1.'5 ( 60 48 1 _ "'}" 1250 gallon Septic Tank � "--- '" 502.85 ]1E40 47 1 1000 gallon Septic Tank (delivered 9- 20-79) 414.67 • • WARRANTY ON ABOVE - LISTED MATERIAL (INCLUDING NEW MACHINES, PARTS & SUPPLIES) IS LIMITED TO THAT AS PROVIDED BY THE MANUFACTURER, COPIES OF WHICH ARE AVAILABLE UPON REOUEST. DRIVER% SIGNATURE CUSTOMER'S SIGNATURE 9 STATE TAX 27.53 DELIVERY CHARGE 128.25 Y THANK YOU TOTAL .. 107330 • CASH q ` A FINANCE CHARGE OF 1 PER MONTH (WHICH IS AN ANNUAL PERCENTAGE RATE OF 18 %) INVOICE 2 v J WILL BE ADDED TO ALL ACCOUNT BALANCES THAT EXCEED 30 DAYS.