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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH « a
2014 Blake Avenue
Glenwood Springs, Colorado 81601 .
REPAIR - PERC ONLY Phone (303) 845.7265
INDIVIDUAL SEWAGE DISPOSAL PERMIT N2 775
Owner Elmer & LQujse Arbaney
8611 County Road 117 F
System Location ,
Licensed Contractor ors q'
Conditional Constructio'h approval is hereby granted for a gallon
Septic Tank or - Aerated treatment unit.
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Absorption area (or dispersal area) computed as follows: r -
Pere rate of one inch in minutes requires a minimum of sq. ft. of absorption area per bedroom. 4
Therefore the no, of bedrooms x sq. ft, minimum requirement = a total of sq. ft. of absorption area
May we suggest
Date Inspector
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
Septic, Tank access for inspection and cleaning within 12" of ground surface or,aerated access ports above ground • '
surface. .0
Proper materials and assembly. 7
Trade name of septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area. ‘�!
'_
Adequate compliance with permit requIrbenen 'tts.
Adequate compliance with County and State regulgtions /requirements.
Other
Date 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
Lion of a requirement of the permit and cause for both legal action and revocation of the permit.
3. Section III, 124 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner whioh'ip•
volves a knowing and material variation from the terrlls or specifications contained in the application of permit commits a Clan I,'
Petty Offense ($500.00 fine —6 months in jail or both).
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy h.
—V I 1 1 1.'_ In c
Page Two Fees Paid, $
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date G?-a() 719
Owner: (" Li/f , ef 4:Zt-yeige
Mail Address:4505 ,,jpo,,,City• Zip: g1)410/ Phone :, t f 4>
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW 7
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 a lid a r. e at z e
Legal Description 21a/7 / 7 Co Lot Size
2. No. of Bedrooms e a , Septic Tank Capacityan_ Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district?
5. Distance to nearest sewer system: j l R
Hare you attempted to arrange a connection with the system? ,4/
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:
9 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.
D ate igna ure o ipp / • t
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
STOP WORK ORDER-INSPE �o7 /7/(0
PER MIT NO.
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DEPARTMENT OF HEALTH
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r AND ENVIRONMENTAL PROTECTION
Garfield County
OFFICIAL NOTICE
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TO
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ADDRESS r CV/ // D
LOCATION ��/ gee P/�'
YOUR
( �ATTENTION IS CAA ED TO THE EXISTING VIOLATION(S) FOR WHICH
e//7// SPON2IBLE -em /T 7; vr a , _
5Tc' /1/ s ec tw,e e o m (° ,fir' lie ;„ p
YOU ARE HEREBY NOTIFIED TO ABATE TWE SAME Bp,/ 1 r 7
(Legal service shall include posting of this notice in a conspicuous place). This office must be
notified by letter or phone, as soon as compliance has been effected. If at the expiration of this time
same mains unabated, such action will be taken as required Ity law.
/9, /977
TE ATE
SANITARIAN A00 OWNER 77.
OCCUPANT
9 4 C° /C ,Ooo
POSTED AT
L14TE
WITNESS
Note: If this office can be of any possible assistance or aid to you in resolving the above noted
concerns, please feel free to contact us at any time.
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