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This does not constitute
moi 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 N9 806 .
Owner Chuck Becker ,
System Location LOT 27 - 1799 Odin Drive - Asgard Subdivision
Licensed Contractor
• Conditional Construction approval is hereby granted for a / r) c) O gallon
.V Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in 2 0 minutes requires a minimum of - /r) sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms ' x 2. / ; > sq. ft. minimum requirement = a total of .92C? sq. ft. of absorption area.
1 May we suggest /2 s S A - . / r . ) . r /8 yC .2'/. ,`' ; , e e f ?�
Date _ / y'' 0 Inspector if , ,L, ,,1_,'.
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.
e h Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
OK
2 er mat via an assembly.
� [� 0 ela*. -ct{ ,e 0 o v ea /
•C Tra a name of septic tank or aerated treatment unit.
4 Adequate absorption (or dispersal) area.
K Adequate compliance with permit requirements.
n PC Adequate compliance with County and State regulations /requirements.
---'- Other �/
Date `3�l er Inspector /! - 41�---. ,- - '
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 fqr both j al F agtion and revocation of the, permit. - r -
3. Section ill, 3.24 requires any person who constructs tots, qf. lh, ftalla an individual sewage djshosal system In a manner whic i a t' '
41 ,h volves a knowing and,ne;erial variations from the tern o r speoitications Contained In the applloation of permit commits a Olaaacili , .°
- k t ' Petty y Offense ($500.00 tine -, 6 months in jail or bothi. i �
k
nd .
if ^ • Building Official - Permit White Copy i f Applicant — Green Copy Dept. — Pink I✓opy l I44'. "`,-
m�" TALL... r s
i s�° AM.„ v. ... �_. � _. S'w•..__. �9n'lu.. ",�....l„m......� �._u....�. � _....�..�.,� w'.,2u.... - - � rya. _ .... _ w,V..,r,aw'Iu
uttice use
Page Two Fees Paid $7
S
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 3
f =
Owner: ( � _ :<�
• Mail Address: e0670 — ,'' 4( City: Zip: ac) PhoneW7 -_,
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 -- Legal Description, , d , _i 0 Lot Size . ��. ,
2. No. of Bedrooms Septic Tank Capacity /cca Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well Depth / /,Q Other _ -.- Depth to 1st ground water table ;70
4. Is facility within boundaries of a city /town or sanitation district?
5. Distance to nearest sewer system: c �e_ /Grp/
Have you attempted to arrange a connection with the system? A/c
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. As 0
l ate Signa ttt���IT of Applicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)