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HomeMy WebLinkAbout00860 ! 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 likItt 8430 Owner Harold & Kay Bumgardner System Location 4668 County Road 311 - New Castle Licensed Contractor 1•04.0 L40 -• Conditional Construction approval is hereby granted for a /00 e" . 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 2 c S sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x 7•'.{ r sq. ft. minimum requirement = a total of a oq. ft. of absorption area. / C) r May we suggest / 4? X S 2. � X c. e toy M /8 x X S cite 9/' - Date ` /,'cj /Cerli ter.. Inspector ,44A, " 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. CY Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper materials and assembly. ok Trade • name 7 septic t k or aerated treat Tent unit. ©k A €d e n or 0 0O ea. aa �J fir' � p T 6)1 Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. Otherr t Date 9�� d Q f Inspect. ( - - - - . .. RETAIN WITH RECEIPT RECORDS ,A CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the C ount y Individual Sewage Disposal Regulations, adopted pursuant to au- thority granted in 6644.4 or c nection to strucfur CBS 963,.mended 66 3 O 5 19 $ ���� 9ita x 2. This permit Is valid only f '' t ve f (ly complied f Nth" ounty' z oning and building requirennenis p1 I + T °_ Connection to or u brIth any dwelling or struct fa r y BullQing and hi ffice shall � automatically be t'viole ol lii+i • tion of a requireme of the Permit and cause q I � I ocation � � to r ti , HI 3. Section .111, 3.24 Yaquires anY person who °°1-1"4t `' i ef r stell ;` n individual ewe FosaI system in a manner ich wives a knowing end material variation from the to s r , -t ,l 'u�� ♦ BO �, ��f gd�ipn� oohtNino in 'e �p Cation of permit commits Petty Offense ($ 0.Q Mrra - '(6 in jail or ,1 r Buiidina Official• 4'pepmit White Copy a p �W Applicant — Green Copy Croft, • - Pink C OPY mA ° u w W J i . +u... �..,,L�m�. _ _ �.:.+uu�_y,... au4w0. r..uWWL�LLu W,.w �ritdL'L4 +r LUri..VWu�i"�. .L•:.,1rr..VJPi LYU+ Luu. rr, uun. r.. fll'' rr. �rrCIlN11° Y.. wlau. rr ..r�....ui.ri�VIWWJi'YN�'' ='. -. - - VIIIce OSe Page Two Fees Paid gc INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date /7-5r- Owner: HK1/40-0-1> E ( • r" P� e�'Z— Mail Address: I- 410(08 C l o0.4)14 cQ 311 City: IUewQ4s Zip: • Phone: 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 1 ' ,611 p , Legal Description 4 4691 - a .a _aj 11 Lot Size Z- 00 2. No. of Bedrooms 3 Septic Tank Capacity 100 0lai Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well Depth Other5.Q1/( Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? ND 5. Distance to nearest sewer system: 1-0O Have you attempted to arrange a connection with the system? 1) 0 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. Rhv ate igna urea, 'pp icant (TO BE RETURNED TO BLDG. & SANI. DEPT.)