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HomeMy WebLinkAbout00874 • ifir4 This does not constitute a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue W0t.t..t. „'s____.... Glenwood a ( Colorado 81601 v Poe (3035.725 INDIVIDUAL SEWAGE DISPOSAL PERMIT Nt? 874 ) Owner Bruce Ureffer & Jeff Kobacker System Location 1107 Kings Row Ave. - Lot 31 - Kings Row Suodivision Licensed Contractor * Conditional Construction approval is hereby granted for a gallon atk.. ax> Septic Tank or Aerated treatment unit. G id "L" Absorption area (or dispersal area) computed as follows: Perc rate of one inch in /® minutes requires a minimum of sq. ft. of absorption area per bedroom. i Therefore the no. of bedrooms x sq. ft. minimum requirement = a total of cq. ft. of absorption area. May we suggest Plans & Specifications of R.P.E. approved - SitEenn Date •o1y 29. 1980 Inspector i' !f, / L.. FINAL APPROVAL OF SYSTEM: /4/2C ONL /0 /5/$o /Otn' No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled rm is approved prior to c• e' ing any part. Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. g 'ry � o aS�i�-. U�sgr/^ o (121.<, Proper materials assembly. / p e -e. V/1-Y / K n frfi O O } '�_�'' 0 l Trade name of septic tan " r aerated treatment unit. / P( Adequate absorption (or dispersal) area. I( (/ Adequate compliance with permit requirements. 0 AK Adequate compliance with County and State regulations /requirements. Other Date /i /9a Inspector I 41 I/ RETAIN WITH RECEIPT RECORDS T 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 I, Petty Offense ($500.00 fine — 6 months in jail or both). Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy ottice use 'd Page Two Fees Paid S PO r' INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 7 -D_ 9 -- i Owner: JLa 1 ' �1 , , ✓ � IS , . L Mail Address: 2 / , . City: % /!ice' Zip: t 7/ Phone:t3 65 INFORMATION REGARDING PROJECT SUBMITTED FOR REVIE 11 \ may 6154 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 AA...., 4i _ Legal Description Gim 3/ .44w-41/..". _ .,.._ /,‘_,, of Size 2(2 2. No. of Bedrooms 3 Septic / ank Capacity lam` n ' Aeration Unit Capacity Kig 3. Source of Domestic Water: Public (name): 41...4./ 5 Private: Well 1. Depth Other 'epth to 1st ground water table 4. Is facility within boundaries of a city/town � ti or sanitation district? 5. Distance to nearest sewer system: ,eW7)r $ ('y 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: 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. ; ‘171 f Uate Signature o 'pp'i ant (TO BE RETURNED TO BLDG. & SANI. DEPT.) • yr GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT GLENWOOD SPRINGS, COLORADO 81601 2014 BLAKE AVENUE PHONE 948.81241 October 6, 1980 Mr. Bruce Dreffer P. 0. Box 946 Basalt, Colorado 81621 Dear Mr. Dreffer: Please be advised, the percolation fee for the test conducted by this department on your property located at 1107 Kings Row Avenue - Kings Row Subdivision - is $50.00. Your check or money order should be made payable to "Garfield County Treasurer" with remittance to our address above. Thank you, and if we may be of further assistance to you, please let us know. Very truly yours, BUILDING & SANITATION DEPARTMENT • • Toni L. Sherwood Executive Secretary for W, C. Milner, Department Head /tls