HomeMy WebLinkAbout00880 This does not constitute
/a i a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945 -7255
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INDIVIDUAL SEWAGE DISPOSAL PERMIT N9 890
Owner harry Fischer
System Locationn7S2C0114 — Three 1411e
Licensed Contractor
Conditional Construction approval is hereby granted for a 1 000 gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in 5 minutes requires a minimum of 1213 sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 3 x 125 sq. ft. minimum requirement - a total of 375 sq. ft. of absorption area.
May we suggest Leach Field 12' x 32' x 3' deep.
Date August 12. 1980 Inspector /- � j . --r "_
i / tic ri u r rey y W , L. NI it er
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.
Dk Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
'. Proper materials nd asse bly.
Core- raed u c ct
NC Trade septic t nk ora t
erated treatment unit.
0 e Adequate absorption (or dispersal) area.
t.„2 frc Adequate compliance with permit requirements.
O A — Adequate compliance with County and State regulations /requirements.
`— _ / / / ?/t9 O t//i
Other
Date /0 Inspecto- . l ,A/ ,Atnaa/
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` RETAIN WITH RECEIPT RECORDS a ONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant section ill, I, 3.24 to au-
thority granted In 66 •44 IS 19133, amended 66 341, «ft 1"963 . l t ` -
2. This permit is valid onl f or Connection to strucf re ,I', dh inCifuIIy co mplied svith c on i ng and building 'requir a " -
Connection to of use 'filth in y',dwelling or strpatu � , "P,f by'th addling and Zon+ g lf fiee shall automaticallybe;a
tion'of a requiremen of per mlt and Cause for oI I o end r ce lore Io f the.po 11C , µ i I . 1 ' 4 " I ^° ii 3. r q uires any perso who oonst "; h s f talla; ,individual sewage Qs
d , al system in a manner will ,
4/oyes a knowing ` 0 Iat pi variation from the 4 r y w or I dontalnod fl1 th a` l ootion of permit" commits a 1a" " e-, : Bt^
Pe tty Offense ($6 i , 43tnonths In jail or,bo i I II "�I t P PI 4 k "� - I >v I yl 9:L
k I' 61 1 �ItlR
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d "f claf Permit WhIte Copy I p lchnt — G1'eier1'Cop Get Pink Copy nr, i.,4,1' r m
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Page Two Fees Paid $?S UU
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date .K--12- - gD
Owner: fto R/9/ t , srio /2
Mail Address: 9.0,Buic /6J/ 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 To�yn
�pyvIe ox,
Legal Description _, . Aka.- V Lot Size tS0>can) Th(LritJvy
2. No. of Bedrooms ,3 Septic Tank. Capacity a eration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well fc 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: .2 A9/4(
Have you attempted to arrange a connection with the system? n/'6
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.
at 7 /fro �'�� �L4.
Date :ig a ure o 'pp scant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)