HomeMy WebLinkAbout00949 This does not constitute
a building or use permit.
11� GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
R, PE C - FEE ONLY Phone (303) 945 - 7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N2 949
Owner Select Builders ,4/1/7AF,t'S'OA.,/
System Location Lot 16 - Rifle Creek Estates
Licensed Contractor /C4 . / cg , er f S
* Conditional Construction approval is hereby granted for e 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 sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 3 x sq. ft. minimum requirement = a total of sq. ft. of absorption area.
May we suggest Plans & Specifications of R.P.E. approved as attached.
Date January '15. 1481 `
Inspector '< � ��� a;.::
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-
' any part.
i•1, Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
t`I c' Proper materials and ssembly.
J _
.
t ,. j� - Trad ghe' es ptic taf of a4ernreatment unit.
Adequate absorption (or dispersal) area. p e . . r iV w.S
!' y itt
t ^ j ;, Adequate compliance with permit requirements.
:J 6,i. Adequate compliance with County and State regulations /requirements.
.......... Other
Date -
y / I'� /�i Inspector %�!f / / / ".� j r -
r ; rr
RETAIN WITH RECEIPT RECORDSeT/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 nq't 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 1,
Petty Offense ($500.00 fine — 6 months in jail or both).
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
FMTO IWO
Fees Paid O 01)
e r INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date i -+- 6 _ Y l
Oyrner: Select Builders
Mail Address: 949 Railroad Ave .Cit Rifle Zip: 81650 Phone: 625 -5691
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).
Near What
1. Location of Facility: County GARFIELD City or Town Rifle
Location Address & /or — - --
Legal Description Lot 16 _Rifle Creek Estates Lot Size 2.8 Acre
2. No. of Bedrooms 3 _ Septic Tank Capacity 1000 _ — Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): Rifle Creek Estates Water Co.
Private: Well Depth _ Other !^ Depth to 1st ground water table 84
4. Is facility within boundaries of a city /town or sanitation district? No
5. Distance to nearest sewer system: None Available
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, it
minutes per inch of drop in water level after holes have been soaked for 24 hours:
5 /min /in
7. Name, address, and telephone of R.P.E. who made soil absorption tests:
937 Railroad Ave
John T. Potts, jr., Pioneer Engineering & Surveying Co. Rifle, Colo 81650
8. Name, address, and telephone of R.P.E. responsible for design of the system:
Same
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.
1
c / / / ate S nature of Applicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)