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This does not constitute
41 A ',; a building or use permit.
? GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone 1303) 945 -7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N? 958
Owner ta rry R. & Marie C. Schmitt
System Location County Road 309 - Parcel 8
' Licensed Contractor
Conditional Construction approval is hereby granted for a 1 ,nnf gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in 26 minutes requires a minimum of , ? sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 3 x 234 sq. ft. minimum requirement = a total of 7°2 sq. ft. of absorption area.
May we suggest Leach Field 12' x 59' x 3' deep 18' 39' x deep.
Date March 2. 19/11 Inspector ( /4 -j^ / ' 1; , jn.v1 •
FINAL APPROVAL OF SYSTEM: (1
r' V
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.
6 K Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
h
surface.
Proper materials and assembly.
Trade name of septic tank or aerated treatment unit. / CO n C. 4 v
K Adequate absorption (or dispersal) area. /Z X -4 0 X
C (� Adequate compliance with permit requirements.
K Adequate compliance with County and State regulations /requirements.
Other
f 7 . 77 7-- "C
e /t ,3� Inspector �! C i .777 ` \
Date
I RETAIN WITH RECEIPT RECORDS AiCONSTRUCTION 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 1,
'p Petty Offense ($500.00 fine — 6 months in jail or both).
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
Page Two Office Use
Fees Paid $1S' A
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date R
Owner: A�2y Fj2 /C. Si At, r C . Cl1/y]I /Z
Mail Address: JR'„Bpx NZ City: 47F Zip: Ace Phone: /jOHF
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 n.
1. Location of Facility: County GARFIELD City or Town &F'L F
Location Address & /or S .
Legal Description ARO .309 P4RreG 7 Lot Size -l7O 4'vs'
2. No. of Bedrooms 3 Septic Tank. Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well X Depth a4;0 Other Depth to 1st ground water table /75
4. Is facility within boundaries of a city /town or sanitation district? /1,/n
5. Distance to nearest sewer system: /VOW
Have you attempted to arrange a connection with the system? N O
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.
02_02 3
ate ig na u f Applicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
r PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES,STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
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(TO BE RETURNED.TO BLDG. & SANI. DEPT.)