Loading...
HomeMy WebLinkAbout00971 1 This does not constitute a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood SaIngs, Colorado 81601 Phone (303) 946-7265 INDIVIDUAL SEWAGE DISPOSAL PERMIT N9 971 Owner Jerald & Sandra Sisk System Location off of County Road 294 Rifle Licensed Contractor LO to /),e_ Conditional Construction approval is hereby granted for is / c*". gallon Lam'' 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 asq. ft. of absorption area per bedroom. Therefore the no. of bedrooms a7"' x // $ ?sq. ft. minimum requirement = ,j a total of _ sq. ft. of absorption area. May we suggest / 2 X J O C ( N. P - f - 1 (,) r / ' c 3 4- >c ' Date / /zi Inspector , '�'�1 -1 f' f / � .�./ 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. OX Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. K / Proper materials d asse S O 4 � / 9 PC Tra e r e o septic t nk r aerated treafylient u it. 0 Pr Adequate absorption (or dispersal) area. © P'` Adequate compliance with permit requirements. 6 Adequate compliance with County and State regulations /requirements. Other !{ Date (2./ D/ Inspector � '. � � , : RETAIN WITH RECEIPT RECORDS 'ONSTRUCTION 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 specificatiohs contained in the application of permit commits a Class I, Petty Offense ($590.00 fine - 6 months in jail or both). Building f I . Permit hire Co i - R - Q i µ � W W copy P� ant c G , r i a w n CoPM , Rtes. - Pink GPRY i j o i gsmiv flui6 s IL P F6� Page Two Fees Paid id $ S INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 3 Owner: Te ra /d 1 Sandra. Sisk — 6zS /6qZ Mail Address: AN R City:. /t)J /e- Zip: e /45- phone:‘,“--25 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). O 1. Location of Facility: County GARFIELD City or Town Legal Description i t' /J.54— y 514 $ec.9 7p•6 Lot Size lac U R s. W.LM P m. . Nor( k d C I ® f Aed 2. No. of Bedrooms y g Septic Tank Capacity/ 0 8a / Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Rife Ca, h Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? no 5. Distance to nearest sewer system: ) /00s ` - �H rc d es/ /5 PXC�ss��e i H Have you attempted to arrange a connection with the system? ee r _qHC/ teguires abgeya ire >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: Penchng 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. :77- 4-1116atel Adc:4A Date Signature o Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) d or e7tt•rz2. Page Thre; PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • . e 1418.5'= __— - f 7S . 'st'f O �T acels 4 » Ra n re/ livid Epee r T • T d o s e I ' _ - Se . Al 9. „k l `�/ c4 llr /d �Nw!(. tnil� l Ci s4 o R, P, 1 a DoY,d/ i . I /�s4r 40 / / / / I n, - _Alto_ _ l � r 146J sPsewer 1 1 pH {� ;ea/ QQ,'cle 7M 6-.d �Ka�k Rd a99 t )., I 0 CJ1� S& I #'V I„ ICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BU ION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES %' et r, C Saver ■ (TO BE RETURNED TO BLDG. & SAN I DEPT.)