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HomeMy WebLinkAbout00975 I at ' it r, • r ,a,/ '� This does not constitute aitllr" yti • _ a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Sjirings, Colorado 81601 , j Phone "(303) 945.7255 ' INDIVIDUAL SEWAGE DISPOSAL PERMIT Ni? 975 , Owner Rifle Congregation of Jehovah's Witnesses `o County 294 - Rifle _ System Loca y Road 2 n Licensed Contractor - • - . . • - * Conditional Construction approval is hereby granted for a gallon , Septic Tank or - Aerated treatment Unit. / Absorption area (or dispersal areal computed as follows: Pet -!_ f a - e p rr /y , • Perc rate of one inch in 1 - Minutes requires a minimum of sq. ft. of absorption area per bedroom. - Therefore the no. of bedrooms x sq. ft. minimum requirement = a total of sq. ft. of absorption area. • May we suggest V�.h'.r. , \�.2.e- .u ; r ..._. ,m ,y (. � L. . E, C'.,4 � .. -.. (^ :,.. ; �` -,0 r,y , _ at.. .. / (1 V 111✓ Date ¢ �/p / Inspector , ' 4444 FINAL APPROVAL OF SYSTEM: t/ p 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. - . i ( - : Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. 2/C Proper materials and essembly/ 7 ) p ' A ' �n_.G/ /0 0 t) ,7- 4 / - . ) PC, Trade - narivrof septic tank or aerated treatment unit. u`. Adequate absorption (or dispersal) area. - r', Adequate compliance with permit requirements. ,, ? %/ Adequate compliance with County and State regulations /requirements. . ....._ .... _ . _ Date 1', / ? +� hi �. ,N.. Inspector �� • /7 ( • /,�f 1 - -'1 / ' RETAIN WITH RECEIPT RECORDSA CONSTRUCTION SITE l ' / `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', , Petty Offense ($500.00 fine - 6 months in jail or both). . Building Official - Permit White Copy C Applicant - Green Copy Dept. - Pink Copy Office Use Page Two Fees Paid 17S At INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 44--2.. - /R - 1 Owner: R I FI.C. r -aN PSc ATlDN ©R ras DJA}1S 14 t 7 - j6sceS Mail Address: City: `RIFL.E Zip: c / $w0 Phone:lig-5O /9 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 Q 1 F L E Location Address & /or Legal Description Sac 4rrACetgn Lot Size 2&4 , X330' 2. No. of Bedrooms — Septic Tank. Capacity I()15 Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Qi C LE Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? N o • 5. Distance to nearest sewer system: )4 M1, Have you attempted to arrange a connection with the system? ti./E S If rejected, what was the reason? Nor AvAILABLE 4i 71.41s 7 m /Ma 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 nfade 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. rid Date "c o pplicant (TO BE RETURNED TO BLDG. & SANI, DEPT.) 1 PLAZA M. 100 940 MC1040• 4 COUNTY ROAD NO. 294 -- - - - - 660.40 - -- _ -- ___-- • c, N. 89 °45'32 ____ .__ -o II N.E. I/4 S.E. I/4 S W.1 /4 Section 10 I 1 i u7 0.4lSK I in ASAdr in x Id 1+j N to O 0 1 0 • • U 8 N N 89 330 U N I 1 c N I I lA ACRES w I a M 8 • I 6 1 Paternal) O . �Z /se ric A v; sirs Tem _ O - ! 330.00 • + 156 29 • .----_._---- ---- - - - ... N.89 °44122 "E. __ ___ __"'- ---`"� - - - - 659.79 —•- - -- 0 : END. PIN 6 CAP L.S. 79'2 • = SET PIN d CAP L.S. 10671 N LEGAL DESCRIPTION A parcel of land situated in the N.E.1, S.E., S.0.1, Section 10, 1.65., R.93W. of the 6th Principal Meridian, and more particularly described as follows: Beginning at the northeast corner of the N.E.; S.E.; 5.0.1 of Section 101 T.6S., R.93W. of the 6th Principal Meridian, a Nn. !, rebar with metal cap being buried under the pavement of County Road No. 206 (now County Road No. .__..:' 294); thence 5.00°31'08 "E. and along the east line of said N.E.; S.E.1 S.W. of Section 10 a distance of 659.53 feet.; thence S.89 44'22 "W. and along the south line of said N.E.; 5.E.1 5.0.1 of Section 10 a distance of 156.29 fees to the True Point of Beginning; thence 5.89'44'22 "W. and along the south line of said N.E.1 S.E.A S.0.1 of Section 10 a distance of 330.00 feet to the east . line of a 25 foot road easement; thence N.00 34'20 "W. and along the east line of said 25 foot road easement a distance of 264.00 feet; thence N.89"4492"1. a distance of 330.00 feet; thence 5.00 34'20 "E. a distance of 264 00 fret lo the True Point. of Beginning, containing 2.0 acres mo •e o lc ,s. : "' ; tlidford L. aU,t I..,. 10871 4 I, ' 10811 l'f SHALE COUNTRY SURVEYING 1, 54. t DATE: 12/2/80 JOB N01 60214 i1 1t4 4 , O �_ f.. , " SCALE: 1" = I0d { IDRAWN BY :G.C. H _ Suite 2, 109 E.3rd St. Rifle, Co. 81650 Phone: 625 -3158 r..r Office Use Page Two Fees Paid $' • . INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date \ ' . Owner: CG.v� oS c vcSvs ...)1/4_,)1�yitsse.s Mail Address :'1 Z CO*U - 16 City: tcte___, Zip:Cj1(oSC5 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). Near What (^ 1. Location of Facility: County GARFIELD City or Town 1'I' \e J • Location DescrDn Address & /or on S Legal �\ l -,. Lot Size a(�c} I X 3O l ipi esZ, v X Ic v. , 2. No. of Brooms '7 Septic Tank Capacity 1 000 Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): (;c: le , Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? In • 5. Distance to nearest sewer system: 4:, I ) O m� Have you attempted to arrange a connection with the system? Y\() 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: e) o\ s, t Q ?rk i s )� LA "kV' a . J , . -3"54 et le, / - s8 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. 1-1 \ -. at� 4 Signature f App c F; (TO BE RETURNED TO BLDG. & SANI DEP A-44 ; „ ' Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • ' Al 5 -- S- 1— 3/ . y `/x to INDICATE BELOW THE LOCATION OF BUILDINGS WATER SUPPLY AND DISTRI— BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES ik • 1 li _ i (TO BE RETURNED TO BLDG. & SANI. DEPT.) .s"