HomeMy WebLinkAbout01002 e GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
if 2014 like Avantle
/, " Glenwood Springs,'Colorado 81801
Phone (303) 945.8241
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INDIVIDUAL SEWAGE DISPOSAL PERMIT aid 1 002 a building or ufs
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.Owner Portia Carlson ,
,'SystemLocation Lot 2, Carlson Subdivision- Carbondale
Licensed Installer
Conditional Construction approval is hereby granted for a 1, /2 O gallon
Septic Tank or d Aerated treatment uflit.
Absolution area (or dbperskl area) computed as follows: Sr
of one inch in minutes requires a minimum of �+,�/' sq. ft. of absorption area per bedroom.
Pere rate o o al—sq. _ �/� ��d
- Therefore the no. of bedrooms T x/ f /sq. ft. Minimum requirement - a total of 5 Q. ft. of absorption area, p 4
May we suggest / i � 4 t 3 ' ca f e e , o i- 19 r X 3 2' X 3 ` e e , . . `
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Date �j/ I V9/ Inspector - ; vt r eti'4 /V1
DUI FINAL APPROVAL OF SYSTEM: n , ! n
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved,prior toticoyS
t
Ing any part. 1
is ii E)1 Tank access for inspection and cloning within 12" q ground surfet�aor access portsdbove ;firound.
surface. (/ C /
0 . I Proper materials and assembly. 11 L
1 .r , �zira.' _--u Trade name of septic tank or aerated treatment unit. ^' A
t Adequate absorption (or dispersal) area. J r)C r . a $ /_r , / t' c" ✓ ;
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Adequate compliance with permit requirMentt.
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�• ` Adequate suppliance with County and State regulations /requirements.
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Other ��-
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, 1 • Inspector
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Date � 1 /
RETAIN WITH RECEIPT R AT CONSTRUCTION SITE
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*CONDITIONS:
1. All installation must comply with all requirements of a County Individual Sewage Disposal Regulations, adopted pursuant -to
thority granted in 66.44-4, CRS 1963, emended 66.3.1 I DRS 1963.
2. This permit ikvalid only. for. connection to structures ' which have fu .with County zoning and buildingrequiremej
Connection td or use with any dwelling or structure; t approved by the Building and Zoning office shall automatically be a vI
tion of a requirement of the permit and cause for both„ 0,9018060n and revocation of the perptit. k
3. Section III, 3.24 requires any person who constructs, hers, or Installs an individual sewage disposal system in a mahner which
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votves a knowing and material variation from the ter or specifications contained in the application of permit commits a Clas
,�� Petty Offense IS6l)O.OQ fine — 6 months in jail or both
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I APPliant: Green PV DaWrtm,nt: Pink COPY
rage Iwo Fees Paid $7t ,W
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date c S — gi
2
Owner: 427 CA21
Mail Address: /676'1 / BY City: Zip: L /G.?? Phone: 963^
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW 3/9,2
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 City What
1. Location of Facility: County GARFIELD City or Town C ROAPA C�
Location Address & /gr
Legal Description (,.o r `R C/4114 -9>,,J dpi , Lot Size 2 4e ,
2. No. of Bedrooms 4 Septic Tank Capacity Oda Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well ✓ Depth So Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? /C.'o
5. Distance to nearest sewer system: N ' A
Have you attempted to arrange a connection with the system? /" t A ,
If rejected, what was the reason? ld .,e ,
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:
(7tQ 4.1
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.
` / / f d %
y Date Signature of pelican
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
, GKICr r." VoasP-44-30 E?)(7.Ac- i ee , / C14(42c..si
6 ; S p
• Car P.
Sept
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c r- t -- .. u et,t_ & tueta-J-la.•SC
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
(TO BE RETURNED TO BLDG. & SANI. DEPT.)