HomeMy WebLinkAbout01004 i I °' EL D C UN TV BU I0)4 an mr�• ? ^s7 " "" . , , ,
t ` II , ) �iARFI
' • B AND SANITATION DEPARTMENT -
s Glenwood 6p, ins, Colorado 81601 /'S= a G / _ o //L
Phone 63) 94543241 ot
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This does not constitute
1 INDIVIDUAL SEWAGE DISPOSAL PERMIT Ha 1� a building or use permit. '
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Owner J ulius W. &.Sandra M. Minter
gym System Location Lot 02 Beaver Creek Ming^ Subdivision - Rifle ; /9f - .J 1 a 4 ,ed.
Licensed Installer
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` Conditional Construction approval is hereby granted for * gallon
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(i Septic Tank or Aerated treatment unit.
11 Il Absorption area for dispersal area) computed as follows: . ',
Perc rate of one inch in , )s! minutes requires a minimum of 41/ 9 i sq. ft. of absorption area per bedroom. I `^
Therefore the no, of bedrooms 3 x /:9y nsq. ft. Minimum requirement .. a total of so, 0 sq. ft. of absorption area. • r
May we suggest / Yvfl c a / a Y /or 5e J 1 X 3 ''j ,yam yy �� / / /� // /,�
Date , ' / e( Inspector 'C r j � C J 'f ✓, 1 5 4t&
FINAL APPROVAL OF SYSTEM: A
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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.
• k Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
WI ' r Prpper materials and assembly. , ! //�
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el rade name of septic tank or aerated treatment unit. r • 6 0 0 /S P, -/ H ' s r >. L
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!1 k Adequate absorption for dispersal) area. 2 a .Y,- 3 4— )1 3 .7 ,76 /' — ' el
f / I( Adequate compliance with.permit require
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U ` t Adequate compliance with County and State regulations /requirements. ,
Other iti
Date 1 272 ✓ / ( Inspector r_ , �.
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RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE ;
'CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant tb au . +i
thority granted in 6644.4, CRS 1963, amended 66.3.1,4, RS 19133. ' t i
2. This permit is valid only for connection to structures ich have fully cod wi
e t County/40 of g and boitdin a fi ui rl r i
Connection to or use with any dwelling or structures no approved by the Bu71q �ndad Zin fide shall automat catty b 4 a
tion of a requirement of the permit and cause for both I al action and revocation of the permit: I" d ". '' "
3. Section 111, 3.24 requires any person who constructs, al ers, or installs an individual sewage dispo system I n a manner WHO in+
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1, ,
" � i Petty Offense ($500.00 fine � 6 months in faihbr ii oth).t•,,A o ,-
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0-; ,,. 7., , • y . m _ ppllpa nt: Oran � CO Y PO COPY 1 �I i(.� 1/ . / ' i
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� ���..� .urw. ra.a.u....� .....�a..n.s2ary �� ..w��.- - r..r.,uuuu .∎
Office Use
Page Two Fees Paid $ 7(P°
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 5 c:i
Owner: tit/ti l s iv, 44 /7. 7;r
Mail Address: ti'- &y V G Z City: 6q /AI Zip: <f42- .23
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 fJ� C
1, Location of Facility: County GARFIELD City or Town (/�
Location Address & /or L36 C6E454I' /,41,rp Size Q �lL�S
Legal Description A
2. No. of Bedrooms 3 Septic Tank Capacity /QQ Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well 1/ Depth Other Depth to 1st ground water table g.)fT.
4. Is facility within boundaries of a city /town or sanitation district? /lam °9
5. Distance to nearest sewer system:
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, 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.
/2_1011 ote igna . e o 'pp scant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
4 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.)