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HomeMy WebLinkAbout01005 ry d „ ' - 9^'.^Tw�^T;n rtR'a'!¢A6T£n,..y : rn^ w .'aroma+.r.an^uww.. r~^uw.- ,grzwrrwrpxm^rr T nr-'u"•r �.�. „ —_ il 1 „ fiARFIELD COUNTY 4 lake T p N DEPARTMENT. u IV i1 W 1 Glenwood S, , Colorado 81601 1 , Phone(303) 945.9241 p� ;' o y1 q'_ This does not constitU t4titi w"- Il'i - INDIVIDUAL SEWAGE DISPOSAL PERMIT 110 'I 11005 8 ( e building or use permit 1 I ° hi Terry Harris 1I1 Owner ii11u 1 1 q; 1 1 :ii ° ^^ l2_ 3 Coun Road 111 - Ca ndale Q rp ° I 1 j 1 & yatem Location y —V/� M l iL �(x a f a pp� �^ . �. .� t� Jim, w Zl' A �* Wtl uX I kil 'Licensed Installer � 11 1, A tr 1 ri I ' Conditional Construction approval is hereby granted for a I • 250 gallon " sf r r 'III I T 1 r �I M� .� 1 ' 1 V i 'Niu r . 1 X Septic Tank or Aerated treatment U nit. t +' 1',I I - l io , 1 ii w Absorption area for dispersal area) computed as follows: I I, I I'th I r „ •w w Perc rate of one inch in. 14 minutes requires a mini um of 185 sq. ft. o f abs 1 n ere t I M � „ P a per bedroom. � I II.111] � I I1 i Therefore the no. o bedrooms 4 ' x 185 sq. ft minimum requirement Ng a total o 1 p l r , ry " s cq: ft. of absorption are!* 1U I May we suggest Leach 'Field 12' x 62' x 3' deep or 18' x 4 ' x 3' .1 . , w WI 1� i, 1 9 1 Date May 7. 1981 1-. inspector �— �, ... 6' a tit 1 FINAL APPROVAL OF SYSTEM: i / .- ' Lk' II No system shall be deemed to be in compliance with the Sgwage Disposal haws until the atier86Io0 system Is approved prior to bo"Ver- Iu ing any part. i it tr2,/lc Septic Tank access for inspection and cleaning within 12" of ground athlete r 'rated access ports above ground // surface r�// Proper materials and assembly Y 'h � ���i1i O v \ b ITrai7e narraf`tep 1 ank or aer t treait �nt nit' P � , r2 41 I i t , Adequate absorption (or dispersal) area. � (/ , Adequate compliance with permit requirements. c) A, , Adequate compliance with County and State regulations /requirements. i 1 Other C • Date 5 1 S //4 / Inspector // /�� / 'r RETAIN WITH RECEIPT RECORDS ‘T CONSTRUCT'N SITE •CONDITIONS: ' �, 1. All installation must comply with all requirements of the County Individual Sew Disposal Regulations, adopted pursuant to au- n 66-44-4,.0 RS thority granted in 66.44.4,RS 1963, amended 66-3.14,,CRS 1963. 2. This permit is valid only for connection to structures which have fully compli • with County toning and building requirements. Connection to or use with any dwelling or structures not approved by the Dui • ing and 2on1 - • ffice shall automatically be a viola- ' tion of a requirement of the permit and cause for both legal action and revo9tion of the ;, yi' �„ ' !I 3. Section III, 3.24 requires any person who constructs, alters, or installs an ndividual se t "..sal system in a manner which in- volves a knowing and material variation from the terms or specifications contained in th t i r li a-.tion of permit commits a Class I, . " Petty Offense (5500.00 fine — 6 months in jail or both). '11,,i 1 I Applicant: Crean I " tmmr Plnk CPPV i PY W r gageFwo RECEIVED HAY 0 7' 1981 - Fees Paid $X,07) INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date S - '7 - F/ 4 C a >+t Owner: Cam/ /4/44-%r Mail Address: e - yep- City:rt. Zip; (f / / Phone S.P -x42 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 Ca.r4' -.,�� Location Address & /or S .� / X� J / Legal Description Cavaik,Q� /// Lot Size ��<-e/ , 2. No. of Bedrooms Septic Tank Capacity Z.2 Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well x Depth /JD 'Other Depth to 1st ground water table /ft 4. Is facility within boundaries of a city /town or sanitation district? //d 5. Distance to nearest sewer system: Have you attempted to arrange a connection with the system? /?-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. /9 / / Date Ig'ature o ipp scant (TO BE RETURNED TO BLDG. & SANI. DEPT.)