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HomeMy WebLinkAbout01006 x - ° �''�V'E+''r¢" r �s l a': MvR "�yp Rr'W'°il7^"""pry n': �9'^"' p"' ."m!"'"a.+..,n- �.mwnr+.•1w..m_ .... . .,r..�. y ,,. _.. ,-- ..a+mr.^tv. s GARFICLD COUNTY BUILDIf� " , , AND SANITATION DEPARTMENT 2014 BIe lte Avenue GlenYkitd Sp gs, Colorado 81601 It Ph one ( 03) 8458241 4 " This does not constitute + ra INDIVIDUAL SEWAGE DISPOSAL PERMIT rIO Y 1096 a building or use permit. t " Owner Donald Scot r V li System Location Lot 2, l at Filing - McLearn Orchard - Rifle c_._ i 41 Licensed Installer i A: f 1 I Conditional Construction approval is hereby granted for 11 gallon 4.+ Septic Tank or Aerated treatment unlit. 'r' "- - 4 - ' � ,., u q - Absorption area (or dispersal area) computed as follows: ; rate of one inch in 9 °' minutes requires minirr of 2 - /e sq. ft of absorption area per bedroom: _;-- -,, Y .. therefore the no of bedrooms x 1.4/ sq. ft .minimum requirement - a total of �p sq. ft. of \bsorption area t 1 i "May we suggest t I oo `. nn _..�,�' / �. l� Date • t l (� , 9, Z.- Inspector ►_:_ ..i. � /9 ! . FINAL. APPROVAL OF SYSTEM: l fil ` I u " No system shall be deemed to be in compliance with the Swage Disposal Laws until the assembled system is approved prior to covers n1 ing any part. , I Septic Tank access for Inspection and cleaning aning within 12" of ground surface or aerated access ports abode ground 1" 1 ., surface. Proper materials and assembly. ..- G .a.'«A , att. 11 ,1,4 I Trade name of septic tank or aerated treatment unit. 1 q, II I a �. � - a. 1 a-". ) 1 ©lf Adequate,absorption (or dispersal) area." Sc � �Y v r ld" ' tltltl ��_ it-o-64.: +m Adequate compliance with permit requirements �fz 1 / , h1 ' Adequate compliance with County and State 'regulations/requirements. 1 I 1 �/� � 1 , 1 7 Other ICI'` Date Inspector j RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE I II 'CONDITIONS: T 1" 1. All installation must comply: with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to alb hi, thority granted in 66444, CRS 1963, amended 66 - 3,14) CRS 1963. ' 2. This permit is valid only for connection to structure; Which have fully complied with County zoning and building requirements, h l er Connection to or use with any dwelling or structures n t approved by the Building and Zoning office shall automatically be a viola- 1 tion of a requirement of the permit and cause for both legal action end revocation of the permit. 3. Section 111, 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 1, ti ill 1 Petty Offense (5500.00 fine - 6 months in jail or both),ly P u V41 . APpiie.nt: Crean Copy D•pertm•nt: Pink CopY rage iwo t7L Fees Paid $`j5 • INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date C,--12,-X i 11 Owner: ��NA�ttl �C�s Mail Address: Q6'0 /6t 'ttg;f r I Zip: S/ S1 Phone: ,4 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 R. fl 1 1. Location of Facility: County GARFIELD City or Town - Location Address & /or, .� I Legal Description fi o-V SsJ 9.,.fla dr�t2 N'&.' Lot Size 373 9 A 2. No. of Bedrooms 3 Septic Tank Capacity / Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): AV+ Private: Well ftc, Depth 5 Other Depth to 1st ground water table // 4. Is facility within boundaries of a city /town or sanitation district? /VD 5. Distance to nearest sewer system: / 70. Have you attempted to arrange a connection with the system? !) 4 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 d ` .a,in water level after holes have been soaked for 24 hours: r r A 5 ' (144 ) 7. Name, address, and telephone of R.P.E. who made soil absorption tests: AMA 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. Ota O�/98 � at igna ure 'pp scan (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY 0 • 3 4 A co 4r I.5 4-4- 4. \ nfl P • S S INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES 4 4. /p C CAS l c'.r IL' / i s D ♦.- N 1kClt\ / % ,./.4.4 . (:' t', C." . l/ • L At p< ) - " %,‘ of ,;, v 7 0 . (TO BE.RETURNED TO BLDG. & SANI. DEPT.) • Tester ` 4 PERCOLATION TEST DATA Address I Cwt ,-0 _- Profile hole a,;y..- , . I .. L", —_ TEST HOLE #1 7 i!2 N3 TIME (Min.) Level Drop Level Drop Level Drop e / _- _s_411 bit 5 4 '/ ,% v L iy 15 /l/ S 416 3 fi ( (6 � 25 ?ti 30 35 40 45 50 55 60 Percolation Rate 1 minutes per inch.