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/' GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
1 2014 lake Avenue
II' Glenwood Sp ngs, Colorado 81601
Phone $03) 945.8241
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o- This does not constitute
INDIVIDUAL SEWAGE DISPOSAL' PERMIT 11,10 1011 a building or use permit � 1 " ,
owner Kenneth A. & Martha A. Robinson
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ilf . System Location 0453 Lion's Ridge Road - Lot 10 - Lion's Ridge Estates
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Licensed Installer �p�jy ,' /j- H / /`a
P • Conditional Construction approval is hereby granted for a, 41200 gallon
iiu 1, Septic Tank or Aerated treatment unit.
I I I y Absorption area (or dispersal area) computed as follows:
•
�)i Pere rate of one inch in 5 minutes requires a minim $im of /Z.sq. ft. of absorption area per bedroom.
: Therefore the no of bedrooms 3 x ../...2.g. ft. Minimum requirement • a total of . .7S sq. ft. of absorption area,
s
; , May we suggest /2 x 32 x 3 e p ^�.
Date .7 AA In spector r �d.. if %iiLi/; •
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FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover- i , ,
„ ing any part.
r9 , � i
/� Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
® s it Proper materials and assembly.
k Trade name of septic tank or aerated treatment unit. Co p z- / d ' -7.7.1 , Co r s ><. 74 del
O /t. Adequate absorption (or dispersal) area. 3 ? / y /Z z-v c -4, /wni
K Adequate compliance with permit requirements.
Adequate compliance with
ate co a ce w th Con n
C q p County and State regulations /requirements.
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it
Date 9/ ✓ 91 Inspector __• �`./ Al 9-_
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 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 t es not approved b the Buildin nd Zoning office Y a o n o Ice sh II I
9 by a automatically be a viola .
Building 9 Y
tion of a requirement of the permit and cause for both legal ction 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 1,
Petty Offense (5500.00 fine — 6 months in jail or both).
° Applicant: Orson Copy Department: Pink Copy
., ...�- --...- .-------- - -.ice- .- u■........u......,- .-,.- � _...
Page Two Office Use
Fees Paid $75,6
Or INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
Owner: 14. n! N LP11F ( . , Roe, 1N SAN
Mail Address: P,O;(SA 3 City: 600p C ;i s( Zip: & /(oSto Phone:9015' 09S
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 C4att(Soiv O (GC+'
Location Address & /or
Legal Description Lu z 10 L «iO &I Lot Size o. 3`/ p0c.u S
2. No. of Bedrooms 3 Septic Tank Capacity JO Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well Depth Other v Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? u0
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.
r Val ( &(
Date igna ure o 'pp can
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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W coao
604 on-,tht
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.)
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JL(a emse,Mett s �J Scw¢= 1" =60'
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Lot 10
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\s50 wen (Ike easevrt.evti. , P t: 21 °40 "46"
370.00
3 C-CtZ S 5 35' 23" W 139.17'
I hereby certify that 3
this Improvement.Location 4%,` r 2
Certificate of Lot 10, Lions O 0 ,
Ridge Estates, Garfield County, \ A9 e„
Colorado, was prepared uner my
direct supervision, that it is not a 41 02
land survey plat or improvement sur- i ��
vey plat, and that it is not to be ,
relied upon for the establishment
of fence, building or other futur
improvement lines.
I further certify that the improvements on the above described parcel on thid
date, 23 April 1981, except utility connections, are entirely within the
boundaries of the parcel, except as shown, that there are no encroachments
upon the described premises by improvements on any adjoining premises, except
as indicated, and that there is no apparent evidence or sign of any easement
crossing or burdening any part of said 1., I 1
parcel, e cept s noted. XtS >t0Vevm2%t�. Loc0.LovLG2Nt( ,Ga
_ o 10 1 a .I_ l
Sy":ney` ricicome . ; ' A 4, 1 111 ar.
* 0 . 0 94 " '; L /NES /N PACE
1WP y e ': SYDNEY L /NC /COME (L.S. /4/0
1 411 1 1 f
BOX 121 CARBONDALE, COLO. 303-963-3852
, } ti p - , f`; ` ' 1 S"tAt ici&I I SCALE :I" = 60'
stele