HomeMy WebLinkAbout01018 •
GARFIELD COUNTY BUILDI 'AND SANITATION DEPARTMENT
2014 'lake Alrenue
! Glenwood Sp „ngs, Colorado 81601
Phone 03) 9454241
This does not constitute
INDIVIDUAL. SEWAGE DISPOSAL PERMIT NO 101 a building or use permit.
Owner C. W. Byerruni
tl011111M Location 574'9 5829 - County Road 309 PP,rachute
tdi OW Installer
• Conditional Construction approval is hereby granted for e16` ' ) 04, a gallon
_ Septic -Tank or Aerated treatment uhit.
" Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in 7 Minutes requires a minim lrfl of / 9/ sq. ft of absorption area per bedroom.
Therefore the no of bedrooms x May we suggest / % / sq. ft Ynlnlmynl requirement - a total of . f* sq. ft. of absorption area.
4 e44/# /deA /
7 .2
. Date Z ' ! •: } Inspector �
/���� % /�•r•c41n
FINAL APPROVAL OF SYSTEM: /
t. No system shall be deemed to be;in compliance with 1heSiiWege Disposal Laws until the assembled system is approved prior to cover •
•
ing any part.
It Septic Tank gccess for inspection and cl@isning within 12" of ground surface or abrated access ports above ground
surface.
f. > Proper materials and assembly.
/3•-' ' ! Trade name of septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area.
r Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Other
#_4i/_2/712-';; pate / !! Inspector , ��
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 no,$ approved by the Building and Zoning office shall automatically be a viola•
tion of a requirement of the permit and cause for both 14'gal action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, athers, or installs an individual sewage disposal system in a manner which M.
Volvos a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I,
Petty Offense ($500.00 fine — 6 months in jail or both).`)
im
Applicant: Orson CoPy Department: Pink Copy
---- _ �..�
Page Two Office Use
Fees Paid $7s
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 2 9- (
d
Owner: JA) By 9,0 - 0 „,‘,
Mail Address: 1 0 goy /D`/ City: pcira,cAuTT Zip: 71/35 Phone :En - /y.V
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 tetra-chid a.chu Te
Location Address & /or
Legal Description - / . � O 9 Ad Lot Size „L 4.4M°
2. No. of Bedrooms X-. Septic Tank Capacity /on r, Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well x Depth Aged Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? N 6
5. Distance to nearest sewer system: it) M d e."
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.
6 . /
Date igna a o 'pp scant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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11
X
30 rJ
6�Z
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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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P de ,.gTioa ���e L'•e
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30g ltar
5
(TO BE RETURNED TO BLDG. & SANI. DEPT.)