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HomeMy WebLinkAbout01019 + i •.. - --rr. rrP'nPArr sff"War.' p..7-rot R117Prrr-,.- .••-- .n,tW.'""7.z,R. ,.. ,,m.,.. erf'pr'Pen'a+*"r*' W,,,.clq�Tr ir, Y' Idl i " r ,q GARFIELD COUNTY BUILDIJIG AND SANITATION DEPARTMENT na 201*%Iake Avenue I N. '141 1 • ° Glenwood Sp n Colorado 81601 d , IN I Phone (303) 9404241 Pi 'Oki grill I' i v f� This does not constitu , I CI q " ',III " INDIVIDUAL SEWAGE DISPOSAL PERMIT 40 1019 abuildingorusepermib t III II . ' rA 1 . i 1 Owner Ruth L. Gardner " � r I^ System Location 0463 (aunty Rnad 307 - Patrachia i II s a I„a Licensed Installer N , l u!. li Ig' ; l ' Conditional Construction approval is hereby granted for /a�1' s gallon Ell X Septic Tank or Aerated treatment unit. d Absorption area (or dispersal area) computed as follows: ^ i Perc rate of one inch In V4 minutes requires a minimum of /a. sq. ft. of absorption area per bedroom. • 11, Therefore the no. of bedrooms 't x /a 5 sq. + ft,minimum requirement - a total of ' 5 sq•ft.of absorption area. 111 i t IVII" May we suggest I P/4 / c i c// f4I4ip l T ° Date I Inspector r« i - -' �_���,I 1 F114AL APPROVAL OF SSTEM: 0 4 a No system shall be deemed to be In compliance with the S w age Disposal Laws until the assembled system is approved prior to cover. a,, f "+ . ing any part. I = "''�r Septic T ank access for inspection and cle Wing within 12" of ground surface or aerated access porn atrpve ground I i hryuh surface. Proper materials and assembly. i I I • II ,- p,I ' treatment unit. " ,. ! �/' { " '• ; Tra =name of septic tank o aer ated tree ' Adequatb absorption (or dispersal) area tl �/ J III / Adequate complwnoa withpermit r uirt oats. ©� \ Adequate compliance with County and State regulations /requirements. ■ • Other r o/ ... / /� rL� u o , f Date Inspe i . N 111 • ,I 'kill RE1 AIN WITH RECEIPT R ORDS 4T CONSTRUCTION SITE y " `CONDITIONS: 1. All installation must comply with all requirements of t County Individual. Sewage Disposal Regulations, adopted pursuant to au• Itl t grante I n 68. C 1963, amended 66.3.14 RS 1963 x 2. This permit is valid only for connection to structures " ch,111We fully complied with County toning and building requirements '1'- Connection to or use with any dwelling or structures no ap by the Sullding and Zoning Office shall automatically be a viola v tion of a requirement of the permit and cause for both ' al adtion and revocation of the permit, ii 3. Section III, 3.24 requires any Person who constructs; Iai rs, or Installs an individual se"wage disposer system in a manner which In 4" i e i volves a knowing and material variation from the terms r specifications contained in the ap,yifplltion of permit commits a Class 1' 7 ", I k , • Petty Offense ($500.00 fine =,S months in jail or both') A '1100 i, Applicant: Oren Cori O•partrn.ntr Pink Copy __ v ___,.u..ur:...rr rra-- u'aL- ,aawrr� - , w 4 uWr .i�Waaan..a...�uru..u � ' ..�ti = :uwhorr.urY.�iY,wwlul.r ril.rr - - a....... A. ct,uuw..a,u".Ik Page wo Fees Paid tgalLe INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 4 AMMMI Owner: )/ `i 4 C� r 0 / // �f '- Mail Addres / / s: ® /f ( 92; 2 / a?);- (,{Jib Zip: tZ Y Phone: ;7 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 /`7,- yr7/"('' !i/ & Location Address &/or J Legal Description 21Z ' ?/Y7 Lot Size _2(77 f 2. No. of Bedrooms Septic Tank Capacity /a Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): )')1,- /» Private: Well y/ Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? /4? 5. Distance to nearest sewer system: W A/Z yvj/ Have you attempted to arrange a connection with the system? /Vn 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. Date Signature of pp scant (TO BE RETURNED TO BLDG. & SANI. DEPT.)