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HomeMy WebLinkAbout01021 i1 �e . GARFIELD COUNTY 6UIL01e40 AND SANITATION DEPARTMENT I ' r 2014 Make Avenue p 'a Glenwood SpIings,COlorado 81601 i Phone 0403) 943.8241 i11 II This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT O 1021 abuildingorusepermit. II Owner Patty Fredrick ,, System Location ratty Road 115 - Spring Valley Ii i ` Licensed Installer - _ µ I I • Conditional Construction approval is hereby granted for a i CO gallon 1/ Septic Tank or Aerated treatment unit. / • D Absorption area (or dispersal areal computed as follows: - "1 Pere rate of one Inch in RO minutes requires a minimum of 150 sq. ft of absorption area per bedroom. Therefore the no. of bedrooms Z• x 2 -Co sq. ft.dtltinimum requirement • a total of Coo sq. ft. of absorption Brea. May wesuggest / 2 X4Z'K 3 deep o f /8' r Z8 ' X 3 ' c/ eep, 1 Date. 7 2 /� I Inspector 444.4"1),14 FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Law until the assembled system is approved prior to cover ing any part. i O K Septic Tank access for inspection and cleaning within 1r of ground surface or aerated access ports above ground surface. ©/t- Proper materials find asse ly. tu .':. i. ee fns - tr °z� O Trade e n a � Septic ta p� tad tmen� nit. D K* • Adequate absorption (or dispersa"I� area. O Adequate compliance with permitt'equfrements. 0 v Adequate compliance with County and State regulations /requirements. a ..........._r Other s III Date 7//(3/9 7 Inspector d. AI n it /iii. RETAIN WITH RECEIPT RE UO NSTRUCTION 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 663.14, -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 I001 action and revocation of the permit. 3. Section ill, 3.24 requires any person who constructs, al(ers, or installs an individual sewage disposal system in a manner which in- volves a knowing and material variation from the terms br specifications contained in the application of permit commits a Class 1, Petty Offense (6500.00 fine — 6 months in jail or both). Applicant: Oran Copy Department: Pink Copy q Office Use Page Two Fees Paid $ x (P-' INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date (QS Owner: ,F;977'Y pAW)i - 7(A - Mail Address: 900 .3.0 ,,•in rfi/i: City: ( 9mo 4- Zip: /y27 Phone: 5j?-/4ie 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 _ co i Location Address & /or Legal Description #j7,r ?o va - S Lot Size 2. No. of Bedrooms >trlJ Septic Tank Capacity /OGY1 c' a Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well / Depth /25 't Other Depth to 1st ground water tabler/,021g4 /, 4. Is facility within boundaries of a city /town or sanitation district? A/0 5. Distance to nearest sewer system: 35-5 Have you attempted to arrange a connection with the system? A/0 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. 5 74/ 4/ / / . — Al • Date ?7 ture o '.p scant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY 6 e tre 7 1 3i vv1 4-'•sr> J ��sc'. p.f 1. c €_ cps( ?fi C �X -tA0 C - INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES ,,; ► rd • 2 -4 kuEt • _ J P 2 0 P l auSE_ • ea) 'O ;E ' 111N'0 ' t G. & 'NI, DEPT,)