HomeMy WebLinkAbout01033 4 GARFIELD COUNTY BUIL AND SANITATION DEPARTMENT
2014 Make Avenue
Glenwood Springs, Colorado 81601
Phone (803) 945.8241
•
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT MO 1033 a building or use permit.
Owner Joseph H. V(ttum
System Location 3S 7p County Read 214 - Pnaph Val 1 ey
- Licensed Installer !N M
• Conditional Construction approval is hereby granted for a / gallon
Septic Tank or Aerated treatment unit.
°P. TO
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in 4 0 minutes requires a minimum of 330 sq. ft of absorption area per bedroom.
Therefore the no of bedrooms x 3 3 msq. ft. minimum requirement - a total of ? io / p v sq. ft. of absorption area
May we suggest / 2 J e 3 X 3 p e e p. o r /: 'X 55 'X , 3 ' d ee
Date 7/ 6 p / Inspe •
A 11 J L n s
r "
FINAL APPROVAL OF SYSTEM: ( L.4 X T � 3'Q/ ee� 1 Ir
No system shall be deemed to be in compliance with the Sewage Dispo$aldaws until the assemb ed system is approved prior to cover-
ing any part. .-
Septic Tank access for inspection and cleaning within 1 of grounds rface or aerated access ports above ground
surface.
O/c Proper materials and assembly. +�
P�Gr.,. -..� / 11-s C7 q c._ /„
o J Z Trade7iame 6 f septic tank or aerated treatment unit. • 1' Adequate absorption (or dispersal) area.
ki .0 Adequate compliance with permit requirements.
p r\ Adequate compliance with County and State regulations /requirements.
Other
Date g j f f / Inspect AsI
((( RETAIN WITH RECEIPT RECORDS 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 not approved by the Building and Zoning office shall automatically be a viola-
tion of a requirement of the permit and cause for both legal action and revocation of the permit.
3. Section III. 3.24 requires any person who constructs, alter6, 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 I,
141 Petty Offense (5500.00 fine — 6 months in jail or both).
I: hi Applicant: Gratin Corly Dapartmant: Pink Copy
In
- Page Two Fees Paid $7C',W
INDIV HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 1— (t-'(
Owner: .7 ce 4 r[, i2 �
Mail Address: 7 51 i3ox City: Te ?A Zip: X960/ Phone: —
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 S
Location Address & /or 4
Legal Description P• _ ; . Lot Size ? /4c.
2. No. of Bedrooms 3 Septic Tank Capacity /7,5 Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): (6 . /,
Private: Well kV Depth Other Depth to 1st ground water table SO 1
4. Is facility within boundaries of a city /town or sanitation district? /0c)
5. Distance to nearest sewer system: , &(6 41,
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.
771 Date ignature of Applicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
3a Lai- Do 4 o f
6f- 1441 P-Of
k t 41f
N w ��Ksa n µ�w.a,r,
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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.)