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DARFIELD COUNTY BUILDI d AND SANITATION DEPARTMENT t 11
t is' w 2014 lake Av
1 a Olanwood'B nes. Colorado 8160
Phdhe 803) 948P41 .a
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�� D This does not cons�thult a iahl`.i
4 I' INDIVIDUAL SEWAGE DISPOSAL PERMIT p9 > ' /0 35 ,building or use permit, °' iI
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'��1 Y Owner .�pndy Smith - Horse Arena � , � � 'r�r
i l� , �n S ystem ocation 3054 C ounty R nad 1 04 a :arhondate � . ,'� l�
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hl9 i Licensed Installer G
e ! • Conditional Construction approval Is hereby granted for k 1 1250 gallon (Maximum) rm'
ie +
, X Septic Tank or Aerated treatment tit,
.m Absorption area (or dispersal area) computed as follows;
° li,, ° Pere rate of one inch In 6 minutes requires e m ini m um of 133 ' sq, ft. of absorption area per bedroom. ' "I
Therefore the no, of bedrooms (4) x 1 sq.. ft. minimum requirement • e total of 532 sq. ft. of absorption am, tillif
,) :
May we suggest Leach Field 12' x 45' x 3' deep or' 18' x 30' x 3' deep, ` "'
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, Date July 2. 19R1 "° ,Inspector w�. - i' - ' / ._ � , + �vp is.
, s FINAL APPROVAL OF SYSTEM: V 1Mt(Yl O ,
'i , No system shall be deemed to be in compliance with the S 'wage D isposal Laws until the assembled system Is approved prior to cover)°+ 1 u it
mg any part.
4 ek
l ° t Septic Tank access for inspection and cleaning in 12" of ground surface or aerated access ports above ground 1 ;��i h'h ',
1 (91.< Proper operm erials an ssembl /� I i p
1,
K Trade sep c tank or aerated tree me unit. '
6 A i r i
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Adequate to absor t oo- o dispel K q a p ( dsP sal) area. , „
40
Adequate compliance with permit tequir e nts,
A dequate compl with County and S , ate regu /requirements.
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@ _ 0 her "rt Ali i ih I,
Date V .7/ t Inspec . i4 ��.���/ , a, - , 4
J RETAIN WITH RECEIPT RECOR CONSTRUCTION SITE , 1 + l '_
"'CONDITIONS:
1. All installation must comply with all requirements of t "County Individual Sewage Dispose) Regulations, adopted pursuant to 60 i "p "',
thority granted in 66°44.4, CRS 1963, amended 66.3.14 ' RS 1963.
2. This permit is valid only for connection to structures ich have fully complied .with County zoning and building requirements" 'i
Connection to or use with any dwelling or structures no approved by the Building and Zoning office shall automatically be a viola , '�' + ,;i "''
tion of a requirement of the permit and cause for both 1 .I action and revocation of the permit;' , u .r af' i'
3. Section 11I, 3.24 requires any person who constructs, al Y R . or s ews ¢ i nstalls an individual disposal In a manner which in r 1 i 1 1 7
sewage p
IWi1 volves a knowing and material variation from the terms ,.r specifications contained in the application of permit commits • Class 1 ) j .1 1 16/ da
,,1 1-,0 .i I Petty Offense ($500,01 fine - months in jail or both.' I ' ,k1,1],"" i '
.uil -ll 1 1111 r . l
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•.i'I i , � � A+PPtlgnt; OrNn CO � tlaWrtrMet: Pi Copy � ti yI'�igi
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Office Use
Page Two Fees Paid $7S
,/ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 7— 2-4/
•
Owner: (� 'AJ /2 \ f . -- , / /� _
3/ -\syy. _ - -
Mail Address: 4 - City .yr�uv„{OCF} Zip: 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 / n
1. Location of Facility: County GARFIELD City or Town �y,�'�,✓�gY.P
Location Address & /or a pi
Legal Description al..) ,CS! /03 Lot Size
/ 42 Go —Yro e.
2. No. of Bedrooms / C7) Septic Tank Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Water: Public (name): at
Private: Well ►/ Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? NU
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.
72. / � g
ate Signature of pplicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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a i3
3",
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
14 (-Lis
PtiA 11
11
1 0 MAD
Yk,
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(TO BE RETURNED TO BLDG. & SANI. DEPT.)