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HomeMy WebLinkAbout01036 l v , 7 OARFIELD C OUNTY BUILOI O AND SANITATION DEPARTMENT it 2014 !aka Avenue ' Glenwood MIS, Colorado 81601 Phone 03) 9454241 Zr 332 I M l 1 This does not constitute j i INDIVIDUAL SEWAGE DISPOSAL, PERMIT %O 1036 1 e building or use permit. Owner Jalres K. and atitia A. Anma - Sy stem Location 6698 County Rnad 301 - Parlhute i w Licensed Installer E . II • Conditional Construction approval is hereby granted for a 7.rl7 gallon ,.. i (Z Tank or Aerated treatment Milt. , Absorption area for dispersal area) computed as follows: Perc rate of one inch in 11) minutes requires a rpinini of ' sq. ft. of absorption area per bedroom. / 33 0 f '" in m requirement total f t. of absorption re �Therefora the no. of bedrooms x S� sq t rn imu a o _..,_sq ft. s p area. May we suggest /Z X Z O x 3 e co , , p/ Date (�+ �Q / B / 1) Inspector 44/I M7 /9,4 FINAL APPROVAL OF)WSTEM: No system shall be deemed to be in Compliance with Ib $wage Disposal Laws until the assembled system is approved prior to covers , ring any part. Septic Tank accessf inspection and cl within 12" of ground surface or aerated access ports above ground m i, •surface, l A - Proper materials and itssembly. q 1 �, ,u ---u ' rade name of septic tank or aerated treatment unit. " /� —' 7 Ci e 1 c4 Adequate absorption (or dispersal) area. r � ____ — Adequate compliance with permit requirements. te Adequate compliance with County and Slate regulations /requirements. i ik Date f z - I , Inspector {� 'RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 'CONDITIONS: ( ' i 1. All installation must comply with all requirements of t a County Individual Sewage Disposal Regulations, adopted pursuant to au- thority granted in 66.44.4, CRS 1963, amended 66.314 CRS 1963. 2. This permit is valid only for connection to structures ich 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 1 al action and revocation of the permit, } 3. Section III, 3.24 requir any persoR,who constructs, ter`i, or installs an individual sewage disposal system in a manner which in- - ,s volves a knowing and material . variation from the te or SONfications contained in the application of permit commits a Class I, 1 , r Petty Offense ($500.00 fine 6 months in jail or I l l APPlinnt: 0100 Cofly Doparfmant: Pink Copy / L. 1 ' h1....,... L--,_,_......,.Y..r ��?» rw...... n.. rr. rr �r. a. rr.. ..gs.,.rr.a......r.Y..rir,uJYri,; ' Page Two Fees Paid $ -. 0 , INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date - 3 - R - 1 Owner: JAMES R /INO LFrv/il 4 Jnx•e S Mail Address: f p y Cr, City &coo /lsJ0 Zip: ra, 1) Phone:i(,?* 7O 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_p rofiles in test holes (see Page 3). ? 669 $ Cfl Iz D 30 / Near What 1. Location of Facility: County GARFIE City or TownRe�,( /� Location Address Si/or T'7S /Zgy[v egal Descri � - /� (( i' j N F yy 5�r J Lot Size 470 i x 26 { 2. No. of Bedrooms 71, Septic Tank Capacity /000 Aeration Unit Capacity N/A 1 3. Source of Domestic Water: Public (name): Mi Private: Well Depth Depth to 1st ground water table /,er 4. Is facility within boundaries of a city /town or sanitation district? ,i/o 5. Distance to nearest sewer system: Af/ /W Have you attempted to arrange a connection with the system? Al, 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. Z e / / 31 � t.,/ /� S • gn• o pp scant I (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLE.SE -DRAW AN ACCURATE MAP TO YOUR PROPERTY 41 it r 1 .. 11 1 1 a FEt 1v 1 sFFCDUC crY. R,. 301 "+ 14. , O ma 7 ..11m {tr/n v:_ PAgn -ct+u T • l i r RAA LA 5 0141 INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES c AR R, toA - r' wirc1f 4 u l/ 1 ' c Loo MoQ lcc goo It o s ePf l L� pcN r . �� • -�--_. 3 ©0 :I �� (TO BE RETURNED TO BLDG. & SANI. DEPT.)