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Home My WebLink About01041 m, - 04.5 - rm'rit—tae',"iFr!*Ph'' a+el"+,'.+rmn,ra.. ?. ."*rmr..- .r „- --- , ...-. P- rwr r- ^r-- •..,„.-- ^ -.,,o- .-.. Orr, lenj �!U OARPIELD COUNTY eUILDI (# AND SANITATION DEPARTMENT 20111 Neka Avenue Glenwood SP not Colorado 81801 , 1 I' 1 Phone 303) 9454241 III „ i , m This does not constitute, INDIVIDUAL SEWAGE DISPOSAL PERMIT tin 1141 a building or use permit.+ II ii ' D 1 Dilin Peek • Gary Shevel ' I i. 1 Systerb Location Lot 6 -E Midland Vaiiag 1 -_ ` oi + Licensed Installer 6 6J / r e 1 , { r I” * Conditional Construction approval is hereby granted for tl /Oh n gallon �.. X Septic Tank or Aerated treatment uit. dry • ii, Absorption area (or dispersal area) computed as follows: iii _ Perc rate of one inch in / 7 minutes requires a mininlUm of lit sq. ft. of absorption area per bedroom, j Lin 9� 6 Therefore the no. bedrooms 3 x s f411 " ,, inimum requirement ■ a total of t q P . ft. of ebsor 41 0 n area, { 1 lin r \, ,x, i MAY we suggest i Y( Co K 3 O / I i ', 3 ? }( .3 J r I Date 72.7/ £'/ Inspector ir' /�_.:4 / ��r— a -i {,__ FINAL APPROVAL OF SYSTEM: y , No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover- I ing any part. k il ii" U1 Septic Tank access for inspection and ciehning within 12” of ground surface or aerated access ports above ground surface: 1 ? D' V\ Proper materia and asse bly, n (f TracaPa r oc e8pticG nk‘ ae tad l nent unit. ri r) 1i Adequate absorption (or dispersal) area: ", r�� Adequate compliance with permit requir '/ i c) v\ Adequate compliance with County and Sate regulations /requirements. ----- Other 1 el wi Date 9 ) p / Inspector fin id li Q RETAIN WITH RECEIPT REn CORDS A ONSTRUCTION SITE 'CONDITIONS: ' 1. All installation must comply with all requirements of t County Individual Sewage Disposal Regulations, adopted pursuant to au. i !! ill thority granted in 66.444, CRS 1963, amended 663 RS 1983. 2. This permit is valid only for connection to structkires ich have fully complied with County zoning and building requirements, a 1 Connection to o use with any dwelling or structitr 'r10 approved by the Building and Zoning office shall automatically be a viotp tion of a requirement of the permit and cause for both 1 al action and revocation of the permit. 1 Section I11, 124 requires any person who constructs, .a ers, or irt'italis an individual sewage disposal system in a manner which in 1 '.. volves a knowing and material variation from the terms"'or specifications contained in the application of permit commits a Class Ii Petty Offense (5500,00 fine - "6 months in jail or both). l Applicant: Groan 0.00V O.Pirtmint: Pink CaPV Page Two Fees Paid $ r. INDIVI HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date • Owner: rd-p<4 tr: l 1 — 61><1 rl/ -- -'c A Mail Address: tk' //9 `>, sccowrl /5f• / City : -dr4 Zip: %7_3 Phone:2 7 j/ 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 Location Address & /or h. Legal Description p – f= / /a,S6 / y Lot Size c " 11. 2. No. of Bedrooms -3 Septic Tank Capacity / hoc) Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well Depth , on / Other Depth to 1st ground water table ' 4. Is facility within boundaries of a city /town or sanitation district? /VD 5. Distance to nearest sewer system: i j /7 / & - « C-cJ 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. 1 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.) fr Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • T _r U - -- oro C4 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.)