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HomeMy WebLinkAbout01042 r v- rrk ° ,•, v's„®* • seaus--7--...,—..,,,- i ., — .m.-- ..— ...«.: * * m,. -.�„ w „ r ,p jm, ' IIIII m I ,I a I L „' a GARPIELD CQUNty But , M bSANITATIONV DE'Arki.metiT I n ” M n +1t � �� .I 'y.nua r IX . g lanW 4� Iprado 81601 ' " 4 th , I I R� 11 6) 8241 1 n 1i „ IIl1, 1 A, I I i pp II T h l B „' II „ This does not constitute 1 I Ir 1 1 � ' I N ,.IVIDUAL SEWAGEriDISPOSAL PERMIT V 1,, , . ' � a building or use permit !I " 1 I I,I I wll ,., " l I I 11 pip, Dav i i; & Cathie F,1 I 1 I I I �i L ,, v d t r1 r . " r „uIH 4 4 1,� I, ,1 . I i 1 r lem Location 1 , 2f - Pann 11,6 ,d h r 'IC MnzlAl n i 1 " Il d 41,4 0 41certsed Installer /Pe ! ' �S Ilmi """"h � . , III I1 In i 1, i. 1 v Conditional Constr ctio „N. roval is hereb r ntedf r I„ VIII" I i I111 p dpP Y9 a d 4i� D I' p gallon 1 14* I " 4 S ept ic T r Aerated treatment I ' nit, as I 11, I, 1 I,. IPoI pl m „ II Absorption area (or dispggsal area) computed as folloWit i ` I # µII I s ^Clr 11 $ 1 m re `, Pare rate of one Inch In rti�n uaa d# 1 R ul 4 tl require $* 1 � sq. ft. Of absorption Ores per lxrdrobm. 4i IIC I ;` Therefore the no. of bedrooms x . RQ' a e4 Vt ' I i lil r �-�-• 1 �.„ I�IIh�rM r ulr�ryleht+ a total of -511,a —sq. absorption arc I fl n E 1• s � 3 'alee I - „ ” X 3 ;‹ ' d G , MsY we suggest � '� .� , �° Ii Date / /� /� I I q In l y r vtor t 6!b' ` i444 Y I VII I11111 I' F INAL APPROVAL OP'S'Y,,STEM: 1 1 �I 1 14 I I I ' 4 Ne {+Isystem shall be deemed to be in compliance with tliii 1 ` wage Disposal Laws until the assembled system Is approved prior to cover "Ii ; ; i II aslF k ri l l I ,I IIAg y part " I,t Sept "'Rink octets for inspection and p1 hlhg within 12" of ground surface or aerated access ports above ground ∎ 1 " i Proper aterials e d assem y I ./1 I` ir L. \ Trade n e of, septic tan or aera i ueht Unit. o V Adequate absorption (or dispersal) area„ l y ' a „ „I1 Ofc Adequate compliance with permit requir anti. „„ n K Adequate compliance with County en0 S to regulations /requirements. ,, r.„ they ' I n Date T� „ � , ✓.' Inspect. If . lid di i L li lvl RETAIN WITH RECEIPT AE , F}D• A CONSTRUCTION SITE " `CONDITIONS: 1. All installation must comply with all requirements of t electivity Individual Sewage Disposal Re'gulations,adopted pursuant to au.' „1 i thority granted in 60.4444, CRS 1363, amended 66.3.14 As 108. 1 2. This permit is valid only for connection to structure inn have fully complied with County zoning and building requirements 11 "I ', Connection to or use, {Il with any dwelling or structur + PO (tp d, by th, Build end ZgAing office shall automat be a y l Wit tion of a requirement of the permit and cause for boo 1' at arobe cttido and revocation of the Permit, w 3. Section I11, 3.24 requires any person who constructs a 1 r1, 'r, Installs an individual sewage disposal system in a manner which in 1 volves a knowing and material variation from the et s r fictions bontained in the appli ation of permit commits a Class f, I I „1 .1,1,:i I'o Petty Offense ($600,00 fine 6 months in Jail or both). 4 d 1 1, Ilr p . nadlN»ns erne ;Da h " *babenmant, el Copy i � lm 1411111,1 .-- ..- u�u ........... .:....-.... ..._- -- - -_il- -- ..mow." ..1 "- .u...,...e,udr Y .a —.1ur ' - i , ..a....0 ," ..� 1 e, LPr / Qq�� I 7�Z zta ' Page Two Office Use �! Fees Paid $ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date • Owner: (Do.■/iy v Co.ie t'o.rro.r' Mail Address: /CU"f NWy $a. City: Co,r Loindo_,Ie,C ) •Zip :'/623 Phone: 90-100 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 /� II II ( Ci-. 1. Location of Facility: County GARFIELD City or Town Coo- ponds. e_ y Location Address & /or n Legal Description c 2 ©J 4 nor a. ha `1<ex.-xcLes Lot Size 5, 0 ter' Ac , 2. No. of Bedrooms 3 Septic Tank Capacity / Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): CQ -,1 W kkar Sew` P^ nornrn ` Rahc S Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sa /V nitation district? n U M 5. Distance to nearest sewer system: nowr AVA Have you attempted to arrange a connection with the system? No • If rejected, what was the reason? No. 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. o .5/5b/ a Date t (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY e/ . Ca 111e creek Sl nl gcarmAN $ S sub- rrMt• Cry i SPr n9 n v i 0 tut 0 Q rOnR.. CA-ti,(44,cs —__14 � sto INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES • AI Pew<! E NOd line. Pot( +�ia n k{ ,o s pd Oc,�.+ ®os.. . . T. Ori vt ._ (TO BE RETURNED TO BLDG. & SANI. DEPT.)