HomeMy WebLinkAbout01048 GARFIELD COUNTY BUILDIN ANb SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone .(803) 945.8241
This does not constitute'
INDIVIDUAL SEWAGE DISPOSAL PERMIT i42 k 1 146 a building or use permit,
Owner Braebrun Realty Association
I'" System Location 0045 West N1rWrl1ey Drlvs3 - Sil
Licensed Installer
Conditional Construction approval is hereby granted for d gal
Septic Tank or Aerated treatment unit.
i ', Absorption area (or dispersal area) computed as follows:
Perc rate of one inch In 15 minutes requires a minimum of 100 sd: ft. of absorption area per bedroom.
li Therefore the no of bedrooms —.— x TAO sq. ft, minimum requirement. a total of Q0 sq. ft. of absorption area,
May we suggest 12 X 64 or a 18 X 43 r.-0 r_
r i
Date Inspector
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be In compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover
ing any part.
OK Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
0 K Proper materials and assembly
/1-5 —0 /
p0"(c Tra an aerated treatm 4 unit.
K Adequate absorption (or dispersal) area.
4 v K Adequate compliance with permit requirements.
O (c Adequate compliance with County and State regulations /requirements.
Other
Date Q/ /VS/ Inspector
RETAIN WITH RECEIPT RECORDS A 1INSTRUCTION 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 Xvhich have fully complied with County zoning and building requirements.
Connection to or use with any dwelling or structures nt 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, alters, or installs an individual sewage disposal system in a manner which in-
volves a knowing and material variation from the termk or specifications contained in the application of permit commits a Class I,
Petty Offense (5500.00 fine — 6 months in jail or both).
Applicant: Organ Cony Dapartmant: Pink CoPv
Page lwo Fees Paid $ 72'n0
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date '7J/-//
Owner: 13 eWioo2M sscc
Mail Address: @n X 55.5(p6p City: tovJnr O; /If 81615 Phone. 7-3RSR
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 c
1. Location of Facility: County GARFIELD City or Town ` )I
Location Address & /or 1 nn ��
Legal Description ,Q6 y.�IA) • fT wct ](. ut y /JP Lot Size 7073
2. No. of Bedrooms 4 Septic Tank Capacity l Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well ')( Depth (3„- Other Depth to 1st ground water table VS
4. Is facility within boundaries of a city /town or sanitation district ? Alb
5. Distance to nearest sewer system: Nfr
Have you attempted to arrange a connection with the system? NAT
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:
(I) h ; b . m > < . CO/CA 4 CaEigtV C4k C •
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.
1 .\ .4.
� � . f fi
D ignature of Appl cant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
•
Page Three
pet PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
•
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
6
C O/ l io 6
r - -
W C(1
•
Lee / 6.9, , iJi Z
r :
TO BE RETURNEI TO BLDG. & SANI. DEPT.)