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HomeMy WebLinkAbout01054 . 16 �rl �F ` "; f lr, ii I OARFIELD COUNTY erU ,I ND!ANITATION DEPARTMENT ' 0 41 lyl„ i '. ' Ohnwo M p ngs, ' d 1 818°1 P p I ho I Iv m 9P 1 a ll V : i + This does not constitute is r INDIVIDUALSEWAGE DISPOSAL PERMIT 1 ' 1I abuildingoruseperml w''. Il ,, ' " �' �' ! II r ,: I , + vim 71 owns D Bende ' V � w, I ,r I; '' % 4 ti I" I " 4050 1611 " Road I II , System Location 1 1 (I 1 11,111$ ill Wcepsed Installer l I LI' + ii' ➢1 l ira Conditional Construction approval Is`hereby granted for . /� T gallon 71 'll n �'i lI I 1 1i 1 ° Septic Tank or Aerated treatment u I it, 1 �1 Absorption area or dispersal are computed as follows:, r II p ( diiPe saI , aria) p � I ,✓ q ui /' " yl y 1 Il 1 , 11 ' ''r , Pere rate of one inch In Minutes requires a Mini Il m of ,I/ 3 9 sq. ft. of absorption area per bedroom. lb 1 I .1 Therefore the no. of bedrooms 4 " x / 3 sq. fta Iniihurn requirement a a total of sq. ft. of absorption area,. °i fi 1 ti i , i Ma w e suggest /2 X1 45 JC •3 cte ` o tj r . / 8 , 30 3 I c / ee u X X I l aI t I ,/ � l ' V l'' ' Date .0 i 5 Y Inspecto " /4 ! i A , , 1n� uy l Dili I PlII " • FINAL APPROVAL OF" SYSTEM: / I I ' h No system shalt be deemed, to be'Iin compliance with the S wage Disposal Laws until the assembled system is approved prior' to cover,,, 111 �ti ,, Inganypart. 1. a II OPC Septic Tank access for inspection and cl A ning within 12" of ground surface or aerated access ports above ground ,, d i'pI'J O surface. i 11 I i mr Proper ateenalsis da y. L/ © k( Ira o o tic tank or aeirat t M n t. i ', is p CDvC Adequate absorption (or dispersal) areal i Y � Adequate compliance with permit requ)r ants. ^ ,I ii o pc Adequate compliance with County and State regulations /requirements. Hll I' Other I r V III � � Date .�� Inspect• _e .r.< 4/ 4t ri i ., i RETAIN WITH RECEIPT RECORD " CONSTRUCTION SITE II` ' , "CONDITIONS: ';,IL 1. All installation must comply with all requirements of County Individual Sewage Disposal Regulations, adopted pursuant to au I''' thority granted in 66.44.4, CRS 1963, amended 6643.14, RS 1963. !I 2. This permit is valid only for connection to structures ich have' fully complied with County zoning and building requirements. I^ 9 Connection to or use with any dwelling or structures nc approved by the Building and Zoning office shall automatically be a' viola. .1 - tion of a requirement of the permit and cause for both l al action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs.te Ors, or installs an individual sewage disposal system in a manner which in. ^ 1 ='i . is volves a knowing and material variation from the twills` r specifications contained in the application of permit commits a Class l,' „ I„ Petty Offense ($500.00 fine - 6 months in jail or both): 1 1 r i Applicant: Orion Pl/ QPWrtmme: Pink Copy laL IaI Fees Paid $ 7500 INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date ,f -/Q - f/ . 1 • Owner: //D/U k3 5A'Y1 / Mail Address: 4 ,-1074 9 3/1 /�C City: NEW 646y9.J Zip: Sl6 -MV 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 5 £ Location Address & /or Legal Description jJ p 5`O 3 / / d Lot Size ) 3 A CR es 7 1-- 2. No. of Bedrooms p/ Septic Tank Capacity f1 < f 0 Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well i> Depth ,Ay/4-Other Depth to 1st ground water table /y',¢ 4. Is facility within boundaries of a city /town or sanitation district? ti p 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. - /o — 8/ Date ignature o pp icant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three :Ira"' ' PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY Thion 01 s; Lf- *id y �_ - `.,� 1 pp ________ 4 -- f' `' _ -_ ____ U 7, 0 O 7 A ill INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES ROADWAYS AND BOUNDARY LINES v 3 ate/ W6 D iv e e Creek' _- '6,1 3Z ._T d = y - _ (TO BE RETURNED TO BLDG. & SANI, DEPT.)