HomeMy WebLinkAbout01057 � k
jl GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
m 2014 lake Avenue
Glenwood Sp nps, Colorado 81601
X Phone ((SOS) 945.8241
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT PP 1157 a building or use permit. l '
Owner Donald Dorrell
II
,) r System Location 2309 317 Road - Rifle /
111 i
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Licensed Installer d./ia 7 P P i "^q
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"Conditional Construction approval is hereby granted for a
75 gallon
Hi P Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
, Perc rate of oneinch in- __4p__ minutes requires a minimum of _ ./3'3 sq. ft. of absorption area per bedroom.
in
Therefore the no. of bedrooms - ..,�e__ x /43 sq. ft. minimum requirement . a tokel of 24 (r. sq. ft. of absorption area.
May we suggest /2 X 2 3
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• 3 C-C'
d Date 9.rs�I' / Imps. or fl di /d . .
FINAL APPROVAL OF SYSTEM: i
1 •I
No system shall be deemed to be i n compliance with the S Disposal Laws until the assembled system is approved prior to cover•
k l Ing any part.
"R' 4 Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground ^
surface.
i. *, Proper materials and assembly ,,,, / / Li' il
{ i Ca r a, rt Trade name of 5ePtic tank or aerpted � �l* y Iii U O U tai a / Xi c 4 4-
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I` Adequate absorption (or dispersal) area. , *"' I', ' r ,r 3 ,S- X 3 ,
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r \ fldaquate compliance with permit requirements. i i _
Ade quate • compl with County and State regulations /requq 411;:r lt ,, M .
i / Other/ � •
Date 9 / /J ' / - Inspector li C .G•.G.4
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS: .
1. All installation must comply with all requirements of t e County Individual Sewage Disposal Regulations, adopted pursuant to au-
thority granted in 66.44.4, CR 1963, amended 66.3.4 licRs 1963. '
2. This permit is valid only for connection to structures s'hiph have fully complied with County zoning and building requirements:
Connection to or use with any dwelling or structures nit approved by the Building and Zoning office shall automatically be a viola•
tion of a requirement of the permit and cause for both fegal action and revocation of the permit, ,!
3. Section 111, 3.24 requires any person who constructs, a! tees, or Installs en individual sewage disposal system in a manner which in. I 1.
votves a knowing and material variation from the terms or specifications contained In the application of permit commits a Class I, i t i
' Petty Offense ($500.00 fine - 6 months in jail or both) 4} I $ if,
y 1 ,
I I: Applicant: Groan Copy Oopartmant::Pink Copy
Fees Paid $
• INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date j I/
Owner: ! ON 1 ci /)/) t i- e LL
Mail Address : / l 4j_9 ¢n City: 1? (7 Zip: cz,/ s Phone:r,zr -zv.y
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 /j [ 1 f
Location Address & /or
Legal Description )3o 9 . 3 /1 Lot Size
2. No. of Bedrooms 2 Septic Tank Capacity 7616 9 „ /Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well X Depth ,moo Other Depth to 1st ground water table 7c
4. Is facility within boundaries of a city /town or sanitation district? 7') ri
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.
/ �Jt
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g ! Date � - Signafure of Applicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
c0 . PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND.DISTRI—
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(TO BE RETURNED -TO BLDG. & SANI. DEPT.)