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HomeMy WebLinkAbout01058 ,pr- carry... w...P""^. r ?Till �uS. e"RPpu'sn'°ra' 1 T P 1 1 ° u ' I , ' G ARPIELD COUNTY BUILOI' ' » � 40 ' Q AND SANITATION DEPARTMENT 11 q1� , I 1 �� � � YI I r ,JIM � - I I Glanwqod ° 0 i', Iorado81601 dr 3 3} 45.8241 0 ' �u �u � ` Pho � . 1 1 1 " 1,11k�1 '�1 . fl r+ V 1 1" -This IVID L PERMIT a or use Par rill ��" ; 1 1111Q UA SEWAGE DISPOSAL �RMIT� I building pe hi q ' RI � i i lg l l�. Owner Patr 4& Bonn' , :4Y01 i I 'I t l J � ," Ill y " II System Location \ RR�� / ° °1' , L'Icensed Installer 1I 7 A LG t s ,' M �' „ ' . Conditional Constructio , provel Is hereby granted for ` my, , gallon + r , y � y k. , ' , °��a , I tl1 Septic Ta o Aerated treatment tit, '+, 4 h Il `I Absorption area (or dispersal`are.) as foliowsl i a 6 '� ,, 1, t ' • i r'i l C a , N” li r ' q l( iP 71 �� P erc rate o f one I n ch in ri' �p 1' . ulres gmin� rNI, of ' n �i � s4 f , 1 0 ,area per bedroom. � , � � ; Therefore the no. of bero ' � sq• t In r ulrnt i o al o ` i 2 Iq "" h1 Thf h f d � ni � � � � t imtt"h� e eme q �, � ^ sq. ft. pf abforPtion srea d W 1 1, 1 it May we suggest / il'¢ ° T�3 de t7 N 1 c�: Z ' PX -� I'�' G. 2 1� , .i IV� o i - ,- �� ill dN Date C)// ' % t lnsPector �.. � � P . /,� Lu(�.a ' ' ' "I" ' I" � . , , 1 �NA A OF �6 TSyI,i u ^ No system shall be deemed to ibe compliance with the; I wage Disposal L' until the tlsseml(led, system is a• • roved prior todover ' ing any part, h ,i 1 II k Septic Tank access f or inspection and rile Wing vrithin 12 of ground surf a pt a access ports above ground I" q'w s t C • Proper mat assembly. I , ; �,�1 91' 1 // @ i J 1 11111 f A ..4b Q• Trade n ame r ' tic tank or aerated tree e t uni -'l� 1/ / t rl lob �� a �7 a � , - L ✓ A' ! i 0 K Adequatea . '; �tion (or dispersal) erea. 4 "/.2 X ' � K s f 4 � / t ' t l a1 f '' © / uate 4 ' Iience with permit requir eats, , 11,i „ , _ ,I- tr f\ �9 " ' { ' � I asl,� tt A r � I ence wi Countyantl$ ate regu lations /require�i9' ts. _ «_ 1 d qua r I e l a tl P I dl , Date 0 - ' siHS 1 +i I- inspector I" d" 1v ; ,' t tl ir , RE , AIN WITH RECEIPT O "b1�S AT CONSTRYCTI N SITE �I �� e "OO,NDITIONS 1 � I, " 1 All installation ua �m ply W i th, all requirements o County Individual Sewage Disposal Regulations, adopted pursuant 40 au. ' ll 1 k' .. • thority granted in 4 4 C „1953, amended 66. S 1 * B 3 . This permit is vats my " for, connection to structtrra ich Ihave' fully complied .With County toning and bui requirement{ II I °I Connection to or Ufa) With any! dwelling or structu rei,no approved by the Building end Zoning Office shall automatically be b viola "u 4 ' 4 m 1 tion of a requirement of lthe permit and cause or both f I action end revocation of the permnitr 3. Section Ili, 3.24 requires any person Who , constructs a s t s, or Installs en individual sewage disposal system in a manner w ich to � T „' volves a knowing and neterial variation from the teals r s contained in the application of permit commits a assf,Io I 111 W Petty Offense ($500,0b" fine HS months in jail or both). V r i Al ¢ A , C Applicant: Orkin Coo 0apertmant: Pink Conk 1 ° I 1 f1 "I ' pp r A t 1 M1l Sr Ih .. �.,.......,..... ..�_.".,.... ua�.�L.uu" I ca '�� ` r�v�i wa.JiWw.IuW i. .« .a .._ d . . ,« . . view � W... ,: . " � « duu . u ,e,.uW Ww 1,fW`.1U✓kr ._ Page Two Office Use Fees Paid $ 7,57661 ' INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 7-22-11 Owner: A 'IC K l . /�a 7 P s rt v.v.v, e /`! 7 F' Mail Address: L3ok 2 2. T City : Nei-. (as ¢/ Zip: 8,'4 y7 Phone: Sty -29s1 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 /tie,. (a s a /e- Location Address & /or Legal Description ( r . {fy5 2. /'t g Lot Size 3 c, c e e s 2. No. of Bedrooms 3 Septic Tank Capacity /00e/64/Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): -i'° 3i _ Private: Well X Depth `a Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? /Uri • 5. Distance to nearest sewer system: Z ... I e s _ Have you attempted to arrange a connection with the system? /t!'Cl 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: y 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. / 2 - l / te a ;( ��rr �. , Date ,1 Signature of A plicant , (TO BE RETURNED TO BLDG & SANI DEPT,) ` " ..; :%; „; ` g PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY Pa e Three • i 2/v , Iv y - —a INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES ":41 d r 1 7 B rodK F lo YJ 2'Y /t.,/ . hi (TO BE RETURNED TO BLDG. & SANI. DEPT.) 'AI