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HomeMy WebLinkAbout01059 ! " ; GARFIELD COUNTY BUILDING AND SANITATION DE4ARTMENT 2014 Olsnw Phone (�3) 9454241 81601 _ %I mac , ; .. This does not constitute P INDIVIDUAL SEWAGE DISPOSAL. PERMIT qo 1159 a building or use permit. Owner Robert V. Hein. System Location 0711 Owens Drive - Silt Licensed Installer 7s� 'Conditional Construction approval is hereby granted fore[ ga " w. ptic Tank or Aerated treatment unit. it Absorption area (or dispersal area) computed as follows: , il Perc rate of one inch in /2- minutes requires a minimum of / ft of absorption area per bedroom. 4111 • I a Therefore the no, of bvdrooms x � 7 5 sq. ft.I(Ininimum requirement - a total of 3 Kq. ft of absorption area. / / , May we suggest / 2 X3© X 3 iZ/se fJ • Date rg /Z0 / Inspector a ' „' /1 "a 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 covet .,I MI I , " ing any part. ' (PC Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground ' surface, k Proper materials and assembly. <7-0 el Trade name of septic tank or aerated treatment unit, / O 0 G C v /A 0 r Adequate absorption (or dispersal) area /2 x ? 0 K 3 di CP vv q ate A u compliance with permit requirements. Adequate P Q p p // 0 l V C - Adequate compliance with County and Sate regulations /requirements. Other l ° Date / l � / PI Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: Sewage Disposal Re 1. All installation must comply with all requirements of the County Individual S ag pursuant to au• p osal g ulations adopted P thority granted in 66 -44.4, CRS 1963, amended 663.14 CRS 1963. I� i zoning requirements. 2. This permit is valid only for connection to structures Which have fully complied with County z o gan d building d g ,: Connection to or use with any dwelling or structures not 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 111, 3,24 requires any person who constructs, d ters, or Installs an individual sewage disposal system in a manner which in 11 nµ wolves a knowing and material variation from the term$ or specifications contained in the application of permit commits a Cles�d, ;, Petty Offense ($500.00 fine - 6 months in jail or both), 1111 Applicant: Groan Copy Department: Pink CoPV d tea,. INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 1 .- 1 X ( • Owner: Rt li f, � Mail Address: u Ttc' q City: 0 zip: Vr2.5_Phone:3 63 " 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 ( 6 22-0- - t Location Address & /or 021/ °"'fo," Legal Description HE., ry�- 4r6GQs5 3T 00(04;62Lot Size S/0 2. No. of Bedrooms "}— Septic Tank Capacity,/ , Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well X Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? /l/C; 5. Distance to nearest sewer system: 6' /7i � � s Have you attempted to arrange a connection with the system? /1/94 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. 0 c 0,44/ Date ..., 7 t, S ignature of p p scant (TO BE RETURNED TO BLDG. & SANI. DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY / a � V (6///e (// �v La" ' 3 3 g 3 5 fi / en/ / 70 d /7 INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES • • • (TO BE RETURNED TO BLDG. & SANI. DEPT.)