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Home My WebLink About01063 y -_ - GARFIELD COUNTY BUILD! 1MG AND SANITATION DEPARTMENT 1 I II 2014, lake Avenue Glenwood "Spngs, Colorado 81601 Phone ( 945.9241 1,0 Ii6 II This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT 440 14163 a building or use permit. IIIt Owner Timmie E. Shroyer. Jr. System Location 001/4 RR Avtn - Rif1P !I ' II Licensed Installer .7 7 - 3 ' Conditional Construction approval is hereby granted for a /a So gallon C/"..-' Septic Tank or Aerated treatment uhit: Absorption area (or dispersal area) computed as follows: 1 t i Perc rate of one inch in 4 D minutes requires a minimum of r4 L, sq. ft of absorption area per bedroom. Therefore the no of bedrooms x G Ssq. ft Minimum requirement total of / / q. ft. of absorption are IW ' May we suggest /2 /' 9S X 3 ' e ep 01- /C7 ^ Y`1" 3 ' d £' e f . Date 8/17 8 ' / Inspector / %14.4�///{{Y/��/(/ �r f ��1444y mV FINAL APPROVAL OF SYS 4 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. Iq I OA ` Septic Tank access for inspection and cleaning within 12' ground surface or aerated access ports above ground 1 C)/(1 surface. Prop aterial nd ass / tt / C T ra lc k or aerated tre ment unit. Qr " ` Adequate absorption (or dispersal) area �i1 12 /C Adequate compliance with permit requirements, C9 AC. Adequate compliance with County and State regulations/requirements. ---`— °thee /(� / Date r�/�/ / 4 / Inspector AV, if ,/ iL/ RETAIN WITH RECEIPT RECORDS A CONSTRUCTION SITE / INDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au.. I thority granted in 66.44.4, CRS 1963, amended 66.3- 14,CRS 1963. This permit is valid only for connection to structures*hich have fully compl'ed with County zoning and building requirement$ , nnnection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a viola ° 4l" " of a requirement of the permit and cause for both legal action and revocation of the permit. m III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in• °! v knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1,. r r � ense (5500.00 fine - 6 months in jail or both). a09a Applicant: Oran Copy Department: Pink Copy dir.arraau- _sraanurarrrLarrasarYrrra 14 - = =rrrr -� araarruurauarrururawar- �� --- -- - .•u.�..rvJ.': A • • INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION fDate Aye /g1 P Pala 9 5. 06 Owner: S$RO)'rp, C. Mail Address: 6lnyn RR 4 vt, City: R°$j,e- Zip: t165 Phone: 4 _ INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW Attach separate sheets or report showingentire,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 R$ke Location Address & /or Ra..4 32.0 Lot Size /q /Tn .♦ Legal Description Al l y R.,..1 A , c. . l M. 2. No. of Bedrooms At Septic Tank Capacity r15-0 Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well x Depth Other Depth to 1st ground water table tip 4. Is facility within boundaries of a city /town or sanitation district? A 5. Distance to nearest sewer system: 8 w tt.g Have you attempted to arrange a connection with the system? A/0 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. .20 1 a / to / igna ure / , � scant (TO BE RETURNED TO BLDG. & SANI. DEPT.) / PLEAS DRAW AN ACC RATE MAP TO YuuK ' - o' o c} Pk= ' a �' }m ow ti e e rr ` F �s � C1 r 'f� le ,g C . xu�,a- . • ol 3 aii R. INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES CI su e t,. 5' - - -- - --- - - - - - -- (TO BE .RETURNED TO BLDG. & SANI. DEPT.)