HomeMy WebLinkAbout01076 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
• 2014 Blake Avenue
Glenwood Splines Colorado 81601
a.' Phone (303) 945.8241
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT 40 " 1;116 a building or use permit.
Owner Greaory B Nelbler
System Location Parcel G - Rifle I And & Cattle
Licensed Installer
• Conditional Construction approval Is hereby granted foe a 1950 gallon
ill
il _)(_ Septic Tank or Aerated treatment unit.
S Absorption area (or dispersal area) computed as follows:
l
Perc rate of one inch in 20 minutes requires a minirnum of 210 sq. ft. Of absorption area per bedroom.
' , 9 r/
Therefore the no. of bedrooms 4 x 210 sq. ft. minimum requirement in total of - 840 sq. ft. of absorption area.
May we suggest 18' x 47 i X 3' _
V' Date / I Inspector -1 9-1-- 0
I
ii FINAL APPROVAL OF SYSTEM:
iii
III ul No system shall be deemed to be in compliance with the $swage Disposal Laws until the assembled system is approved prior to cover-
ing any part.
S.
OK Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground l
surface.
0 K Proper materials and assembl .
1. a
/
f o /
DG� Trade name of septic tan aerated treatment unit.
Adequate absorption (or dispersal) area.
�5 .
(/ Adequate compliance with permit requir
9 Adequate compliance with County and State regulations /requirements.
/her
Date ? / Inspect. LI Atirseir.z. ii,
' RETAIN WITH RECEIPT RECORDS r a T CONSTRUCTION SITE
'CONDITIONS:
1. All installation must comply with all requirements of a County Individual Sewage Disposal Regulations, adopted pursuant to au-
thority granted in 66 -44.4, CRS 1963, amended 66.31 , CRS 1961
2. This permit is valid only for connection to structures Inch have fully complied with County zoning and building requirements.
Connection to or use with any dwelling or structures 11 t approved by the Building and Zoning office shall automatically be a viola-
tion of a requirement of the permit and cause for both action and revocation of the permit.
3. Section III, 124 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in-
volves a knowing and material variation from the term% or specifications contained in the application of permit commits a Class I,
Petty Offense (S500.00 fine — 6 months in jail or both),
Applicant: Green Copy Department: Pink Copy
rage 1w° Fees Paid $
ai INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
Owner: ! � / /✓fiC
Mail Address: /to ,6A/ / /ta City: AX. Zip: $, /6s Phone: ?S
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 S 1. Location of Facility: County GARFIELD City or Town
Location Address &/or
Legal Description ��jwe ' ,C% I Jscloi Lot Size OO 4 Ars
2. No. of Bedrooms Septic Tank Capacity / /26m Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well A/ Depth /X Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? "-do
5. Distance to nearest sewer system:
Have you attempted to arrange a connection with the system? 7/e.,r
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/e/ Date ignature of icant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
rage Three
w PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
c7
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.)