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HomeMy WebLinkAbout01077 K.-.._,,•+ j�rc..... .....,�yT�w7TST1�'y.T.:P+'�rYt" +� „- ...�,.,. ,. .. M fr o' t : GARFIELD COUNTY BUILDIN AND SANITATION DEPARTMENT \ ' • 2014 eke Avenue Glenwood >p ngs, Coldt 81601 Phone 03) 9458241 FEE ONLY ENGINEERED SYSTEM • $25.00 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT '4D 1n77 a building or use permit. 1 i 5 Owner David & Camille Smith ail 1 System Location 02 Wlllnw I ants - Carhnndala I . 1 1 Licensed Installer • Conditional Construction approval is hereby granted fora 11 1 • gallon (— Septic Tank or Aerated treatment unit. ` ENGINEERED SYSTEM: Absorption area for dispersal areal computed es follows: PONDEROSA ENGINEERING INC. Perc rate of one inch in minutes requires a minimum of sq. ft of absorption area per bedroom. Therefore the no of bedrooms x sq.'ft, minimum requirement ” a total of sq. ft. of absorption area May we suggest Date Inspector FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the S Disposal Laws until the assembled system is approved prior to cover a a ing any part. 0 h- Septic Tank access for inspection and clelning within 12" of ground surface or aerated access ports above ground , surface. p ct q LIZI Proper materials and assembly. " ° *SA � (M t.v rade name of septic tank or aerated tre me t unit. ' I nit-- Adequate absorption (or dispersal) area. il e a / • Adequate complia with permit requireMenttp�� {� N ,t 17n I ? 11111 1 o s� Adequate compliance with County and State regulations/requirements. G .5,,, • 15 Qr • •9.tp•1n44 r Other U �bl� 1 0 11 ' Date �QC © t R l 0 Inspector 1 , RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 69 *CONDITIONS: ISI tai.,"' 1. All installation must comply with all requirements of to County Individual Sewage Disposal Regulations, adopted pursuant to au- 1 II thorny granted in 66 -44.4, CRS 1961 amended 66.3.14 CRS 1963. 2. This permit is valid only for connection to structures ich have fully complied with County zoning and building requirements. 1 Connection to or use with any dwelling or structures po approved by the Building and Zoning office shall automatically be a viola• von of a requirement of the permit and cause for both I gal action and revocation of the permit. I 3. Section III, 3.24 requires any person who constructs, tern, or installs an individual sewage disposal system in a manner which in- , " volves a knowing and material variation from the terms' or specifications contained in the application of permit commits a Class 1, „ III Petty Offense 18500.00 fine 6 months in Jail or both), P 1I i II M Applicant: Oren CONY D11Partmant: Pink Copy iL.L.2,.,, is. ,_ rage wo Fees Paid $ a iwoo • INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 9-4/ Owner: PALM) si art /1c •c 5/1//Th - 4 t iSRf 9 9 i3-183 G Mai Address: Box City: a4ea'/t/pALC Zip: Y /623 Phone: y43 INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW s SGS''Z 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 CARBo,JDAL Location Address & /or Legal Description o,27/ W /44_o0 GRn/r Lot Size .. y/ h 2. No. of Bedrooms ,2 Septic Tank Capacity 2000 Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well X Depth Other Depth to 1st ground water table e2 4. Is facility within boundaries of a city /town or sanitation district? ,✓0 5. Distance to nearest sewer system: // AfeLES Have you attempted to arrange a connection with the system? Ala 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: PONDEROSA 4:1)614/EER /A1 G , /5 /.Z CRnAiD 0 / cUOcW 5P.2/n/la.S. Go 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. 7/n7/ Date Date ignature of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY /97z Seek VEy 47r/9c,t INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND.DISTRI- BUTION LINES, SCREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES / 97.2 5'uRVEy %7r, cgE.O $08 /LE ffo ns G1 /-c /3E /fE/NVVE• ofot( np4fl ro.J OE h�ousF r� 47(577,06 ssnic re, Re 4sf4Aca S T'Eie E,oc,,J ER /Afe 5REc in c A r /o,./S , • (TO BE. RETURNED TO BLDG. & SANI. DEPT.) . ;.T. 75., ,E' 8 8 W Or THE 6 TH. P M. • S89°24'00 - if 3 7 6 . 3 / - - L OLA3 LErf l c, ELF , (src. ) I . � 4' t 1 I C. ! _ P15, T S. Q / fIDU T7� �7-� `I /�O 4 / 0A V f -L1 �lJ_ P °� A ) N .9 fii As r+ xs � s . o f ti r E tT' 1 �' L Cl 0 9 4 1' • 0 I Z l8 G IN � � at i" f �� f � QO .. II I n p „\.. a 4 cc co oge m 1 ' /2 \ � 0� fl AIME .. I f- 'v50.13 \ n) L L rig 376.3/' I /1/469 °24100"W • 0- CwirNEss /a co NER (SOU 71-/ VI COR. Sec. 35) SC■9LE / /NCNz /00 FEET Tr... to c.r•,fy i' it cn tr.e ,3:n :ay of June, '972, ,',ern ..as s a u -V _ .;r r ..p. :rviin of so o the rpro.c•' parcel of l es � c• _ O . J _ i ants On d Cdr lens Lots .Or. , ,c.. r,.p 7 So.th, . -an;e ES test of The Sixtri Prir,- ci;., '':ri .t.cn, ,c...ty of iarfiei :, State of Co'cralio accOr;:ing to The -ap Tr I 'O t• irprcie t0 b3 located . i ' .� . ., bO;.n Jafy i inCS 6f :rcc: as . on tnis plat. The location an. .i -;ns ons of a,. .,.:.Cir,;s, it ?rovc"n_nts, oasv- !_'nts and rights-of-nays in evidence or r-:..-. to r., ar.n.e:croac„- - by or on the pretises are.acc„rately sr.o..n. SCAR:zr:n Rip '. It. :. nobert D. Scarrog Registered Land St.rveyor • L I i •