HomeMy WebLinkAbout01083 I �GARFIELD COUNTY BUILD! G AND SANITATION DEPARTMENT
2014, Ialfa Avenue
0i: a.` Glenwood S i�gl, Colorado 81601
Phone 303) 9454241
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INDIVIDUAL SEWAGE OISJOSAL PERMIT 40 l hi 1 abuildingorusepermit., lot
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1 Owner Lyle R. Sova r
System Location
Eh Eh NWk Sec.24 T7 SR91 V - 17 Miles East of Silt -E. Divide Crk.
Licensed Installer 1 .
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• Conditional Construction approval is hereby granted for a gallon
Septic Tank or Aerated treatment unit.
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1^ Absorption area (or dispersal area) computed as follows: I
Pere rate of one inch in minutes requires a minimum of sq. ft. of absorption area per bedroom.
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Therefore the no of bedrooms x sq. °ft. [Minimum requirement - e total of sq. ft. of absorption area .r' i'
iii May we suggest
Date °' inspector :
FINAL APPROVAL OF SYSTEM: 1: 11
No system shall be deemed to be in compliance with the $ ewage Disposal Laws until the assembled system is approved prior to cover. ' +
ing any part. t 1
Septic Tank access for inspection and cle nine within 12" of ground surface or aerated access ports above ground ' "1
surface.
Proper materials and assembly.
J Trade name of septic tank or aerated trediment unit.
Adequate absorption (or dispersal) area
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Adequate compliance with permit requir4
j Adequate compliance with County and State regulations /requirements.
Other
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Date 'Y' Inspector f g,
RETAIN WITH RECEIPT R *ORDS AT CONSTRUCTION SITE
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'CONDITIONS:
1. All installation must comply with all requirements of t County.: Individual Sewage Disposal Regulations, adopted pursuant to au:
thority granted in 66.44.4, CRS 1963, amended 66.3.14,1 R$ 1963.
2. This permit is valid only for connection to structures ich"have. fully Complied :with County stoning and building requirements. 0'
Connection to or use with any dwelling or structures no approved by the Building and Zoning office shall automatically be a viola. 0 a` "
tion of a requirement of the permit and cause for both 1' al action and revocation of the permit,
3. Section III, 3.24 requires any person who constructs, 'a era, or installs an individual sewage di ;osal system in a manner which In
volves a knowing and material variation from the terms r specifications contained in the application of permit commits a Class I,
u 1 1 Petty Offense (5500.00 fine - "6 months in jail or both),
Applicant: Wean COPY Dip.rtm,ht: Pink COPY
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Office Use
Page Two Fees Paid $ "09
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 9-74-71
Owner: Ay /, R , SO1/44
Mail Address: 4 view City: qyr
a Y: (,- �.P�t1WO Z ip: �' / b0� Phdne: `d
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). / / A c t f tr 6 f
Near What s,4&r' on/ Enrr 7W/floe
1. Location of Facility: County GARFIELD City or Town CK. %v poNV G4 c N
Location Address &/or
Legal Description E`I.E1 -IJ1. Yp ,ay 1.441/shim 7 Lot Size 3&.b 4CkeS
soiniI lenav G qwe! - 4itrAe X-' Apr #(
2. No. of Bedrooms Z Septic Tank Capac 7521 (.,,Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
We41. PERM % f ; "IVOI /209
Private: Well x Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? QPf(')
• 5. Distance to nearest sewer system: 17 M , / e S
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Have you attempted to arrange a connection with the system? X70
If rejected, what was the reason? 04-
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.
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Date ,:. igna ure o 'pp scan
BLD hT?
ITO BE RETURNED ka TO BLDG . & SANI, DEPT.)
r Page Th
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
:Oak!). 8/3 . _ EASt al D __P____- `moo s),( T- /7 14%mi -9',,1
Rev sTeeb Gale or stony ` ,
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
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Meet Is i q i t I : • K 1 14 - 4 It
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(TO BE_RETURNEQ:TO BLDG. & SANI. DEPT.) 7 4,,., •