HomeMy WebLinkAbout01087 I f cif il r' i1r 'I
OARFIELD COUNTY B I l w
UILD r AND SANITATION DEPARTMENT
I 401 MI r '' . I ,.
Glenwood r s 010rad0 81601
w Pho ie 03) 9464141 r"' I v y
t, I 1,11 l IP
This does not constitute
IM s' 'INDIVIDUAL SEWAG DISPOSAL PERMIT O [1,t 10 � a building or use permit p 1 ii _
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Owner D & PA
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:II System Location 1212 0296, East. Vista Drive uprise ' "Z'
lion Licensed Installer , S t ve? Le, l - 1 ; II
' Conditional Construction approval Is hereby granted for e , a , 1gailon
___XL— Septic Tank or .._ treatment tY It. 1
' 1 Absorption area (or dispersal areal computed as follows: ) ^ iii I ":y
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Perc rate of one inch in 40 minutes requires a minim of 285 sq. ft. of absorption area per bedroom < - i 1 'l w
Therefore the no, of bedrooms — x 2R5 sq.'It lnlmum'requirement • a total of R5.5 sq, ft. of abs area I "', v.
May we suggest 12' x 72' x 3' or 1 1 8 i ' X 413 i `X 3 * ul {{ '
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Date 9� /S�� I nspector, / % 7 4� !� L /iv/ l h,fiit ,' 1'
FINAL APPROVAL OF SYSTEM: " 1 l
No system shall be deemed to be in compliance with the Se wage Disposal Laws until the assembled system is approved prior t o ddve m i , I I !,
Ing any part. u
, a b r, Septic Tank access for inspection and el ning within 12" of ground surface or aerated access ports ab9ve ground - 1,i'I,�
surface. $ 1
t:. &PS Proper materials and asse bly. t '' "'I1
0 ke T ra yf o ptrc a k or aerated tra 0 _ iL ?7 1I , w
04 cr Adequate absorption (or dispersal) areS. I P' m
,
67 / Adequate compliance with permit requl eats. q _'
° 0 K Adequate compliance with County andS ate regulations /requirements. Mii ,,,'
�� Other 1 C 1 I 111Ir : "•
Date ///1�� A�� .� �iwl
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iii OF
RETAIN WITH RECEIPT RECORDS • CONSTRUCTION SITE {
, II 'CONDITIONS: 114 14
1. All installation must comply with all requirements of tigiCounty.Individual Sewage Disposal Regulations, adopted pursuant to aul, r
thority granted in 66-44-4, CRS 1963, amended 66.3 -4 RS 1963. r 1 III ,yt, N
2. T his permit is valid only for connection to structuret ich have fully complied .with County zoning end building requiremen -
Connection to or use with any dwelling or structures n approved by the Building and Zoning office shall automatically be a vlola ,HI ,
tion of a requirement of thepermit and cause for both I al action and revocation of the permit. bI
3. Section III, 3.24 requires any person who constructs, a ters, or installs an individual sewage disposal system in a manner which fn ` "1
volves a knowing and material variation from the terms r specifications contained In the application of permit commits a Class I i ; -'
Ili Petty Offense (5600.00 fine — 6 Months in jail or bath). ° r " i
'til 1 Appllo.nt: Groin dci D.partm.nt: Pink coot/ " I
Nage l wo
• Fees Paid $
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INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
Owner: _�lr9 Mail Address: 6 7� City: Zip: fr /65'a Phone: 97 '
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
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l. Location of Facility: County GARFIELD City or Town
Location Address & /or
Legal Description 13 2- Lot Size 2-4 (� c�-
J 2- 4.4 5 � „
2. No. of Bedrooms a Septic Tank Capacity ' Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): c,:ge •
Private: Well Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? , .
5. Distance to nearest sewer system: '"/
Have you attempted to arrange a connection with the system? ,4 Y
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.
Date 4 tdicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
" Page Three
`. PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
50
0 , ra�t assaQ Sawed- ZII■� �o Quiet
INDICAT� G�IT
'BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI—
BUTION" INES, STREAMS, IRRIION D1 TCHES, ROADWAYS, AND BOUNDARY LINES
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(TO BE RETURNED TO BLDG. & SANI. DEPT.)