HomeMy WebLinkAbout01095 _ F ^r ?A:. r"pTNP"tp - y ;
y p QARFIELD 1NTV BUILI3154, AND SANITATION DEPARTMENT
2014 lake Avenue
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Glenwood Phone gs, Colorado 81601
e (03) 945.8241
t This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT 14Q 1195 a building or use permit,
Owner Jeffery A. & Carol J. W11sop
Systetntocation I nt 6 Giant Minor Snhdlvlcdnii - Sllt l "
•
Ltkensed installer
' • Conditional Construction approval Is hereby granted for a gallon • r
b/ Septic Tank or Aerated treatment Olt. i
Absorption area (or dispersal area) computed as follows:
4 k,.
Perc rate of one inch in YS minutes requires a minimum of ()ribsq. ft of absorption area per bedroom.
Therefore the no, of bedrooms 3 x 3.Qsq. ft. Minimum requirement • a total of ..52msq. ft, of absorption area
May we suggest /2 x I5-Xa / jeep c24.. /8X SO 3e dees. uv "� ���ha
Date 97,2 q./8/ Inspecto ' - id ; ! r - ,1r II:
11 )
FINAL APPROVAL OF SYSTEM: • l
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover k i ; IIm
mg any
,,, part,
i ,
I ' (4Jy— S eptic Tank access for inspection and cleaning within 1 of ground surface or Berated access ports above ground + r,
surface,
n �L Proper materials and assembly.
ii Trade name of septic tank or aerated treatment unit.
i
(r) C.-- 'd Adequate absorption (or dispersal) area
J — _ Adequate compliance with permit requirements,
it
0 f Adequate compliance with County and B ate regulations /requirements
ii
Other
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Date Inspector a.i, ( ` 1 4114 9.11
RETAIN WITH RECEIPT RiCORDS AT CONSTRUCTION SITE
`CONDITIONS: w s
1. All installation must comply with all requirements of tie County Individual Sewage Disposal Regulations, adopted pursuant to au
thority granted in 66 -44.4, CRS 1963, . amended 66.3.044 CRS 1963, `•
2. This permit is valid only for connection to structures v(hioh have fully complied with County zoning and building requirements.
Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be, a viola - .
tion of a requirement of the permit and cause for both Iagal action and revocation of the permit.
1 Section III, 124 requires any person who constructs, q,`Iters, or installs in individual sewage disposal system in a manner which id. '
u volves a knowing and material variation from the term ications contained in the application of permit commits a Class I, , ;
I l Petty Offense ($500.00 fine — 6 months in jail or both)
' I
I II Applicant: Grown COPY CopntmMb Plnk Copy
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION [Date 9/22/81
'd • .— a,.o 7.3 °° '`
Owner: Jeffrey A. Wilenn & natol T_ Witscr 9-.2s-7/
home 625 -2562 -
Oiled l Address: P.O. Box 768 City: Silt Zip: 81652 Phone:R76 2173
Business
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
1. Location of Facility: County GARFIELD City or Town Silt!
Location Address & /or of Size 2.53 acres
Legal Description Lot 0 Giomi Minor Subdivisin
2. No. of Bedrooms 3 Septic Tank Capacity 1,250 SalAeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): N/A
Private: Well yes Depth 80 f t.Other Depth to 1st ground water table 52 ft.
4. Is facility within boundaries of a city /town or sanitation district? no
5. Distance to nearest sewer system: 4 miles
Have you attempted to arrange a connection with the system? no
If rejected, what was the reason? N/A
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 ign• ure of Applicant
Jeffrey A. Wilson
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
•
(TO BE.RETURNEA TO BLDG. & SANI. DEPT.)
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