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GARFIELD COUNTY BUILDING O AND SANITATION DEPARTMENT
2014 Ieke Avenue
_ Glenwood t ngs, Colorado 81601
Phone 808) 94648241
'I1L I NO CHARGE FOR PERMIT: - REPLACEiTAL TANK
Il d 11 • This does not constitute '
"'' INDIVIDUAL SEWAGE DISPOSAL PERMIT dig 4 97 a building or use permit,
It 'Owner E. L..Mactavish
',,��, �^ � System Location 364 Hiway#R2 Glenwood Sprinas. Colorado
,u' C ° �� �
Licensed Installer s elf A/B r w.
" Cond Construction approval is hereby granted for IS gallon
ill 1 Septic Tank or Aerated treatment whit.
';
Absorption area (or dispersal area) computed as follows:
1 -
7, Perc rate of one inch in minutes requires a minis um of sq. ft. of absorption area per bedroom. I ,
.a rt Therefore the no. of bedrooms x sq. requirement +a total of —sq. ft. of absorption area; .
„ May wesuggest Replace600 gal. metal tank 1,000 gal. co tank. ,
l � "r � DeteOCtober 2 • .. y .inspector ,j C� i ./ a T rt "
1.11 i1� "1 .FINAL APPROVAL OF SYSTEM: d
No system shall be deemed to ,be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover•
ing any part
Id t,
0 Septic Tank access for inspection and Q10611610 within 12" of ground surface or aerated access ports above ground 1 1 '
surface.
i, P roper materials ay assembly f(8 ,'p
t`9� Trat�ir of ptic tank or aera a trial men unit. I I .1 N<<
It . Adequate absorption (or dispersal) area. $ 1
0 P( Adequate compliance . with permit requir
0 P Adequate compliance with County and State regulations /requirements.
'-------- Other
Date f 0 �% Inspector is e at,
m
RETAIN W RECEIPT RECORDS eNSTRUCTION SITE
"CONDITIONS: 1
1. All installation must comply with all requirements of the County individual Sewage Disposal Regulations, adopted pursuant to au•
thority granted In 66.44.4, CRS 1963, amended 66.3.14,` R$; 1963.
2. This permit is valid only for connection to structures' l ioh have fully complied with County toning and building requirements.
Connection to or use with any dwelling or structures no iapproyed by the Building and Zoning office shall automatically be a viola•
tion of a requirement of the permit and cause for both I al action and revocation of the permit,
3. Section III, 3.24 requires any person who constructs, e ers,1 or' installs an individual sewage disposal 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 1,
Petty Offense (S600.00 fine — 6 months in jail or both).
) Applicant: Oran Copf Dap.rtmmt: Pink CoPy
....�.. c ay
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION (Date _
7 ,
Own r � , 1-; aerar/.S�j " (Do59Pg/ee- reS/S /Si »Pub 2neove/
. .e
Mail Address: 3do4t/7ic&dy /r *a 2 City: �jeWpte04 5/22 -SZip: )/40/ Phone: P1 -,S //f
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW A7ef7a /y ,S syS)'e)n . .
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 474)110/SAIL $Pr.g.
Location Address & /or
Legal Description 1 .77/4 ° 5 - CaevtI 01 Lot Size -5 J' -
2. No. of Bedrooms Septic Tank Capacity/OM Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well Depth /tS,Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? )1
5. Distance to nearest sewer system: -2 ),///e_5
Have you attempted to arrange a connection with the system? 7
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.
�� 3 79P/
I ', Date Signature of Applicant
P fo Se do he Ye /" /ad e )0e/ 7 )1/'vfr i tii
(D ),e reYC° / a BE RETURNED TO BLDG. & SARI. DEPT.)