HomeMy WebLinkAbout01105 i '^ . I�r„ ar"" d-. r. . ?K'�v^.sPAI'�!+�*'j'.s�°gr?FiF �pP+iw'+."+'^,._.- :- i-.• -.; . •
li „
dl
1 QARrIELD COUNTY BUILDING 4I
64 AND SANITATION DEPARTMENT el
.
r µ 2014 S if Avenue
C, .:Glenwood Sp!, k, Colorado 81601
w Phone ( 3) 845 { `
'1 41 I
This does not constitute 1 I�I I I ,
a building or use permit I
III INDIVIDUAL SEWAGE DISPOSAL PERMIT 0 I8 I ^ I�t
Owner Elmer Able and Judy Anslev'� h
il System Location
County Road 309
I 9r._
Licensed Installer y, ,SihI,INiI:=
I '
Conditional Construction approva is hereby g ranted f ora gallon , u
r
Septic Tank or Aerated treatment u , �<
dl' 7
1 ,
Absorption area (or dispersal area) computed as follows: I' w1 4 II
1 VhVItl
Perc rate of one inch in • minutes requires a minimum of f ( V sq. ft. of absorption b ea b edroom. sill I'
I I, 777th , i tun
Therefore the no. of bedrooms x - O sq. ft.ninimum requirem a total of sq. ft. of abs
I V orption area I I iu
� 4 l X -1 pi * ‘IC. / Sb � - - ' j i' 4 I .
Ma y we su C
IP P1 �
' o Inspector .
Date Z C nB _ 1 I 41'
Y
FINA4 APOROVAL OF SYSTEM: 11 "
r, u l il"
No system shall be deemed to be in compliance with the Sewage Disposal Laws un the assembled system is approved prior to cover- '- 1,
i�l Inc any part. 414, l
�1
IIIG O, Septic Tank access for inspection end within 12"
t_. of ground surface or aerated access ports above ground IFi ,
surface.
4111 Proper materials and assembly.
V / r II
I I I I _ _ , rade name of septic tank or aerated treatment unit.
41
O— Adequate absorption (or dispersal) area.l ( e,„ ( x i., /
ill v • dequate compliance with permit requirments^ _
I
rt
Adegt with County and State regulations/requirements. rh , 1 ^ I ` rl "4
Other Js L
I I I I Q .r Inspector
9
Da te 1 1 ` o f
RETAIN WITH RECEIPT I RCORDS AT CONSTRUCTION SITE , r "'o
W
. III 'CONDITIONS:
1. All installation must comply with all requirements of I I a County Individual Sewage Disposal Regulations, adopted pursuant tip au. I
'-• thority granted in 66.444, CRS 1963, amended 66.3 , CRS 1963. "'"
2. This permit is valid only for connection to structure* ich have fully complied with County zoning and building requirementI - ,81 ,
Connection to or use with any dwelling or structures t approved by the Building and l:Zoninl office shall automatically, bee viola /•,s'" 0::
tion of a requirement of the permit and cause for both rill action and revocation of the permit. •I p ,
3^ Section III, 3.24 require* any person who constructs, I 0r installs an individual sewage disposal system in a manner wbich i , ,
it I 1 .. volves a knowing and material variation from the ter or specifications contained in the applicetloh of permit commits 4Clasf %II,
1 1■111 17 Petty Offense (S600.00 fine— 6 months in jail or both)
NF
@ 4 ,,5 :I tl 1 1
A
ten. iii,
Applicant: Groh it/If Oop�rtm�nt. Ink CoPV
-- Rage Iwo
Fees Paid $
INDIVIDUAL K` HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
•
•
Owner: _ v✓.c r .I
p� �Swk
Mail Address: l?.O. %,K tt• City: V a,Zipt PIL'3S Phone :28sto7*
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, sqil percola-
tion test holes, soil profiles in test holes (see Page 3).
Near What
1. Location of Facility: County GARFIELD City or Town ?a `: s ov`
Location Address & /or
Legal Description Lot Size S. ("sm.
2. No. of Bedrooms 3 Septic Tank Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well v Depth N �"O�herk Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? 1\)17 1 1
5. Distance to nearest sewer system: 7 w,. \e.} �� Tom' �a�- /2;�<< o r a-4-"s Pc
Have you attempted to arrange a connection with the system? N`o
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.
Dat 1,, 1 gnatur o s cant
(TO BE RETURNED TO BLDG. & SANI. DEPT.) 6). S 3 �jS
G.2S -3a 7 Fl
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
aibrec
COlo
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, TRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
\Ll..\\\ L_c.„.-o_
weal +
c. -Lola +c Nebo
(TO BE. RETURNED TO BLDG. & SANI. DEPT.)