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HomeMy WebLinkAbout01113 fi :.u' - f'r^n''!v''": ' "' ''rT'91 #4'R'*aiRa�q'"1"'^�^nia imc•TdRnm„°, ,. +'r Pr•_ -'t •,F• iM -. •v,.T.. v ]�. ! �r�._q�';.,pRt!". ,�.... a:... x , .-n TI n; iY •'1'S V + .,. 7. - , 1 „ GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 2014 lekeAvenue , u.. a i Glenwood Spings, Colorado 81601 p ,,,, Phone (503) 94548241 'I I•- + This does not constitute' ',',' ''1 INDIVIDUAL SEWAGE DISPOSAL PERMIT 4O i 1113 , a building or use permit.' . " " ; owner Glen A Donna Jonas ' a. 1 w 01 1' System Location 7i miles north of Rifle ". k Licensed Installer /'JinJ/t•i.- r s, w • Conditional Construction approval is hereby granted for $ 7 50 gallon 0 1' x Septic Tank or Aerated treatment uiit. +°.. iiii I Z Absorption area (or dispersal area) computed as follows: i 'l la' Parc rate of one inch in _Azt2—. minutes requires a minimum of . sq. ft of absorption area per bedroom. Therefore the no of bedrooms ____2_ x • 3-a.3 sq. ft minimum requirement . a total of 6 'V sq. ft. of absorption area t f May we suggest /a 2'.( .5S " -lc 3 .5 B ei .. °`' I I , 4' / c/r -,. Inspector ii /ZT I' I FINAL APPROVAL OF SYSTEM: l li !. J , ui ,. No system shall be deemed to be in compliance with the Swage Disposal Laws until the assembled system is approved prior to cover- 1 ing any part. i ©e--- -- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. ec Proper materials and assembly. lji f iYH e»JeZaa'f iade name of septic tank or aerated treatment unit. 9CX "nick .S n-xf.- S i4 r)9-- c cQ ,I CP.C. r - Adequate absorption (or dispel area ' a ')C 5 ' 3 f e r , ... ' 'rte. G-% /3 e- 7-) i Adequate compliance with permit requirements. el Adequate compliance with County and State regulations /requirements. hI, ©,..- Other JAG -Z /?7T1 e-fi,`C-"7� " TL - S Ti n'O AL/ 5 / �• Date / off- y -„f Inspector 62 ,2C- t RETAIN WITH RECEIPT RECORDS AT CONSTRUCTIO SITE . P '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 CRS 1983. 2. This permit is valid only for connection to structures Ich have fully complied with County zoning and building requirements. Connection to or use with any dwelling or structures n approved by the Building and Zoning office shall automatically be a viola tion of a requirement of the permit and cause for both legal action and revocation of the perm.. 3. Section 111, 3.24 requires any person who constructs, hers, or installs an individual sewage ditpQosal system in a manner which int k ", volves a knowing and material variation from the termll or specifications contained in the applicetion of permit commits a Clan 1 „`1, P. 15 Petty Offense (5500.00 fine - 6 months in jail or both), ill Applicant: Green Copy Department: Pink COPY VJG Page Two Fees Paid $ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date U' .a-- • Owner: Ca/eh W. d- Donha 1 one Mail Address: /.S 1to/,., /4re -4 City: R;.F' /e Zip: 0(5' Phone:6f /s60 _ 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 APe _ -_- Location Address & /or y Legal Description / m//t5 NON of R ;fh Lot Size .2.54c. 2. No. of Bedrooms .Z Septic Tank Capacity 9 74 Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well Depth 2.5;)/ Other Depth to 1st ground water table �� D/ 4. Is facility within boundaries of a city /town or sanitation district? WO 5. Distance to nearest sewer system: " M; /a5 Have you attempted to arrange a connection with the system? No 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: B. 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 / Signat of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three wifir PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY c, • •.. 1 4 T mi,se- • ,2SAe ^I 2 —flie F,kc Sid s..,. INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES _ • toe// Q S /in % 9tn a } 7 p ,6's.'�'' " q L J / /w 7P,nfor,r/ --____ 44 12.- A ; y - ki A I '/fin ISSSZE1 S "' eC ler OF -9re lob 30 0 , 0 ., / /;q ti w,y /3 (TO BE RETURNED TO BLDG. & SANI, DEPT.) • a • • � dad, -Q o , - -- • 6 • �- _mow , - -- - '/ -- 111 o -_ _ yam, At, ;Pow) AIM i AD a-- f (. ��1DC— Dc--nt�c >S L 9 (.v L - I. D s c_4 1 ; Co 2? ca ' T y t-Fe u.E Ac�� -rr csa IC.— / era c a O i1 } 3 c , Co c. – — - 1 3 6 '"e.., S vY l.c 5ei/ ' R . , t a , , ■