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GARFIELD COUNTY ISUILDING AND SANITATION EPARTMENT
e 2014 MI Avenue
Glenwood Sp" ings Colorado 81601
Phone 103) 9454241
1 •
This does not constitute
' I INDIVIDUAL SEWAGE DISPOSAL PERMIT 0,11 is1 a building or use permit.
II Owner C.F. & Carolyn Rarnhsrdt
1950 311 Road, Glenwood ASprings
System Location
a Licensed Installer •
* Conditional Construction approval is hereby granted for a 1,0n0 gallon
xy Septic Tan4r Aerated treatment unit,
Absorption area (or dispersal area) computed as follows:
Pere rate of one inch in _ minutes requires a minirslum of • r 3 6 sq- ft of absorption area per bedroom,
um Therefore the no, of bedrooms 3 x sq. ft, minimum requirement • e total of Z 4: ft. of absorption area t zl'4 "
May we suggest /7 t X' ic 3 L_ r r � ( 3 X 3 1
Date N U11 J , j ' f ilar In gtor ' ( ^ (/CI
f hi
ul
FINAL APPROVAL OF SYSTEM:
i0 No system shall be deemed to be in bompliance with the Sewage bisposal Laws until the assembled system is approved prior to cover. '1
II ing any part.
lil ., "M i n/4
• Septic Tank access for.lrupection and cleaning within 12" of ground surface or aerated access ports above ground ' i'�e
surface,
Proper materials arglassembly,
1:0
Trade name of septic tank or aerated treatment unit.
it Adequate absorption for dispersal) area.
Adequate compliance with permit requireMents-
Adequate compliance with County and State regulations /requirements.
Other
It
• t
Date 1 Inspector ' •
•
RETAIN WIT» RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
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 66-3-14R$ 1963.
2. This permit is valid only for connection to structuret`' Ich h.Vb fully complied with County zoning and building requirements.
Connection to or use with any dwelling or structures nO� by the Building and Zoning office shall automatically be a viola•
tion of a requirement of the permit and cause for both Iep election and revocation Of the permit.
3- Section III,' 3.24 requires any person who constructs, al ers, or Installs an individual sewage disposal system in a manner which In
volves a knowing and material variation from the terms „or specifications contained in the application of permit commits a Class I,
Petty Offense (5500,00 fine - 6 months in jail or both),
Applicant: Orlon COPY Dapartmant: Plnk CoPV
' uar. wet. atn', erYYruutluu, uwuYfarsuaa�u�u��iauaua�r�ru- r��..__J.����.�-
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
� y
„Owner: CD. q.. + Careolyr. IBF,rWIfIQR2
O
4 .
.Mail Address: (?n 3o 7eg City: (( .bac! Zip :g'($tt Phone: quS -')O ?
4 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 5 :Ii
Location Address & /or
Legal Description Ipso 30 24. Lot Size
2. No. of Bedrooms d Septic Tank. Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well v Depth 1,41 Other Depth to 1st ground water table le
4. Is facility within boundaries of a city /town or sanitation district? ►.o%
5. Distance to nearest sewer system: N/`
Have you attempted to arrange a connection with the system? u/.
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 tele , ` ^r design of the system:
9. Express permission is Yret-1001,-4:±111-11° -
tss'. 'ny
member of the Garfiel .s as
they may designate. +.� / W'CZ� / :ceipt
acknowledged by the r "1.0
10. I have been given ar � l ! '•,, Up t O Q) Regula-
tions of Garfield C �n hq, ��"`"""«�"'t"►►►000i- s and
requirements includ R V I�� d
�2t ��
Date ' c) , �,c� r :ant
(TO BE RETURNED TO BLDG. & SANI, DEPT.)
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION 'Date
to Owner: c, + C a2oIyr. 3�,,z,,,
,Mail Address: Po (30* -iek City: CL...,,auact Zip :g'jfot2 - Phone: qu5
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 S :I7
Location Address & /or
Legal Description iq So 3i1 24. Lot Size L, rsCr-2
2. No. of Bedrooms 3 Septic Tank Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): .
Private: Well v Depth 1 , 0 1 Other Depth to 1st ground water table 35'
4. Is facility within boundaries of a city /town or sanitation district? ►.o(,
5. Distance to nearest sewer system: u /
Have you attempted to arrange a connection with the system? A,4
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 Signature of Applicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Po"
5 .1-6
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--� I rlAtx C331,y4A 3Il d1
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
o' 1,- - �
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ed.
T BERETuRNEDTOBLD:& 'NI. DEPT.) -
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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 14f,
-
2014 Blake Avenue f '! , 4�; - a
Glenwood Springs, Colorado 81601 ;II
es
Phone (303) 945.8241 ° � �-
Y
w .
This does not constitute 0 .1y
INDIVIDUAL SEWAGE DISPOSAL PERMIT ';1 1115 ( a building or use permit.' +'
Owner LI . & Carolyn Rernhard+. ri
• 1950 311 Road, Glenwood AS ri
System Location enwoo P ngs. a
Licensed : ' - .,,, s.
if f
Conditional Construction approval is hereby granted for a I gallon
VZ.5 o
[ 1,t,1D
—__xx_ Septic TanOor Aerated treatment unit. f ' t
,k
Absorption area -(or dispersal area) computed as follows: r
� i?a
Perc rate of one inch in. __ minutes requires a minimum o/ 4_3 6' sq. ft. of absorption area per bedroom. ?
/�7/
Therefore the no. of bedrooms / 3 x sq. ft. minimum requirement a total of Csq. ft. of absorption area.
May we ug gest( / 7, 1 x 4(9 K3 � 11 � rt_ gig" ' 5 / 3 /
Day . I l l el ' -e-------
.Inspector ___I__(
FINAL APPROVAL OF SYSTEM: -
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to c &Ver.
ing any part. "
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Proper materials and assembly.
Trade name of septic tank or aerated treatment unit. k 9
Adequate
Adequate absorption (or dispersal) area. - --
dequate compliance with permit requirements. 4 - / /2 X / j
— Adequate compliance with County and State regulations /requirements. t r.: " ^ i !';'
Other
v
_
Date Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE . 4
*CONDITIONS: i ut
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au -' g at
thority granted in 66-44.4, CRS 1963, amended 66.3.14; CRS 1963. 1 '
A'
2. This permit is valid only for connection to structures which 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- 9_
tion of a requirement of the permit and cause for both legal action and revocation of the permit. 'rr
3. Section III, 3.24 .. requires any person who constructs, Alters, or installs an individual sewage disposal system in a manner which in-,
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I,
Petty Offense (5500.00 tine - 6 months in jail or both). Y
it
Applicant: Green Copy Department: Pink Copy y4
ratalr
g'iflf'• istihi foeesfit < 4i ser �felf t�• r1itt 1 4( t 5 .Nt M ✓ t I t ep • lq r.i It .re a t t r c ' . � • r elf ! s4 t . _2 .... i < r - r •� 4
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