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4 GARFIELD COUNTY BUILDIN AND SANITATION DEPARTMENT III
f r 20 K lake Avenue
Glenwood p nga, COIorado 81601
P hon 08 944.8241
4
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT S1 1 1 1 8 building or use permit. :, I''
Owner Dallas D. Hunt
System Location 5$n7 , a7n Roar) r 4 il
Licensed Installer
II • Conditional Construction approval is hereby granted for a 75f1 gallon
. xx — Septic Tank or Aerated treatment unit.
e 1. Absorption area tor dispersal area) computed as follows:
Perc rate of one inch in 47 4 minutes requires a I Minimbm of . 341 sq. ft. of absorption area per bedroom.
1
Therefore the no of bedrooms 2 x 3 44. ft fninimum requirements a total of (� / Qsq. ft. of absorption area.
r May we suggest /2 x p �✓ �� x 3 t ae e ` * ; 4 i ,, . fl ..< 3 d e /»
Date � /2 -/p Z"" . Inspector' $ 1 i 'f I
FINAL APPROVAL OF SYSTEM: / O( ! h ' ,( ) ' c
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is ap prior to cover. :
ing any part.
Q (C. -- Septic Tank access for inspection and cledning within ,12" of ground surface or aerated access ports above ground
surface r
i <- . oper materials and assembly.
_ ... t,. I Trade name of septic tank or aerated treatment unit. /B'O
1 , - Adequate absorption (or dispel sal) area. Z 1 14S 1 3
0lc-- Adequate compliance with permit requirements. /(/�,[
•- C& c4C4 --t4 1 L CJ!t ,
J21e_ Adequate compliance with County and State regulations /requirements. B t f C-P- (e:
d
Other p �^ � ,
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Date t ? g (J Z - Inspector I /P .r. eta z
✓ /
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
`CONDITIONS: i
I l k k ;: 1. All installation must comply with all requirements of tap County Individual Sewage Disposal Regulations, adopted pursuant to au•
thority granted in 66. 444, CRS 1963, amended 88.3-14;ICRS 1983.
2. This permit is valid only for connection to structures Which have fully complied with County zoning and building r equirements.
Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a viola
i tion of a requirement of the permit and cause for both 14gal action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, at insults 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 1,
V Petty Offense (5500.00 fine - 6months in jail or both), 1
HMI II
Applicant: groan Copy .Department: Pink CoPY
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Page Iwo Fees Paid $
•
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
Owner: p, -tLas 4- u,."
Mail Address: flax 4-7 City: -Zit C Zip: rar2 Phone:62t -?63r
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 j{
Location Address & /or
Legal Description SS 7 ?o fl Lot Size /e Acre
2. No. of Bedrooms 2 Septic Tank. Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well Depth ,iz Other Depth to 1st ground water table 7p
4. Is facility within boundaries of a city /town or sanitation district? Ayp
5. Distance to nearest sewer system:
Have you attempted to arrange a connection with the system?
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.
D0%&—
Date Signature of Applicant
(TO BE RETURNED TO ENVIRON. HEALTH DEPT.)
Page Three
r _a + PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY p
ICI lL Q
11
Mo
P
4 SO
g' Beswen CA gee e _ciea ,
3 32 6 Re(
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p -S
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
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c tit41
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4,...4i /
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1
907
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5
(TO BE RETURNED TO ENVIRON. HEALTH DEPT.)
Date __44. e-
e ■l:etter
PERCOLATION TEST DATA
Address c707 2 „e132-0 - oq /% /0/7z
Profile hole , //v ✓ l2q 712,tp9v /)
TEST HOLE #1 *2 #l3
TIME (Min.) Level Drop Level Drop Level Drop
5 $- / 6 %G 6%z- /- .sue »
10 % / /¢, O' c. SS
15 s %G 51/4 �
20 /G
t �� jlp .iX l /9 6 ,S�T ( 8
25 171 IA, ✓% V eel 5
35
�/
40
45
50
55
60
Percolation Rate 3 minutes per inch.