HomeMy WebLinkAbout01123 s vl�"�arm"la'D*'d n�+r ,. =^w'.°yP -r - -r -r _ .,� �..- r.s = ..w �.. - emrdpfrws+ R' c.: r*°F° ti' w "r ".
' i i GARFIELD COUNTY BUILD NG AND SANITATION DEPARTMENT
1 ''a 201 8100 Avenue
"I Glenwood Springs, Colorado 81601
Phone (303) 945.8241
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{ 1 INDIVIDUAL ' SEWAGE DISPOSAL PERMIT d a 1 123 Iabuidingor use permiti
Owner Rodnq A CArnlyn Wat¢nn
II
'i System Location Lot 7F HdtB Minor Sub, Silt 1 452.2 filet; /id, rd.
Licensed Installer
I" . Conditional Construction approval is hereby granted for 0 1.000 gallon
xx Septic Tank or Aerated treatment snit. .
Absorption area (or dispersal area) computed as follows:
y Perc rate of one inch In requires '! minutes re wires a min(m of um Z )4
sq. ft.of absorption area per bedroom.
v Ii , , Therefore the no of bedrooms 3 x T .14 sq. ft: minimum requirement 0) a total of i ' sq. ft of absorption area.
1'
i l, l May we l' luggest I Z ' €4 % 3
If Date Y\ 7 11
I� ' ' B'V Z � � ICI _ h 1nfPecto 4 )41 (� � /X.f ^ •1 4 ,
„ FINAL APPROVAL OF SYSTEM:
No systemahaII be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover•
ing dhy;part.
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Proper er
p materials and s
a sembly.
r ..
Trade 'I
a name of septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area.
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i i
pI Adequate compliance with permit requirements.
O (:--- Adequate compliance with County and St ",ete regulations /requirements
Other p
Data L 1 1 q[� �
Inspector As.. ,_) tyt 1 a
RETAIN WITH RECEIPT REORDS AT CONSTRUCTION SITE
'CONDITIONS:
•
1. All installation must comply with all requirements of th"i County Individual Sewage Disposal Regulations, adopted pursuant to au- '
thority granted in 66 -44.4, CRS 1963, emended 66.3 -14, ORS 1963.
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 Iapproved by the Building and Zoning office shall automatically be a Viola
tion of a iequirement of the permit and cause for both legal action and revocation of the permit.
3. Section II , 3.24 requires any person who constructs, alt rs, of installs an individual sewage disposal system in a manner which in
votves a knowing and material variation from the terms s r specifications contained in the application of permit commits a Class I,
' Petty Offense ($600.00 fine - 6 months in jail or both),
it Applicant: Groan COpy Department: Pink COPY �"
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Page Two Fees Paid $
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
Owner: - -Se .._--st r. = {,n
Mail Address: Sae City: Zip: 7/650 Phone:
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 hales (see Page 3).
Near What
1. Location of Facility: County GARFIELD City or Town
Location Address & /or 5/'
Legal Description c t,r_' ,4i 8 yy Lot Size
2. No. of Bedrooms Septic Tank Capacity /g0 pp. Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): __Li ). QAp
Private: Well X Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? 4,-7 _a
5. Distance to nearest sewer system: � � ILIA)
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.
• '79,1? o24 ' »9,P/ • .S g
' nat re of Appl an
(TO BE RETURNED TO ENVIRON. HEALTH DEPT.)
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Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
3-
• . i, t
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
see'tc-
it
A}o IL
(TO BE RETURNED TO ENVIRON. HEALTH DEPT.)