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Home My WebLink About01228 F t._ %,. . .- r, rn.. Yl""-"" J5p'+6:w:p,w, -.+n n3' "1"nF•mrq!� 'c.. 1' PF.A F GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945-8241 REPAIR OF EXISTING SYSTEM - NO FEE This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT -40 1228 a building or use permit. Owner James P. Murphy System Location 1287 County Road 154 - Riverside Cnttages #9 Licensed Installer Norm Gnuld • Conditional Construction approval is hereby granted for a 750 gallon PERC RATE KNOWN - pp Permit 947 fra 0 4 wu ° C.t.2c 1 _ XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: __ Pere rate of one inch in— minutes requires a minimum of /G' sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms _— 2 x n c / sq. ft. minimum requirement = a total of 3 2r-srft. of absorption area. May we suggest (p 5( 14 j X c a ( 'i [/r'`.► , Date Y ' A AS7_�:.+ q / � (7 Z–^– Inspector • eri.� /. I _. i, FINAL APPROVA SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover- ing any part. r-/ I Septic Tank access for inspection and cleaning within 12" of ground surface or aerated cess ports above ground surface. O Proper materials and assembly. �.�' ... / rade name of septic tank or aerated treatment unit. I (91 / (/ Adequate absorption (or dispersal) area. �0 Y / /2„ 0 (` Adequate compliance with permit requirements. f "--- Adequate compliance with County and State regulations /requirements. Other Date 1 /� n \ �/�\ A 7 ) 1 FZ— ! , / - Tt" � �� Inspector — _�. — X -GL,Q RETAIN WITH 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 66-3-14, CRS 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 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 permit. 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 fine - 6 months in jail or both). Applicant: Green Copy Depertmant: Pink Copy ;. I Ja ESS &s _ p, y ,f. Alp? r'� 6 ., w . . PHONE tr-S -s' -s'-,' A PPLECANT J - S! -!"r r�;c4 - ca .t l�.r --- __ - - -- SS / 1y�_�� Z-_/, Y_ PHONE a..2 1 CONTRACTOR __LA/ . Atr.d_ u! — — • ADDRESS PHONE 1S PERMIT 110R:'_ ( ) New Installation ( ) Alteration (X) Repair ' Attach separate sheets or, report showing entire area with respect to surrounding i areas, topography of area, habitable buildings, location of potable water wells, soil percolation test holes, soil profiles in test holes.. LOCATION OF PROPOSED FACILITY: County g Near.what,City or Town f 1k»_!ti1_ES_Stry Lot Sne G rca,r Legal Description_:_ — WASTES TYPE: (Xi Dwelling ( ) Transient Use ( ) Coumrercial or Institutional ( -) Non - domestic Wastes ( ) Other - Describe: BUILDING OR SERVICE TYPE: Number of Persons --- - - - - -- -- - - - - --- Number of Bedrooms -2 --- . - - _ - -- ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: X) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: _ If supplied by conununity water, give name of supplier: GROUND CONDITIONS: Depth to bedrock: — - - - - - -- Depth to first Ground Water Table: __ ------- - -. - -- Percent ground slope: — '-- ----- - - - - -- - - DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: eo f — —_ — _____- __ - -_.. — Was an effort made to connect to community system? - -- TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (X) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use , ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use • ( ) Chemical Toilet ( ) Other - Describe: ____ - -_ FINAL DISPOSAL BY: (x) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter, ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: _ - -____ - - - - -- - -- ' 1.11 L l i i u i r ' i T E E 01Si_HARG[D P I L C I L Y i 6 � 0 �J;iLFS OF l E I `YS.,f IS DI :SIGNED fOR i GRILC S PLR DAY If the system is to be designed by a Regi stered Professional, Engineer (RPE), state ra te of absorption in test holes shorn on the location map, in minutes per inch of drop in rater level after holes have been soaked for 24 hours: SOIL PERCOLATION TEST RESULTS: • Minutes per inch in hole No. 1 Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in hole No. Name, address'; and tel ephone of RPE who made soil absorption tests: Name, address, and telephone of RPE responsible for design of the system: Applicant cckriowicdyes that the cornpleteness of the application is 'conditional upon such further mandatory and addi tional tests and reports as inay be required by the local heal th department to be made and furnished by the applicant or by the local health department for purposes of the evaluation of the application; and • the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973 as amended. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true_ and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. Date ^ Lip- � — — SignedG% c - PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • • • KU '_;N ,MD DESIGN FEATUkFS: Incl e by r:easu ed distance location of wells, springs, potable water supply lines, cisterns, buildings, property lines, subsoil drains, lake, water course, stream, dry gulch and show location of proposed system by direction and distance from d,;elling or other fixed reference object,•and additional submissions in support of this application.such as data, plans, specifications, statements and cocr1tments. ' hA 0 sa� • s�s�