HomeMy WebLinkAbout01245 p ek I GARFIELD V BUILDING SANITATION DEPARTMENT • �
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2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945-8241
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT „jO 1245 a building or use permit.
Owner William D. Spears
System Location . Range 98W. Sec 6. TBS. SW4 of NEB 6601 County Road 200 DeBeque
Licensed Installer °WRAC
• Conditional Construction approval is hereby granted for a 1 ,500 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows: /
Perc rate of one inch in 18 minutes requires a minimum of �� ti sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms _5 x sq. ft. minimum requirement = a total of S...3Qsq. ft. of absorption area.
May we suggest / j G
Date ___S/69/8 z" - Inspector L.e�. it /Ay /a. S
FINAL APPROVAL OF SYSTEM: / /. /- re t-/ 14) ^' `to-
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.
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
.roper materials and assembly.
_ /._. 1 rade name of septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area. /8 X 90 r X 2j
OK--- Adequate compliance with permit requirements.
Cil Adequate compliance with County and State regulations /requirements.
Other
e.
Date j /qyi ` Inspector . 77.Lt ` . �(C�I.t.4.�Ct.�
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 66.314, 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 ($500.00 fine — 6 months in jail or both).
Applicant: Green Copy Department: Pink Copy
b ; : ;s _/ a r y ut D 8 ttE - __ - -- P BONE g83 5! _7_,7 I
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ADDRESS ! -- PHONE -
CON1 RALTOR r ;,R —
^UL'PESS , PHONE - - --
IS Pt..•v1T FOR: ( Vi New Installation ( ) Alteration ( ) Repair
%,1.1 ,ch ::pirate sheets or rcpnrt s , C'•.ing entire area with respect to surrounding
arras , topography of area, habitabl buildings, location of potable water wells,
soil i.ercolation test holes, soil profiles in test holes.
LOCAL lON OF PROPOSED FACILITY: County _ „ h _ _ —__-
Near what .City or Town "bFir;✓Q[s ea . Lot Si ze I/8o ellerdSaiveti,
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Legal Description - Rsliva�_18 , >_S'.:�Ci b_; T 8s i .514/.* oF N/..J - - - - -.
WASTES TYPE: ( Dwelling ( ) Transient Use
( ) Commercial or Institutional (- ) Non- domestic Wastes
( ) Other - Describe: —__.—_—_---_-----
BUILDING OR SERVICE TYPE: _ 7/1e SF� Number of Persons 1-74----
Number of Bedrooms
____ •
(t5 Garbage grinder ( Automatic washer ( fri Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( 'rspring ( ) stream or creek
Give depth of all wells within 180 feet of system: %1/4,1/45_ _____ __—
If supplied by community water, give name of supplier: _
GROUND CONDITIONS:
Depth to bedrock: /1/ /F/ -
Depth to first Ground Water Table: ea /,to /co/
Percent ground slope: oZ w'
DISTANCE TO NEAREST_COF :UNITY SEWER SYSTEM: /0 72.. M . i, —
Was an effort made to connect to community system? / ✓o
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: .
( t') 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:
( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter. .
( ) Above Ground Dispersal ( ) Wastewater Pond'
( ) Other - Describe: • • , • La ‘.5 Fr -
. -
,, I t : .i! _ ! ''Y No
:,,•••I,•; 15 ,i.5+::,i0 ICR
— ' 1
If 1'.e system is to he designed by a Registered Professional tnginc::r (!;:LE), state
r:.tc cf :L!- '..orption in test holes sho'r:n on the location r,•:p, in minutes per inch
of drop in \: ^ter level after LGILS have been soaked for 24 Furs: __
En g, = Iii 6 N _ • L t_ .zt A . f-fo iii- — ' -- -
SOIL PERCOLATION.TEST RESULTS: - -! in . •
Minutes _ _ per inch in hole No. 1 Minutes _ per inch in hole No. 3 .
Minutes per inch in Tole No. 2 Minutes per inch in hole No. __
;.;un, address, and telephone of RPE who large soil absorption tests: --------- .
•
Came, address, and telr_phene of RPE responsible for design of the system: ______
Applicant acknowledges that the_completeness of the application is conditional
upon such further mandatory and additional tests and reports as may be required
by the local health 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 --•-- -
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. 1 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.
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Date 0 2, /7 1 Signed (�LJ �I ,:e �• •
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PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY y • So
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5 PERCOLATION TEST DATA
Address ,e4/11 c�p PCf iS
Profile hole �s7 CFO 74e. m /C/G�/-c'
TEST HOLE X11 N2 #J3
TIME (Min.) Level Drop Level Drop Level Drop
5 (“4 3 /�'i / v 3 �3 z 4
10 lam % 4-%8 ' ��13
15 S 3 ` �/', -- 3 /8 4 %Q
20 S/ % �y �� 4f
25 c7* '/ 4
30 Ski- 7, 3` /4 3`/,.t
35
40
45
50
55
60
Percolation Rate /$ minutes per inch.