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Home My WebLink About01246 1.1111r c , . r ,, GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945.8241 • This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT 411 1246 a building or use permit. Owner Kermit A. Spears System Location Sec 7. TBS. R98W NW►s of NE: 0275 County Road 222. DeBeque Licensed Installer inner * Conditional Construction approval is hereby granted for a 1,250 gallon XXXX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in minutes req minimum of 47 -0 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 4 x 47- _ sq. ft. minimum requirement = a total of .6.._ sq. ft. of absorption area. May we suggest ' Date eV /0 Z " Inspector , / FINAL APPROVAL OF SYSTEM: o o — /e• rr1 /-1u w h ci 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. (9t--- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. OK Proper materials and assembly. QQQQ _csritik Trade name of septic tank or aerated treatment unit. 1 ?SID s / i OJ�s /-- Adequate absorption (or dispersal) area. 24 c. f 0 r ( 3 (GIs --- Adequate compliance with permit requirements. nIc- Adequate compliance with County and State regulations /requirements. eziAL Other �/y/,� ' , Date__ ; - �-'L✓ 7 "� ,( (q P2-- Inspector � [�V '� 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 111, 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 Department: Pink Copy ADDRESS j'P C ftx S 4 — .� ]F _ 4 s>�— ,- - - �-0— �11e'. HONE ZFS_ 3-4431 APPLICANT (f- ADDRESS _ _ — — PHONE _41____ ■__ CONTRACTOR ( ri / > - . ADDRESS) PHONE ___AV_ - _._ 1S PERMIT FOR: (V) New Installation ( ) Alteration ( ) Repair Attach separate sheets, or report showing $ntire area with respect to surrounding areas, topography of area, habitable builgings, location of potable water wells, soil percolation test holes, soil profiles in test holes.. LOCATION OF PROPOSED FACILITY: County._ .. �R,f tf • Nearwhat.City or Town r D _8 y s. f ar , c-s/ i Lot Size 48M 0 . N Legal Description SW., _ .S __Of_- — a--- 61 - $ - -- WASTES TYPE: (N) Dwelling ( ) Transient Use ( ) Commercial or.Institotional ( ) Non- domestic Wastes ( ) Other - Describe: __ —_— __--- - -_ - -_ _ -- BUILDING OR_SERVICE TYPE: tX3t. - . _ Number of Persons _S____ Number of Bedrooms . 4 _ _ , (V) Garbage grinder (V) Automatic washer ( V) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) well (✓) spring ( ) stream or creek Give depth of all wells within 180 feet of system: __(,J If supplied by community water, give name of supplier: (,(yn,1/47; _______ GROUND CONDITIONS: Depth to bedrock: 14!4• Depth to first Ground Water Table: — Ob -7v /�a, Percent ground slope: _01i' __— _— .- - — -- DISTANCE _TO_ NEAREST _COMMUNITY SEWER SYSTEM: C yt ______ Was an effort made to connect to community system? kW TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: . (V) 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 ( ) Evapotranspiratiop • ( ) Underground Dispersal ( ) Sand Filter. . ( ) Above Ground Dispersal ( ) Wastewater Pond' ( ) Other - Describe: /1444 PIED = !6' L;i1L hl PE DISCHARGED DIP-EC Ir10 WAlERS OF IKE Si',IE? ' -. SYSTEM 1S DESIGNED FOR GALLONS PER DAY i If the system is to be designed by a Registered Professional En (RPE), state rate of absorption in test shown on the location map, in minutes per inch of drop in Ovate' level after holes have been soaked for 24 hhoulrs,:�_c !� ___ I " 3¢ M1A c41 – .- 4- &--na = "< • 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 telephone. of RPE who made soil absorption tests: • Name, address, and telephone of RPE responsible for design of the system: M n� — — �— �i �"1 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 th 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 Pf - ! ifL Signedc -""`lir, ,4Oe PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY toy • St • xt>F- Dote - - - -.�Yis Wester • PERCOLATION TEST DATA Address / ./ a2 < / � , po% t Profile hole //1/-)AyP l " 7449 e F� .e! C _ TEST HOLE #1 #2 #3 TIME (Min.) Level Drop Level Drop Level Drop 7/ 9 = 9 7 5 70 7 ,f8 / 8/8 /4 10 7 4 %g gYe 8% `% 15 �� c° d/Y g7¢ 20 6'� i/o o 72- 7r v 0 7 25 Cra Y g, cg /8 ` � / 9- 35 40 45 50 55 60 3 Percolation Rate — minutes per inch.