HomeMy WebLinkAbout01340 +� % • GARFIELD COUNTS' BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue Permission for 1 administration
Glenwood Springs, Colorado 81601 trailer and 1 change house.
Phone (303) 945.8241
FN INFIRF1 SYSTEM - Penult Pee Only Relates to temporary permits 472 -274
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT :0 1340 a building or use permit.
Owner Chevron Shale Oil CC Oran
System Location SW 1/4 SR, 1/4, Rev 8 TSR RggW
Licensed Installer
Conditional Construction approval is hereby granted for a gallon (See Notes)
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in 1/12 minutes requires a minimum of sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms x sq. ft. minimum requirement = a total of sq. ft. of absorption area.
May we suggestsgtert approved for maxinnm loading of up to 2,000 gals per day. Plans and
specs. sutmitted August 26, 2983, approved. Any loading in excess of 2,000 qpd shall
<te -c. ____ __ .. ______ ..__ _ __ __ i �. -..0 _ - • _ rynf-rrJ
CoPs
AP •. MI •
FINAL APPROVAL OF 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.
/-{ _ Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
' < Proper materials and assembly.
Jf� Trade name of septic tank or aerated treatment unit. Sr' e f' k
Adequate absorption (or dispersal) area. S e e 9 . /w "1
Adequate compliance with permit requirements.
) Adequate compliance with County and State regulations /requirements.
— _ Other
¢� �.7
Datemd" G �Y Inspector • 1�7��+ .1 / '" • ice/
RETAIN WITH RECEIPT RECORDSIPJ /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 ($500.00 fine — 6 months in jail or both).
Applicant: Green Copy Department: Pink Copy
nppricatiion
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
Chevron Shale Oil Co. Coyn Official:
OWNER
ADDRESS 711 Arrowest Ct - Unit E, Gr. Jct.,CO 81 NNE(303)242 - 3442 — At- _}
CONTRACTOR
ADDRESS PHONE
PERMIT REQUEST FOR: (x ) New Installation ( ) Alteration ( ) Repair
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable building, location of potable water wells, soil percolation
test holes, soil profiles in test holes. (See page 4.)
LOCATION OF PROPOSED FACILITY: County Garfield
Near what City of Town Lot Size
Legal Description sw1/2 SE %, Ser. 8, TSS, R9RW
WASTES TYPE: ( ) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE: Mobile office trailers
Number of bedrooms NA Number of persons 8 -12
( ) 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: none
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock: approx. 135 ft.
Depth to first Ground Water Table: approx. 180 ft.
Percent ground slope: 2%
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: : „• -
Was an effort made to connect to community system? no
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:
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? no
Page 2
SOIL PEkCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) Pe v
Minutes 91, per inch in hole No. 1 Minutes /2 per inch in hole No. 3
Minutes /Z, per inch in hole No. 2 Minutes /I/ per inch in hole No.
Name, address and telephone of RPE who made soil absorption tests: same as design engr.
Name, address and telephone of RPE responsible for design of the system: Terry D. Nichols
770 Horizon Dr., P.O. Box 2327, Grand Junction, CO 81501 (303) 243 - 8975
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 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 of issuing the permit applied for herein. I further under-
stand 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 per-
jury as provided by law.
Date August 26, 1983 Signed
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
•
Page 3
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RECEIVED SEP 1 1983
f �`T T. ,t2 . T i c. c. c-
September 12, 1983
,iding
ipt .
2014 Blake Avenue
Glenwood Springs, CO 81601
Dear Mr. Feld:
Please find enclosed our application for sewage disposal system,
a Garfield County map with system location and check in the amount of
$50.00 (fifty dollars) to cover the associated fee.
Thank you for your cooperation on our project. If you have any questions
or need assistance regarding our project, please contact me at our Grand
Junction office or Mr. Gary Fisher at our Denver office.
Sincerely,
iii��� �ww
T.M. T lley [�
Mine Engineer
TMT /jb
encl.
Chevron
li Chevron Shale Oil Company
711 Arrowest Court, Unit E, Grand Junction, CO 81501
RECEIVED SEP 1 ? 1983
September 12, 1983
Mr. Ed Feld
Garfield County Building
and Sanitation Dept.
2014 Blake Avenue
Glenwood Springs, CO 81601
Dear Mr. Feld:
Please find enclosed our application for sewage disposal system,
a Garfield County map with system location and check in the amount of
$50.00 (fifty dollars) to cover the associated fee.
Thank you for your cooperation on our project. If you have any questions,
or need assistance regarding our project, please contact me at our Grand
Junction office or Mr. nary Fisher at our Denver office.
Sincerely,
Te��
M. Tilley
Mine Engineer.
TMT /jb
encl.
s,A,coF___ Colorado
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Name
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