The URL can be used to link to this page

Home My WebLink About01405 " „) GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT � ' 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945-8241 • PERCOLATION TEST ONLY This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT tot 14'5 a building or use permit. Owner Ralph and Cheryllyn Earnest System Location 2309 Midland Avenue, G. S. CO 81601 Licensed Installer ... , , .. , , , •i el *a I. • • Conditional Construction approval is her y granted for a 1200 gallon (e0U Waist, ttm) 4. XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in . requires a minimum of 9 ,7 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x'' sq. ft. minimum requirement = a total of ,:::)E3_2' sq. ft. of absorption area. May we suggest LSE' , - 79/- i c-- C tO /---- > '/ ' Date '4 - .-5 `re7 Inspector -- e: fc / " * Nay : 4 e... et nap. er -O" 7 6e as /re tint uU c 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. CP: Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. c Fier - Proper materials and assembly. ,j .<'- Trade name of septic tank or aerated treatment unit. ") < Adequate absorption (or dispersal) area. ` `- :' — Adequate compliance with permit requirements. Adequate cornpliance with County and State regulations /requirements. Other Date Inspector - e' " : _ ? 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 ($500.00 fine - 6 months in jail or both). Applicant: Green Copy Department: Pink Copy toodolur Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: R RALPH RRADIFY (ARAD) F CHERYLI.YN KAY EARNEST (w) 945 -5554 eDRtSS_ —� 2309 MIDLAND AVENUE, GLENWOOD SPRINGS PHONE (h) 945 -9353 :ONTRACTOR_ GIBBENS CONSTRUCTION LIC. Il 001-84 q 91 SS V 'ADDRESS NEW cnsTLE COLORADO PHONE / 'ERMIT REQUEST FOR: ( ) New I nstallation ( ) Alterati '� -pair 7 7 7 kttach separate sheets or report showing entire area with respe to surroundi areas, :opography of area, habitable building, location of potable water � soil wells, s it percol tion :est holes, soil profiles in test holes. (See page 4.) „f/ '/ 4 %t .00ATION OF PROPOSED FACILITY: County GARFIELD 5ap cy V gear what City of Town GLENWOOD SPRINGS Lot Size 2 ACRES _egal Description !ASTES TYPE: ( x ) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe WILDING OR SERVICE TYPE: 28' x 66' MOBILE HOME lumber of bedrooms 3 Number of persons 4 x Garbage grinder ( x) Automatic washer ( x) Dishwasher OURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( ) stream or creek ive depth of all wells within 180 feet of system: NONE f supplied by community water, give name or supplier: CITY OF GLENWOOD SPRINGS ROUND CONDITIONS: epth to bedrock: e, «- f epth to first Ground Water Table: /: +e ercent ground slope: ISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: APPROXIMATELY 3/4 MILE. as an effort made to connect to community system? NO YPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (x ) Septic Tank /200 AP ( ) Aeration Plant ( ) Vault ( ) Vault Privy � 4 ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: INAL DISPOSAL BY: (J Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) W ,,, n ( ) Other - Describe: 'LL EFFLUENT BE DISCHARGED DIRECTLY IN Page 2 / • PLOT PLAN AND DESIGN FEATURES: Include by measured 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 dwelling or other fixed reference object, and additional submissions in support of this application such as data, plans, specifications, statements and commitments. . l VlJ. f3 Lk) • Ck _ _ j yx 90 M c b;� g° E BR- REAvo✓Ed Z vt T R MG Al • (1) ;o I Z 13 00 rov . E [✓ N E/CJ \ 2 0 St U , sa M r ih in lvd NUF — 'age 4 "RCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) Minutes per inch in hole No. 1 Minutes per inch in hole No. 3 .fiw Minutes per inch in hole No. 2 Minutes per inch in hole No. Vance, address and telephone of RPE who made soil absorption tests: lame, address and telephone of RPE responsible for design of the system: 1pplicant acknowledges that the completeness of the application is conditional upon such 'urther 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 )urposes 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 :hat all statements made, information and reports submitted herewith and required to be , ubmitted by the applicant are or will be represented to be true and correct to the best )f my knowledge and belief and are designed to be relied on by the local department of health •n 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 Ar revocation of any permit granted based upon said application and in legal action for per- jury as provided by law. late Signed 'LEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY Iv,. m4 1 , ?? ur v0 ock 1• 9_3 v °di m • Page 3