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HomeMy WebLinkAbout01438 - It i • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945-8241 W R ONLY This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT ' 1438- a building or use permit. Owner Patrick Hayes Mailing: 6809 214 Road New Castle Parcel B Location: 6851 214 Road System Location Licensed Installer Lael Hughes Conditional Construction approval is hereby granted for a / i Ugallon . / e S ) /`r 2.„,"( 1/ L n'6i ay ,e ✓ /� [ h s ge , Septic Tank or Aerated treatment unit. ire A- e �I 1/ , � Absorption area (or dispersal area) computed as follows: re)" / � f Q r ea- GLv Pere rate of one inch in X" minutes requires a minimum of e ft. of absorption area per bedroom. Therefore the no. of bedrooms // x sq. ft. minimum requirement = atotal of sq. ft. of absorption area. May we suggest <2 w e -G l L l /° /9 PC 7 Date ne--1 C ( Inspector 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. / _ 48yY - -� Septic access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. r Proper materials and assembly. 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 ( I C J g (1. Inspector I �h�l " 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 1, Petty Offense (5500.00 fine — 6 months in jail or both). Applicant: Green Copy Department: Pink Copy Anna . e ' • INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICAIIUN "Nr'vvu. w � County Official: 'OWNER I'G'Cfs ;- k U"` s's ADDRESS (,a ( 7 (4 rvo,., 6, c./Ic, PHONE 'I'S '1 213'/ CONTRACTOR ( 1 a So Lc ADDRESS 3 �> [ t CI / c� „ rc•d 6A- i>,-,. ; l<- PHONE `r4 i - 061 •• PERMIT REQUEST FOR: lgr, New Installation ( ) Alteration Repair Attach separate sheets or report showing entire area with respect t 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 (.Car It P / <{ Near what City of Town /U<-c. (Q < (n Lot Size a? /1<.c. Legal Description 1_613(38 r9 /s. T(' I a n St ,t. » < < • "I_ r/ WASTES TYPE: (X) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: J i t1, 1 e. s Number of bedrooms 4 1 - Number of persons ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (>-<..) well ( ) spring • ( ) stream or creek Give depth of all 'wells within 180 feet of system: ' 2 •( _< 1 If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: • ' • Depth to first Ground Water Table: ■ Percent ground slope: 2 r7c DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? Iv, ,• TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (>4 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: 'ILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? WO - -- - - _ Pane 2 SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) Minutes per inch in hole No. 1 Minutes per inch in hole 14o. 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: 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 perrnft i. 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 Signed PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY f - i (r. J iSylf • _J c • Page 3 ROTO- ROOTER SERVICES ROM- Win!. P.O. Box 1800 ROO ER T — GLENWOOD SPRINGS, CO 81602 �� (970) 945. 5519 963-2521 925 -1833 33750 Fax (970) 9453547 INVOICE NO: CARLTONC INVOICE DATE: 03/26/97 SOLO CLAY CARLTON CLAY CARLTON TO: P. O. BOX 275 6851 CR 214 NEW CASTLE, CO 81647 PEACH VALLEY • P.O. NUM: CLAY ORDERED: 03/26/97 PAYMENT DUE: 04/05/97 SALESPERSON: JEF TERMS: NET 10 REFERENCE DESCRIPTION AMOUNT 33750 PROBLEM: SEPTIC TANK NEEDS TO BE PUMPED FOUND: TANK IS OK & DOES NOT NEED PUMPING AT THIS TIME 1 GALLON PRO PUMP BACTERIA TREATMENT 62.00 SERVICE CALL - NO CHARGE CLAY, PLEASE CALL US WHEN YOU WANT TO SCHEDULE THE TANK PUMPING - THANKS NOW ACCEPTING VISA /MASTER CARD /AMER EXPRESS "OUR SERVICE IS AT YOUR SERVICE" No guarantee on sewer lines with debris or broken or settled sections of pipe. WE ARE NOT RESPONSIBLE FOR WATER DAMAGES BEFORE OR AFTER RUNNING LINE. A service charge of 2% per month will be charged to all accounts past 30 days. Costs plus reasonable attorney fees to be added if suit is filed for collection. PAY FROM INVOICE - NO STATEMENT SENT TOTAL 62.00 PROOUCT 13101 ME15. INC . GROTON. MI 01171. TO REORDER PHONE IOU FREE I100025155& ECHO AT 1,1 TO FIT COMPMION WM 00.0.001 ENVELOPE. IRIMIEO M U.0 A 0