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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT NQ 1592 a building or use permit.
Owner Daniel H. & Carolyn J. Angerman
System Location _ 0945 Owens Drive, Silt
Okn
Licensed Installer er
Conditional Construction approval is hereby granted for a 7C_ g allon
• t -� Septic Tank or __ Aerated treatment unit,
Absorption area (or dispersal area) ccomputed as follows: 4-5 (4)
Perc rate of one inch in_�re� mites requ• e nimum of 2i211Etq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms _ x q. ft.minimum requirement = a total of / �tof aTtsorption �reS.�
be
May we suggest: R! Y ' �• Cc. 2. o .Z 1Cr no c, R t +. , -� 9Y / ^n cI E F- =.4. •
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C GS / Q ✓ G y
f` Date ! . + �, /2 X �X _ e Ep ore /c - , ^X c_Le /,, �. 3C.)
�,* - infpector / a
f 4 - < ", 7 i
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FINAL APPROVAT OF SYSTEM:
No s s tem shall be deemed to be En Fold x 6 / X 3 / ( P p �p 3 .. / /�X`f-/ X ' / y e-t /p .,. ,
Y phance with the Sewage D,ispo . aws until the assembled system Is appro ed prior to cover•
ing any part.
OK Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
/�
surface.
PC Proper materials and assembly. L
J�wr \ Trade name of septic tank or aerated treatment unit. /000 y 1. /1/erevesco �I�ST/C `s
, z 4 3 ' L /1/ e m ( spat /q,lle/
r
. P S (� Adequate absorption (or dispersal) area, � �
e '" \ Adequate compliance with permit requirements.
•
0 Adequate compliance with County and State regulations /requirements.
______rte" Other •
Date /4Vje8 Inspector 1 ,
•
RETAIN WITH RECEIPT RECORDS A 'NSTRUCTION SITE /
"CONDITIONS:
1. All Installation mustcomplywith all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems
Chapter 25, Article 10 C.R.S. 1973, Revised 1984.
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 violation of a requirement of the permit and cause for both legal action and revocation of the permit.
3. Any person who constructs, alters, or Installs an individual sewage disposal system in a manner which Involves 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 )all or both.).
Applicant: Green Copy Department: Pink Copy
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION_ Approval by
R�q�lp� x /� County Official:
OIJNE
Osta4✓ A E(ait-iii 41oKK_A.,.
ADDRESS (yy_ysC OsJggs T R PHONE 1 /` c S_ OI yL0
CONTRACTOR 6,4
ADDRESS . 'r, ,,,,.P PHONE_
PERMIT REQUEST FOR: ( ) 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
Near what City of Town Lot Size
Legal Description
WASTES TYPE: ( ) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE:
Number of bedrooms Number of persons
( ) Garbage grinder (X.) Automatic washer (kC) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: oe ) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: 4/,, ,/L
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock: ,t d90
Depth to first Ground Water Table:
Percent ground slope:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Si47' C/ /, ,vo A//
Was an effort made to connect to community system? /J/, 90
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 ?___44
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