HomeMy WebLinkAbout01929 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
` Glenwood Springs, Colorado 81601
Phone (303) 945 -8212
1929 This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT ' T n a building or use permit.
Owner George Sr<ir.row
System Location 24 27 5 CI[RX Hwy 6 Rifle _
Licensed Installer __ ow n er
Conditional Construction approval is hereby granted for a gallon
_ -_ • . Septic Tank or _ — Aerated treatment unit.
Absorption area (or dispersal area) computed as follows: . •
Perc rate of one inch in ' . minutes requires a minimum of sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms N/A x sq. ft. minimum requirement = a total of sq. ft. of absorption area.
May we suggest:
Date_ _ _ —_ - 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.
- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
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surface.
Proper materials and assembly.
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/ Trade name of septic tank or aerated treatment unit.
Adequate absorption (or dispel area. ` L
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Adequate compliance with permit requirements.
Adequate cornpliance with County and State regulations /requirements.
they
Date 5 77 _. -- _.--. -- --. Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
`CONDITIONS:
1. All Installation must comply with 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 whlchinvolves a knowing
and material variation from the terms orspeclfications contained in the application of permit commltsa Class 1, Petty Offense
(5500.00 fine — 6 months in fall or both.).
Applicant: Groan Copy Dspartmant: Pink Copy
Application
.INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by' '
County Official:
OWNER ' C e . F. Scarr.(Ai
1296 only
ADDRESS 5 ` 7 = 6 7 p r� P 1 o� P a ra 3 r f uf 6 - /7Y / Da,OO �
CONTRACTOR sr if
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 G 0. rP, /d
Near what City of Town '(VS) . Lot Size
Legal Description `# a77-)7 a - (1 ( - 007 _
WASTES TYPE: (,E) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( Ai) Other - Describe Sake, / I,a s, n SC
BUILDING OR SERVICE TYPE: Sin a /L e /�9,ne� re ou ,r
Number of bedrooms /11/A- Number of persons Z
( ) 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: en v, a t t o ` n g e -. t Z 5'
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock: 0,-) `; n o w _
Depth to first Ground Water Table: '-t- CO
Percent ground slope: %/a t
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to community system?
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
pc) 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:
(IA 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? /(Io
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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.
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