HomeMy WebLinkAboutSP-987.�i
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL H AL7'H
2014. Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945-7265
INDIVIDUAL SEWAGE DISPOSAL PERMIT Nv987 (,AS
Owner
Grand Valley Baptist Temple
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This does not constitute'
a building or use permit,
System Location
.iv, ! County Road 309 - Parachute
Licensed Contractor
" Conditional Construction approval is hereby granted fora gallon
Septic Tank or j Aerated treatment Olt.
Absorption area (or dispersal Area) computed as follows:
Perc rate of one inch in minutes requires a minirnum 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 suggest
Date
O
-.7,41/Ar.
FINAL APPROVAL OF SYSTEM:
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Inspector r,.•
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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.
Trade name of septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulationilrequirements.
Other
Date Inspector
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 ($500.00 fine — 6 months in jail or both).
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Building Official -- Permit White Copy Applicant — Green Copy Dept. — Pink Copy
Page Two
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION
Owner: GRAND VALLEY BAPTIST TEMPLE
Office Use
Fees Paid $7c
Date 4-20—(f
Mail Address: BOX 315
City: PARACHUTE Zip: 81635 Phone: 281.7483
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable buildings, location of potable water wells, soil percola-
tion test holes, soil profiles in test holes (see Page 3).
Near•What
1. Location of Facility: County GARFIELD City or Town PARACHUTE
Location Address &/or
Legal Description SW 1/4NW1/4 SECTION 4,T&S R95W Lot Size 2 3/4 ACRES
309 RD.
2. No. of Bedrooms 0 Septic Tank. Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well XXX Depth 901 Other
Depth to 1st ground water table
4. Is facility within boundaries of a city/town or sanitation district? NO
5. Distance to nearest sewer system: ljppg pX , 4/ m'i/ .5 APPROX. 4 MILES
Have you attempted to arrange a connection with the system? ill O N0
If rejected, what was the reason?
6. If R.P.E. tested, state rate of absorption in test holes shown on the location map, in
minutes per inch of drop in water level after holes have been soaked for 24 hours:
7. Name, address, and telephone of R.P.E. who made soil absorption tests:
8. Name, address, and telephone of R.P.E. responsible for design of the system:
9. Express permission is hereby granted for the inspection of the above property by any
member of the Garfield County Building & Sanitation Department and/or such persons as
they may designate. Any withdrawal of this permission shall be in writing and receipt
acknowledged by the County Building & Sanitation Department.
10. I have been given an opportunity to read the Individual Sewage Disposal Systems Regula-
tions of Garfield County and I hereby agree to comply with all terms, conditions and
requirements included therein.
4,(:( 91/
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gnatu of ppicl ant
(TO BE RETURNED TO BLDG. & SANI. DEPT.) -•.E
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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30.1 Q��_........._
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Page Three
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTIONrLINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
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4/17181
RECEIVED APR 2 '931
Here is the seventy . five dollars for the sower permit ( seepage bad). You
have our application there in your office. I left it there with you.
Thank you,
Larry F. oltsa w