HomeMy WebLinkAboutSepticGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945-8241
INDIVIDUAL SEW4GE DISPOSAL PERMIT
Owner GER)1LO BRETZ
121
This does not constitute
a building or use permit.
System Location Lot 1 NoNama G1,pnwnod Springs
Licensed Installer
Bob Stroh Construction
* Conditional Construction approval is hereby granted for a
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
750 gallon
Perc rate of one inch in /8 minutes requires a minimum of 304' sq ft of absorption area per bedroom.
Therefore the no. of bedrooms f 2 x /2sq ft minimum requirement = a total of ‘n>1 /2 sq ft of absorption area.
May we suggest �2 X / x .] t"1 t° �-�1 `C> / O f i� 'cel ' E'�S
Date
Vi/c,5 * Inspecto?lrf/i4- /0
FINAL APPROVAL OF SYSTEM:
.�" f- Te. f fr j No w
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.
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Date
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Proper materials .nd asse ,.ly.
Tra n e :septic tan or gelated t atment unit.
-
Adequate absorption (or dispel sal) ��� � 4.51141/P i
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
r— --- Ot er
Inspector
RETAIN WITH RECEIPT RECORDS
ONSTRUCTIONE
*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 shad autornatltal.ly,be e'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 ally 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 (66500.00 fine — 6 months in jail or both).
Applicant: Groan Copy Dapartmont: Pink Copy
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION
PAGE TUO
OWNER C2Ase'eJ
ADDRESS /v4A/,�p,/ / (p, PHONE401/111111/0
APPL I CANT �'7 !A•..p Bit. r2_
ADDRESS /ryG M2a6Y�X ,/j4,0to . PHONE 9-737
CONTRACTOR Ad 5TxeA/G)110.4✓
ADDRESS ,f/ / .Ant/ eo PHONE 6 ? ,s /gj
IS PERMIT FOR: ( New Installation ( ) Alteration ( ) Repair
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
LOCATION OF PROPOSED FACILITY: County
Near what City or Towns 014.ei Go
Legal Description I� ,.ri- -71 .c
. d
Lot Size
/15 C -
•F/)0
WASTES TYPE: ( Dwelling
Ar►.:
Ir/b9/
( ) Transient Use
( ) Commercial or Institutional ( ) Non-domestic Wastes
( ) Other - Describe:
BUILDING OR SERVICE TYPE: RF$66ffi-44/7"/,4-r-- Number of Persons 2—
Number of Bedrooms /
( !4 garbage grinder (vYAutomatic washer ( Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system:
If supplied by community water, give name of supplier:
GROUND CONDITIONS:
Depth to bedrock: Ca/ A]
Depth to first Ground Water Table: /I
A/0 40114.6. £/ Z7 . IFf mzoti
Percent ground slope: /tuft /7441-4.
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to community system?
TYPE OF IND IDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( 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:
( ) Absorption Trench, Bed or Pit ( Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ,) Other - Describe:
PAGE THREE
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?.
SYSTEM IS DESIGNED FOR GALLONS PER DAY
If the system is to be designed by a Registered Professional Engineer (RPE), 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:
SOIL PERCOLATION TEST RESULTS:
Minutes• per inch in hole No. 1 Minutes per inch in hole No. 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:
Applicantacknowiedgesthatthe '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 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 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 issuing the permit applied
for herein. I further understand 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 perjury as provided by law.
Date
PLEASE DRAW A
Signed
CCURATE MAP TO YOUR PROPERTY
AMI14441840
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Address
PERCOLATION TEST DATA
/-4-7/77--/
Profile hol e f - 4.
sc V �� �4,e
TEST HOLE
#1
#2
#3
TIME (Min.)
Level
Drop
Level
Drop
Level
Drop
04%
93/�
7/v
5
.4-5
3/ ¢
.0€
s/ -e
77/t
74-
10
4-'---
s/g
gj%¢
%v
-7.-
15
34/
573
1,,-
/-¢-
-3/4
1/4--
20
% lU
/;-7
7 5/g
3/
C r7-
14
25
? %
Y
7 ��
3/
(Y41-
14-
30
=
3/g
7°
-
t-
7
35
40
45
50
55
60
Percolation Rate
minutes per inch.