HomeMy WebLinkAbout00714-49
.GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
PERC FEE WAIVED - R.P.E. PERC dttyPo3C5o.726o5 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT N2 • 714
Owner Belinda B. Enewol d
System Location Midland Avenue - Glenwood Springs
This does not constitute
a building or use permit.
Licensed Contractor
" Conditional Construction approval is hereby granted for e "%c". --'1')C.~-) gallon
X Septic Tank or
Aerated treatment unit.
Absorption area (or dispersal area) computed as follows: '),J/ , C-_
Perc rate of one inch in /4c7 minutes requires a minimum of /&0,.5 -sq ft of absorption area per bedroom.
Therefore the no. of bedrooms .3 x 1‘..23 -.sq ft minimum requirement - a total of `} sq ft of absorption area.
May we suggest./.:•:3°.....e /. � / 2,./2 S-'GGJ c G r rc'-y i.)�S 4%,<-.`.9 (:',.v2-0.:'..7) ! f ,�
j/ � %.
Date l `- /2.- `" �7 Inspector :.? l�
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
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 regulations/requirements.
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 systemin 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 ($500.00 fine - 6 months in jail or both).
Building Official - Permit White Copy
Applicant - Green Copy Dept. - Pink Copy
jkAyihijk ... aal.■.aa as .a aa.a. ....al.a
AIL
INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION
-NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE'
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM.
Owner: 0,6-Lim0.4 2. 51Jec, o
/ Cao w
Mail Address: gox 39,6 City: 6:LA4OooO SP. Zip: g/`e/
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable buildings, location of potable water wells, soil percola-
tion test holes, soil profiles in test holes.
Fees Paid OS`,"
Date c--30--),
tr-y
Phone: 8.49• -'
1. Location of facility: County Garfield City or Town �E ✓a.Amani;;;mss.
Legal Description . f47' c5#E+Q-' Lot Size /130 /4.
2. No. of Bedrooms .3 Septic Tank Capacity /G0047,14. -Aeration Unit Capaci /I/i4
3. Source of Domestic Water: Public (name): (946.04,)00 .0 �P,e�.� . Lo,
Private: Well A Depth Other Depth to first ground water table g5o fir.
4. Is facility within boundaries of a city/town or sanitation district?
5. Distance to nearest sewer system: geoo FT -
Have you attempted to arrange a connection with the system?
NA• /1.)0 fife,/r/r-1
6. Rate of absorption in test holes shown -on -the location-map,=in mingles pe�j ince .f=
drop in water .-level after holes have been soaked 'rot 24 hours: �-
• ,(ACO £vzsuo / 974
7. Name, address, and telephone of person who made soil absorption tests:
'656K c)o.4 .
If rejected, what was the reason?
3,m 7-- 04,x - �- 8 3$ 5"-
8. Name, address, and telephone of person 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 Environmental Health Department and/or such persons as
they may designate. Any withdrawal of this permission shall be in writing and receipt
acknowledged by the County Environmental Health Department.
10. I have been given an opportunity to read the Individual Disposal Systems Regulations of
Garfield County and I hereby agree to comply with all terms, conditions and requirements
included therein.
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(TO BE RETURNED TO HEALTH DEPT.)
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