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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH I g -7..1 2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT N S ^t (this does not constitute
a building or use permit)
Owner Mr. Kenneth J. Nelson
System Location 1550 County Road 109
Licensed Contractor owner
* Conditional Construction approval is heretiy granted for a4 .sta gallon
Septic Tank or Aerated treatment n(,� �
3 CRI Arn.3r
Absorption area (or dispersal area ) computed as follows:
Pere rate / inches in /C, minutes AS S - - sq. ft.
absorption area per bedroom I = ri=r tie .�'.�
N of bedrooms / x /�^ <, sq. ft. minimum requirement = 66 c'.° S ctT /" ` „�.. ,.> "'�` ”"
died
May we suggest /a' ,4, dS . k / c ',Of", -e' ?' r 72
Date - Vic:. "7 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 covering any part.
^! ® r /G • Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
'a 04 /C! Proper materials and assembly.
e let Adequate absorption (or dispersal) area.
09 'A Adequate compliance with permit requirements.
i/ <' Adequate compliance with County and State regulations /requirements.
Date 71747 13, /974 Inspector 7V'Gda &J
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 authority granted in 88.44.4, CRS 1983, amended 66.3-14, CRS 1983.
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. Section III, 8.24 requires 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 con-
tained in the application of permit commits a Class I, Petty Offense ($600.00 fine • 6 months in jail or
both.
• 'Bldg. Official Appvl
INDIVIDUAL DISPOSAL SYSTEMS APPLICATION (Building Zoning SB - ��J
Fees Paid $73
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
// INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: it eaef// .av
Mail Address: /30c 4'3/ City: G /rnw Jci 5p Zip: Vie/ Phone: x'
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.
1. Location of facility: County G,ofr/'rl/ City or Town
Legal Description eN k)(8167/ 4 Lot Size Z ,t -&a
2. No. of Bedrooms ,K Septic Tank Capacity is sr/ Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well ,/ Depth Sod' Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sal' district? A/o
5. Distance to nearest sewer system: /y/ /
Have you attempted to arrange a connection with the syst N c
If rejected, what was the reason? _ b/.S Td4l)(
6. Rate of absorption in test holes shown on the location map, in minutes per tech of r a
drop in water level after holes have been soaked for 24 hours:
7. Name, address, and telephone of person who made soil absorption tests:
11 (1
8. Name, address, and telephone of person responsible for design of the system:
1' /'
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.
/ Date CM S r of Owne
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• GARFIELD.000N7Y,.COLORAD0 •
.,.:.
:'A tract of land situated in Lot 6 of Section 12,.Township 7 South, Range 89 West
,. '' of the Sixth Principal Meridian, lying westerly of the >✓esterly right -of -way line' •'
• of a County Road as constructed and in place, said tract'of land being descrlbed
1. as'follows: . • . „ Y ::.
, •, , . Beginning l a.t a point on the westerly right -of -way line of said county I i'
,• "' road whence the Nk:corner of said Section 12 bears: N.02'47'45" E.
',:2254.60 feet; thence S.80 °41'55" W. 410.31 feet; thence N.08'•28'05" W. 1; !.
92.87 feet; thence N.46 ° 51 1 55" E. 319.59 feet; thonce N.80 °41155" E. 143.; .
";I4 feet to a point on the westerly right -of -way line of 'said county . road; ••"';
thonce $.09'22'32'% E. 270.80 feet along the westerly right- of- way'.11ne of • • ••
said county road, 'the point of beginning. ! .; . • '15`:: • ••, ;' r'••
11 r
" ' • The above described tract of land contains 2,00 acres, more or less.
:- ,•,g.,, . • • . • 3. .
\ N. w , •
1 ,• i '
X:...:1 ?, ..970'''. �2Ptlnnrt Srnfr!Mw
4 ( {IVIiL'I'Iir1A1{ I• t111rvr,ynr
•
COPELAND CONCRETE, INC.
28803 - U. S. HWY 6 AND 24 • RIFLE, COLORADO 81650 • (303) 625-1112
1,250 GALLON SEPTIC TANK
CONCRETE BAFFLE DIVIDES TANK.
1/3 ON OUTLET SIDE AND 2/3 ON
INLET SIDE. TOP THICKNESS 4"
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8 6
20 in. dia.
6' 6"
5'8"
TIP
4
WALL AND BOTTOM THICKNESS 3"
4,000 POUND P.S.I. CONCRETE, BOTTOM & SIDE WALLS
REINFORCED WITH 6-6 10-10 MESH, PLUS 4 3/8 REBAR.
DIGGING SPECIFICATIONS: 5W WIDE, 91/2' LONG, 5' 8" FROM OUTSIDE BOTTOM TO CENTER OF INLET.
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DRAWING - PAGE 33