HomeMy WebLinkAbout00296 1 6 r � This does not constitute
a building or use permit.
,I
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH •
2014 Blake Avenue
Glenwood Springs, Colorado 81601
rrll QQ
INDIVIDUf A6 SPOSAL PERMIT N:' 296
1k "�: own'r! .... .4kunan; King 0 7 $ 9 data," sect?` /Let .
iil„ System Location Lot 7, Up Cattle Creek Subdivision - Carbondale
Licensed CoQttractor David J. Hughes
1 Conditional Construction approval is hereby granted for a 7.52, gallon
Septic Tank or Aerated treatment unit.
Abrption area (or diapersal area) computed as follows:
Iii
Perc rate of one inch in .2.C minutes requires a minimum of Ca sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms x c3Osq. ft. minimum requirement = a total of aq. ft. of absorption area.
i
May we suggest . " 1 " . " . X 3 3 l s „et
_
a
Date -; ' r;t7` ; 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.
T --- -- Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. •--3 7- 74'
e `7e.%- Proper materials and assembly.
,4 t SEnreTtade name of septic tank or aerated treatment u 4. - - a - r — /e. Se) /NS '
d-: /Adequate absorption (or dispersal) area. x,57.1(..3 .5 3' 5 G r 7 C 41 C- -
i
O Adegpate compliance with permit requirements.
(age AG'_ ))
— Adequatp'pompliance with County and State regulations /requirements.
J l
f
Other
it
Date 4 ----- Inspector
G(
I
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-
v 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 .
CW‘N
Fees Paid $ `7g,ao
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
i Date (0 - la j C¢
• NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: CUSHMEtN KING
Mail Address: o033 cAc.-rvs Pc.4T5 City: £ieacmIOA ,E Zip: S16Z3 Phone: %3 - 6079
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 eAft.PI _CD City or Town CAaBoniw4tF.,
Legal Description L.or 1 UP cAe%t$ ceEWA sa osvislnt Size 2.05 AczES
2. No. of Bedrooms Z Septic Tank Capacity Aeration Unit Capacity
3. Source of Domestic Water: Public (name): S.'sc ivisioN WELLS
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? No
5. Distance to nearest sewer system: Zoo tsr.
Have you attempted to arrange a connection with the system? NO
If rejected, what was the reason?
6. 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 person who made soil absorption tests:
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.
< ` �� /4U
Date( 1 �'�� rf �8 G V l
Signature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
- 1 •
` r
Y _
t'
o�no C 4
o
•1N 1 Q Op _ v OC�
h
----7— A r o 0 1
tr i 71\r/N ee),I, : 'N
tfi
h S
N a� ^/ ���h }\
�° k Xi 41 1 `°. i t4 - zt) \4 c::: i 1 yZ, n °� j w r [n
o % V
•
•
Ql
\ �, 14, - - \ e l � is � ' / h Q tti
Li I 1 ( `>.! ' � A o 11 S
1
q i ,, 1 ` at 1 v1
v� S\
\kJ t G? q , \,9e V 'k
Q r / qq�� \� V N
"°
ibm K1 oyN M d
o ., a