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:', , This does not constitute
"" „ a building or use permit.
d 1 GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
REPAIR & ALTERATION - PERC ONLY Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT NV 322 ,
Owner Arthur W. and Beulah H. Youmans
S Location in Lot 16. Sec. 3. T. 8 S.. R. 88 W. - Carbondale
up
Licensed Contractor Tom WI1ker
' Conditional Construction approval is hereby granted for /Ct.42_a_ gallon
n,
w, r Septic Tank or Aerated treatment, unit.
Absorption area (or diapersal area) computed as follows:
III Perc rate of one inch in AO minutes requires a minimum of /` 5 sq. ft. of absorption area per bedroom.
I V
Therefore the no of bedrooms .2 x /`f sq. ft minimum requirement = a total of ' q..ft. of absorption area. , .
' i ° ; i ; May we suggest B fS1/4 C d jc.o 1. / 92'X 3'Pe e P / OA' AC'N3.3> 'oecto
obi, Date Zee= /7 /77/ Inspector ... ,,�, —
- L C/— /.a --^�C rl�
DI, FINAL APPROVr F SYSTEM: / �/Y l� csue� (//
'S' No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover -
f ` ing any part.
d
li C.1,-: Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
iw l'1 � Proper materials and assembly.
a " (_' r •' / 4 4v) Trade name of €ptic to or aerated treatment unit.
111 Oil• Adequate absorption (or dispersal) area
l,'
�/G Adequate compliance with permit regylrements.
(r) IC Adequate compliance with County and State regulations /requirements.
-
Other
Date 7 / 9 Ins ector /
• / r p
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.
^II' 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 I,
Petty Offense ($500.00 fine — 6 months in jail or both.
il
u Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
Fees Paid $ S7.7 00
• o i's SEWAG __DI- ' a -aIJOSTEMS APPLICATION
`xOPOSED REPA' 4'1 ALTERAT M S 0 EXISTING SYSTEM Date
N'TIFICATION OF P•O'OSED DISCHA•:
TO WATERS OF THE STATE 2 12
rs' ' 'UAL 0 TREATMENT SYSTEM
y
Owner: Arthur W. and Beulah H. Youmans
Mail Address: 2508 Hwy 133 City: Carbondale, Colo.zip 81A23 Phone•913 -3493
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 Garfield City or Town
t—cr fE 5c —. 3 Tug Lost- iP R - sawn
Legal Description Pie g c Lot Size Approx 1 - 1/3 acres
(proposed)
2. No. of Bedrooms 3 Septic Tank Capacity 1,000 Aeration Unit Capacity
3. Source of Domestic Water: Public (name): Caibond•+le Hater system
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: None available (Torn of Carbondale) nk i
Have you attempted to arrange a connection with the system? No
If rejected, what was the reason? ri«�,-- y -,, .a.. iE
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: s eE P End
7. Name, address, and telephone of person who made soil absorption tests:
acftE P ( T �-)
8. Name, address, and telephone of person responsible fo design of the system:
<LA-azP t a -0 Cp . LE 0 • l A Im •
Tom L. Wilker. 1531. Hwy 133, Carbondale, Colo. 81;23 Phone 9
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. /� -7� //K\
(27, 7444) J. fa-1 CZ -.mac -o
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8/ <1/7n • / �ti
Date Signature I Applicant
(TO BE RETURNED TO HEALTH DEPT.)
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