HomeMy WebLinkAbout00333 Its This does not constitute a building or use permit. e. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 • V INDIVIDUAL SEWAGE DISPOSAL PERMIT N;j 333 Owner Rock Gardens Mobile Home & Camper Park - Gerald R, Carlton System Location W4. SEA, in Sec. 2 -6 -89 -'Rock Gardens MH Park Licensed Contractor Copeland E Owner • Conditional Construction approval is hereby granted for a /Oa' 0 gallon Septic Tank or v'" Aerated treatment unit. Absorption area (or diapersal area) computed as follows: Perc rate of one inch in — minutes requires a minimum of /O 0 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms .g x /cm sq. ft. minimum requirement = a total of,3 o o sq. ft. of absorption area. May we suggest Se e I /a & C O e 1 � 'x.aS 3' o e e f Date u 1 /�ryr/ m- C••�•r• 9 , /. 9 Inspector � . ( o , LQb.� � �"ere_ ' t FINAL APPROV OF SYSTEM: v ki 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 cleanout to within 12" of final grade or aerated access ports above grade. -- Proper materials and assembly. /"_eiercieade name of septic tank or aerated treatment unit. Adequate absorption (or dispersal) area. A4 i Adequate compliance with permit requirements. /+'8equate compliance with County and State regulations /requirements. Other Date S �� ppi 11 Inspector Ata . A 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- 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 Fees Paid $7� • INDIVIDUAL SEWAGE DISPOSAL APPLICATION - r... I Date g-2:-/a0 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE /� INDIVIDUAL HOME SEWAGE 1;REATMEN DSTEM 9t4a P , ) . _/ -u Owner: 4 , fer , ve • /308 _ o-c e" • ' ,62g �� � Mail Address: City: 1/2 12/t r fr Zip: e940/ Phone: WS'e f/ INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW P / 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 , .� 44 City or Town 1411,, cexrdet 02 - E• - X% Legal Description '1. of $'_-; 3 --S-- • 4 2. No. of Bedrooms .3 Septic Tank Capacity- -. . i _. A y ration Unit Capacity / ' /, 3. Source of Domestic Water: Public (name): Private: Well _ Depth Other ,/ Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? - a 5. Distance to nearest sewer system: S i 44 • �,,,, , e:, `/� Have you attempted to arrange a connection with the system? , L-71d 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: j 7.--i(,(l E 7. Name, address, and telephone of person who made soil absorption tests: C c7 44, 8. Name, address, and telephone of person responsible for design of the system: gene, cm el.) - . •n9 P. Xh1 SS • - 3 " — d 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. 9 /- /G r . 2 0,c' Date S•gnature of Applicant (TO BE RETURNED TO HEALTH DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY ° 7 • I \ r 1 1 3' ' f NOr TO SCA1.. INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- kUIION LINES, SIREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES 4, _b cx< -,t lkw. ro a c h p . ?Ank. AC�ATIO 4 r -- __. .. i oao -14ab G•1,A morn erl i ) g "TAUk. ■ CXifr WMK 1.cUEy — i, .v i" — Gel 46" brl w- — — — — - .:e — — PAD t%CU. o Y N (t tlic; O W r 0 A � l 1 • c M 1 Noy' To Sc (TO BE RETURNED TO HEALTH DEPT.) ISCHMUESERII calk. ENGINEERS & CONSTRUCTORS • • 6• tFASSOCIATES RECEIVED MAY 2 5 1983 May 24, 1983 Mr. Ed Field Garfield County Sanitarian 2014 Blake Avenue Glenwood Springs, CO 81601 RE: ROCK GARDENS CAMPGROUNDS Dear Ed, This letter is to confirm our final inspection of the Rock Gardens Bath House Wastewater Treatment Facility. This system was built in compliance with our plans and specifications, and was inspected by our office during construction. The automatic siphons were also tested for sequential operation. If you have any questions regarding this matter, please do not hesitate to call. Sincerely, SCHMUE ER & ASSOCIATES, INC. tit S - Stott W. Leslie Operations Consultant SWL /kdm SCHMUESER & ASSOCIATES, INC. 151 cAtihREKNUE, SUITE 210 • GLENWOOD SPRINGS, COLORADO 81601 • (303) 945 -5468