HomeMy WebLinkAbout00335 11� - •
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This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT N': 335
iii
Owner Ann Catherine Robinson -
System Location Up Rifle Creek
Licensed Contractor ___iigaa• "// ., %
" Conditional Construction approval is hereby granted for ./•ch'OC. , gallon
k' Septic Tank or 1 Aerated treatment Unit. R>✓o '/y1/ 4-z) 6 ,ties__. t oed en 7r' M
I H •}n/ Absbrption area (or diapersal area) computed as follows: -
7
Perc rate of one inch in tires minutes requires a minimum of 43 r,) sq. ft. of absorption area per bedroom.
II , Therefore the no of bedrooms 9 x .= / sq. ft. minimum requirement = a total of 97Osq. ft. of absorption area
it
May we suggest /a. 'A'rP a / .Y cZ 1 4-A / fi e ' °E*-'."145,E.. it (. -;Z'7 � � /
}e- ate /0 '_7 S . 7 G Inspecto y�*� � - �' �, i
S Ut6( e^ST Y'e'a' l tr ecv BE F rrt..reer Z) ,',G'-&,n /ir.eic,,,y , , .rJ.Sittirei,
FINAL APPROVAL a s5 /ot) O. fl OVAL OF SYSTEM: 8S'' .A E71 c a) • Wi `' ' t '
_
4 i h Sewage ICti iLaws until the assembled system is approved prior to cover
No system shall be deemed to be in wit e Se age C � If , 9 }E - � Y Pp P
t i pig any part.
i ,+ I Septic Tank deanort to within i2" of final grade or aerated access ports above grade.
11 11 14 Proper mater and assembly. q
I �y _�s
^ M .r ad e name- •LL';;t r aerated treatment unit •
- Adequate absorption (or dispersa(! area
!i Adequate compliance with permit requirements. ,
Adequate compliance with County And State regulations /requirements.
Other i 04C°(
Date // — nar InsPecti+r
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage` Disposal Regulations, a dopted 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 an building requirements.
Connection to or use with any dwelling or structures not approved by the building and Zoning office shall utomatically 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 set' ge disposal system in a manner which in-
volves a knowing and material variation from the terms or specifications contained int t application of permit commits a Class I,
„ Petty Offense ($500.00 fine - 6 months in jail el both.
a ' . Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy Y__. +.-
--"lbw Fees Paid $ »
■ INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
• Date 9 ►0
0) NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: 0t,t £- Pt.P.,.i -,,gyp /CA.l� {,,,,rinJ
Mail Address :12/ /(`Al 2 „C7 City: C Zip: c /1S0 Phone:62S -/9/4
INFORMATION REGARDING PROJECT SUBMITTED FOR REVI
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 .. p P, City or Town 'lee
Legal Description *see / 2<, 1 7/ /y7wx s t ot =- - 7 7z .
it 9'2 CQe'F- brit A
2. No. of Bedrooms ,'? Septic Tank Capacity / ation Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well ✓ Depth Other Depth to first ground water tabt
4. Is facility within boundaries of a city /town or sanitation district?
5. Distance to nearest sewer system: 5'
Have you attempted to arrange a connection with the system ?
-
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: 5,--7_ ,oc T „ �F '`
7. Name, address, and telephone of person who made soil absorption tests: �F�
L3 f7 Lac =71 4( i "
8. Name, address, and telephone of person responsible for design of the system:
CP
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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/ /(5 �i I / i i
� Le Signature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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ET
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
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(TO BE RETURNED TO HEALTH DEPT.)