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Home My WebLink About00353 I y I iI This does not constitute a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH we 2014 Blake Avenue er „ PERC FES WAIVED - RATS SHOWN - Glenwood Springs, Colorado 81601 FEE ONLY INDIVIDUAL SEWAGE DISPOSAL PERMIT M 858 ci c - Robert Chaffin Owner Lot 27, Filing 3, Westbank Ranch Subdivision System Location �/ r L icensed Contractor +ttJ //64 TO P Y) . 1 'ii' 'i. ' Conditional Construction approval is hereby granted for a 1 gallon Septic Tank or X Aerated treatment unit. Absorption area (or diapersal area) computed as follows: Perc rate of one inch in 5 minutes requires a minimum of 125 sq. ft. of absorption area per bedroom. I: Therefore the no. of bedrooms J x 125 sq. ft. minimum requirement = a total of 375 sq. ft. of absorption area. 1 I May we suggest deep field 10 square and 12' deepest DIIila• b16MPO V Boob mix 117 111 '0 November 19, 1 976 - ., Date Inspector �' ui **NOTE: This system reviewed by Scarrow & Walker a ., , ., „ -` H Ate FINAL APPROVAL OF SYSTEM: Engineering staff on Permit #336 this system is identical to that system. (J ,' ,.yt„ No system shall be deemed to be in compliance with the Sewage Disposal Laws until a assembled system is approved'prior to cover- i• ing any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above nrade,rientssi� Proper materials and assembly. • I (, name of septic tank or aerated treatment unit. _®f _ Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. '.. ae—.- Adequate compliance with County and State regulations /requirements. Other Date ` dee - Inspector 90 RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 'CONDITIONS: ill 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 - 9 Y 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- „i volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine - 6 months in jail or both. Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy - ..aa....... - - --- - -- - -- .. .. a. aa.. aA,ra....-- ----- _Wa..—W..- aWWsnaas Fees Paid $QS MY 4 INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date r1- 1q -nc0 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM �`�C W R�UF� _ Q(vTit. �IJOWN- . f✓ on�� •/ Owner: Robert C ha44 n Mail Address: 13 39'7 City: Carbonaalt Zip: 8142; Phone: R(o )c)1p 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 Rartfelr. City or Town Glenwood? Sr,hs Legal Description lot 2 7 ( - Uu Lot ize I..2 S Acres West ga k Rc� k S4bd c A:500 2. No. of Bedrooms 3 Septic Tank Capacity 1 Aeration Unit Capacity mes 3. Source of Domestic Water: Public (name): Wesf f nk Stisfenc, ('Ord Private: Well Depth Other Depth to first ground water tab 4. Is facility within boundaries of a city /town or sanit. on district? «� 5. Distance to nearest sewer system: e Have you attempted to arrange a connection with the system? / e v -c If rejected, what was the reason? 6. Rate of absorption in test holes shown on the location map, in minu s per inch of fa drop in water level after holes have been soaked for 24 hours: O /� a� / 7. Name, address, and telephone of person who'made soil absorption tests: _ 8. Name, address, and telephone of person responsible for design of he 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. Nom, l r /9 `76 i Date , Signature of Applicant (TO BE RETURNED TO HEALTH DEPT.) r J PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY ) 0 j \ Waer 11414- �� Z ( %c ( ` 0 J S s Lo} 'IS ` Z a� L 6 e A 0.\ C4 kJ fj\ 6\ tA ICLCCA‘ k iv • 1340 . , akk < kt � 0 Cx � o Sec` \ ��. sr ;S kA e) 4� ` Z9 r d UC s 00 S Oc NI ' p r k�iS 1. w rpCCe pC ? r: s °c) c O-) 15c<.r leO 11 1 • INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI— BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, DWAYS, AND BOUNDARY LINES Li- ,N IS fk r N 53 °t!i' w rsc _ r may, N. a 47. w ,i5 pi h �y ` , 0 0 a J 4 (TO BE RETURNED TO HEALTH DEPT.) ■