HomeMy WebLinkAbout00359 ° This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
201 Blake Avenue
Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT t1i■ 359
Owner Thomas L. Sorer
System Location 1471 State Hwy. 325 - Rifle, Colorado
Licensed Contractor ( , /b 0 0 dijI /, ,
Conditional Construction approval is hereby granted for a gallon
Septic Tank or Aerated treatment unit.
Absorption area (or diapersal area) computed as follows:
Perc rate of one inch in 2O minutt}Fkquires a minimum of O sq. ft. of absorptio9 area per bedr o .
3O �' `A-1
Therefore the no. o o2 ff �beeddr�oo"m"s _ -� x .� n sq. ft. minimum requirement = a total of . p_ sq. ft. of absorption area.
III May we suggest. ,6 42 33 f 5 m I e C !
cc Date ��C �� /' z', Inspector —� ,/ c die ems«
FINAL APPROVAL OF SYSTEM: Cyy-fnitA_u-e.4
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.
(A) E' - Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
- -- Proper materials and assembly.
a le ade name of septic tank or aerated treatment unit.
r^^',� Adequate absorption (or dispersal) area
t/1' - -- Adequate compliance with permit requirements. y �
Adequate compliance with County and State regulations /requiremAts.
Other /
r .
Date 7 — -- Ztc Inspector �` % / - \
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 t ad\
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 Applicant — Green Co Dept. — Pink Copy �
din Official — Permit White Copy 'I PY PP Copy P
ul gM1r I �p Id 'd,l I
1 1�1t� ,rw Ll IJ I
Fees Paid $ 7, —
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date/2-2 7
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: o )rl fl Z7727 127 rr
Mail Address: /6i/ S /& f 3J "City: /531,/C zip: 6 Phone: o ,2 /
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 r- fie- Id City o Town 11
Legal Description 4_, _ Lo / Acd'r
2. No. of Bedrooms rr0 Septic Tank Capacit ' 6 Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well p( Depth Cei Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district?
5. Distance to nearest sewer system: Lf n,, /r.r
Have you attempted to arrange a connection with the system? /14
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in mi tes r 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 t- ts:
-_ - _ _
IF
8. Name, address, and telephone of person responsible for design of he stem:
9. Express permission is hereby granted for the inspection o 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 Date 7 � Sign; ure o Applicant
(TO BE RETURNED TO HEALTH DEPT.)