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This does not constitute
If a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT i> 886
Owner
242 133
System Location , *--
Licensed Contractor nr, / - ^"Y / . 4 - /C ears
* Conditional Construction approval is hereby granted for 12-- gallon
Septic Tank or Aerated treatment unit.
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Absorption area (or diapersal area) computed as follows: /r
Perc rate of one inch in minutes requires a minimum of .24_S sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms — x/7 SS - sq. ft. minimum requirement = a total or32%_ sq. ft. of absorption area.
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Date --
/� „'� Inspector `i -
4 :c <
FINAL APPROVAL OF SYSTEM: cy't ipp''...4.91.A4 Q
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover-
Fes ...
ing any part.
eve- Septic Tank cleanout to within 12” of final grade or aerated access ports above grade.
lees' Proper materials and assembly.
ICIPLEVICOrade name of septic tank or aerated treatment unit.
701 tee�� absorption (or dispersal) area
0/ri **. Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
ul Other
Date - z 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 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 indiyydual 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 (5500.00 fine - 6 months in jail or both.
Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy
Fees Paid $26.----(n)
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date y -/Y767
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: _ .e 4 , (
Mail Address: IL 1 City: .■ ,4.4. 1. Zip: 21c).:? Phone: 63 --aC?.
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 Y� PA / City or Town S. O' Cdr9�2./��+�O�r-ec
Legal Description _I . t ! 2 , / Lot Size (!; Qf'AQ
2. No. of Bedrooms _ Septic Tank Capacity /190() Aeration Unit Capacity
3. Source of Domestic Water: Public (name): C�
It ,2.� A6c6 A f
Private: Well Depth Other 6epth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? .,
5. Distance to nearest sewer system:
Have you attempted to arrange a connection ith the system? �e-
If rejected, what was the reason?
\ 6. Rate of absorption in test holes shown on the location map, in minutes per inch
drop in water level after holes have been soaked for 24 hours: .. cz= i.O
X 7. Name, address, and telephone of person who made soil absorption tests:
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O. Name, address, and telephone of person responsible for design of the 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.
Y- iCf — �1 ( _ I c. Date Signature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
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Act\ e485• coa g
\ SCAGE / /NCN /DO FEET •
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GARFIELD COUNTY
COLORADO
A parcel of land situated. in Lot 16 of Section 3, Township 8 South,
Range 88 West of the Sixth Princinal'Meridian, lying Easterly of the
Easterly bank of the Crystal River, Southerly of a fence as constructed
and in place and Westerly of the Easterly bank of the Carbondale Town
Ditch, said parcel of land is described as follows: .
Beginning at a point on the westerly right -of -way line of Colorado
: State Highway No. 133 whence the Section Corner common to Sections
2,3,10, and 11 in said Township and Range bears:S.46 °31'33" E. 2485.204
feet; thence S.26 °15'00" E. 2.1.70 feet along the Westerly right -of- -way
line of said highway; thence S.86 °27'05" W. 602.48 feet to a point on
the Easterly bank of the Crystal River; thence N.31 °20'35" W. 244.24
feet along the Easterly bank of said river; thence N.87 °47'47" E. along
said fence 444.21 feet to a point on the Easterly bank of said ditch; .
thence S.20 °52'43" E. 90.32 feet along said ditch bank; thence S.15°
36'30" E.51.413 feet along said ditch bank; thence S.00 °21'10" W. 43.727 •
feet along said ditch bank; thence N.86 °34'37" E. 229.58 feet, more
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or less to a point on the Westerly right -of -way line of said highway,
the point of beginning, containing 2.09 acres, more or less.
The above described parcel of land is subject to the Carbondale Town
Ditch as shown on this plat.
' February 20, 1. SCARROW AND WALKER, INC. .
P.O. BOX 460
GLENWOOD SPRINGS, COLORADO
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