HomeMy WebLinkAbout00394 1 , 2 1 This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
1 2014 Blake Avenue
it Glenwood Springs, Colorado 81601
PERC PRE WAIVSD — RATS KNOWN - PER ONLY a,3 y66 DJ / -Doz - 0.2
'W INDIVIDUAL SEWAGE DISPOSAL PERMIT N2 394
V III Owner John Nuebinger, Jr.
System Location Lot 26, Filing 2, Westbank a/..2 4I u *4t.4..--
Licensed Contractor owner
• Conditional Construction approval is hereby granted for a 1,25 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.
Therefore the no of bedrooms '$ x 125 sq. ft minimum requirement = a total of 500 sq. ft. of absorption area. 1
May we suggest poop Field 12' sgMHre and 22' deep.
Date April S7 , 1977 Inspector ffL -
**NOTE: This system reviewed by Scarrow & Walker staff an Permit #336 - this system s
FINAL APPROVAL OF SYSTEM: identical to that system w /addition of 1 bedroom.
No system shall be deemed to be in compliance wit the Sewage Disposal Laws until the assembled system is approved prior to cover-
ing any part. e !NPee &o Ck T et zeisa G/®
e lC Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
0l Proper materials and assembly,
<Ierfidie Trade name of septic tank o erated treatment uni�
O /C Adequate absorption (or dispersal) area.
t lG Adequate compliance with permit requirements.
0 L Adequate compliance with County and State regulations /requirements.
Other ��
Date �.� / 17 77 Inspector ./11P. -t��..�4f—es�m=,d�
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 tu-
thority granted in 66-44-4, CRS 1963, amended 66 -3 -14, CRS 1963. 1 f I lThls leer It Div 0 1 1 I. ' rI . 1,0 Ito 1 t ' t 1111111 ' . a t 1 - np r PC building f Ifti ulfwmentc_
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INDIVIDUAL SEWAGE DISPOSAL.SYSTEMS APPLICATION Date's 7 - 77
41, ' NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE.
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: Jnf,J l-1 u e_ B,& 5 k _J 1
Mail Address: Po 60x 78 City: &tail/wocv Zip: 8 /6of Phone: 9YS -6Li9
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 &yar/an.o City or Town `,LENwuco
W£$T(a ow.c
Legal Description L or aG F/L,06 7.- Lot Size 0 20 0 xaco -
2. No. of Bedrooms If Septic Tank Capacity l2 So Aeration Unit Capacity !a S o
3. Source of Domestic Water: Public (name): WE CEetna A�
Private: Well Co m Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? NO
5. Distance to nearest sewer system: IVA
Have you attempted to arrange a connection with the system? ,4j a
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in minu es per inch of ir
drop in water level after holes have been soaked for 24 hours: c <' 't -i c<
7. Name, address, and telephone of person who made soil absorption teats:
Cr.-(31.c.4„4
8. Name, address, and telephone of person responsible for design of t! a 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.
�- a7- 7
Date Signature of Ap icaot
(TO BE RETURNED TO HEALTH DEPT.)
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