HomeMy WebLinkAbout00429 a This does not constitute
a building or use periftit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 :Blake Avenue
Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT /! N? !' 429
Owner ' ' John 9. Tusk 4-a-k • � . I Apo & 0 _t i trim. vin.,pAr .) AitrA
System Location
Plat Elk Creek OkAnC S — ' 4
U &nsed Contractor
Conditional Construction apptoval hereby granted for a / 0 gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
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Perc rate of one inch in / 10 minutes requires a minimum of / 1 �sq. ft of absorption area per bedroom.
Therefore the no of bedrooms . 3 x /`.X' sq. ft:; minimum requirement = a total of %." sq. ft of absorption area
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�iAay we suggest �"'� T ®�
. -a So /777 I ns ector. -th- 7�.s( '
Date
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,` FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal taws until the assembled system is approved prior to cover-
ing any part.
r: 'r Septic Tank cleanout to within 12" of final grade or aerated access ports above grade
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P materials an assemb iv
(jet/ ` l ' oiXJ Trade name of septic tank or aerated treatment unit.
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Adequate absorption (or dispersal) area
.�> / e. Ade u e compliance with permit requir ements.
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�•""- Adequate compliance with County and State regulations /requirements. iIii
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Other �_ 7 /
Date / Inspector
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RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
'CONDITIONS: 1 C
T 1: All installation must comply with all requirements of the County Individual Sewage Ditposal Regulations, adopted pursuant to au,
thority granted in 66.444 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.' M
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-
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volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1,
is Petty Offense ($500.00 fine — 6 months in jail or both,
' Building Official — Permit White Copy Applicant — Green Copy Dept — Pink Copy
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Fees Paid $7r
• INDIVIDUAL SEWAGE DISPOSAL APPLICATION - r a-
7. ��
• Date
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
• INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: John S Pork
Mail Address: PO Pox 175 City: New castle Zi 81647 Phone: 884 -2881
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 Garfiel City or Town West Elk Creek
Legal Description See Attached Lot Size T.aX Acres
2. No. of Bedrooms 3 Septic Tank Capacity 1800. Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well X Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? p
5. Distance to nearest sewer system: 10 Miles
Have you attempted to arrange a connection with the system? NO
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& ,L?c?ztiu i
7. Name, address, and telephone of person who made soil absorption tests: /1
8. Name, address, and telephone of person responsible for design of the system:
,4 =71d4-r Z5
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.
June 20 T97T `l, /
Date ��ti
ignature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
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PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
Se t A77 A0/ '
(TO BE RETURNED TO HEALTH DEPT.)
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' A parcel of land in N.E.S. No. 131 sit in the E1/2SE1/4 of Section 32, Township 4
South, Range 91 West of the Sixth Principal Meridian, County of Garfield, State of
Colorado, lying Westerly of the Westerly line of a County Road as constructed and in
place, said parcel of land is described as follows:' -- ___
Beginning at a point on the Westerly line of said H.E.S. No. 131, whence an iron post
with a brass cap found in place and properly marked for the Southeast Corner of said
Section 32 bears: S.34 ° 18'33" E. 1521.15 feet; thence N.19 ° 45'00" W. 257.38 feet along
the Westerly line of said H.E.S. No. 131; thence N.62 ° 19'12" E. 767.39 feet to a point
on the Westerly line of said County Road; thence S.24 ° 30'09" E. 522.33 feet along. the
Easterly line of said County Road; thence S.15 ° 08'21" E. 36.05 feet along the Westerly
line of said County Road; thence S.83 ° 48'00" W. 823.36 feet, more or less to a point
on the Westerly line of said N.E.S. No. 131, the point of beginning.
The above described parcel of land contains 7.31 acres, more or less.
November 27, 1976 SCARROW AND WALKER,INC.
P.O. BOX 460 4
c1, N.:ooD SPRINGS, COLORADO
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