HomeMy WebLinkAbout00431 This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
ALTERATION - NO CEARGE
INDIVIDUAL SEWAGE DISPOSAL PERMIT N; 431
Owner Peter J. Chrlsteleit and Georgia E. Ploadng
System Location South of GIenwood springs ' s' 1 S A 4 - - (.1) ,c
Licensed Contractor
* Conditional Construction approval is hereby granted for a N/A gallon
N/A Septic Tank or 19 /A Aerated treatment unit.
Absorption area (or diapersal area) computed as follows:
Perc rate of one inch in N/A minutes requires a minimum of N/A sq. ft. of absorption area per bedroom.
N/A
N
I, Therefore the no of bedrooms x sq. ft minimum requirement = a total of N A sq. ft. of absorption area
May we suggest approval granted to connect two bathrooms to existing sewage trots t facility,
Date Juno 28, 1977 Inspector / r
FINAL APPROVAL OF SYSTEM: o ` n ^- P'V 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.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
— Proper materials and assembly.
.1 Trade name of septic tank or aerated treatment unit.
N /! ' Adequate absorption (or dispersal) area
Adequate compliance with permit requirements.
e Adequate compliance with County and State regulations /requirements.
Other
Date ' t! 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-
66-44-4, CRS 1963, amended 66 -3 -1
thorny granted in 66 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,
I I ; 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 VI',
INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION Date �ic -+f� N f
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
// INDDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: R gle T Ckk 'ele" Cgo eo• !A e'. `a-n ev
Mail Address: Ba)( c j / City: e Jwaoci Zip: vat Phone:42S- /054
INFORMATION 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.
S oce Tar o
1. Location of facility: County (A,e- 4,e ( City or Town &'1 -7
rv�n'P6
Legal Description a j� /!�/(a `�YS7,?;�i�1 tot Size • 5 S ,¢e,e
2. No. of Bedrooms --- Septic Tank Capacity — Aeration Unit Capacity Ano
3. Source of Domestic Water: Public (name): v
Private: Well N Depth 1/2 Other Depth to first ground water table 75 �
4. Is facility within boundaries of a city /town or sanitation district? /V
5. Distance to nearest sewer system: 0
Have you attempted to arrange a connection with the system? /V o
If rejected, what was the reason?
b. Rate
?if, orption in test holes hown on the location map, i
X drop wa level after holes ha been soaked for 24 hou minutes per of : N/f
7. Name, address, and telephone of person who made soil absorption tests:
�
� ce/ n
8. Name, address, and telephone of person responsible for design of the system:
:D044 7,v , 6.
9. Express permission isereby 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.
Date RI
of Applicant
(TO BE RETURNED TO HEALTH DEPT.)