HomeMy WebLinkAbout00440 R This does not constitute
a building or use permit.
I; GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
li Glenwood Springs, Colorado 81601
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INDIVIDUAL SEWAGE DISPOSAL PERMIT NY 440
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Owner Ernst 4iahtn6ttl
System Location 0422 County Road 166 - Carbondale
Licensed Contractor 0 KV A/ k
/ / / !�rn i./e)
• Conditional Construction approval is hereby granted for S �Ao gallon lr -
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Septic Tank or Aerated treatment Unit.
Absorption area (or diapers ) computed as follows:
Pere rate of one inch ' minutes requires a minirylum of /is sq. ft. of absorption area per bedroom.
Therefore the no of bedrooms `3 x //S sq. ft, minimum requirement = a total of a c sq. ft. of absorption area. y
May we suggest Dee0 ree.r/CA 42 IV X4 / *Low /,✓Ler X .791 o'
Date / Inspector �' � 2e -- ! "
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" FINAL APPROVAL OF SYSTEM: n `) (Jj�'w'u-k_ 1 40
I �JY�� cry, 44 41
r No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved priot to cover.
W. ing any part.
�1.-- Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
at - Proper materials and assembly, __�� �
16/ Trade name of septic tank or aerated treat . /2 S0 &' — - f 4/ S 77324-er#
__a_ Adequate absorption (or dispersa a
1 Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
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Other
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Date /1 S 7/ ` 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 66444, CRS 1963, amended 663.14 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.
1 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 term$ or specifications contained in the application of permit commits a Class 1,
Petty Offense ($500.00 fine — 6 months in jail or both. '.
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/2 Building Official — Permit White Copy Applicant — Green Copy Dept, — Pink Copy .............. '
Fees Paid $ c 6
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date -- )-3.- - )1
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOM SEWAGE TREATMENT SYSTEM
Owner: Pi-7(4,44 fte •
Mail Address: ( Cfj i?4 (6 - ( - City: CI DI , , l, Zip: ��,�_ Phone: 745'2225
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.
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1. Locatio f facility: County 44c .,/ City or Towr�_ ?,t7CeLQ9
Legal Description ?4 a( J a, t & ec, Lot Size 2latr(e,C -
2. No. of Bedrooms Septic Tank Capacity/600 Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well )(\ Depth 9(7 Other Depth to first ground water tableS0
4. Is facility within boundaries of a city /town or sanitation district? -- X -0 <G---
5. Distance to nearest sewer system: f G C'� i Ole
Have you attempted to arrange a connectio / with the system? ILO —
If rejected, what was the reason? 2 , , 4_4 . J
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■ 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: .i _____ _i T'
7 Name, address, and telephone of person who made soil absorption tests:
S'e r ,zial € ! T
8 Name, address, and telephone of person responsible for design of the system:
( cd Lr,ar
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.
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2 7-- 9 ie ,,
Date Si.na " o App scant
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(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
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(TO BE RETURNED TO HEALTH DEPT.)