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Home My WebLink About00500 T i RI � This does not constitute .r - a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH t 1 1 2014 Blake Avenue Glenwood Springs, Colorado 81601 REPAIR - PERC ONLY Nil (303) 945-7255 INDIVIDUAL SEWAGE DISPOSAL PERMIT NQ Owner .7. R Brosseaa and Gaoxge Dapples • - System Location 4418 County Road 154 - Glenwood Licensed Contractor. Colter SXOmvatinff Conditional Construction approval is hereby granted for a 1.500 gallon 2 Damp+; tment 'r' X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: ..� Perc rate of one inch in 5 minutes requires a minimum of 125 sq. ft. of absorption area per bedroom. '`rr Therefore the no of bedrooms 5 x 125 sq. ft. minimum requirement = a total of 625 sq , ft of absorption area. - ,.. i. May we suggest Drywall 224' long, 11 wide, and 9 deep below inlet 1 ,,s ' Date 12 Inspector g --.._-- - ' � \ FINAL APPROVAL OF SYSTEM: • €'v b ! 1 v ` No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover- ii II ing any -part II *, illy 4e.5> .' / Septic Tank access for inspection and cleaning within 12 of ground surface or aerated access ports above ground 1 'N ; +. //' surface. "�. li at `�C� Proper materials and assembly. �{ " __..�/ ^'Trade name of septic tank or aerated treatment unit. - .,jt,, • , "----- Adequate absorption (or dispersal) area. :, : +/;,, Is p _. Adequate compliance with permit requirements. it / {" = Adequate compliance with County and State regulations /requirements. y Other S Date Z Inspector Ad a 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 I11, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which In valves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 months in jail or both). • Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy • This does not constitute i - a building or use permit. ii GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue ^ n ��'��y'�`°,Q`' Glenwood a (303) 945-7255 Colorado 5.725 5 81601 l/lJ(/lRs�a . �?�+�[/L� REPAIR — PF,RC ONLY Poe 3035J25 �,U INDIVIDUAL SEWAGE DISPOSAL PERMIT N° 500 =r-- a... k J:vs J , E, Brosseau and George Dapples eorg Owner � ^ System Location 4418 County Road 154 — Glenwood -�' ��.O�i" L4-1) V Licensed Contractor Collet Excavating * Conditional Construction approval is hereby granted for a 1,500 gallon 2 compartment X Septic Tank or Aerated treatment unit. Absorption area (or dispersal 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 5 x 125 sq. ft. minimum requirement = a total of 625 sq. ft. of absorption area. May we suggest Drywell 224' long, 11' wide, and 9' deep below try2et, Date 12 -77 Inspector �'/ 7,--1 FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is apprbyed prior to cover- ing any part. Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper materials and assembly. Trade name of septic tank or aerated treatment unit. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. Other Date 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 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, Petty Offense ($500.00 fine — 6 months in jail or both). Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy REPAIR - PERC ONLY Permit Ilij t) 5 , 0 � CHARGES N ame o A J. E. Arosseau & CeorEff • Dapples ;'. Percolation Test $ 50 . 00 Amount Paid $50.00 = (includes final inspection) Permit Processing Fee $25.00 Date Paid December 5, 1977 Check (no cash) X Cashier Toni L. Sherwood Cash Money Order ALL CHECKS ARE TO BE MADE PAYABLE TO GARFIELD COUNTY CLERK AND RECORDER. Ir . — Pink Copy Clerk & Recorder — Receipt White Copy Applicant — Green Copy Y • This does not constitute e building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH • 2014 Blake Avenue Glenwood Springs, Colorado 81601 - -- REPAIR — PERC ONLY . - INDIVIDUAL SEWAGE DISPOSAL PERMIT N9 5 0 0 • Owner a. E. Brosseau and George Dapples System Location 4418 County Road 154 Glenwood Licensed Contractor Arid, • Conditional Construction approval is hereby granted for a 1 SZ76 gallon Z 40r Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in - minutes requires a minimum of / kr sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms _AC. x _/�q. ft. minimum requirement • a total of ilAZ•C sq. ft. of absorption area. May we suggest tae Yo ) 3,i //t / antarS // r a/O r ' t* fl d ,(049 c& { /V G 7 7 Inspector Date FINAL APPROVAL OF SYSTEM: 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. [v Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. (fie /y��Pr r materials and assembly. �J/ (� ,, ,�yy7 °L— �" Tr name of septic tank or aerated treatment unit. (6'' Adequate absorption (or dispersal) area. ✓ / L / .� Adequate compliance with permit requirements. • Adequate compliance with County and State regulations /requirements. Other Date — / 77 _ Inspector " 4 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 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, Petty Offense (5500.00 fine 6 months in jail or both. Building Official — Permit White Copy Applicant — Green Copy Dept. Pink Copy a� Fees Paid $ $Z] INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION , Date ( Z - — - 7/ NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE 857019-y pV INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: 44 RC1 S ex Nt- • 7, Sas Mail S P �o /40, rf WA c ess: F. &5C City: <A 4 ,� / � 7Sc on =1� �� X Y: C p: / Phone: � IN T ON REGARDING PROJECT SUBMITTED OR REVIEW rcae, -o £9'l�`� (c y5/hia coc+rh�ax� 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 o F/e k City or Town Legal Description e. Lot Size / 53 ae 2. No. of Bedrooms Septic Tank Capacity /2h n Aer4tion Unit Capacity ,3 e &6 "e2n e '71/7 (c-) f 3. Source of Domestic Water: Public (name): Private: Well A Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? ,Aj 5. Distance to nearest sewer system: 4 /�j, Have you attempted to arrange a connection with the system? 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: 4e- ,e2d 7 /7 7. Name, address, and telephone of person who made soil absorption tests: Ems f - 8. Name, address, and telephone of person responsible for design of the system: se" 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. /j - S -77. i e e r Date Signature of Applicant (TO BE RETURNED TO HEALTH DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY nn + --� ' Fb4 R G tv/ /( ads a- .. aew.ny .n S rcfr 5 i , /an 3, 9Y 3a I " m ; A. n .„of ge „„,. s te,e, . INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES /tt.J '/ f lk/ /A Ai; '40f r 1. Cv �- (TO BE RETURNED TO HEAL DEPT.) /C_