HomeMy WebLinkAbout00509 This does not constitute
i a building or use permit.
Is GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue (3
Glenwood Springs, Colorado 81601
Phone (303) 945-7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N2 509
Owner Floyd Crawford a Malt William
System Location Lot 27 - Maatbank 00 97 10-4,--e---
Licensed Contractor
•
• Conditio ruction approval is hereby granted for a •et00 gallon
,k Septic Tank or Aerated treatment unit. .vac apoex
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in c,Sr— minutes requires a minimum of ° sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms - C xa.. ft. minimum requirement = a total of 1D sq. ft. of absorption area.
May we suggest /• So "X - 3 '..SC ?- 'i+' c ` r dG"
� / /7 -- 7� Inspector ; ,
• Date n p S / � "
FINAL APPROVAL OF SYSTEM: i (' ^m
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.
ice ` 3 Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
O/G Proper materials and assembly.
a ft ed4iJ.D Trade name of ptic tan r aerated treatment unit.
lie Adequate absorption (or dispersal) area.
0 Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Other
Date i 4. / � /9 7� Inspector XL TIC l 1....
RETAIN WITH RECEIPT RECORDS AT CONSTRUCT 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 1,
Petty Offense ($500.00 fine — 6 months in jail or both).
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
Juu
Fees Paid $e
INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION
Date f%
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
4 INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
•
Owner: n. l' .1a.,�e.,.k
Mail Address: .�g / City: P/.re`6,1 C Zip: 7 Phone: 917 2I#y
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 ,6 City or Town
Legal Description .,1- 9 ( 4._ Lot Size 1, 75 rtes. .
2. No. of Bedrooms 3 Septic Tank Capacity Aeration Unit Capacity
3. Source of Domestic Water: Public (name): ( (oone,
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? 'yro
5. Distance to nearest sewer system: `j ,
Have you attempted to arrange a connection with the system? ,Jci 0
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in mi tes p r inch of -
drop in water level after holes have been soaked for 24 hours: % -+- - m
7. Name, address, and telephone of person who made soil absorption tests:
8. Name, address, and telephone of person responsible for design of t e yste m:
Jam` c <4
9. Express permission is hereby granted for the inspection of the above operty 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.
:- -A a) /?7x
Date Signature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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INDICATE BELOW THE LOCATI' OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IR' GATION DITCHES, ROADWAYS, AND BOUNDARY LINES
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(TO BE RETURNED TO HEALTH DEPT.)
• July 10, 1978
r
Mr. Ed Feld
Garfield County Environment Health Dept.
Glenwood Springs, Colorado
Dear Mr. Feld
Permission is hereby granted for Floyd Crawford to
install a septic system on Lot 27, Filing # 1, Westbank
Subdivision. This variance from an aerated system is
subject to your approval of the proper leeching requirements.
Sincerely
�Sy stbank Ranch # 1 I
Westbank Development Inc.
By John Huebinger JR. President