HomeMy WebLinkAbout00527 This does not constitute
.1" a building or use permit.
f► GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945.7255 •
INDIVIDUAL SEWAGE DISPOSAL PERMIT bpi 527
Owner Robert C. Gonzales
System Location Asgard Subdivision - Lot 47
Licensed Contractor w -
• Conditional Construction approval is hereby granted for a /A�/ gallon
k Septic Tank or Aerated treatment unit.
)
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in, -Zt) minutes requires a minimum of v'+2 / 4) sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 'a x'. -1 O sq. ft. minimum requirement = a total of c e'') sq. ft. of absorption area.
May we suggest / //X SS X 3 /$pG_'D,i9foee' i3c /_�.3,
Date.(+ - .=� Y � Inspector
if _ma .__ ' �--•� - -. •- r - E'= - -
)
FINAL APPROVAL OF SYSTEM: C / `"
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover-
,: x ❑ . ing any part.
) 4 - - -- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
./ Proper materials and assembly.
( l/97sl a name of septic tank or aerated treatment unit.
C r Adequate absorption (or dispersal) area.
G� G -- Adequate compliance with permit requirements.
n -" Adequate compliance with County and State regulations /requirements.
Other r
i
Date <' • , Inspector �! • • • 11" '
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 a0 -..,
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-
. Lion 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
Fees Paid $7\--
e INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION 4.-- (4-'7 t Date
� NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
l INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
owner: n1, .L7 . / f Z �� (- r /D
lAA -P S . ?r £ , Z iKx
Mail Address: }3jjJ pp ti)c 1b47 City: re% (Gt-e Zip: ( 1/0S - 6Phone: (07:s cr
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 Arl ial>,_____ City or Town t e' S((jT
Legal Description P ffro# art L& (nT�hf - 7 Lot Size -7447='.)-7S- h-c ,(-CSS
2. No. of Bedrooms Septic Tank Capacity Imo Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well X Depth Other Depth to first ground water table l ip
4. Is facility within boundaries of a city /town or sanitation district? N n
5. Distance to nearest sewer system: f_ST IAA 1 16 r.
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 mi I per inch of•
drop in water level after holes have been soaked for 24 hours: % /- 'fr., 4 i 4
7. Name, address, and telephone of person who made soil absorption test
,/ t 2/Z 1i /L%//
8. Name, address, and telephone of person responsible for design of t system:.
/ff OAiriLt-L
9. Express permission is hereby granted for the inspection of the above p 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.
y I
ate a Signatu e of Appiic 0 c 4!";-:)
(TO BE RETURNED TO HEALTH DEPT.) .
P LEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
•
s l
Sic GS
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI—
:1 4, R T , R. D , s'i C11'1 •
tit
11� �
(TO BE RETURNED TO HEALTH DEPT.)