HomeMy WebLinkAbout00543 This does not constitute
Y {{ • a building or use permit.
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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014. Blake Avenue
Glenwood Springs, Colorado 81601
REPAIR - 140 CHARGE Phone 1303) 945.7255
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INDIVIDUAL SEWAGE DISPOSAL PERMIT N9 542
Owner Russell eoott, Jr.
System Location POUT 1111a Road
Licensed Contractor Gstsasett Const.
* Conditional Construction approval is hereby granted for a 1 ,000 gallon
X Septic Tank or Aerated treatment unit. Ptrc tats known an '73 Peslait
8143 lesued to "Scott Ranch"
Absorption area (or dispersal area) computed as follows: as 1 inch in .10 at1 utos —
Perc rate of one inch in Na minutes requires a minimum of M/A sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 3 x MBA sq. ft. minimum requirement = a total of N a sq. ft. of absorption area.
May we suggest Owners request to install system larger than max. sizing appro d... 5r e,Pnge
bed 20' x 60' x 3' (1,200 s¢. ft. of absorption area), /_.
Date May 2, 1fla. Inspector
FINAL APPROVAL OF SYSTEM: ', AAA ai cuL eat —
No system shall be deemed to be in compliance with the Sewage bisposal Laws until the assembled system is approved prior to cover-
ing any part.
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
C a le -- surface.
Proper materials and assembly.
e ��a: S rade name of septic tank or aerated treatment unit. /
Adequate absorption (or dispersal) area. ZaS / p,c A 9 a �'CC,Or7Or ., V 7 _G - 'x 7 iC G . 3 C -
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Other
Date �� r/$ " Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
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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
ViLwi oafi.!
Fees Paid $ a_4
INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION
Date
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT .SYSTEM
Owner: �LcSSLLI
. ccnt
Mail Address: B* x 4 Z S 7 City: $pfN CA, Zip: $/P// Phone: /Z
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 Garfield City or Town
Legal Description 3gs ArtACrcD Lot Size
2. No. of Bedrooms 3 Septic Tank Capacity 0 000 0, Aeration Unit Capacity 0
3. Source of Domestic Water: Public (name):
Private: Well N4 Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? /JO
5. Distance to nearest sewer system: )DO t. ) s rr��
Have you attempted to arrange a connection with the system? Pie
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in mites per inch of
drop in water level after holes have been soaked for 24 hours: —gam Tot( / T
7. Name, address, and telephone of person who made soil absorption tests:- Hap pq.rr 6'G/i
C r . e-eta` A%124 /T
8. Name, address, and telephone of person responsible for design of the system:
1 - Gasstrr 927 -43
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.
/44y, 7 le `VI90t,b
Signature of Applicant
(TO BE RETURNED TO HEALTH DEPT.)
_ -ga1 pescription - Sunlight Ranch{ aka Temp1,6ton Ranch
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:, Lots 8,9,'12 and 13 • Sec 23. 'Lots '1,1R4 3, 6, 10, and 12 Less rd. Sec. 26 -7 -89
A‘tr. in Sec.` 34 NE ' Sec. 27 7-89 . 159.59 acres':':
� w',1'a. 3
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- ft AND BOUNDARY LINES S
ACM
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I CZa �- ✓ l sT ,�wK Al,
OS
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(TO BE RETURNED TO HEALTH DEPT.) � -- -