HomeMy WebLinkAbout00551 This does not constitute
a building or use permit.
. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
• 2014 Blake Avenue
Glenwood Springs, Colorado 81601
'PERC FEE WAIVED - RATS KNOWN - FEE ONLY Phone (303) 945 - 7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT NU 551
Owner Edward 3. Schwab
System Location Lot 16, Westbank Subdivision •
•
Licensed Contractor
Conditional Construction approval is hereby granted for a 2.250 gallon
Septic Tank or X 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 . 4 x 125 sq. ft. minimum requirement = a total of 500 sq. ft. of absorption area.
May we suggest Deep Pteld 12 squats & 12 deep.
Date No 11, 2978 Inspector ��
"NOTE: This system reviewed by Sparrow & Walker staff on Permit 033. - Th s system' a
FINAL APPROVAL OF SYSTEM: ldentisaal to that stem i,'lt? addition of 1 bedroom.
•
No system shall be deemed to be in compliance w the Sewage Disposal Laws until the assembled system is approved prior to c• er-
y S. ing any part.
I
O C Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground d
�� surface. ""
/�
Proper materials and assembly.
e
7774ee Trade name of septic tank o aerated treatment unit.
0 Adequate absorption (or dispersal) area. 1 ,,
0/C , Adequate compliance with permit requirements. ^
0 /C - Adequate compliance with County and State regulations /requirements. -
Other
Date — �.c —:�..L 2 /1 ,� Inspector _ _ _._. = "�-�J
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 111, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in -/
wolves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class
Petty Offense ($500.00 fine — 6 months in jail or both),
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
(
Fees a
F Paid $as
INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION
Date S I1
• NOTIFICA OF PROPOSED DISCHARGE TO WATERS OF THE STATE
J� INDIVIDUAL HOME SEWAGE TREATMENT.SYSTEM
Owner: , D unit 0 J, SC if WM?
Mail Address: /6 p/riy /Ai As'a City: C41Wil ooD s t d- it - Zip: 6 / / Phone: q` / 1 ' 9228
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 Testa/t/
Legal Description L47 -'��/ I�FSTIftfV4' �,9w s b/3 Lot Size /, OG5 S
2. No. of Bedrooms h i Septic Tank Capacity /slika Aeration Unit Capacity / 6 - 7
3. Source of Domestic Water: Public ( name): ,W437fANk R//Nc4 MIME OivNGRr
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or s tion district? '7 b
5. Distance to nearest sewer system: 7
Have you attempted to arrange a connection with the system? /4
If rejected, what was the reason?
/
6. Rate of absorption in test holes shown on the location map, in minu 's per inch of
drop in water level after holes have been soaked for 24 hours:
7. Name, address, and telephone of person who made soil absorption tests:
8. Name, address, and telephone of person responsible for design of the system:
/
ec
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 1 hereby agree to comply with all terms, conditions and requirements j
included therein.
//- 71 �, D,,� _ %
.
Date Sign ure of Applicant
(TO BE RETURNED TO HEALTH DEPT.)