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Home My WebLink About00588 • This does not constitute Q a building or use permit. • GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 • Phone (3031 945-7255 INDIVIDUAL SEWAGE DISPOSAL PERMIT NV 588 • Owner Jim t A zuanno Rook System Location New Cattle Licensed Contractor Conditional Construction ap is hereby granted for a Arcs Gs__. gallon Septic Tank or Aerated treatment unit. • Absorption area (or dispersal area) computed as follows: Pere rate of one inch in `- sa O minutes requires a minimum of 't ' ' sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x —.5.1a... sq. ft. minimum requiremen tal of n sq. ft. of absorption area YL ie 6.ei{, I n R , X6c� rX J P // p' S's 3 ( 1. Ma we su '"' l.�.r -�_ a / Date ( ' c- ! ,/ ` / / > i Inspector � '� : Q om' - f " -i ,F; r' l� s % i , � , . . / �f1 / FINAL APPROVAL OF SYSTEM.J 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. n/C Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface.>„a 19/C Proper Aerials - 4nd assembly. t. reef -4fJ Trade nape of ptic tan, , r. aerated treatment unit. • fl/t Adequate absorption (or dispersal) area ,— r dVC Adequate compliance with permit requirements. y ®/e- Adequate compliance with County and State regulations /requirements. Other ' (� Date r 0 � /9 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 1, Petty Offense ($500.00 fine — 6 months in jail or both). Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy _ r1 - r-co Fees Paid 573 INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION 7 a -Ze Date sl NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT,SYSTEM Owner: !ill? 4/ oi!/?/!7/ eel Mail Ad ress :�i"��D &adt°"'leity: ,Li /�ni Zip: 4 fr,h0 /Phone:� ° INFORMATION REGARDING PROJECT SUBMITTED FOR REVI 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 Ci ty o Town ��l.� TZ c ' l Legal Description Po"� 07 iii C �� SI /te C �C=ZA _ y,./,� 2. No. of Bedrooms 3 Septic Tank Capacity lct "'eration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well \/ Depth Other Depth to.first ground water table(,(O WtOQtt 4. Is facility within boundaries of a city /town or sanitation district? `777) 5. Distance to nearest sewer system: 5, 2 Have you attempted to arrange a connection with the system? G 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: C �C 7. Name, address, and telephone of person who made soil absorption tests: CT 8. Name, address, and telephone of person responsible for design of the system: Sc Pc-17 -GU 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. ,�D a �.; /7F ate gnature of Applicant (TO BE RETURNED TO HEALTH DEPT.) . • •. " 6 S, R . 9/ 1 /1/e s —/ RM. •I c, 0 . OA$SS ens 1 sort 4 + Fr , i ;••a R/;.F•sTivB.G /sy.en S y 7/G: . 17V' t (- Neese // •/ COANcR ¢ t • ti 1+ , ol0•••••10 . t. e.e.4.s /i.,c6wee 4, ..,...e , ' • �' S•' Naar �.'' /ON r N• 00 "w. I ' '' s / i�.3 ��'' �'.d 5 ( 9 2 ,f //oar," • anNN A.. w..Nel. . / ._.; ST --11� 2bPr• 1, � {f • e. i•O• 'ni •NeWN IA/' • `/ � � �( Y Ile' 1 1 1 1 ' 'Y /NAS .Ne � .]IV � i Fe• I 1 e..y'ee One Iles / c . U 0 :4 14 J rt # .�1lAGINN /Na I �� / (C 4J �R � _ /✓. G "30 . 1 1 , .1 � �p /. rrD Y 3 /h 7'2" l p � MLA. G f1 {/� K i . , , L • r ; • • .3 1, r '.1 70 - 5 G 0 •% '� O • I p W ' 1 1 - t { p •., Is• ?a Ur G ' - �55 1711 ,.� • I to. 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Aru' • 1 e, ;`; ', t os a vn?-w Wm° * re ,s Sfr Pa) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • /v rt-e ces Cif G� in= � I�F-Et.�7wl lA� Tvroo E Fa d L7� ,b(01b('C -- �� 2_fl _ -- INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES Cow,41, e s • ,e % /0 / Betio► (TO BE RETURNED TO HEALTH DEPT.)