HomeMy WebLinkAbout00594 This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
ar., 'J J WA TVP:C' • - RAW Y.NB •.. Mat ONLY Phone (303) 945 -7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT mi 594
Owner Jahn Nu.biugrrr, Jr,
System Location Lot 31, M311ng3, Weatbank
Licensed Contractor F'Z.t' ( 17, I c, L (.7 J
* Conditional Construction approval is hereby granted for a 2 . 0 0 0 gallon
Septic Tank or % 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 3 x 125 sq. ft. minimum requirement = a total of 375 sq. ft. of absorption area.
May we suggest Deep Field 10 Squats & 12 Deep
Date July 27 , 1978 Inspector ji -'f `
FINAL APPROVAL OF SYSTEM:
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.
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface. -._... _
Proper materials and assembly.
Trade name of septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area.
1 Adequate compliance with permit requirements.
Adeguate compliance with County and State regulations /requirements.
*„.....
. . CJ r.!!'' %"4 - r5'tt.: ', -a Y ^:... ,._e ,rc. "i f . r , C r..�,•'..e'.�.;
Other . ' r -,.
•
Date ""
' �' Inspector e t •'�
c . ,
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 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 $. w
INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION
Date 1
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE .
r/ INDI " VIDUAL HOME SEWAGE TREATMENT, SYSTEM
Owner: (4�,,,, f•1 �� ,q�. a-•
Addre . ), O 2 (J
Mail A J �� c J ) City: , ��y,;„„�,,,�,� Zip: gd/( Phone:9KS - 66/1
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 (.4.104430.4,/a—
Legal Description jot a 7 6( R. Lot Size / -i- A
2. No. of Bedrooms 3_ Septic Tank Capacity /(2.5 Aeration Unit Capacity
3. Source of Domestic Water: Public (name): 1,0.¢ ea., ,.-
Private: Well Depth Other Depth to.first ground water table
4. Is facility within boundaries of a city /town or sanitation district? ho
5. Distance to nearest sewer system: 5 q-
Have you attempted to arrange a connection with the system? /1/ -
If rejected, what was the reason? 4//1---
6. Rate of absorption in test holes shown on the location map, in min tes per inch of.
drop in water level after holes have been soaked for 24 hours: �j� „.2 S-
7. Name, address, and telephone of person who made soil absorption to s:
- �C
8. Name, address, and telephone of person responsible for design of the system:
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.
Date Signature of App cat•
(TO BE RETURNED TO HEALTH DEPT.) l
To
Date id /S Tim 2 04
WHIL YOU WERE O 1
M N rm. Vin" pc
of p ^� �
Phone / / ar /T ' rel
Area Code Number Extension
TELEPHONED //PLEASE CALL ✓
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
1 RETURNEDYOURCALL
Message
/re: lgs
whisk. 7 r
Operator
RB/FSS/B RC -300W
k ,p arr"
�W R
_ n *ttte
/ /./. -1?-2-7 - i^iii %tr.-
.10—Z .10—Z 3 / Q 83 Q S � � �
A , �.
1
_ /
Yn ; I 9L� L- _:— /- / Seel/ •:_ .../.6 .. / &. 4- all0.- 0 , en ._._ -._ _ _ pl se
a_
/ / p 9 ,/ 3 111, lR,l
_ _3_.,,H P t a, .. - .�: .../ :E ✓1 w,. G ^"uu`'
II Cre(c. c . YV l ÷ Z q � m
//,� �/ O / � 4.
il 'A 0 f l 2, "fr 2 -- , M
4� b'" 3 41 ri_-
/3 I t
�f 2. S " (13ttc/ / , e
r_ ate_
JJ br/lw J' /7 r
11 4 sr A 6, s _ +
T :. — 0 , u /2 r„ > a o � eQ e_ t e�c�C - .
,
a
w
gym„ r
lu "II 4 ' 4
‘.... �._.:.,d.... r � �,� _ ..w`._._. ..� emu, .. s -,+ �� i
7
-1...,_.. I oZ e.3_,/1/w /
II
I1't
... V
II
•
d''
To J ! '
Date 1.3. —Time _. L
WHI IfAigUlCI OUT
Fiec y Phone
oP
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TOSEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
1 RETURNED YOUR CALL 1 J
Message
___JIpxetOF
Remen /B RC -300"
•
oW
•
•