HomeMy WebLinkAbout00690 , --Z `, This does not constitute a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Slake Avenue Glenwood Springs, Colorado 81601 \FEE ONLY _ : E. T,_ SYSTEM - PARC WAIVED Phone (303) 945-7255 IN( UAL SEWAGE DISPOSAL PERMIT NY 891 j' Y Owner Craig C. & Peronelle P. Robbins System Location Carbondale Licensed Contractor owner 1,200 * Conditional Construction approval is hereby granted for a a gallon Septic Tank or X Aerated treatment unit. Absorption area (or dispersal area) computed as follows: see Perc rate of one inch in N/A minutes requires a minimum of plans sq. ft. of absorption area per bedroom. • see see Therefore the no. of bedrooms _AL____ x, PI MIN sq. ft. minimum requirement = a total of ;lanssq. ft. of absorption area. May we suggest plans & opera. of Registered Professional Engineer approved as artta9dd, Date April 25, 1 9 7 9 . Inspector . . / 1 - 2 4 1 2 , / 1 / 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. fir' ' Proper materials and assembly. 6 e- Trade name of septic tank or aerated treatment unit. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. Other Date /- , v4/.4i - 5- - /7� ' f ' Inspector - ..�. 4' C Z"- a ✓ 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 CQpy Dept. - Pink Copy X Fees Paid LPN �' , . ‘ • INDIVIDUAL SEWAGE DISPOSAL APPLICATION 0 Date 4 -Zs 1 9 , • ■- NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE • ,• INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner:' CRAG C. . 'Ro 3 Q / N S q.- Pf oN£ P- go gg 1 iv c Mail Address: to hi Atilks,4 City: �,. , Au — gz—C!hone: __ 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: Countyaat-GeicA City or Town Ctc- iz,'.-a- Th' A-rA c ot Gt4t SC'Cq dotSail 4 X legal Description a('1- Pric7H4= -- Cot Size 46 Ctcfl S 2. No. of Bedrooms '4 Septic Tank Capacity LLSO Aeration Unit Capacity (z p - y 3. Source of Domestic Water: Public (name): Private: Well Y Depth � Other '' ‘ 401 Depth to first ground water tableeuu 4. 'Is facility within boundaries of a city /town or_ a station district? IN,OC CE 5. K Distance to nearest sewer system: ,_:)._ AA_A Have you attempted to arrange a connection with the system? &/0 If rejected, what was the reason? '6. Rate of absorption in test holes shown on the location map, in mi es p r inch of L -0 drop in water level after holes have been soaked for 24 hours: 1 �,� L - .7. Name, address, and telephone of person who made soil absorption te Xf 4AILIA 88. Name, address, and telephone of person responsible for design of t e s . 40 h /(,(u 9. Express permission is hereby granted for the inspection of the bo prlbperty 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 erms, conditions and requirements included therein. c -7� ,s,1 I O Date Signru ru e o Applicant 9 pp (TO BE RETURNED TO HEALTH DEPT.) - PLEASE DRAW AN ACCURATE 14AP TO YOUR PROPERTi 32 IN` U • • CAR64NOA� -E / cuMPiNG X Re leER . • STA-n ots1 '. 1 LE GaKzo -o /\ 0 ASS o(� (11 1000f 4 I N HGC65 S ROAD TOWN of CA2130NDALE i .,, .WNTy Roo too - � DR w G RAtiROAD k 1 . INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- :U_.I' "E , ... Y , 0 1 -- . , , op :Wes ' 1 (TO BE RETURNED TO HEALTH DEPT.) { Scarrow &Walker /KKBNA, Inc. s _. N 2 a 204 8th Street ' '•' GLENW00D SPRINGS, C0t160} + g 1A May 10 1978 d , IC (303) 945.8664 To , SUBJECT" Robbins Sewage Disposal' T 'Mr. Ed Feld - - - __ System , Garfield County Environ. Health 2014 Blake Avenue Glenwood Springs, CO 81601 • Dear Ed,. > We have enclosed a print of the Robbins system, Mrs. Robbins will be in with the $25.00 permit fee'prior to construction, Thank you. - Eno. SIGNED j � 4 El PLEASE REPLY ❑ NO REPLY NECESSARY a rtin b. usd or , P.E. Jr