Loading...
HomeMy WebLinkAbout00717 yr - • " vit u e Y 1t, F t uI r'n ni y [ 4.# This does not constitute -Aid'i,l 6 Y ' 1 F i i i i r i' q r ,,,vi s4 b ui ld ing ' or use permit. ' I w I Al E COUNTY DEPAR I tgTOF BNVI tON T L A'L w, I f :. "l : „ :'," l liw � 9 ' 201 4 a en vpa r,. 9� ,/ . 'l ii Rc� WAIVED » RAT ' I C 4� ` ' FEE ON� eW Pbtl 0It , 92d, lit � 4 ' i'" l" Lk 'I ND IVIDUALSE WAGE� Oi l opt, PERMIT ay 1 '1140 h "s' * s ' "gip rykVaM r 4 I 1 p a 1 ' , d 4 li i4:1 4 . "1 Ed Pat. Cohttf Inc . , 1 D 4 ;p �p , I Nder. . ' r ,, . ° i f " ;iii :1 0 I i w u t• iyTIy " „ f + I em L t1ob , {,G ^ + � 4 ! � s a Ga or,I n . rt bpa 3 Wei r I w � sr L Contractor r. I' �lS� «i ..i "' ' � ' s j I ' , , I n ' : � wi ''• , ' w a il i t , I4 ' .' Conditional Constr tton qp `rOval is hereby g ltl. ' i"d ; b i , gallon i” r l ' M r Septic to k K i t" , Aerated � u 1P„ 1 , ^ k gq ryyy 111 Absorption ar a r d l e r' me it; 'r�•,I .d uI IN tiY U a (d di A) �com,gd F E p , 1" • • x i Perc rate of one inch in ;" 5 ' tt llr t 'ram of rvkt! 12 sq. ft. of absorption area per bedroom. m it , f ' Therefore the no. of 1 ms" +x - 2D . sq. ft, inimum requirement.. a total of 375 eq. ft. of absorption arse a • TI '1, 4 < �'' q, 1 " r • � Mav we Susae�t De tiel�d .lt , F�uare �aad',��{� deep � . 1 ( t E d w r A / 0 `� Q a Le June b t X79 r ' ' ' . Inspector F � 1 a Ord L. el J by , t . L. S herwo dr 'lopi d ,1 1/40 NAL APPROVAL OP SYSTEM: ' :I #, " ^ i" ) u'4 iv, al I "N system shall be deemed to be in compliance wit the Sewage Disposal Law( (747,119/ ,,r r , Ing enypart• 0� '20/3 8,9 ti r '' II t, , et, et„.. Septic tank access for inspection and Cl ining within 12" of bt I r _ ,' surface. C / s • Proper materials and assembly. ; • LS 6, e a -/ G /� PG / F - A — i _,/ , e, 10 Trade name of 6apt�is tank or aerated i re' ment unit. / / v ee r i_ 0,c/e/ T "/ ,J Pr .11, °l `t , Adequate absorption (or dispersal) area. I �/ / / • T". s Y S t 6 c " — Adequate ' tff lmpliance with permit re u ir ments. ill „ i; q jet 4Gd (1 ,4oh // k ) Adequate compliance with County and ate regulations /red — — q /4 /7 g t ° 1 2c Other "Date �.a-- . . .,-cs , .t ” 7 y ' Inspector rc , *14 ' RETAIN WITH RECEIPT R y rCORDS AT G ,�._ -, .- / ' ' u1 ''CONDITI ONS: 1 "i 1. All installation must comply With all requirements of t County Individual Sewage Disposal Regulations, adopted pursuant to au- '':. ' z thority granted in 66.44.4, ORS 1963, amended 66.34'( PA ' tgp3 2. this permit is valid onl for connection to structures lab haye fully compiled with County zoning and building requirements ' Connection to or use With tiny, dwelling or structures hi approved by the Building and Zoning office shall automatically be a viola• t ion of a requirement of the permit and cause for both I al action and revocation of the permit, ui ` 3. Section III, 3.24 requires any' person who constructs, ° a ors, dr i tells an Ind stowage d system in a manner which IN,' i ,,, wolves a knowing and (material Variation from the terms rppecifloations contained in the application of permit commits a Class 1 's,. "t. . , ' Petty Offense ($600.00 fine — 6 months in jail or both)., I ,u9 ui m "�h : Building "bfficiai Pe "rmit'White Copy " ' Applicant Green Copy ' Dept. — Pink Copy ... ,. ." ,.._..1.a.. .,,,..,w.._d,.... .:�____.� uia..H...� ... ..... .....�,::,...�.._..��9.`.a..�W ._...�.. �...,.u.�...YYls4+'•._,v. i • / This does not constitute y - / a building or use permit. • GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenyie Glenwood Springs, Colorado 81601 L WAIVED - RATE KNOWN - FEL ONLY Phone (303) 945 - 7255 DIVIDUAL SEWAGE DISPOSAL PERMIT i 7 Owner E e Face Construction Inc, System Location Lot 36, Filing 3. Westbank i mph / ea_t/or✓ Ln Licensed Contractor 4 . . ' ill. '1 Conditional Constru tion approval is hereby granted for a'; 1 . 000 gallon X Septic Te k or Aerated treatment unit. Absorption area (or dis ersal area) computed as follows: Perc rate of one inch ini 5 minute's requires a minimum of 1 2 5 sq. ft. of absorption area per bedroom. Therefore the no. of becrooms 3 x 125 sq. ft. minimum requirement = a total of 3 /!' aq. ft. of absorption area. May we suggest Deep Field 10' square and 12' deep Date June 6, 1g % `.1 Inspector i ( ` ' !,s Ldw. :,i[o F r l d /by/ - 1 I. r FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until t ' ti 1 r , is approved prior to•cover- ing any part. ■ !r7 e" Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground _ surface. , O' - Proper materials and assembly. 'Grade name of septic tank or aerated treatment unit. /07_5" - 7° &o9C- 7 7,t-' at- tt.c -t r' ear -- Adequate absorption (or dispersal) area. �Z Adequate compliance with permit requirements. 4.451 Adequate compliance with County and State regulations /requirements. Other 7 Date 7 e?-c2- - 7 / 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 -, valves 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 Fees Paid $ ' ,°° 4 INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION Date 6-6_19 'i NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM' .Owner: ,x /r a C` rice/WC/ .27>t e. Mail Address: :R i3,c;/ City: ��x/tAle,..ar.• Zip: < &623 Phone: `a! 1:37 - 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 (ohxtcvexl,nr,S 5 Legal Description /..elf .3G , /i e j Lot Size / 2. No. of Bedrooms .1 Septic Tank Capacity 7 ,i Aeration Unit Capacity 3. Source of Domestic Water: Public (name): e t Y ,t /darn Private: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? 5. Distance to nearest sewer system: ? -ct> Have you attempted to arrange a connection with the system? If rejected, what was the reason? 6. Rate of absorption in test holes shown on the location map, in min es 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: /1 8. Name, address, and telephone of person responsible for design of the system: 1/ /1 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. Da � ( %ezP1icant (TO BE RETURNED TO HEALTH DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY K INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES 9 , lam (TO BE RETURNED TO HEALTH DEPT.) Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by ``ll pp County Official: OWNER Z,cX.,._ 11J �- - Lo,-.rc D,. o±ncrv.,,,., 4 0 e a t /" ADDRESS 0909 1 c l'`ilQmpC) err. : o 3,c PHONE 9'rs ./as,q r , e CONTRACTOR r fl n .. vy o a& Sig C � a iv ,ADDRESS ru)bi, `NvtQJ - - \.. 3 y.S. (�. PHONE 7Y6 9/ I PERMIT REQUEST FOR: ( ) New Installation ( IrAlteration ( ) Repair Attach separate sheets or report showing entire area with respect to surrounding areas, Of topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes. (See page 4.) LOCATION OF PROPOSED FACILITY: County 40- Near what City of Town �( �l ti � � , Lot Size / &' Legal Description 1.-aC :4 h j FiQx� 3 ‘Al WASTES TYPE: (X ) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Number of bedrooms Number of persons - ( ) Garbage grinder ( ✓) Automatic washer (✓) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (;i'`3' well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: If supplied by community water, give name or supplier: V s- W� CQSSoC . GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? i\I R TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (X) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: FINAL DISPOSAL BY: (X) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE ?___Qy 0 , Page 2 • SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) Minutes per inch in hole No. 1 Minutes " per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in hole No. Name, address and telephone of RPE who made soil absorption tests: 'Name, address and telephone of RPE responsible for design of the system: Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposes of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further under- stand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for per- jury as provided by law. Date — //- P47 Signed \ _ W c��__ 1 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY Page 3 t T 4 V nl 1' Lo _, , _c, , , , _e ,i) , ill 1 —tar 6 p o , Lo ® 0 ' ' I ' ..4r- - ---;__________ c. _ -- --- „ i _ p 0 s I . .. S A • r , I 4 5, 4 o .: �� ___ „L., I i ll t I Li I -.. 1-1 , r , er- 4 To J I --- 'Date -2 , I Ate S Time 1 L WHILE YOU WERE OUT Name Dl a D 00-hi t of A Phone — I � sue q Telephoned Please Call Returned your cell Will CaII Again Wants To See You RUSH ` Message � ' A / —�i kt ✓jn oft- OPERATOR 3901- 06.0013 Printed By Division of central s. .. (2 2)eni e • 0o9! Me h Xle % 11 S772 ro- • 7 •4 ' ; ft) . Is a 0 coo % � zn .0 r iN h ni ni I �N ru q t I Iii . . lec— \ �� r '� —I ( \\, of 1r k —I— ; . v STEELED Nc -� � � � Metal Construction Products \ 1 1 1 SPECIALISTS IN: N. • METAL ROOFING -I • METAL SIDING I - V • • ARCHITECTURAL PANELS I i Vd \ o _ I . , I • STANDING SEAM ROOFING • METAL ROOF TILES 1 r • ALL RELATED ACCESSORIES ok , 4 / / i .\ cr. PALA 41 -i.