HomeMy WebLinkAbout00719 a y�
This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945.7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N4 719
Owner Wayne & Alberta Payton
System Location Grand 303
A � Valley - end of County Road 30
Licensed Contractor [1�r______! -��
• Conditional Construction approval is hereby granted for a {1 gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in ca 2 minutes requires a minimum of .;:r AO sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms x AO sq. ft minimum requirement = a total 'of /%-+: tr sq. ft. of absorption area.
May we suggest .17 &r2' >yr<..c- f. "? /� iX 5 i` 4 3/ .ter
Date —, `'7 `� Inspector G� "'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.
nO /C Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
0 � G Proper materials and assembly.
6 PQLA.vn Trade name o e or aerated treatment unit.
6/C
Adequate absorption (or dispersal) area.
1. Adequate compliance with permit requirements.
ate Adequate compliance with County and State regulations /requirements.
Other
Date -C'J / /9 77 Inspector dtee.--ned
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
.., . .................... . ......•. w....................... .......n..... ..:....... ...,1.
Fees Paid $
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date 10 -6 -7
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: Wayne and Alberta Payton
Mail Address: ty: Grand valley Zip :81635 Phone: 285-7604
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 Grand valley
Legal Description Naar the Na s2o T7 R95 Lot Size 80 acres
2. No. of Bedrooms 3 Septic Tank Capacity ( 1 0ZS0 Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well X Depth 200 Other Depth to first ground water table 120
4. Is facility within boundaries of a city /town or sanitation district? no
5. Distance to nearest sewer system: ->/.-x7, Ef_
Have you attempted to arrange a connection with the system? no
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: , S r o� .2n /?-
7. Name, address, and telephone of person who made soil absorption tests:
.5 rte "or z iT
8. Name, address, and telephone of person responsible for design of the system:
Sr �= f's=7 / r
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.
0 - ( - � c � ) � _i
Date Signatur of Applic nt
(TO BE RETURNED TO HEALTH DEPT.)
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PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY '
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e-N d o f J o 3 road'
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INDICATE-BELOW THE LOCATION OF Y�1URBUILDINGS WATER SUPPLY D DISTRI _ ,
'DU rION LINES; STREAMS, IRRIGATIO DITCHES, ROADWAYS, AN
DWAYS,.AND"BO/NDARY LINES "
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(TO OE RETURNr0 TO HEALTH DEPT.)