HomeMy WebLinkAbout00729 JIts 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 Ng 729
Owner d /i 0 y,U Pa WEB'
System Location Rifle - (-)'at3. (',8.,0._.
Licensed Contractor
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* Conditional Construction approval is hereby granted for a gallon
d teptic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
d Perc rate of one inch in SO minutes requires a minimum of .- sq. ft. of absorption area per bedroom.
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Y Therefore the no- of bedrooms 47 x a sJ sq. ft. minimum requirement = a total of . ,� sq. ft. of absorption area.
May we suggest / , 4 X a /
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Date . ' �.. r 2 /� /el 7y Inspector A . /, : "�:
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.
OA - Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
/� ,surface.
0 1_ \ Proper materials and ssembly.
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�c� �p e �
Trade nam of / v � o let_ ok 1
�� septic tank or aerated treatmentAmit �/'I S 7r / /P
0 I Adequate absorption (or dispersal) area. / / 3 r
1
e2 Adequate compliance with permit requirements. . 'r
i lc Adequate compliance with County and State regulations /requirements. .,
- -_. Other f
Date 0/i- V. / inspector A 4/1�...l<La
RETAIN WITH RECEIPT RECORDS A IfONSTRUCTION SITE
*CONDITIONS: 1
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 111, 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 $7
• INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date o' -40- -79
• r NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: ti ()IA) 4.1t A 1 ‘4_,"
Mail Address:?o(zr Dos City: rk- /( e Zip: p/t<U Phone: 7j fc/
INFORMATJON 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 - /
Legal Description Lot Size Art /c? ,7c
2. No. of Bedrooms V Septic Tank Capacity ipso Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well Depth Other Depth to first ground water table72 _ /
4. Is facility within boundaries of a city /town or sanitation district? /L
5. Distance to nearest sewer system: • 3
Have you attempted to arrange a connection with the system? 4 0
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in minutes �er inch pf
drop in water level after holes have been soaked for 24 hours: ,S p
7. Name, address, and telephone of person who made soil absorption tests: ( ,`,,. '.
8. Name, address, and telephone of person responsible for design of the system4
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 Signat - of Applica t
(TO BE RETURNED TO HEALTH DEPT.) J
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY .
. •
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________ : _ .
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(.... ____—
L.--7i Y 76
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS AND BOUNDARY LINES
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(TO BE RETURNED TO HEALTH DEPT.)
GARFIELD COUNTY BUILDING DEPARTMENT
GLENWOOD SPRINGS, COLORADO 81601
2014 BLAKE AVENUE July 30, 1982 PHONE 945 -8241
625.3321
Lloyd Power
0313 259 Road
Rifle, CO 81650
TO WHOM IT MAY CONCERN:
This office issued an Individual Sewage Disposal Permit #729
(copy attached) for the property at 0313 County Road 259 and •
the system was installed and inspected in conformance with the
existing regulations. A final inspection was performed on
February 26, 1981 and the system was approved. As far as we
are able to ascertain, the system is currently in good operating
condition.
Sincerely,
Jim McMurrey
Garfield County Buil ing Inspector
/eh
Attachment