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Home My WebLink About00731 4 This does not constitute • a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 REPAIR - NO CHARGE Phone (303) 945 -7255 INDIVIDUAL SEWAGE DISPOSAL PERMIT Nv 731 Owner Stephens Land Company System Location Sweetwater - 7 miles from Sweetwater turn -off Licensed Contractor owner 5� jQQQ Conditional Construction approval is hereby granted for e eX1$L1 ng gallon X Septic Tank or Aerated treatment unit. s • Absorption area (or dispersal area) computed as follows: Perc rate of one inch in D1OW minutes requires a minimum of sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 4 xge sq. ft. minimuf requirement = a total of sq. ft. of absorption area. May wesuggest nstlll1atl n of seepage be 24' x /5' x 3' adequate t serve residence. (see attachments for verification of proper materials and assembly) Date .nine 2 1Q79 Inspector 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. ,9' - Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. 4— Proper materials and assembly. f7-.1" 577X)tt, Trade name of eic tank' r aerated treatment unit. Ct2t Adequate absorption (or dispersal) area. 9&' .'"ScQ• f= ' - °: cr) i9 t s.a) , t/ /h°Y - c : %ir • ar. Adequate compliance with permit requirements. --- Adequate compliance with County and State regulations /requirements. Other Date — — 7 `7 Inspector 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 /v0 Fees Paid $ INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: N5 /rJX /i f- 4J <i�'• Mail Address:SIL)y.fr _rw a kr— City: - a Zip: //J7 Phone y -7 INFORMATION REGARDING PROJECT SUBMITTED FOR RE 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 � Gar ) field Ci ty or Town '5o,� e , 74 0 ,.# Legal Description '°,9�/P` � Lot Size <2,5 /4t s 2. No. of Bedrooms a Septic Tank Capacity 75 Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well >4( Depth 4 :,/ e , 4 :,/ e , / Other Depth to first ground water table /5 'l 4 :,/ e , 4. Is facility within boundaries of a city /town or sanitation district? y� 5. Distance to nearest sewer system: (- Have you attempted to arrange a connection with the system? NU 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: ;c- c / >>oi 7. Name, address, and telephone of person who made soil absorption tests: �' .mac 4 / c iT 8. Name, address, and telephone of person responsible for design of the system: 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. // 'oat- - gn• u e o .pp ican,' (TO BE RETURNED TO HEALTH DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • , • ja : _ _ / 1 INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES,, ROADWAYS, AND BOUNDARY LINES - % I '. I R i rt � . , - c c _, N om,,, ,,,,,„ I (TO BE R s` ate• , TH DE'v.'- v I • i 1ST 3-07ay )-c-tg cc/ fepG /S /,c CG x to 7- 7 /-- �v i2_09-C / C=Z- /mot/ 6/ 'U.000 // /vc= / 0 ) £2 F ,yam tJ� C? 0 e2 _ - , vC-- z_=�/9�v6 _ &ea, 624 a 6i- f e tA r ottLe-Set-42c A A {/� - -- o, rS /6 G /- 7-7-e • • D & R TRUCKIN • • 6 6 5571 STAR ROUTE GYPSUM, COLORADO 81637 PHONE 524 -9336 . NAME - �-- l/.t74) '� I,nW'- - / + ADDRESS r Date Cash t Charge A - 6 on Account 1 - 4 ''9 2-7-r,J iP.Zlt- / LL .& 1. 5 . P., 0 424, , O e 6 5 JAo X25 ect I S/ �. 1 ,4 /=- if INVOICE NO. Gmair 0 .301.3O. . PHONE: L 1,.,. �y =� 287 I ` , 1' ompany (3031243-14604 J(NK da / _ - 2870 FR E EWAV EAST 0 Call QCHECK SOLO TOP cum* V GRAND JUNCTION, COLO.81501 0 ciao. 0C.o.°. . 7 /1 , NAME: • DATE ORDERED „ //; A 1 ;° /.. / //, / ^1 • o ADDRESS: / • DATE [HIP•[D T • • CUSTOMER • QUOTE NO. 55555 MAN TERMS • FREIGHT PILLED JO[ NAME /./C,./ l BY. ORDER NO. Q PRE PAY • Q ADD •HIPPED VIA F C ❑ COLLECT BACK or INVENTORY DESCRIPTION UNIT % AMOUNT SHIPPED ORDERED IOUs NUMBER -4 PRICE DISC. 1. 2 - /17 (. I - • 3 _ i • • 4. - 6. — I 7. _ 8. - r 8. - 70. _ I . I - f 11. . J / , i 227 / / SUB TOTAL t 9 < / GOODS RECEIVED BY:(X) DATE DISCOUNT TERMS: All Charge Accounts are due and payable by the 30th of the month following purchase. Dis• SUB TOTAL / 0 ' - i counts as shown in the discount column are allowed only if accounts are paid in full, by the date below, and if there is no balance past due. No discounts are allowed on sales tax or RENTAL delivery charges. FINANCE CHARGE: Past due accounts are subject to INTEREST at the RESALE RATE of 1% PERCENT PER MONTH (1(i%PER ANNUM) applied to the principal month- CITY TAX % , r y ly plus any costs of collection. STATE TAX % DISCOUNTS: IF PAID BY , DEDUCT S AND PAY S LABOR CHARGE OR IF PAID BY DEDUCTS AND PAY S \ DE CHARGE J 1 ) ) TOTAL // � , -. r .. ..:. .. DELIVERY • RECEIPT •