HomeMy WebLinkAbout00754 ; A t
This does not constitute
r 7 • r a building or use permit. J
1 ' GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
/ ; 1,' - 2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945.7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT NY 754
Owner Lorin Doplen
System Location
New C 8-33 Ccp /(J 2/11—
Licensed Contractor ;- - £ft l.4 .J
' t
Conditional Construction approval is hereby granted for a 7- 5.-.0 gallon I.
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in /Q minutes requires a illnimum of �6 l
-) sq. ft of absorption area per bedroom.
li
Therefore the no of bedrooms x . S
�• sq. ft. minimum requirement = a total of .T :
„i'�4 $ , )sq. ft of absorption area
May we suggest .CJ•[ -^°' 4c,•-d. 7 2 � •4 t 1 .k " ?
' 4 — ( e -P
Date .s, _ _ . Inspector „2:,-: <r , '� r iC/, - c •C' .. • r: - >
/
FINAL APPROVAL OF SYSTEM:
�
No system shall be deemed to be in compliant with the Sewage Disposal Laws until the assembled system is approved prior to cover-
ing any part.
/ 000 Grt q/i /79
41 1 - en( Septic "rank access for in ection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
), Ok Proper materials and assembly.
Own Pr nix d e_ — A000
Ok Trade name of septic tank or aerated treatment unit.
4. \ r
I , i C9/ • Adequate absorption (or dispersal) area.
i k h _04 Adequate compliance with permit requirements.
0 A\ Adequate compliance with County and State regulations /requirements.
_.------- Othe .
Date � /
1
7 ,��rQD P N .
// " I nspector .L
. RETAIN WITH RECEIPT RECORDS ONSTRUCTION SITE
ONDITIONS:
1. All installation must comply with all requirements of the bounty Individual Sewage Disposal Regulations, adopted pursuant to au-
thority granted in 66- 44.4�CR$ 1963, amended 66-3-14, CRS 1953.,' -
� 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 B ilding and Zoning office shall automatically be a viola-
' tion of a requirement of the permit and cause for both legal action and revddetion of the permit.
\ 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 1,
petty Offense ($500.00 fine - 6 months in jail or both). .
J I Y
Building Official P erm i t White Copy Applicant — Green Copy Dept. — Pink Copy
Page Two UTT1tI ZJSe
Fees Paid $70)
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 7
ie
Owner: p o f
Mail Address: l,, >3 City: " Zip: Pig_
Phone ,2 /.
INFORMATION REGARDING PROJECT SUBMIT Z� c1 #7 f
TED 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 (see Page 3).
1. Location of Facility: County GARFIELD City or Town %
�
Legal Description . ( o ,T(p , �Q4l (,13 �
. Lot Size '. — iCCt_{
2. No. of Bedrooms 1 Septic Tank Capacity 7 Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? f l i NQ
5. Distance to nearest sewer system: 3 eynj,
•
Have you attempted to arrange a connection with the system?
If rejected, what was the reason?
6. If R.P.E. tested, state 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:
7. Name, address, and telephone of R.P.E. who made soil absorption tests:
8. Name, address, and telephone of R.P.E. responsible for design of the system:
9. Express permission is hereby granted for the inspection of the above property by any
member of the Garfield County Building & Sanitation Department and /or such persons as
they may designate. Any withdrawal of this permission shall be in writing and receipt
acknowledged by the County Building & Sanitation Department.
10. I have been given an opportunity to read the Individual Sewage Disposal Systems Regula-
tions of Garfield County and I hereby agree to comply with all terms, conditions and
requirements included therein.
Date Signature o Applicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page. Three
�� PLEAS RAW AN ACCURATE MAP TO YOU PROPERTY
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6 57
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS; AND BOUNDARY LINES
•
•
(TO BE RETURNED TO BLDG. & SANI. DEPT.)