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HomeMy WebLinkAbout00781 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 MO 781 Owner Charles P. Vermeyen • System Location 0051 County Road 165 - Carbondale Licensed Contractor Conditional Construction approval is hereby granted fora /Sg - gallon j..— Septic Tank or Aertted treatment unit. Absorption area (or dispersal araa) computed as follows: Perc rate of one inch`inP minutes requires a minimum of /..gsq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 4- x,1 ^4 sq. ft. minimum requirement = a total of ,C.aG_sq. ft. of absorption area. May we suggest //3/-//3/-.2_ 3 / x ' /542 x /O d ee/ VJN N /�! i Date 7 7 ? y e , .2 Inspector ✓ �' - � '�� - / / /4 24 1 ..rw .r�*/7_ 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. 8VC Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Q1-1" Proper materials and assembly. ( /� l / (1.:)/- / .. � /�� 2 6 r�aM i {5 6 e U % - .204/ o s k �t y C��LC Tra e e e o e is nk r aerated treatment unit. �t�. .. 0 a 4 C Adequate absorption (or dispersal) area. 4:li e q 5 t f a> c, ,L» , . 1 / C'e Adequate compliance with permit requirements. (Ok< Adequate compliance with County and State regulations /requirements. Other Date /O //49/ © Inspect• I .. . 4141 JI `A-"I• RETAIN WITH RECEIPT RECORD` • CONSTRUCTION SITE gr d '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 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). Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy au .a .. — r ......... _-- ��-�a�. se� ��r� ..0 - a� .auuuf��.ua�.i��aia���:i�Ii��t .w.suwa.ir�L.0 a�WiYw Ull Ite Ube Page Two Fees Paid 5 , INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date (n —11- Qj Owner: ONA-i(xS p, vegm C- y e-N) Mail Address: /' W/7 City: thigaSispanZip: City) Phone :s —sa( 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 (see Page 3). 1. Location of Facility: County GARFIELD City or Town ( ( 44it Legal Description OOtR ) (,s 4 _ ((o S Lot Size 7i . :9 At . 2. No. of Bedrooms Septic Tank. Capacity ) )Sr) Aeration Unit Capacity 3. Source of Domestic Water: Public (name): / Private: Well Depth /76 Other Depth to 1st ground water table /GO 4. Is facility within boundaries of a city /town or sanitation district? ND 5. Distance to nearest sewer system: kcti7z4 /-/u - -l' Have you attempted to arrange a connection with the system? NO 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. Ca 1779 . D ignat f Applicant' (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three . PLEASE DRA 1 1 ACCURATE MAP TO YOUR PROPERTY 1 _ I. ` Water NI MM 1,1 . . - is\ _,..., ci kc. ,o. ,‘ t O 4 Cot" d fit) r: --0 ry /e0 S v. N )o i INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AAD DISTRI- BUTION LINES, STREAMS IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES (TO BE RETURNEQ TO BLDG. & SANI. DEPT.)