Loading...
HomeMy WebLinkAbout00798 re- 4 - This does not constitute a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue �lenwo Se n p hi C , ola C 1 LE ) - RATE MOWN N FEE. f.)HLY Phonod ei303) do 81601 INDIVIDUAL SEWAGE DISPOSAL PERMIT 7 Owner Jarnes R. Clough System Location 1 nt a Filing 2. Westhank Sub. 0479 4t'esm.-4 ,e/ Licensed Contractorr G(/q P h ` Conditional Construction approval is hereby granted for a 1.250 gallon .• ' h X Septic Tank or Aerated treatment unit. Se. , g � y ��) Absorption area (or dispersal area) computed as follows: , 4 �` „;43 li, _ 3 by , may Pere rate of one inch in 25 minutes requires a minimum of 230 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 4 x 230 sq. ft minimum requirement = a total of 920 sq. ft. of absorption area. May we suggest Nana Leach Field 24' x 40' x 3' or 18' x 52' x 3' or 12' x 1 X E.' December 13, 1979 .,,: .. e�°^' M *%% Date + - Inspectors - - 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. r,• Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Ck Proper m assembly. qs vials a 'P -,K�09 «-� ok T ade name of optic tank or se ted treatment unit. ©/t Adequate absorption (or dispersal) area. OK Adequate compliance with permit requirements. C!': Adequate compliance with County and State regulations /requirements. Other ! Date / r /e2 9 Inspector 0/44•1 111 �% (J .(444.I . / RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE l *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 1, Petty Offense ($500.00 fine — 6 months in jail or both). Building Official - Permit White Copy Applicant — Green Copy Dept. — Pink Copy assansallalanalS .a..........r. urrice use Page Two Fees Paid $ Imo/ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date Owner: ce/lnv.r 4 CL oa 6.6! Mail Address: 9 e( City: 6t,,6. Zip: 8/6) -3 Phone: %' ?/.5J6 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 — Legal Description tor 6 /5 1 aAar+r Lot Size /s "et_ 2. No. of Bedrooms '/ Septic Tank Capacity /,). Aeration Unit Capacity — 3. Source of Domestic Water: Public (name): orAk ,Aury Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? Aso 5. Distance to nearest sewer system: ,v�rr— fnr S sEp,r/ Have you attempted to arrange a connection with the system? /tn sys04K, ,Gd-, 4jee 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. / D e ature o AZicant (TO BE RETURNED TO BLDG. & SANI, DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY diqA1 ______V9 `/W • }loos' wl sly ``'•` •... ou 114 t et ri Pie -_-- - /_ST Stet_____- _.__ -_. —__ _____ ._1___-._-___ _ INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES • (TO BE.RETURNER..TO BLDG. & SANI. DEPT.) 7 9� E � , Gof (�' Ft /ily 2 covv_r (2, / � 5 vi z a /�� To Date /, Time � 57 WHILE YOU WERE OUT Name of ) Phone / " rag/ Telephoned X Please Call Returned your call Will Call Again Wants To See You RUSH / Message / /� «-41 4 G id iX B �j v 1 OPERATOR 395-51-06-0013 Printed Sy Division of Central Services