HomeMy WebLinkAbout00820 L/, I This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (3031945 -7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N9 820
Owner Ronald Nation
System Locat Lot C, County Road 335 - New Castle
Licensed Contractor _C4' ® TA ?Il,t A ..'3 A ,...."
' Conditional Construction approval is hereby granted for a /' £ o gallon
+ «'' Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:,
}' Pefc rate of- bnp' r in As it... quiq ft. of absorption area per beroom.
-4' Therefore the no. of bedrooms "a" � x / - sq. ft. minimum r yu iferheht =$ tot -
> d WA rption area.
May we su /44 X 5 ' ,7( 5 cv eft sG / ,_ �V 'S 7 » / , :(� . , , J c , (? BF -'
.
� / r r / �/ / , ." • Date �j /.� ��e7 Inspect 6 14.4.1 h�f !, '/7�,!'. ••••-:"1" ., s f
ft i , i �j / t
'h,•FINAL APPROVAL OF SYSTEM: � - ( �
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t � No syste allbe dee be in '. pliance with `w
t age Disp ' . s until the asse ,", • systp is approved prior to coves
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y
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A$ ; to 0 / 1 • -Trade game of septic tank or aerated treatment unit.
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( , - , Adequate absorption (or dispersal) area. �.
Adequate compliance with permit requirements., (`
Adequate compliance with County and State regulations /requirements,
/// Other / / �
Date ‘/ 3/e Inspector 7 U
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vblves a k ing and ° --, ial va a tton Win) the �,T a p f et io d • nRarned i#n t ii qn of permit tommi ;s ` a Glass 1,
Jy �,T� * '' ) �'' t a�'a
Petty Offe s $500,00 , – 6 monthk'c jail or 6 th). , ., ; r ,} w, ' + a.,
t B Official – P ermit White Copy • A p ic n en –
y - r pp ticant Green Copy Dept. - Pink Copy .
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Page Two Fees Paid $1S
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date q--Ii-
Owner: P», p„ Q i 7 ,✓�,,
Mail Address: 4 142, ,3 , � / City: t , ( „ Zip: 814;e1 Phone:94 - :a 7
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 Nr,. (?.t.,/4
Legal Description kepi (, cy,35 Lot Size /b'/1trs
2. No. of Bedrooms .7 Septic Tank Capacity an 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? 4/0
5. Distance to nearest sewer system: a „( s
Have you attempted to arrange a connection with the system? 44~ `-
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:
g. 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.
61 / /7/ PWe
of pp scant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY •
•
A P
•
•
1- k
t ippl -C TFPr A4k 4
i v V
�d /o A!e,Q
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
•
we(( Tt�
•
/s o f
(TO BE RETURNED TO BLDG. & SANI, DEPT,)