HomeMy WebLinkAbout00825 •
This does not constitute
K 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 zit 835
Owner John A. McNeal, Jr.
System Location 37190 Highway 6 & 24 - West of New Castle
Licensed Contractor
Conditional Construction approval is hereby granted for a gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in a minutes requires a minimum of /. (,a sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms .— x /S hsq. ft. minimum requirement = a total of T'+ / i U sq. ft. of absorption area.
May we suggest /2 x 3 B ' 7c 3 Seep. o h / c ` 3 ev< 4 f<3 l ' c! e ep
Date Il ?'t /Sn Inspector Ir J/ 1 c a
FINAL APPROVAL OF SYSTEM: " � f
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.
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Proper materials and assembly.
Trade name of septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Other
Date Inspector
RETAIN 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
VII IL
Page Two Fees Paid $ - )S - 0V
• • INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 1--)-).- $()
90
Owner: John A. McNeel Jr.
Mail Address: Box 173 City: New Castle, flo.Zip: 81647 Phone:984 -2307
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 Townwest of New Castle, C.
Legal Description Parcel situated in Lot 8 of Seclot Size 11.52 acres
6S,R91W of 6th Principal Meridian
2. No. of Bedrooms 3 Septic Tank. Capacity Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well XXX Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? No
5. Distance to nearest sewer system: 4 miles
Have you attempted to arrange a connection with the system? N
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.
9 -g0 / a. _5, P
Date Signature ofl/Apfrif ant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
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e County Official:
OWNEJ2_ 'C 14n ,4'C -¢Nina A(Ma,L
REDRE 'Idax/73 ,% w c 7', r r/� PHONEfQ '230 7
CONTRACTOR eninfr. Harle R
ADDRESS /Tey 1?? NP,✓ GsT�n, o PHONE q .a30 7
PERMIT REQUEST FOR: (j New Installation ( ) Alteration ( ) Repair
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable building, location of potable water wells, soil percolation .
test holes, soil profiles in test holes. (See page 4.)
LOCATION OF PROPOSED FACILITY: County 1TArci Lc/
Near what City of Town Wesn,cive,\, r2 ,r e C Lot Size /75 I
Legal Description _M L. /qn./ J3 ?hq0 9 /w. 6 of GTh z
WASTES TYPE: 0,-1 ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE:
Number of bedrooms 3 Number . of persons 3 .
( ) Garbage grinder (✓- Automatic washer ( <Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( well ( ) spring ( ) stream or creek.
Give depth of all wells within 180 feet of system: S.2
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock:
Depth to first Ground Water Table: 35
Percent ground slope:
. DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 7 "ze s
Was an effort made to connect to community system? /{i, .
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
('VY Septic Tank ( ) Aeration Plant ( ) Vault
( ) Vault Privy ( ) Composting Toilet (• ) Recycling, potable use
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use
( ) Chemical Toilet ( ) Other - Describe:
FINAL DISPOSAL BY:
( ✓f Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe:
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE ?___ n/
Page 2
.SOIL PLKCOLAIIUN ILSI RESULIS: (lo be completed by Kegtstered erotesstonal tnyineer.)
: Minutes per inch in hole No. 1 Minutes per inch in hole No. 3
Minutes per inch in hole No. 2 Minutes per inch in hole No._
Name, address and telephone of RPE who made soil absorption tests:
Name, address and telephone of RPE responsible for design of the system:
Applicant acknowledges that the completeness of the application is conditional upon such
further mandatory and additional tests and reports as may be required by the local health
department to be made and furnished by the applicant or by the local health department for
purposes of the evaluation of the application; and the issuance of the permit is subject to
such terms and conditions as deemed necessary to insure compliance with rules and regulations
adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies
that all statements made, information and reports submitted herewith and required to be
submitted by the applicant are or will be represented to be true and correct to the best
of my knowledge and belief and are designed to be relied on by the local department of health
in evaluating the same for purposes of issuing the permit applied for herein. I further under-
stand that any falsification or misrepresentation may result in the denial of the application
or revocation of any permit granted based upon said application and in legal action for per-
jury as provided by law.
Date /6 - 27 - €q Signed At ci 2QK 2 ( .
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY .
Page 3
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, Refer #825 This does not constitute
$,.;', r y (vi b u4w SE GE' Sr -OS AL PERMIT 1412 a b or use perm
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4- ,!', r ',` ,1q9 t - jam `, ` r► gyi6 a fl .- + Vest of ,New_ Castl0
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v +, 1 u t at ¢aiidri,;ti r Ctgpstru A C tron approval is hereby granted for a gallon ,
- & a .l
> ' & ept or, Aerate treatment unit. +
i 4
h t I S� ro pd tealt,'tdispersal are`aicohtputed - as follows: ; ,
, y k ,} y
k.
} f tI 1
. '' r ?t' / ,1 : f " r irich in l.mmutes requires: a minimum of , sq. ft, of absorption area pgr,t tlrokm.
iA � N t T*CR .� r i l i r 1. ,.- * !
' o pf bad
ros � . x 1g0 sq. ft mi rrequirem a total, of {q' abtprption area.
t is` I P ' j E ! f (rA5 } ti /dr /r et I ttY�(�/ vim'_ 4 '✓ , t'44 ' \
0 t)..44::-..,.1.. eat Y ` a
r JRIALSQ'P , PROVAL OF SYSTEM:
' '.No system:shall be deemed to`b in compliance with the Sewage. Disposal Laws until the assemblec i, 'is apprbved,prior'tp.p4vef /, c!'
a .t' Mg any Part.
d� S ptic Tank access for inspection and,clean"in ' J
1 � PS g Within 12" of ground surface or afrittad Acoess ports above:i�r } ,tl �
surface, f 4+ 1
, t d "^'� Proper materials and assembly 't J
' l�'f ;
l "' de name of septic or aerated treatment unit. e fvefi.k„ yyfyrle,/,C. /,(J a ¢
. aC } /3
Adequate absorption (or dis ersal) area. - f' y ` /.4-.)-,? 7 7q. c es) s . � ,4
r P� afire Adequate compliance with permit requirements. 1 r'
$ Adequate compliance with County and -State regulations /requirements.
other r .
Date A 1rispeiotor — t'
r. RETAIN WITH RECEIPT, AT CONST'RUCTIO,N'SITTE
i ` h
`CONDITIONS ' ',',1',
i Lin must o I q e
vr,ith ts. pf� {hk{i(ounit�Y IndivitlualSewage Disposal FjpgulaflQ „ {tursuant to au.
,'� 1. All install a co rasp y thority granted in 66 44 4 C,'t$'19tali re uirem n 63, ameod6dt66 ,,'14'.01 ,9,.63 . ' _ ' .y a ii ' }” ' •
2. This permit is valid-only foonriection to struf ju*a w i eijl1y coM?pld with sa ,iq a v jeq
ii)yurrements.
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. Connection to o r Use wrth dwetlrng or stryieturPS rs''�vitar rfy e I L yStlie 4pII ir n ga dp ,pfilA € a ll y eora b tky beta viola
tion of a requirement of the peimn r, g
and cause fotfrfelp41A.ctlo, ands'�.v ctdl,�l'il,of t e,, er 5,1 1 y xt .‘ r' , ,,
. 3. Section ill, 3.24 requir any person Who coriatruets,. alterf,'':rooi a &Flsran r"tidNyiffual�SeWage4r e,.ahsy in a manner which m- '
i„ valves a knowing and material variation. from the "tarms of s eclfid lops conta)or '�tti.fhhe applicafron`of^ per commits a Class 1,
, Petty Offense ($500.00 fine - months in jail or both'j ' ' :'
Applicant: Green Copy Department: , Pink CropY, 1' ) ,
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