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HomeMy WebLinkAbout00835 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 NY 835 Owner Bradford L. & Patsy J. Nicholson System Location 2071 County Road 1 - Carbondale t Y Licensed Contractor 1 Y� -`�� .J. hkiA 2 ' . * Conditional Construction approval is hereby granted for a 1 ,000 gallon X Septic Tank or Aerated treatment unit. Absorption area (or dispersal areal computed as follows: Perc rate of one inch in 60 minutes requires a minimum of 330 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x 330 sq. ft, minimum requirement = a total of 990 sq. ft. of absorption area. May we suggest Leach Field 12' x 83' x 3' deep, or 18' x 55' x 3' deep, or 24' x 42' x 3' deep. +' Date May 2. 1980 Inspector ' 7/7 "l tt y c- FINAL APPROVAL OF SYSTEM: 1'g { iiAO ount -I- No system shall be deemed to be in compliance with the a age Disposal Laws until the assembled system is approved prior to cover- ing any ' part. `rf 4 Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. tJy < Proper materials ar / � assembl ([, ( ct...� c r ( )9© 0 ff�� 0 ,K Trade ` rt5me /of p tic tank or aerated treatment' unit. • Adequate absorption (or dispersal) area. AS XC J - f i0 S yv 1eG� Adequate compliance with permit requirements. ��, ""���"' Q !� Adequate compliance with County and State regulations /requirements: Other Date r %.t. Ins pector I .1 1 // RETAIN WITH RECEIPT RECORDS •IfONSTRUCTION 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 Page Two v C Fees Paid $ /V INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date S-1- gh • Owner: ►. — s \f [� /es sn ! Mail Address: 1 Cit /� Zi Phone : <263-T725 �s��7I t!2 y: l tpjortJ f6 p: W6,L 64 /, d 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 -- - or- Ster'oN tcl — 27 Legal Description 7 Sovrte )844c Pi ot 7 Lot Size 5-z`/ elekFS 5 /XTN /i',VWc!IPAL 1Nfe,DMJ 2. No. of Bedrooms Septic Tank. Capacity ;oon Aeration Unit Capacity i- 3. Source of Domestic Water: Public (name): Private: Well 7C 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: 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 Signat r- of 'pp icant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • • o • ----/ »OA6 liar Acct=s got • INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES ma, 4 0 v..2. p�Te Rn a D _. fiat., _ __ H ,-- "R7) 1 `D, Rr ACQEs, in (TO BE RETURNED TO BLDG, & SANI. DEPT.) A