HomeMy WebLinkAbout00901 This does not constitute
a building or use permit.
GARFIELD COUNTY DEPAR*ENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945-7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N -2 9Qt
Owner Dan Reynolds
System Location 6.5 County Road 331 S11t"
Licensed Contractor
Conditional Construction approval is hereby granted for a 400 (, ( gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in / (2 minutes requires a minimum of /h S_sq. ft, of absorption area per bedroom.
Therefore the no. of bedrooms 3 x J( irS sq. ft.; minimum requirement = a total of `.�q. ft. of absorption area.
May we suggest //-- K4 2 x J fi ripe" G'` J j A2 (4/ . N, ' Y` r
Date /' / 17 8 0 Inspector , i t
FINAL APPROVAL OF SYSTEM:
L /
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the . assembled system i 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
l�K surface.
Proper materials and assembly.
Trade name of septic tank or aerated treatment unit.
6Q // / Adequate absorption (or dispersal) area.
/k / Adequate compliance with permit requirements.
e9 Adequate compliance with County and State regulations /requirements.
Other its Date 7` /f e/ Inspector ,d ,Maid
RETAIN WITH RECEIPT RECORDS ' 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 ndt- 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 end revocetion of the permit.
3. Section III, 3.24 requires any person who constructs, alters, or installs an dividual 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 Fees Paid avhs'
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 9-24-423
•
Owner: 0.9n1//.7 r 1J2
Mail Address: Pn ,, ;7' Cit g, LT Zip: gi '47 Phone: ,727fl r
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 Sk'
Legal Description ,J �L f/y mr arc / /.7jko Size ?{
Raj' «k>. of Co? , n li.r 4Cc/
2. No. of Bedrooms Septic Tank .Capacityfr , Aeration Unit Capacity
3. Source of Domestic Water: Public (name): e y 4
Private: Well ,X__ Depth Other Depth to 1st ground water table /po
4. Is facility within boundaries of a city /town or sanitation district? A 7 D K f /
5. Distance to nearest sewer system: 42 2d7 ®b
Have you attempted to arrange a connection with the system? A o
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 ,�,� p
/ /bate gnat , pp scant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
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vitios Gana& CO
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/30 >a r
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
(TO BE RETURNED TO BLDG. & SANI. DEPT.)