HomeMy WebLinkAbout00909 •
This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
• Glenwood Spfings, Colorado 81601
Phone 1303) 945-7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT � 909
Owner Scott W. Brvnildson
System Location 28271 Highway 6 - CMC Welding Shop -• Rifle
Licensed Contractor OWnf!r
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 5 minutes requires a minimum of sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms x sq. ft. minimum requirement = a total of sq. ft. of absorption area.
May we suggest, u1. .1r ,,r r ,;- 1.. ) � ..
r
Date September 18, 1980 Inspector/ n /'0'/
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.
X W ank Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
e.
X Proper materials and assembly.
•
f:i::i?II :10 Trade name of septic tank stG{a6[81I[dfiX10.g1Cri1owjx. 1,250 installed - leach field 60' Y. 25'
.k Adequate absorption (or dispersal) area.
X Adequate compliance with permit requirements.
y Adequate compliance with County and State regulations /requirements.
Other
Date or 3. 1980
Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposa(,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 111, 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
n _ 0 r
1/01- RECORD OF CONVERSATION
DATE: �j _ OUTGOING:
TIME: (• � i , S yy 1� INCOMING: y�
FILE: F/V/�//J"/1l- -/*� ��,.(J CONTACT: kW-W N 5
COMMENTS: delZieD Tl .5/9q vhir rwr z -/ aii9 /roc 7H,
,(1,qeSfas7 I wCaet- eaay 9t &Z oaqs dZGiav/4)
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7" irr y - -
bcrr /hccnft - _
'pit. s eo YY r ° -
FURTHER ACTION REQUIRED: /N( Tik/ie e L
SIGNED:
VIII‘ V /\ 0
$
Page Two Fees Paid $
. INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
•
Owner: S co7T Ill 13f 'A/ /I DSr4/ /
Mail Address: City: FFl r Zip: e'/ Se, Phone:6Z5
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 FacilitCounty� p GARFIELD City or Town �� �J
g Zp 3 p- Lot Size dr-✓Z£5 * —
�p
Legal Descri tion Z: V &\ ion
2. No. of BedroomsesiffaC /AS�ptic Tan pacity /260 6uAeration Unit Capacity
3. Source of Domestic Water: Public (name): q
Private: Well Depth Otheret5' fth to lstoround water
/ table /if -22 1
4. Is facility within boundaries of a city/town or sanitation district? /Q
5. Distance to nearest sewer system: / %y /
Have you attempted to arrange a connection with the system? 4
If rejected, what was the reason? - iT 0 i2 iah
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:
(3a o 0)77 0o111£02 t /.VC'K/NG , n r=z.s a,
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. / _ .A /-ei
0 ' / 71"
e u e / igna ure of plicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)