HomeMy WebLinkAbout00939 This does not constitute
, a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
REPAIRS ALTERATION - NO CHARGE Phone (3031 945-7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT NQ 939
Owner Dan H, LeVan
System Location 0953 County Road 117 �t
Licensed Contractor /9 o r /, .•
•4' * Conditional Construction approval is hereby granted for a 1 gallon
x i Tank or Aerated treatment unit. '
pre - ex isti ng SEE 6 73 PERMIT #65 FOR PERC
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in 5 minutes requires a minimum of , 1 sq. ft. of absorption area per bedroom.
I), Therefore the no. of bedrooms 4 x 125 - sq. ft. minimum requirement = a total of 500 sq. ft. of absorption area.
May we suggest Leach Field 12' x 42' x 3' deep or 18' x 28' x 3' deep, or Orywei 1 1 2 ' x 12' x 12'
December 2, 1980
Date s Inspector /
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. -
a9A Septic Tank access for inspection and cleaning within 12" of kCt? /g�ound surface or aerated access ports above ground
• surface. �Y� c e c/ /7 e w C eo f 6R.
� . „ JL 7 ca
(� [ Proper materials and assembly. P_..ic f /,'5 S— A, -
Trade name of septic tank or aerated treatment unit.
d .
iO Adequate absorption (or dispersal) area. /2 x /2.X r e „ )tie / %� c/s /l(4t
- Cy Adequate compliance with permit requirements. �/
n U Adequate compliance with County and State regulations /requirements.
Other
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Date /�' /r�/ g f� � InsPecto�� 41(41( --4(4106-4"-• w
/ 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 nit approved by the Building and Zoning office shall automatically be a viola -
tion of a requirement of the permit and cause for both . regal 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 term* 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 Paid $ u
Fees Paid $
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date ' a - -
•
Owner: 171:10/ 2c-l�f+✓ .
Mail Address: 0953 /17 2d City: {2 4 wood Sryd Zip: f /A' ( Phone:yyshzes-
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).
Near What
1. Location of Facility: County GARFIELD City or Town C/ „--,,,_/ s
Location Address & /or ^ /
Legal Description 0953 /(7 /� Lot Size
2. No. of Bedrooms L/ Septic Tank Capacity 7 Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): (; r,'.,r,r-,J Peitz
Private: Well Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? Ato
5. Distance to nearest sewer system:
Have you attempted to arrange a connection with the system? ,t4
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 1 hereby agree to comply with all terms, conditions and
requirements included therein.
_/7 4,471% ate Signa re of 'pp scant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)