HomeMy WebLinkAbout00953 •
•
This does not constitute
a building or use permit.
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Sptings, Colorado 81601
Phone (303) 945.7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N7O 953
Owner Casey Concrete, Inc..
System Location 278511 Highway 6 - Rifle
y i
Licensed Contractor �� /�� �� 'P /
• Conditional Construction approval is hereby granted for a /on G' gallon
4 /
i✓ Septic Tank or 1 Aerated treatment unit. ' i n �r'� ? q Jd�� U h '
Absorption area (or dispersal area) computed asfollows1
Perc rate of one inch in " 'minutes requires a minimum of � sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms x sq. ft,'minlmum requirement = a total of _, sq. ft. of absorption area.
May we suggest ,
Date !7_... /�, 4 /� / Inspector / -, /1/1 i � 1lfr14j
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.
Q ic Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports aboveground
surface.
A PP Proper materials and assembly.
`„ CLOD e l L�ti fRCRQ
( �` Trade name of s$ tic tank or aerated treatment tMit.
Adequate absorption (or dispersal) area.
I \ Adequate compliance with permit requirements.
O /c Adequate compliance with County and State regulations /requirements.
Other,/ / / 1
Date /Z T/ s / Inspector A/ 1 ia ii .a∎
R ETAIN 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 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 1,
Petty Offense ($500.00 fine — 6 months in jail or both).
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
- -
P
Le use
age Two Fees Paid sic 61)
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
1
Owner: Casey Concrete, Inc.
• Mail Address: P.O. BOX 1815 City: Rifle, CO Zip: 81650 Phone:625 -3489
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 Rifle
Location Address & /ors.w.k s.w.3/4 SEC. 11 & N.W.t N.W. k
Legal Description Sec. 14; Township 6 South Range 93WLot Size
of 6th P.M.
2. No. of Bedrooms 0 Septic Tank Capacity 75o Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): None
Private: Well Depth Other Pond Depth to 1st ground water tablelo' @
lowest.
4. Is facility within boundaries - of a city /town or sanitation district? No -
5. Distance to nearest sewer system: Two miles.
Have you attempted to arrange a connection with the system? No
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.
J
1 -30 -81 I /, s..
Date Signa u - of Applicant
Richard Casey
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
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