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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 N9 955 ti j
Owner Calvin & Martha Edwards
System Location Dry .Hollow
Licensed Contractor
' Conditional Construction approval is hereby granted for p gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
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. minimum requirement = a total of sq. ft. of absorption area.
May we suggest
M1,1 Date Inspactor"'
.4/
hi FINAL APPROVAL OF SYSTEM: h
No system shall be deemed to be in compliance with the Sewa Laws until the assembled system is approved prior to cover-
ing any part.
Septic Tank access for inspection and cleaning within 1 ?" of ground surface or aerated access ports above ground
surface.
Proper materials and assembly.
Trade name of septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area.'
Adequate compliance with' permit requirements.
Adequate compliance with County and State regulations /requirements. C,- oir
Other
Date Inspector
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 not approved by the Building and Zoning office shall automatically be a viola- t
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
Page Two Fees Paid
1 • INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date -/3 -j/
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Owner: c et iv I !!1 l Ala r7 - R 4 g a 4J 4N d -S -
Mail Address: f d, $0 x L- 101 City: Si 77 Zip: gftC -Z Phone: 23Q‘
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 Si fir
Location Address & /or
Legal Description a Lot Size 7', 31 ,
2. No. of Bedrooms Q Septic Tank Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well Depth Othe'F" t/0 Depth to 1st ground water table /.60 -f
4. Is facility within boundaries of a city /town or sanitation district? ha
5. Distance to nearest sewer system: to W; /es
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 Signature of Applicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY Page Three
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
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3 7 97A
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(TO BE RETURNED TO BLDG. & SANI. DEPT.)
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/ T , 6 S. , H . 2 W OF THE T H P /
• SCALE : I INCI-1 : 40D FEET
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1 RE,G IN PLACE 1
8(C. IN PLACE �\ 1.189 3415 ,� N89 25 55 ' E �, __
Bb�.ZZ' REC SE 1 Z 433.47 N. 1329.01
c I3RASS GAP IN PLACE (ESl'is n n) I
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r SEC 36 in N
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-1t SEC 35 h y 03 II
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R E ° IN PLACE �I / REC IN PLACE
k� S 89 31 05' W J 5139'x(0 l&" \A/ T . -- -
. -- I3 001 --- ✓ 1329.29' RE C JN'P ACE
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NOTE: BEARING E 1A3LISHED 6Y PRIOR RECORDED PATA
BCTWCE T HE NORTHWEST CORNER OF T NE 1 /4 NE V4
•
or SEC1I0w 3S AN1) THE NORTH 1 /4 COtcHER or SECTION i
35. BEAR ITIGi = 5 85° 3(°' IS ° W_
1
GARFIELD COUNTY
COLORADO
•
A parcel of land situated in the NEINEt, of Section 35 and the NW of
Section 36 all in Township 6 South, Range 92 West of the Sixth Principal
'Meridian , said parcel of land is more fully described as follows:
Beginning at an iron pipe with a brass cap and properly marked for the •
corner common to Sections 25,26,35 and 36 in said Township and Range; thence
N. 89 ° 25'55" E. 1324.01 feet along the Northerly line of said NAN144; thence
S. 00 ° 40'28" E. 1315.50 feet along the Easterly line of said NW'ZN14 thence
S 89 ° 26'16" W. 1324.29 feet along the Southerly line of said Nw thence
S. 89 ° 31'05" W. 1320.80 feet along the Southerly line of said NE1/411E thence
N. 00 ° 39'22" W. 741.87 feet along the Westerly line of said NE1/4NE1/4; thence
N. 74 ° 43'17" E. 967.80 feet; thence N. 09 ° 13'06" W. 330.81 to a point on the
Northerly line of said Nt1 NF3>;; thence N. 89 ° 36'15" E. along the Northerly line
of said NEINEi, 433.47 feet to the Northeast corner of said Section 35, the
point of beginning, containing 70.38 acres, more or less •
SCARROW AND UALKER /KKBNA, INC.
_- P A- Any 11,78 --