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HomeMy WebLinkAbout00956 , r 4% This does not constitute a building or use permit: GARFIELD COUNTY DEPARTMENT uNENVIRONMENTAL. HEALTyJ Q 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945 -7205 '� / e INDIVIDUAL SEWAGE DISPOSAL PERMIT �ld@ (aa5 332 • 9a/ Owner Gene . S4 nn' " aciao C6- System Location Lot &Filing - 3, Mineota Estates - Divide Creek - Silt Licensed Contractor * Conditional Construction approval is hereby granted for a / zes r)gallon f f 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 =fi. x Csq- ft. minimum requirement = a total of l sq. ft. of absorption area. May we suggest c.) 1 % �: , 6 . Date 4' / Inspector ;d " r r FINAL APPROVAL OF SYSTEM: J ! r 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. 0 Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground ©�! surface. !'\ Proper matsrjals and ssembly w � OK name o o �Oti c tank o I a._ /AO ii 1 / Trade name fteptif aerated tree ant unit. Adequate absorption (or dispersal) area - Adequate compliance with permit requirements. O Adequate compliance with County and State regulations /requirements. Othe Date Inspector ^ #filQiZ V RETAIN WITH RECEIPT RECORDS A 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 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 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 Fees Pai O - W Page Two $�� - - v INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date? I r- ) r/ C Owner: 6rcjet C'ra Mail Address: 2.43 • City: t1 uC Zip: $It,S° Phone:7zS -S4&3 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 StcY - Location Address & /or kt �eoTA t S)ci t Legal Description Col- 9 �c.t, . t Jt scares Lot Size 64 At . Aro. 57403 2. No. of Bedrooms "4 Septic Tank Capacity /z_Ecip Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well ✓ Depth Soo Other Depth to 1st ground water table lo 4. Is facility within boundaries of a city /town or sanitation district? 5. Distance to nearest sewer system: Sao a Pot-es 'Co StCr Have you attempted to arrange a connection with the system? Yes If rejected, what was the reason? CO3,stu,,c..x- .a Cost of «•c _uc__ LNC __ 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. 4 .1. t4 v9FPk Date Signature of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY el ____.-- f t■\ 4 • O I �` J vTO � a Os at b ig 4 {L A INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES • t oi- l (r(C-t >&Nxki ` c .7 . 5 5eanc. svcrn*. SGl a so o t Oe^ /epy5. i LAP I a �' �- .1/ kJ moo` Lo ci-t- ti IA Q (TO BE RETURNED TO BLDG. & SANI. DEPT.) GARFIELD COUNTY ENVIRONMENTAL HEALTH DEPARTMENT GLENWOOD SPRINGS. COLORADO 81601 2014 BLAKE AVENUE July 21, 1982 PHONE 945.2339 2 Gene Stanek 2920 County Road 311 Silt, CO 81652 TO WHOM IT MAY CONCERN: On July 20, 1982, a site visit was made by me to the residence at 2920 County Road 311. The septic system installed at that location was properly permitted and inspected in accordance with Garfield County regulations and policy at the time of construction (Garfield County Individual Sewage Disposal Permit P956). No evidence of failure was observed in the septic tank, leach field area Sincerely, / el Lilt Terr . Howard Garfield County Sanitarian TLH /eh Attachment •