HomeMy WebLinkAbout00965 ewe . 'Y
• This does not constitute
a building or use permit.
•
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERC WAIVED -RATE KNOWN -FEE ONLY Phone (303) 945 -7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT
NY 965 aT 33zc
Owner Alvin L. and Patricia A, Cerise
System Location 39051 Highway 6
Licensed Contractor George Field
* Conditional Construction approval is hereby granted fore 1000 gallon
{
—x— Septic Tank or Aerated treatment unit.
Absorption area (S�"dispersal ar a) computed as follows: 1... See Permit #511
Perc rate of one inch in 15 "minutes requires a minium of 190 sq. ft. of absorption area per bedroom;
Therefore the no. of bedrooms 3 x 1 sq. ft. minimum requirement = a total of 570 sq. ft. of absorption area.
May t e suggest 12x48x3 or 18x32x3
'
Date March 18. 1Q81 Inspector /� • /�__ r v.,"
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.
(jj"( Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Proper materials and assembly
•�� ),„ Trade Cat S c ta o aerated d tr e; un�t!
%! Adequate absorption (or dispersal) area.
\ Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Other
If/ r ��i�1 /,///� -
Date 3 2.2-3` R / Inspec r "(mot.^. /41 L -^'4 -.
RETAIN WITH RECEIPT RECORD T CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au•
I+ 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.
111 r00091 to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a viola-
ti 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).
,1 8u11diny o i' maf P White copy': � � 1 I'4PRCont Greah Copy Dept Pink Copy
ni� AL. ,hud'..n,Mdluu.liciw y u...'e `_ 4,_ ..,.
Page Two Office Use
Fees Paid 6'
' INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 3 -fir% ,s
Owner: 8/0 Y /�Gtte; Q' e c, �/� /Y
Mail Address: ,13,--/Fee City :)0 t egi!rnip: (/6 7Phone: - 2875
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW Cam 5
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 G City or Town ✓ns
Location Address &/or scr o e i tie,y
Legal Description / A'/i G � � G�� Lot Size 9. zr4
2. No. of Bedrooms 3 Septic Tank .Capacityy JDOO Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): . 'ce lu
Private: Well ►- Depth /3p Other Depth to 1st ground water table 60'
4. Is facility within boundaries of a city /tow or sanitation district? )�D
5. Distance to nearest sewer system: i nc..Q4_
Have you attempted to arrange a connection _ _
g with the system? '
If rejected, what was the reason? 0,gdY
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. N ress and telephone of R.P.E. responsible for design of the system:
if At Gi, 46—÷a ,w--
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.
3 // (/ f ,
ate gnature of Applicant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
t 9 i v� c / 294 ■ .
C ere fie
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI-
. 1 - . ,t. .. . ,1 1 . • 'p!. 41 :111,..$ 1
.
raw Eta
X IVIS
ksvt-Le ,f-� .Q Wee
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(TO BE RETURNED TO BLDG. & SANI. DEPT.)