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HomeMy WebLinkAbout00995 lk $ 4 This does not constitute a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone 4303) 945.7255 r INDIVIDUAL SEWAGE DISPOSAL PERMIT N2 995 Owner Robert Carter , System Location County Road 112 - Carbondale Licensed Contractor y .. ' Conditional Construction approval is hereby granted for a /O 0 © gallon - 'tl` L /Septic Tank or Aerated treatment unit. 1 y Absorption area (or dispersal area) computed as follows: Parc rate of one inch in /' minutes requires a minimum of / f 'sq. ft. of absorption area per bedroom. Therefore the no of bedrooms 3 x Lit,/ , sq. ft, minimum requirement = a total of sq ft. of absorption area. y4 4. X , c e e Q f� F' / C.a X 3 0 ?C / 74 3 / C: / May we suggest /2 e (f. , Date */..2 9/a J I nspector t � G L+ � i/" [ . FINAL APPROVAL OF SYSTEM: �� No system shall be deemed to ba in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover- ^1 ing any part. ry l 61 g Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper materials and assembly. w C'p '/ 6 0 - e 4 - /- /, Trade name of septic tank or aerated treatment unit. Z- ,i 41) O K Adequate absorption (or dispersal) area. „ V ,GK / X 3 2- N s / /4 A 0 1 Adequate compliance with permit requirements. 0 C Adequate compliance with County and State regulations /requirements. ` O / her �/ Date / A ` / )f / �� /_ Inspector � /��'�/� � -' /// Cart- s T KW CE1PT RECORDS NSTRUCTIO "CONDITIONS: Ar 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 66-3-144 CRS 1983. 2. This permit is valid only for connection to structures wbl have fully complied with County zoning and building requirements. Connection to or use with any dwelling or structures n approved by the Building and Zoning office shall automatically be a viola- tion of a requirement of the permit and cause for both 1 al action and revocation of the permit. 3. Section I11, 3:24 requires any person who constructs, a rs, or installs an individual sewage dis oral system in a manner 9 P Y which in- volves a knowing and material variation from the term or specifications contained in the application of permit commits a Class I, it Petty Offense ($500.00 fine - 6 months in jail or both). ill is Building Official - Permit White Copy;. Applicant - Green Copy Dept. - Pink Copy - - - -- - - V i l i to - use Page Two Fees Paid $75 INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 4 4 Owner: Robert Carter Mail Address: 0043 Pine City: . Oarbondale Zip: 81623 Phone963 -1691 INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percola- tion test holes, soil profiles in test holes (see Page 3). Near What 1. Location of Facility: County GARFIELD City or Town Carbondale Location Address & /or Legal Description m Rd 112 Lot Size 14 a 2. No. of Bedrooms 3 Septic Tank Capacity 1000 Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well X Depth215 ft Other Depth to 1st ground water table 215 £t 4. Is facility within boundaries of a city /town or sanitation district? no 3 miles 5. Distance to nearest sewer system: Have you attempted to arrange a connection with the system? no If rejected, what was the reason? n/a 6. If R.P.E. tested, state rate of absorption in test holes shown on the location map, in minutes per inch of drop in water level after holes have been soaked for 24 hours: 7. Name, address, and telephone of R.P.E. who made soil absorption tests: 8. Name, address, and telephone of R.P.E. responsible for design of the system: - g. Express permission is hereby granted for the inspection of the above property by any member of the Garfield County Building & Sanitation Department and /or such persons as they may designate. Any withdrawal of this permission shall be in writing and receipt acknowledged by the County Building & Sanitation Department. 10. I have been given an opportunity to read the Individual Sewage Disposal Systems Regula- tions of Garfield County and I hereby agree to comply with all terms, conditions and requirements included therein. Ne. 2$ Ica1 'Date Signa ure of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) ' • WOODSTOCK CABINET SHOP JOB i?Q$ 6R.T C INv - ret ~ • Basalt Trade Center SHEET NO. OF 1710 Willits Lane P. O. Box 363 BASALT, COLORADO 81621 CALCULATED BY DATE Phone 927.3070 CHECKED BY DATE SCALE t o _ i f R\ POw EA. L - - 090. f \ S _. • • • • i' • o- a.J (c 1. • f�T :r- rr GLE,..J . SPGS. v\,0y S -rep R $ P 6N-• -3 r. 3 • GPPK toss) D A4 roan so. -I Arelode from fAmMOVInc .. O.oton, Mess. O!400 (-... WOODSTOCK CABINET SHOP JOB .S fseT _ Kig• . Basalt Trade Center SHEET HO. OF . 1710 Willits Lane P. 0. Box 363 . BASALT, COLORADO 81621 CALCULATED BY DATE Phone 927.3070 CHECKED BY DATE SCALE • k \,,- y .k 4 i q ' ' i I < } y nA 1 h 1 t , E +Y k� , hY � Y 4 t I t R r : ' t t �, � o • , ! .. ' — c .: � — s , 1 An i iik .1 ,R mils . . I . IQ 1 \ ` ` +:I: •4 P C. 1. ... IC I / . . ....... • t,. s ,' • . i , . Mar 204 ArCIbMB from & ear/ Int.. 0.Olon. Mass. 01450