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Home My WebLink About00999 , / - - - ---, , This does not constit' a building or use peril GARFIELD COUNTY DEPARN ENT OF ENVIRONMENTAL HEALTH l c 2014 lake Avenue �r Glenwood Sp ngs, Colorado 81601 �r '"'+ A Phone'303) 945.7265 INDIVIDUAL SEWAGE DISPOSAL PERMIT N2 999 Owner Richard Norto System Location Lot 2; r i loek 2 - Sunrise 'Estates - Silt Licensed Contractor 1 , Conditional Construction approval is hereby granted for t Ira o gallon • • /'Septic Tank or 't Aerated treatment uhlt. • Absorption area (or dispersal area) computed as follows: Pero rate of one inch in A minutes requires a minimum of /33 sq. ft. of absorption / ere ( a per bedroom. Therefore the no. of bedrooms CI x /q sq. ft, 'minimum requirement = a total of .Lcd ? sq. ft. of absorption area. r r / . May we suggest /2 t i X _S Gt' f' P . L 3 C> I�^' 8 x , 7 r eX 3 r cl e r' f / / !! f D ate i / � � ""/ e I nspect gr : � y�i/n n l t �•� 151 %? •-1r' r y � y 7 FINAL APPROVAL OF SY STEM: ��/ ' M 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. Septic Tank access for inspection and cleaning within 12" 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. Other Date Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE "CONDITIONS: L. 1. All installation must comply with all requiremehts of the County Individual Sewage Disposal Regulations, adopted pursuant to au thority granted in 66 -44 -4, CRS 1963, amended 66.3.14, RS 1963. 2- This permit is valid only for connection to structures which have fully complied with County zoning and building requirerhentst Connection to or use with any dwelling or structures not =approved by the Building and Zoning office shall automatically be a viol' tion of a requirement of the permit and cause for both la' 1 action and revocation of the permit. 3, Section III, 124 requires any person who constructs, alters, or Installs an individual sewage disposal system in a manner which volves a knowing and material variation from the terms br specifications contained in the application of permit commits a C1- Petty Offense ($500.00 fine — 6 months in jail or both). Building icial Permit White Copy Applicant —Green Copy Dept. — Pink Copy Page iwo Fees Pay r !+ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date / • Owner: le /j/[ Mail Address: e AL/74W City: RA Zip: (/ D Phone: -.TT 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 g- 1. Location of Facility: County GARFIELD City or Town 6�/ Location Address & /or Jan GEVOzt- 1.. Lot Size „ Legal Description cC/, 1. tff &SM?P�S 1 a3. 2. No. of Bedrooms 6 Septic Tank Capacity Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? 5. Distance to nearest sewer system: 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. �ovik illCfi. na u re Date signature o Applicant y$ 3 (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Iwo - Fees Paid $ 75 . '' !+ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date Owner: l /Q/ fZJ _ Mail Address: oa/ /XJ / /na) City: 4 Zip: ( - 47`73, 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 6" Location Address & /or.ierr Lava Legal Description og/JJ.e cv estMi ' Lot Size 4 2. No. of Bedrooms # s Septic Tank Capacity Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? 5. Distance to nearest sewer system: 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. -si ai /d r(�ithsk A' e / Date ign ature o Applicant t 3 (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY �- C L.o9 2• dc.Ock / g u4u erst Atictl iIL-7' . Co � L t r� , Ler • ■ W J Sets - INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, SCREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES 1 4 1 ea- • $ n y a 1 as i • 9. C • ' 1;;;7177 • • Y�r (TO BE RETURNED TO BLDG. & SANI, DEPT.) 1114,