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,-' 1 c *G x'GARFIELD COUNTY 94 114)11 d AND iANITATI1ON DEPARtMENT
I . ..; m ` 1 291141 lake A ,
ei .1 ' f ` Pr Glenwopd 4 ngs :p�orado 81601
Phone , 03) 9454)241
1111 1
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO 1000 a building or use permit.
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Owner David D. CoddingtOn ; h
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System Location 1 At 4, Rinck II - SunriRs 1uhdivisinn Silt
Licensed Installer f
1 i
Conditional Construction approval is hereby granted fora 1 . 000 gallon
X Septic'r/nk or Aerated treatment Olt,
i
11 1 Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in 30 minutes requires a minin1um of 250 sq. ft of absorption area per bedroom.
Therefore the no of bedrooms _ x 2C0 sq. ft iMinimum requirement ■ a total of 750 sq. ft of absorption area
i May we suggest teach Field 12' x 63' x 3' deep or 18' x 42' x 3' deep.
Date Pere! April 2?. 14111 . Inspector 4 71 V"Ilya 4V
Permit: May 4, 1981 (/ /y
k FINAL APPROVAL OF SYSTEM:
lk N No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover• i ,y
ing any part
m re Septic Tank access for inspection and cle4ning within 12" of ground surface or Berated access ports above ground 1 ' "
surface.
0 ,e Proper materials and assembly. 11
CO /c Trade name of septic tank or aerated treatment unit. Car `ae W t O Cr c do/
4 P
0 /e Adequate absorption (or dispel area / V k v r.. P to / /Ie c
ii
0 K Adequate compliance with permit requirements.
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Adequate compliance with County and State regulations /requirements. e :�/
Other - �7�
Date %i / �� :. Inspector , /V� ( �n -77 , .44 .4 ,. .
RETAIN WITH RECEIPT REDQRDS AT CONSTRUCTION SITE
Di I
"CONDITIONS: )
1. All installation must comply with all requirements of I t I County Individual Sewage Disposal Regulations, adopted pursuant to
thority granted in 66.44.4, CRS 1963, amended 66414; RS' 1963.
1 This permit is valid only for connection to structures ich have fully complied. with County zoning and building requiremf
Connection to or use with any dwelling or structures no approved by the$uildingand Zoning office shall automatically be a
Lion of a requirement of the permit and cause foriboth I al action and revocation of the permit
li 1 Section III, 124 requires any person who constructs, a ers,•'Or installs an Individual sewage disposal system in a manner wti /
hi volves'a knowing and material variation from the termlt, r specifications contained in the application of permit commits a
Petty Offense ($500.00 fine — 6 months in jail or bothl. LI ry
11 Applicant: Oran C614 Department: Pink Copy
/
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ice Use
Page Two Fees Paid $1S Ct
i ' INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date
Owner: ■s . ��ro�.
Mail Address: 0"lc:)1 CN,QO NFU C..4. Zip: %16.1 Phone:%
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 c,
1. Location of Facility: County GARFIELD City or Town
Location Address & /or AC
Legal Description \ -_.A`k C,' d 1; Lot Size . «cp ">
2. No. of Bedrooms Septic Tank Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): 5 % — J� ^`sC
Private: Well Depth Other _\_
r Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? C'\c.
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.
Date Atlature of Ap l icant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)