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Home My WebLink About01007 ` .�,,, • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT . 2014 Bla Avenue Glenwood Whet, Colorado 81601 • Phone (303) 9454241 This does not constitute I ( 1 INDIVIDUAL SEWAGE DISPOSAL PERMIT No 1 007 I a building or use permit. � I V, " Owner Joan Coulter Dr � � I I ' 4201 Igtal \Wait I P . System Location —. - Rul i son . MIN o " 'I Licensed installer N. 1 j' " • Condition's Construction approval is hereby granted for a MP° gallon p, X Septic Tank or i Aerated treatment unit. Absorption area for dispersal area) computed as follows: a . I Perc rate of one inch in 9 i minutes requires a minimum of /1 sq. ft. of absorption area per bedroom. k Therefore the no, of bedrrrooms "5 x ,'79 ssq. ft.l mii in nimum requirement • a total of _.2.tYq. ft. of absorption area. ■ - ' ru Ni May we suggest / o6 ' . 4' p - Cr"' / D 02 p 1 iav "i' Date //•' /5K/ Inspector 4 <iGte.a...4, f i � ' FINAL APPROVAL OF SYSTEM: No system shall be deemed to be incompliance with the Swage Disposal Laws until the assembled system is approved prior to cover: ing any part. ( 1 Septic Ta,I) access for inspection and cleaning within 1 2" of ground surface or aerated access ports above ground slrfece. V Proper materials end assembly. / l.4.r.1.0 Trade name of septic tank or aerated treatment unit. +" //P e /� Adequate absorp on (or dispersal) area 4 - Adequate compliance with permit requirements. 6 / t Adequate compliance with County end State regulations /requirements. + fi Other Date 0/`�/ Inspector " /r d� RETAIN WITH RECEIPT RECORDS AT CONS RUCTION SITE 'CONDITIONS: 1. All instillation 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 1983. 2. This permit is valid only for connection to structures which have fully complied with Goonty zoning and building requirements. Connection to or use with any dwelling or structures not; approved by the Building end Zoning office shall automatically be a viola- tion of a requirement of the permit and cause for both 1461 action and revocation of the perlrnit. 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 (5600.00 fine — 6 months in jail or both). Applicant: Groan Copy Dap.rtmant Pink Copy Office Use Page Two Fees Paid Sic?) "w INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date ¶-1? 5 ♦ 1 Owner: J0,,7 eedL! ear Mail Address: 1 5e, ( 503 Cit / /�4. e Zip: Phone:' 9 l_ 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 Q 1. Location of Facility: County GARFIELD City or Town r' `d is O n Location Address & /or Legal Description east) 3 O ' RQ Lot Size 4' 4C 2. No. of Bedrooms 3 Septic Tank Capacity /Op I Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well Aie Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district ? /1440 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 V Signature of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY r deli INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION L4NES, STREAMS, IRRIGATION DITCHES, '1'i "'' ,`. ' ' ' 1 w`lt p� o fie h/sost c D 6e • fit* (TO BE RETURNED TO BLDG. & SANI. DEPT.)