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HomeMy WebLinkAbout01012 _ �,� ma^:�p"•-r'�'n� ;, ti :, :< '�1"''a ^. r i1' GARFIELD COUNTY BUILD! Q AND SANITATION DEPARTMENT " 2014 lake Avenue Glenwood Sp (Ipas, Colorado 81601 ji µ ` Phone 803) 945.8241 III REPAIR - PERC ONLY This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT M0 ; 0 1012 , a building or use permit • ' r owner Patrick H. Newell r I. ii OOQP r System Locat 00 Count Rnnrl 1 Fit] -. 61 nwond S ri s v y !► P n9 i oiii 1 ii ii Licensed Installer 1 . • Conditional Construction approval is hereby granted for a 75.0 gallon q. I s- Tehk or ,„.,—Aerated treatment uliIt l ^ Absorption area (ordispersal area) computed as follows: �' �� u Pere rat, of one inch in S minutes requires a mininfUm of sq. ft. of absorption area per bedroom. It 4 I"Ir Therefore the no of bedrooms x /1 5Sq, ft, minimum requirement r a total of 2 5 © sq. ft of absorption area. 'i , May we suggest /2 • Z / ' x 3 / 4 e ep • • rn i a _ / Date 2 g / 7 Inspect. ! • di 4 1111 4/21s• lc FINAL APPROVAL OF SYSTEM: / ".' No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assemble] system is approved prior to gofer.' '' ing any part. Clk Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground -{ hi surface. / il 9k' Proper materials and asse bly. � O Trade nar le of iept�io is o�eretr{eti Unit F ' 1.S 5 A k( Adequate absorption (or dispersal) area. 0 K Adequate compliance with permit requirements. -C k Adequate compliance with County and State regulations /requirements. i r— Other Date Ca /2 r l /_ / Inspects) 4/ , 1 Ai LI if RETAIN WITH RECEIPT RECORDS T CONSTRUCTION SITE `CONDITIONS: ' 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 66.3.14,1:RS 1963. 2. This permit is valid only for connection to structures Which have fully Complied with County zoning and building requirements: Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a viola. tion of a requirement of the permit and cause for both legal action and revocation of the permit 3. Section III, 3.24 requires any person who construct' alters, or installs an individual sewage disposal system in a manner which In volves a knowing and material variation from the terms ipr specifications contained in the application of permit commits a Class I, ^. i I Petty Offense (550000 fine — 6 months in jail or both). 4 Applicant: Orson Copy Department: Pink Copy _. ....,,�,...u_.��_....._____.. ... air. �. rL. ��.._... ... �r..,. u. i�:......... �.. �.,. �__ �... ._�....�,�_..___�...._...___�,Y . �____ Office Use Page Two Fees Paid $ .0/) • r INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date c ,) G,_ g( Owner: P G k , frL m /7 // Mail Address: OO 9a „/� �J /gy City: ��i ,rI S Zip: f /X0/ Phone: 9yr76/y 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 Ci ty or Town G 4w al C f 1 Location Address & /or Legal Description 00202. C Rd /4 Cl Lot Size 4;‘ cx /DO 2. No. of Bedrooms c ,2 Septic Tank Capacity / /® p O Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): C1 {7 ore Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district ? /(/m , 5. Distance to nearest sewer system: 74 y6 js ' Have you attempted to arrange a connection with the system? YE'S If rejected, what was the reason? 4 5/9ppeo-( c- { , c.-v,j 240 K 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 ignature o 'pp icant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • a -\;) goo - re Chat / ;r0 Co Re /17 (�� Ce r o GlUia( / ' , INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES Coed ,SA ec1 0- on " 4ence f 5 ewe G,,< et SAei access /1 „4, (TO BE RETURNED TO BLDG. & SANI. DEPT.)