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Home My WebLink About01024 rr. ..�.' "s,. ,v,yT"tl' .. m..+errs. r ' -.^• 'r -�.. - .mot.•. i I 4°. ( GARFIELD COUNTY BUILDI 0 ANDSANITATION DEPARTMENT I' � 2014 lake Awdue " "' Glenwood Sp ngs, Colorado 81601 Phone 30$) 9454241 l7 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT 4 0 0 1 1024 a building or use permit. 0 Owner Ronnie E. & Carolyn M. West r 0980 County Road 245 - New 'Castle 'fl System location Licensed Installer I , I i u ' Conditional Construction approval Is hereby granted for 1 2 6 gall � 11 �( T X Septic Tank or Aerated treatment unit. I Absorption area (or dispersal area) computed as follows:. l I a Perc rate of one inch in r- 0 minutes requires a mininitHm of ,3 t3 U sq. ft. of absorption area per bedroom. yY F ry + ". el *I d r Therefore the no. of bedrooms y x ..,�3 Osq. ft.l;)nlnlmum requirement - a total of �32 (1 sq. ft. of absorption area + 1 � i1 /� • 3 May we suggest . / ? 7 11 r / t 0 Date � �� / Inspector P� � 7/ .r w � -I el 1 .,. I : 4° FINAL APPROVAL OF SYSTEM: al 1 ,w ° ° No system shall be deemed to be in compliance with the Swage Disposal Laws until the assembled system is approved prior to cover, "4 w ". ing any part. 'I (.9/C. Septic Tank access for inspection and clapping within 12" of ground surface or aerated access ports above ground .1 I ' Al /fece, 6 ie Proper materials and assembly. , ° .t <' //Trade name of septic tank or aerated treatment unit. /2_ o at, ; : y4 l,' /G r r• I ;, IM ay , .. Adequate absorption (or dispersal) area. / !� X r ^ 6) `1 Adequate compliance with permit requirarrten!¢. -. •�° 0 < Adequate compl iance with County and State regulations /requirements. 0 Other Date V /° inspector f!� /� l —i a.. I, y a.0 y.. v RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 90� "CONDITIONS: 1. All installation must comply with all requirements of t County Individual Sewage Disposal Regulations, adopted pursuant to au 1 1 ' ? thority granted in 66.44.4, CRS 1963, amended 66.3.14, CRS 1963. 2. This permit is valid only for connection to structures ich have fully complied with County zoning and building requirements, ' , pi Connection to or use with any dwelling or structures n approved by the Building and Zoning office shall automatically be a violin *A ' tion of a requirement of the permit and cause for both Ial action and revocation of the permit, 3. Section 111, 3.24 requires any person who construct*, al era, or installs an individual sewage disposal system in a manner which in- ° volves a knowing and material variation from the termt‘r specifications contained in the application of permit commits a Class I, i., , " I Petty Offense ($50000 fine - 6 months in jail or both). I e ( ^'IA I I I 1 I01 Applicant: Gratin corgi Department: Pink Copy ' 4 Page iwo Fees Paid $ x at INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date Owner: -FoN f" CA&o! VV e6. - f" Mail Address: Qf$o 2'Ls Rd. City: 4 /, c .fJe Zip: 8/497 Phone:1$E1 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 44 Location Address & /or Legal Description ()qv) at/S ieQ Lot Size a. $7 .4crt s. 2. No. of Bedrooms H Septic Tank Capacity Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): /Upu) CA&' - )P e, f y u/q -4-te Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? N0 5. Distance to nearest sewer system: ( 2. ry111Q S Have you attempted to arrange a connection with the system? /)/p If rejected, what was the reason? ( &ow)dX £ic / &hu )it 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. l /0 / Date Signature of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCUATE MAP TO YOUR PROPERTY ® �a5 QY- �go 6 p X t AJ A NC h p1 4 G 4 {1 INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES - I l • O L s/ d.Qi2 tY viN (TO BE RETURNED TO BLDG. & SANI. DEPT.)