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HomeMy WebLinkAbout01028 rs•os wu.a� ae GARFIELD COUNTY BUILDIN AND SANITATION DEPARTMENT 2014 ke Avenue Olenwooi S gs, Colorado 81601 Phone 1 03) 9454241 , i 7 St d ,t REPAIR - PERC ONI,Y • , FEE WAIVED c;_ t"" This doss not constitute " INDIVIDUAL SEWAGE DISPOSAL PERMIT 41 1028 a building or use permit. r. r, ' Owner Walter & Catharine Dunkelbera \ ' , System Location 1075 No Name Lane - No Nalae Licensed Installer ` m t • Conditional Construction approval is hereby granted for a "7 - f � gallon hill • ✓Septic Tank or Aerated treatment unit. / Absorption area (or dispersal area) computed as follows: I I, " I eerc rate of one inch in ! t . minutes requires a minimum of /� true ► sq. ft. of absorption area per bedroom. 1 i m ;t _ r p Therefore the no. of bedrooms 2 ' x / q. ft, Ininimutm requirement . a total of 3 q. ft. of absorption Ores i d11'I4e May we suggest / $ 8 X 3 /d a trio � f o �c to x /o e t/cep c% sv • ! I r , � . if ./ / /na.i Date (;72-57e / ,I i i Inspacto� . , ; p " + I t. FINAL APPROVAL OP SYSTEM: il 1Ih11 ±r 'r II' r : No system shall be deemed to be in compliance with the Sewage; Disposal Laws until the assembled system Is approved prior to GOV'etl ",, { " ing any part. , 6) /( Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground ." O surface, Proper materials and sem �� / /P/ u/ b�y. / L f o w� Oo G K� t�►� d ldma>�, f' .S��of. � per... k 4 Trade name sap an or aerated tre ent^nit. X11 ` t�� O� 7 / .S / r A uate absorption or dispel sal) rea. "` 2 de P ( a X X r 4 1 � " z ir/fr . y ei i Adequate compliance with permit requir rn t4 k 1� OP( Adequate compliance with County and State regulations /requirements. Il Iu # Other �o / / .,a•, / \ CS / � ,.1 i Inspector at ! A�it/ �i� , U Date ry{? I ( RETAIN f /ITH RECEIPT RECORDS CONSTRUCTION SITE 'CONDITIONS: 1 '' 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 66.314 ; C RS 1963. I 2. This permit is valid only for connection to structures ich 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- ,' I tion of a requirement of the permit and cause for both I gal action and revocation of the permit. 3. Section III, 3.24 requires anylperson who constructs, a tars, 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.. I , Petty Offense (S500.00 fine - 6 months in jail or both), i 11 III Applicant: Orion Copy O.putm.nt: Plnk Copy Page Two Office Use g Fees Paid $5777 * INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date a .24- g I a CAIN Mtiwt Owner: 1.4 C.R t, ectrykt W>. Du MI< EL.l3G1�O Mail Address: lc ((le WeNte Lisa City :c��,.r Sri hi Zip: ' /,/J( Phone :Tc/S INFORMATION REGARDING PROJECT SUBMITTED: FOR REVIEW Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percola- tion test holes, soil profiles in test holes (see Page 3). Near What 1. Location of Facility: County GARFIELD City or Town (-,(GUI.jorm sPRu466S Location Address & /or Legal Description /42'7$' ri Lot Size ©,S 4nw, 2. No. of Bedrooms 2_ Septic Tank Capacity —7.50 g,QAeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Aj p evyne 0 c Assn, Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? N a 5. Distance to nearest sewer system: GLE4i. o SP iNgS •3 Ades Have you attempted to arrange a connection with the system? No 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. 0 ) Date Signature of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY , SI TI QLEklrypoi S4RINf�S t40 NAMti GKF RP°P U $ b DRIVt 1 0Air tiM (2161{1- SI ": ;Litt h7AII- B01( in F�DKT M1.'� I INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOU DARY LINES fi - rn R ovot \ Feet' ox gob ' P � v � sV s ��tG ;co P0D F t' 1 X No 's � cR �1 K h 1 N S PRoP6RrY LP-4G V 1 � , ■ . -- NO NAME 'RD, (TO BE RETURNED TO BLDG. & SANI, DEPT.)