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Home My WebLink About01043 ^v?. +a ",rnl w p .r .T- MPRgI�.a!��*WA+ *. +rol�'+^— - W n:.. �. r .. r.. - s ._.. - ii .r • I, GARFIELD COUNTY BUILDI ANO SANITATION DEPARTMENT 2014 lake Avenue II Glenwood Songs, Colorado 81801 Phone 03) 9454241 ,Z /d 7 025a - oo -0/3 lifi This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT 40 1 1043 a building or use permit. 141 11 1 A Owner Harold Hanes �\ e System Location 1887 2'37 RflArt • W 1 Licensed Installer /5 ✓c fi J 4 _asjpt, Conditional Construction approval Is hereby granted for aallon " 6--- Tank or Aerated treatment tlhl Absorption area (or disperse' area) computed as follows; I Perc rate of one inch in /0 minutes requires a Minlrnum of f� S sq. ft. of absorption i area per bedroom. n f Therefore the no. of bedrooms , x, /4 .S sq.ft. inimum requirement o. a total of 19 ft. of absorption area. .I .v May we suggest /2 X¢ Z ( 'de o /6 X v X 3 / de ep • Date 7'7Z' 7-19 / Inspe i i . �/ i / � /w/ INAL ^ ',� I +R . APPROVAL OF SYSTEM: � No system shall be deemed to be In compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover• id ing any / part. mr` Septic Tank access for inspection and cleaning within 12" of ground surface or Berated access ports above ground surface. /0 Proper er r materials nd ass bly Gpf7 t? �, car Trader e of septic t nk or aerated treat ,R it. • + 0 frec Adequate absorption (or dispersal) area, /j VP, (7 /K. Adequate compliance with pertbit requirements. 0 1 �•- Adequate compliance with County and S regulptions /requirements. Date �Athver Inspector 1.� ../AL l/I/ RETAIN WITH RECEIPT RCORDS • CONSTRUCTION SITE *CONDITIONS: j 1. All installation must comply with all requirements of t e County Individual Sewage Disposal Regulations, adopted pursuant to au. thority granted in 66.44.4, CRS 1983, amended 66.3.14 RS 1963. 2. This permit is valid only for connection to structures "eh have fully comp fl..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 i l gal action and revocation of the permit. 3. Section 111, 3.24 requires any person who constructs,° era, or installs an individual sewage disposal system in a manner which in- volves a knowing and material variation from the tetril or specifications contained in the application of permit commits a Class I, _ Petty Offense (5500.00 fine - 6 months in jail or both). ' 1 • Appllc nt: p reen CIe Oaaartmant:: Pink CoPy , I yi page Two Fees Paid $ • • INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date Owner: timoLo /(0/63 • Mail Address: /8$7 - 237 At City: R,F[.E Zip: 9(6Sa Phone:876 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 S /L7 Location Address & /or Legal Description /$$7 .237 (1. Lot Size 3 4 ActES 2. No. of Bedrooms 2 Septic Tank Capacity /000 Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well )( Depth /00 Other Depth to 1st ground water table X 70 / 4. Is facility within boundaries of a city /town or sanitation district? A/0 5. Distance to nearest sewer system: /50— 200 Have you attempted to arrange a connection with the system? /%(O If rejected, what was the reason? OLO SYSTEM /S arSoctrE # WILL 86 055D NOMO,CE. 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. "tad c 5/0 / Date Signature of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) • A Page Three ■ W ) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY NwY S 170404 /4A set P -- -Q1 itcr. FIRRabD NAd4S RESIDENCE N M • e r 867 237 11' N0 -Q- a4 I INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- d* 5 BUTION LINES, STREAMS, IRRIGATION'DITCHES, ROADWAYS, AND BOUNDARY LINES u. Q,/. 23 7 �1 "'oc }10 °s -- x! E ��'� 1 D4 o t 1 s - t E. _p • IR(C�4gTlo p TC i° 501 5 Q" Q(9 rO —X ft x -Pe Le S go0 bah" ey LINOS (TO BE RETURNED TO BLDG. & SANI. DEPT.)