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HomeMy WebLinkAbout01053 r GARFIELD COUNTY BUILD' 0 AND SANITATION DEPARTMENT 2014 lake Avenue ,µ Glenwood is r igs, Colorado 81801 a ), "wi Phone" 03) 0454241 31, 1 � This does not conC'fitiltb +�� ` - INDIVIDUAL SEWAGE DISPOSAL PERMIT 0 'I ici5 a building oruce perhill ill" sli ¢u iliki owner Martin & Sandra Luther • System Location 4 Miles up Main Fik Creel New Castle ii — . Licensed Installer ' 7 ' 'a_- lit .4 ` a ; ti • Conditional Construction approval is hereby granted for 'ROQ Intl gallon 'r " Il ✓Septic Tank or Aerated treatment unit. 4 Absorption area (or dispersal area) computed as follows: �,. 1 iii , a Pere rate of one inch in 1Q minutes requires a minlMUm of 16R ,sq. ft. of absorption area per bedroom. / " Therefore the no, of bedrooms ....1...L. x 1nn sq ft. minimum requirement - a total of —_sq. ft. of absorption area , 'I r i Y May we suggest / 12 X 42 or 18 X 28 / /r - Date �j 4Z/9 / ) Insp 4is4 / fr� !'v4-�' iiii FINAL APPROVAL OF SYSTEM: s No system shall be deemed to be in compliance with the wage Disposal La until th e as sembled system is approved prior to cover. Y R ing any part. ©V< Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. (: Proper materials nd ass b ly. /ZSQ. ��� gq'V o A' Trade n e of septic tank or aerated treatment unit. / 0/c Adequate absorption (or dispersal) area. ,— 3 ! S �- n ©I Adequate compliance with permit requirements. DK Adequate compliance with County and State regulations /requirements. I�u ' r--------^ Other Date 1/11/9 / • m Inspector 4144.- { /1 41.21, RETAIN WITH RECEIPT RECORDS CONSTRUCTION SITE 'CONDITIONS: 1. All installation must comply with all requirements of tio County Individual Sewage Disposal Regulations, adopted pursuant to ab• 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. '' " p, Connection to or use with any dwelling or structures. approved by the Building and Zoning office shall automatically be a viola. Y s tion of a requirement of the permit and cause for both 3. I4gal action end revocation of the permit. Section I11, 3.24 requires any person who constructs, a tell, 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 1, id' Petty Offense (S500.00 fine — 6 months in jail or both)., Applicant: Gratin Cory Dap.rtm.nt: Pink COPY rUL - rage TWO Fees Paid $ , I INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 3( S cc � Owner: W\O.`I �`R Ey ` ,h4\ Mail Address: ec% €A�� City: kA,,, Q( iR 9 - l4;cM Phone: 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 '\p,,,,.' C1/4's\\ Location Address & /or . Legal Description tt y“ . _ ki. _ O •..,ize Sc" oo 2. No. of Bedrooms 3 � Septic Tank Capacity __ Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well Depth Other Depth tto groynd table I 0 ` 4. Is facility within boundaries of a city /town or sanitation district? 5. Distance to nearest sewer system: % mac` -'2,S Have you attempted to arrange a connection with the system? \l\t • 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 Sig ature of App scant (TO BE RETURNED TO BLDG. & SANI. DEPT.) I Page Three PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY LL AAS Sit Ci@" INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES • (TO BE RETURNED TO BLDG. & SANI. DEPT.)