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HomeMy WebLinkAbout01069 —i ^w ';. 4re.riy rn! ..'•+s{'- - a— s..,e-+.. . —t , . - . -. 'rn ' v. , rr, _ rrv.- . .s.P,- .*.^-...hm -- r' _ GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT t, t ;' 2014 lake Avenue Glenwood Sp ngs, Colorado 81601 Phone 3 03) 945.8241 ill I This does not constitute u '' INDIVIDUAL SEWAGE DISPOSAL PERMIT NO 1169 a building or use permit. il r, III , owner S. E. Mester System Location lot 24 - Rifle Creek Estates ue Licensed Installer /, dmi 00 • Conditional Construction approval is hereby granted fora" ( gallon ' ` Septic Tank or Aerated treatment unit. Absorption area for dispersal area) computed as follows: Perc rate of one inch in minutes requires a minimum of /f.3"-- ft. of absorption per bedroom. Therefore the no. of bedrooms 3 x � sq. ft. =minimum requirement - a total of ' sq. ft of absorption Brea. A. t i t May we suggest a X •• •• X v3 / Date � 7 �' � Inspect 12/4A> i/i/t/i1,04/1,19./ I l Ip FINAL APPROVAL. OF SYSTEM: �' No system shall be deemed to", be in compliance with the S4'Wage Disposal Laws until the assembled system is approved prior to cover- ' W . 109 8flV part 1 � QA- Septic Tank'access for inspection and cleaning within 12" of ground surface or aerated access ports above ground ' ° ,4i , / surface. lifr ai Proper aterial ,and asse bly. 1 II /�J /000 men d K Trade l e of s eptic t ank or aerated ea ft unit. I I d I\ Adequate absorption (or dispersal) area. =i. ©X Adequate compliance with permit requir9, `"" ) 0 / 4 <„,.., Adequate compliance with County and State regulations /requirements. 4, .> Othe / Date / l 3a��/ Inspector %,, , //. Ana RETAIN WITH RECEIPT RECORDS A • CONSTRUCTION SITE *CONDITIONS: I ' 4 1. All installation must comply with all requirements of th County Individual Sewage Disposal Regulations, adopted pursuant to au ' ' thority granted in 66.44.4, CRS 1963, amended 663 RS 1961 iii 1 This permit is valid only for connection to structures ich have fully complied with County .toning and building requirements., , Connection to or use with any dwelling or structures nb approved by the Building and Zoning office shall automatically be a viola I'1 mi o! lion of a requirement of the permit and cause for both I al action' and revocation of the permit: 4 ' It .l^! 3. Section 111, 124 requires any person who constructs, a ors, br frlttells an individual sewage disposal system in a manner which In ' - volves a knowing and material variation from the terns, r specifications contained in the application of permit commits a Class I, , Petty Offense ($500.00 fine — 6 months in jail or both). Applicant: Orion Cody Department: Oink Copy I „ ,, INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION JDate t.7f1�S1 Owner: e7 IMr�T�Tfy�2 26! --dn Mail Address: 9 Wfi City: Pali co Zip: ege5t) 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 -1 =1.4= Location Address Si L & /o� Q,I�-{ C K—. Lot Size 2,Sz- A-cuss Legal Description � l`C2 4 2. No. of Bedrooms Septic Tank. Capacity WOO Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): Private: Well 2( Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? t_Qc7 5. Distance to nearest sewer system: 4 04 WC.. .C. you attempted to arrange a connection with the system? •L> 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. &\i(,77 S Date ignatu o 'pp scant (TO BE RETURNED TO BLDG. & SANI. DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY i' L/h,L. J 361. X40• INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY ANIl DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES,. ROADWAYS, AND BOUNDARY LINES ---c- -�.. t Pz►c. ,, F 1 • (TO BE RETURNED TO BLDG. & SANI. DEPT.)