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Home My WebLink About01073 —: *rw"*�+- 1 . +r - .w.w. �.•.� " °.°.a.-.,r� -. r.rr^^ -- • • -- r °r -,- - 4 11 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 1 201419Ieke Avenue I „ 1 Glenwood$$rin4s Colorado 81601 Phone;iS03� 945'8241 II 1 . Perc Only: $50.00 a Ng fee i I This does not constitute , il INDIVIDUAL SEWAGE DISPOSAL PERMIT SQ " 1973 a building or use permit, „, owner Rick or Lori Hibbard i u'' System Location 2550 Highway 82 - Glenwogd Springs,CO �II" �: Licensed Installer ebti h P ✓" * Conditional Construction approval is hereby granted for,4 1,00(1 gallon I Septic Tank or Aerated treatment snit. "I'Ih Absorption area (or dispersal area/ computed as follows: , O t i d, Perc rate of one inch in 10 minutes requires a minlnqum of. 165 sq. ft. of absorption area per bedroom. Illu1 Therefore the no of bedrooms --3.._ —1 x 65_._ ft requirement .• a total of 495 sq. ft. of absorption area, d May was suggest a 13tx13tx10 u ' Date c �`� t 1 7 5/ � /9 y Ins pector / " i C �n i � __ FINAL APPROVAL OF, SYSTEM: IF N o system shall be deemed to be in compliance wi th the Sewage Disposal Laws until the assembled system Is approved prior to WIMP i i ill i ing any part. 11 1 /�e Septic Tank access for inspection and cloning within 12:fr. ground surface or aerated access ports above ground , u' surface. a Proper materials and , rWC- Trade m of septic tank o aeraled trea)men nit. � r Adequate u e r ' q at absorption (or dispersal) area. ,i. d Adequate ompliance with permit requir _ PC. Adequate compliance with County and St regulations /requirements. -- Other 1 Date of e / insp.. //.4 4, ij1JJd /L� • RETAIN WITH RECEIPT RECORDS ' T CONSTRUCTION 1' s rE 'CONDITIONS: 1. All installation must comply with all requirements of th Individual Sewage Disposal Regulations, adopted pursuant to au- thority granted in 6644.4, CRS 1963, amended 66314, RS 1963. 2. This permit is valid only for connection to structures wl,?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• tion of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alNrs, or installs an individual sewage disposal system in a manner which in• volves a knowing and material variation from the terms Jr specifications contained in the application of permit commits a Class 1, 1 Petty Offense ($500.00 fine — 6 months in jail or both). Applicant: Groan Copy Department: Pink Copy rage iwo Fees Paid $ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 9-4/47 Owner: M Ott .Z[n2 i /fir /hl tQ Mail Address: '.$o ,4,t ��— City: G! - m.4 pro $ s2ip: gi/ D/ Phone: 9VS- 54/& — : INFORMATION REGARDING PRO JECT 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 G Sp/Li t Location Address & /or ,/- Legal Description 0/5579 f1�� gZ._ Lot Size 2. No. of Bedrooms 3 Septic Tank, Capacity (CO 1 Unit Capacity N/A 3. Source of Domestic Water: Public (name): (,lwernp spnirtiS Wrt Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? pn 5. Distance to nearest sewer system: UfD D Q I • Have you attempted to arrange a connection with the system? /VD 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. 9— r Date Sig attire of Applicant (TO BE RETURNED TO BLDG. & SANI. DEPT.) Page Three • PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY Va s p 4 • ?-R RF C 9M I Y • ..f INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES Ce Y els, • mss �u,oE ec e P i P (TO BE.RETURNEII 0 BLDG. & SANI. DEPT.)