HomeMy WebLinkAbout01093 T m --�w►_ •. � . s ._�-.. .-. -r � . _ _
GARFIELD COUNTY BUILDII43 AND SANITATION DEPARTMENT
2014 hike Avenue
Glenwood Sp tills, Colorado 81601
Phone 03) 941643241 All
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This does not constitute
w ` INDIVIDUAL SEWAGE DISPOSAL PERMIT JQ, " 1093 a building or use permit.
I. i Owner Mark Fradrick i ,
II
System Location 0245 237 Road — Silt Mnta`,
Licensed Installer 47'41/K 1 a. C C. ��7
* Conditional Construction approval is hereby granted fora •7 gallon
__X___ Septic Tank or Aerated treatment lt6lt. ,
Absorption area (or dispersal area) computed as follows('
Perc rate of one inch in / Lo minutes requires a minim m of - sq. ft of absorption area per bedroom.
Therefore the no of bedrooms °` x - 'sq.'ft.ldnlnimdm requirement ■ a total of 3q.4.sq. ft of absorption area.
May we suggest /'x 3 3 X 3 r
L cf e 8 , ///
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Date / Cf // (.1a , Inspector fir, / is r-/ � t+u-
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the +wage Disposal Laws until the assembled system is approved prior to cover,
ing any part.
4, 6,/ , ( Septic Tank access for inspection and cle ning within 12" of ground surface or aerated access ports above ground 3i ,j
surface.
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Proper materiaiss and �asse � a O bly. p_ ¢/y[
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Tram of septic t nk or e6t unit! " 1 s S
e n 1
0 ` Adequate absorption (or dispersal) area., (- t'
Oft Adequate compliance with permit requir 'jnents.'
" 0 K Adpquata'GOmplience. County and State regulations /requirements.
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J +� r f hits' - 1 � �
Date Q / I , ,I Inspe the 4 . i .. - . —
RETAIN WITH REC RECORDS A CONSTRUCTION SITE
il 'CONDITIONS: f
II 1. All installation must comply with all requirements of t+ County Individual Sewage Disposal Regulations, adopted pursuant to au- � 1
thority granted in 66 -44.4, CRS 1963, amended 66.314 CRS 1965.
2. This permit is valid only for connection to`tructures Ich. have 'fully complied with County zoning and building requirements.
Connection to or use with any dwelling or structures no apPrOved by the Building and Zoning office shall automatically be a viola.
non of a requirement of the permit and cause for both I Q el action and revocation of the permit.
1 Section III, 124 requires any person who constructs, ers, or installs an individual sewage disposal system in a manner which in- ly
liii 500.00 volves a knowing and material variation from the termSior specifications contained in the application ol'permit commits a Class 1, ,
Petty Offense (5 fine -'6 months in jail or both).
Applicant: Onion Ce y Dspartmant Pink COPY
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tit:
Page Iwo Fees Paid $
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 9/7/4?,
Owner: fini,e e. FgE w,e /C_k
Mail Address: 4-,cya,9 ,g - City: ,vew C Zipt St /CY7 Phone: 9fs'y,2S47
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, sgil percola-
tion test holes, soil profiles in test holes (see Page 3).
Near What
1. Location of Facility: County GARFIELD City or Town S /4_/
Location Address & /or
Legal Description 9 "o. S&- m6s4- Lot Size 2.Y , tc is
2. No. of Bedrooms 2 Septic Tank Capacity 7S'b Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name): —
Private: Well ✓ Depth Other Depth to 1st ground water table N/A
4. Is facility within boundaries of a city /town or sanitation district? No
5. Distance to nearest sewer system: N/A
Have you attempted to arrange a connection with the system?
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.
9/7/11/
bate ignature o ipp ant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
u' .
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Asen,sNT d o. 1 2vEY to
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11 s r a
U.S. Co t y 5/1-...T-
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
CoPK of ,QouNOn -r So,t.sv , -1-oO o
•
(TO BE RETURNED TO BLDG. & SANI. DEPT.)