HomeMy WebLinkAbout01098 ' RARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 lake Avenue
s Glenwood 5p nos, Colorado 81801
Phone 0$) 94548241
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This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT $O 14)8 a building or use permit.
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owner Glen and Diana. Hansen
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^ ''stem Location 1.rrt a Reauar ,Crank Cuh , .
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(Licensed Installer
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Conditional Construction approval is hereby granted for al " gallon
fe Tank or Aerated treatment uhit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in 20 minutes requires a minintum of a in sq. ft of absorption area per bedroom.
Therefore the no. of bedrooms _� x 2 10 sq. ft.�' requirement a a total of csq. ft. of absorption area.
May we suggest S H K 3 Gr a ep . /t+ - - t
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Date f)ctnAer'� 1QR1 M Inspacto A44 /j4/�-LQ� 1
FINAL APPROVAL OF SYSTEM: , vv�
No system shall be deemed to be in compliance with the Sewage Disposttaiws until elh a ssembled'kyelem is approved prior to cover. i' I
ing any part.
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II ' Septic Tank access for inspection and cleaning w bib 12” of ground surface or aerated access ports above ground
surface,
Proper materials and assembly. hilh
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ade name of septic tank or aerated trealjme I it.
It .- Adequate absorption (or dispersal) area. ./ 9 A4 l_ (/.
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Adequate compliance with permit require )rents. '.j4 5 SC...a,.!•/a ". „*^' , 1 Lf
0 ,g — Adequate compliance with County and State regulations /requirements.
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in Date P J 4 ( f if ji Inspector _ ?-.4 - . '
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RETAIN WITH RECEIPT RE AT CONSTRUCTION SITE
/CONDITIONS: ' ; I4
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au ins`--.
thority granted in 66.444, CRS 1963, amended 66.3.14
2. This permit is valid only for connection to structures 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 violas
tion of a requirement of the permit and cause for both I al action and revocation of the permit, h } '4I i
3. Section III, 3.24 requires any person who constructs, *Gen, or installs an individual sewage disposal system in a manner which ink I ' IS
volves a knowing and material variation from the termelor speClfications contained In the application of permit commits a Clasf 1; "'
Petty Offense (5500.00 fine — 6 months in jail or both):
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" Applicant: Croon Coy DopartmMt: Pink Copy i 17 v
` IND HOME SEWAGE TREATMENT SYSTEMS APPLICATION (Date i r6- 0 7_ 4/
/ Owner: 1 2/0 A.uGY Dauat
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Mail Address: 3f6/ a33 ,L/? City: A. Zip: ,P /era Phone:4
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 rat �
1. Location of Facility: County GARFIELD City y p or Town
Location Address 7 /J j /I Lot Size Scu4.ta
Legal Description Wordy. sa )ate
2. No. of Bedrooms o2 Septic Tank. Capacity /Oap Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well ✓ Depth Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district? .yc(>
5. Distance to nearest sewer system: r / a
Have you attempted to arrange a connection with the system? em u)
If rejected, what was the reason?
6. If • 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:
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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.
(0_ 02 _ D a te ignature of pp scant
(TO BE RETURNED TO BLDG, & SANI. DEPT.)
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t INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
TION LINES, STR S, IRR 1I �` DITCHES R OADWAYS A, _ND B LINES
1,-1
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(TO BE RETURNED TO BLDG. & SANI. DEPT.)
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