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HomeMy WebLinkAbout01108 77113 7- 7"01.177,11A1Tr-•. =, .R - -'--- •-awc•. F "'Tr -0 wr ic°Pf'cpw rt >•'.r""afr.rP/75 17P7i m„r.. _. i cAtitapt °AR FIELD COUNTY BUILDING AND SANITATION DEPARTMENT a 2014 k. Avenue I II'1' "rl, I IIlenwoOds " "rado Slag l Pho !,04$4111141 MI n i lly t I 91 1I ,^ t 1 yin rvli l l,a v, IM nl I ; I II i k,, yl II 1 This does not constltute "Hill -1 "I, u a building or use p e l +a wPo u •- Ii I SEWAG ,DI ,,POSAL PERMIT reel 1 1" t awe -- owner • Dave IUn'sworp y. ' 4 .; ° , "lI , System Location Pare' ereel ' Fast Elk Creek, ",SA1 I s i II, h ilt s l,, '' 1 I V I I'll I,1I f4" 1,icensed Installer y' '" i leils p' s ion eiw y l Is hereby granted f l i p iii I Conditional Contr 4 p y r w g a- gallon � - • t X Septiq Tank ti treatment t� It �' ',If H1 I a 1 Absorption area (or dispersal ar , computed as follows I I p u ry r hi d r l I P arc r a t e o f on i nch Iii s 2 ,Minutes requires a mini ` II sq • ft. of absorption, area per bedroom. "�I • 1'sI C yl,� I 2 x ' -1 e i " ill) I I , Therefore the no. of bedrooms , sq.l t. I Inlitium requirement Is a total of 4 q. ft. of absorption erep , p, it ' l i e" • I May wesuggest ' *' �' 11 i s IIiX !C> > I "I "J I 'l 4 Z /( / 3 tfl 1 X . µ„ II I ,. , . It',,'' 'Dat9 _" :re J • , I .. / r + !. 1 l'" Inspector / C11 ' / - - � w /RA ' 7'A � (� . Mi µ 41+x'. ■ F INAL APPROVAL O � F :S TE Mi y I r i t , ,I t i I n I � tl '111 I " No system shell be (deemed' to be in compliance with the' wade Disposal Laws until the assembled system is approved prlol to' gd+vef- I I I I . any part. . " , B " re ct - Septic Tank access for inspection and of li Ring within 12" of ground surface or aerated access ports above ground is� surface. ` q r 'IrI + h " • Proper materials and a ssembly. e • • c} � 1iVl,.t.[�I I II IPA , x a ) � , " ,ud :- al, Trade name Of septic tank or Berated tre t "ment unit, i 1I1� " e e 9 a . I " i I� Adequate absorption (or dispersal) er IC compliance with permit req © h^ - — Adequate c omrl' uir a�. a I '/ r1 ,Pt m / Ad$quate coMplibnCe with County a nel it 010 regulations /requirements. I , I^ „ I A I � w: ; : ±m , I . Ill 6L Other ` s 1u „ " �.- / I ur ( � ° s 4,1 I V I � I�� I r Date L ua�....a - I, Inspector t "' /` a��1:rt „ F � , i t lll HVil�p v W I � I hh' II 'II i RETAIN WITH RECEIPT QRDS AT CONSTRUCTION SITE . ; II II II °'' ' ' I I ✓r.. I p,I "U , "CONDITIONS: llI ii 1. All installation must c4 4ply with h a ll requirements u . unt Individual, Sewage Disposal Regulations, adopted pursuant, to au + lI , I H tre thority granted in 66- e p.'3 � S ;Opt 2. This permit is valid only for connection to structures 4 I he a fully complied with County, zoning and building requirements.. I '1. I IIl1 l I Connection to or use with any+' dwelling or strucwres i n tapproved the building and toning Office shell automatically be a vid ii; , I tion of a requirement of the permit and cause for both 1 401 Iction and revocation of the permit. �I r q, I 3. Section 111, 3.24 requires any person who constructs` (tens, or an individual sewage disposal system In a manner which In- II l l ,i, ' Ili volves a knowing and material variation from the ter Or specifications contained In the application of permit commits a Classit,11l 1 Petty Offense ($I500A0fine - 6 months in Jail or both) i ' It "` U' APPlicant Won • im 4 iWrtro.nt: Pink Copy il,Il'r' , ..PS � . ....iu x wwJwyrt I Dui. iLmuuuLu. rr. �� .��a.LYu.r��,.u.r."rr.uw.YJ�ar a.umJ�rrY�w�rrY.�r 1:4,10' II I CI ny INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION `Date Owner: p/, OF (i(k5J4;m- ie-- Mail Address: Rbx 214 City: [ k hiw'n d . Zip: Phone: 64 - Z531 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). 1. Location of Facility: County GARFIELD City or (U64J (a. 4'I'e- Location Address &Lor Legal Description I avcriii i d - Flk 6verlk cid, Lot Size 4, q S 2. No. of Bedrooms 2, Septic Tank Capacity Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): EaS - PIk < sit Private: Well Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? It)c7 5. Distance to nearest sewer system: 550' Have you attempted to arrange a connection with the system? /L/4) 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. Oc, / Da Signa / re o f App Ti nt (TO BE RETURNED TO BLDG. & SANI. DEPT.) • • • INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES • C'5 \ Pa . I0 \ S S l` Ohr`h C PC NET9/ \ps, `urge`' T (TO BE RETURNED- TO BLDG. & SANI. DEPT.) Q'lA)