HomeMy WebLinkAbout01111 y► s GARFIELD COUNTY BUILDI 4 AND SANITATION DEPARTMENT
2014 lake Avenue
Glenwood Spl' oat, Colorado 81601
i l Phone ( OS) 945 =8241
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• This does not constitute
.. INDIVIDUAL SEWAGE DISPOSAL PERMIT 49 1111 a building or use permit.
Owner W. James Zelenka i .
System Location Lot 3, Zelenka Minor SubdlylSton 'Silt
Licensed Installer J
I( Conditional Construction approval is hereby granted for a 1 ,000 gallon
Septic Tank or Aerated treatment Olt.
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Absorption area (or dispersal area) computed as follows: ill •
Perc rate of one inch in —0 minutes requires a minlmLm of 2 -I `"+ s I. ft. of absorption area per bedroom. 1 , �1
Therefore the no of bedrooms 3 x Z 15q. ft (Minimum requirement ■ a total of sq: ft of absorption area. V
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May we suggest f 2 1 1. S p cf 11 •K — 3 o 18 X 36o X 3 I
Date (3 11 Q Inspector 1TTd- .wJGt.ti �\ 121
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FINAL APPROVAL OF SYSTEM: [
No system shall be deemed to be in compliance with the Sr wage Disposal Laws until the assembled system is approved prior to cover l "._
N ing any i�� . ml it
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1_' Septic Tank access for inspection and clejning within 12" of ground surface or aerated access ports above ground ' ` �^
( . surface. I ''
Proper materials and assembly-
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Trade name of septic tank or aerated treatment unit-
Adequate absorption (or dispersal) area. 'j tN ^
Adequate compliance with permit requirements -
Adequate compliance with County and State regulations /requireme ts( _
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Other l 'Z
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Date 1 Inspector
m RETAIN WITH RECEIPT RE ORDS AT CONSTRUCTION SITE
"CONDITIONS:
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1. All installation must comply with all requirements of t B County Individual Sewage Disposal Regulations, adopted pursuant to au•
thority granted in 66 -444, CRS 1963, amended 663.14 RS 1963.
1 , .: , 1 This permit is valid only for connection to structures ich have fully complied with County zoning and building requirements, s, : ..
Connection to or use with any dwelling or structures n approved by the Building and Zoning office shall automatically be a viola.
tion of a requirement of the permit and cause for both *gal fiction and revocation of the permit.
1 Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which In-
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, , ..
Petty Offense (5500.00 fine — 6 months in jail or both).
Applicant: Orlon Co{4v Department: Pink Copy
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION 'Date Nov. 9 1981
Owner: W. James Zelenka
Mail Address: Box 1611 City: Rifle, Colo. Zip: 81650 Phone:625 -2015
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 Silt
Location Address & /or
Legal Description Lot 3 Zelenka Minor Subdivision Lot Size 2.8 acres
2. No. of Bedrooms 3 Septic Tank Capacity Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well x Depthapp. 50'Other Depth to 1st ground water tableapp, 40'
4. Is facility within boundaries of a city /town or sanitation district? no
5. Distance to nearest sewer system: 400'
Have you attempted to arrange a connection with the system? Ground slope -- imposible
If rejected, what was the reason? not possible
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. yes
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. yes
Nov. 9, 1981 L /
Date C gnat - e I 'pp scant
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
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INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SU:PLY AND DISTRI-
BUTION LINES,`STREAMS, IRRIGATION DITCHES, ROADWAYS, ANC BOUNDARY LINES
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(TO BE RETURNED TO BLDG. & SANI. DEPT.)