HomeMy WebLinkAbout01112 14 .,x.. o-ATTHForimr7f^'^ rvnyt,`girtrimr 7 S Pr - ^"rr rw,^In, '^1' men -4 '— - toe±'. r a .r „ , 'S i fr , - fin, it
.• „ • GARFIELD COUNTY BUILDIN AND SANITATION DEPARTMENT
r l 2014, , AAyanpe IIkr1 # ,
- '� Otenwood S i oldr.do 81601 'll +s 1
1� p1„ Phone It i ii 454241 f l +°
try i toll
1,1� a i11u ,,.
lu, 11J^
HI' This, does not constitute 1 r
11 l' a building or use permit
I I
INDIVIDUAL SEWAGE DISPOSAL PERMIT ll,ll T
ii h i II I V a ♦ i M I
I ,
O Terry & Penny S tterfletd j,l, 1 toy,
NE cornet of NW% SE% of Sec.l , T.8 S. R. 96 W. of the 6th PM Containing,' < i44, l
1 ii System Location raracnute II '
Licensed Installer
Conditional Construction approval is hereby granted for s III gallon
X Septic Tank or s Aerated treatment It .
1u ,
Absorption area (or dispersal area) computed as follows; Il I
r4,e i "
Parc rate of one inch in _ minutes requires a mini , m of ...1,,-7....a—sq. ft. of absorption area per bedroom. � f l
li, ' Therefore the no. of b `3 x , ie, sq.,f inlmum requirement a a total o q. ft. of absorption are8, � I I I
1 ,
u
1 ,, � 1 1 1 tAJt4A � C +11 III .May we sieges, p. i 16-,1 (3 11 � 1 1G n � � v a „ I x
Date t "' 1ntp9ctor t
k V 1II ^,V
FI NAL APPROVAL OF SYSTEM.: I rl' lei „
s l No system shall be deemed to be in compliance with the Owego Disposal Laws until the assembled system is approved prior to g itver ll+r.. li
' i JI NI Inc;
, any part.
r� � P r ,
Ol i (9y.,... Septic Tank access for inspection and cI ning within 12" of ground surface or aerated access ports above ground I III 'i
surface.
i dy l I • Proper materials and assembly. 1 u i,
"1 i 1 £ J Trade name of septic tank or aerated tre a tment unit.
X1 ry ,+1,' Adequate absorption (or dispersal) area,•11y � 'IL,
er ___ . ,,,,
I 0
il I Adequate compliance with permit reqer ui '
ments.
I l li Adequate compliance with County end rate regulations/requirements. , ,;, I , ..
i 1A1
Other
1 Date �� 0 l3 r' 1 Inspector — II
Li I n
RETAIN WITH RECEIPT'FCORDS AT CONSTRUCTION SITE 1 i ii. ',I
1
iii "CONDITIONS:
1. All installation must comply with . all requirementssof I he county Individual Sewage Disposal Regulations, adopted pursuant to au `- I
thority granted in 66.444, CRS 1963, amended 66.3-1 Ir C 1663.
2. This permit is valid only for Connection to structur"g hick have fully complied with County zoning and building requirements, - I
Connection to or use with any dwelling or structures 1 of approved by the Building and Zoning office shall automatically be a viola ,, 'h i I
tion of a requirement of the permit and cause for bpi egal action and revocation of the permit. {`
3. Section 111, 3.24 requires any person who constructs. fters, or! Installs an individual sewage' disposal system in a manner which In °m 0. . l
volves a knowing and material variation from the ter or specifications contained in the application of permit commits a Class 1 " I1
I 1 Petty Offense (860,1.66 fine -. 6 ". months in jail or both , r
1111'i I I
Appliant Oraan c opy t P•pirtmonti Pink COPY u r 1 1 ',''
1V
lr I
Y 1 �1i111 1w. ". tir 1m Il u.. 4. .. ,...._,.._�......__...w. '. .d e ...... y� . _ . .__ ,..�_.�_ ___....,.,w..�.w�.uW4,.rr• _��u.�..r.�.�.
tw
e o Fees Paid $75
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date 1/ — Ar/
Owner: P rr.l i. - 3nrn 71a kAc r'�iC. 1 d
Mail Address: °clop 01 Zto City: — Pente\Po \e Zip: /(1123S Phone: L$$ -77n1
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 '�arta� v t@
Location Address & /or NE c..n« os W SENIO¢Stt. B)
Legal Description -i; ga1L aLot Size a IQ a rcS
2. No. of Bedrooms 3 Septic Tank Capacity )occvat 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? N o
5. Distance to nearest sewer system: tiv 1 e .S
Have you attempted to arrange a connection with the system? Dv en,
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.
6 sr/ ' -,. Tim- /
Date igna u = o '.p can
(TO BE RETURNED TO BLDG. & SANI. DEPT.)