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Home My WebLink About01118 .. , ,. '"; hVt+'">•' rf' TT' a+! ,w!mM*iw+.- aTM-,..,.- ..�rz..rr.. nr . .cn -r'n T1 r x�wq r .:..[w,..** r - r , f 1 , .' GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT ft 2014 laka Avenue Glenwood Sp ngs, Colorado 81601 • Phone 003) 945.8241 \ . .. This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT ti2 1118 a btylding or use permit. , Owner Jim Hess µ System Location 0 Navaho Street, Elk Creek Licensed Installer Conditional Construction approval is hereby granted for a 1.non gallon xx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in . ._ ?minutes req�u,ire/s /a minimum of Z' 1 t0 sq. ft, of absorptiionn area per bedroom. Therefore the no of bedrooms 3 . a total of 1 '4&sq. ft of absorption area May we suggest I / X 5 Y. 3 / `. o- � . ,/ e? X 3 6 1(3 ' Z 'i D a t e -'� _ S In s pector 1 tA0 s /.1A.1 A.r.( '6 FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover• ing any part. U &4 ? 4 '4O Gn r L l- �-N (c - a J O L J Q Gl / &C C) fi, 0� r 6 r - Septic Tank access for inspectiorlkand cleaning within 12" of ground surface or aerated aq' ess ports above ground ., . surface. l tJ / Proper materials and assembly. (_Da,4dd� Trade name of septic tank or aerated treatment unit. 0:00 IuVI 4, i � i — 'Adequate absorption (or dispersal) area. / 8 z (x4' act X 4 s' t,t .!_d" / .4 i r P7 I-- Adequate compliance with permit requirements. _ 0 1` Adequate compliance with County and State regulations /requirements. Other r f Date \ i ., - I a--(a..0 ' �•r. - .r�ii_ r I -. 1 . ' Inspector 11ns- - — �'1 TAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE "CONDITIONS: m 1. All installation must comply with all, requirements of t, e Individual Sewage Disposal Regulations, adopted pursuant to au- thority granted in 66.44 -4, CRS 1963, amended 66.3.14, CRS 1963. 2. This permit is valid only for connection to structures +'hich have fully complied with County zoning and building requirements. u • Connection to or use with any dwelling or structures n t approved by the Building and Zoning office shall automatically be a viola- tion of a requirement of the permit and cause for both egal action and revocation of the permit. . 3. Section III, 124 requires any person who constructs, hers, or installs an individual sewage disposal system in a manner which In voI' es a knowing and material variation from the term$ or specifications contained in the application of permit commits a Class 1, ' Petty Offense (550100 fine - 6 months in jail or both), i 1 Applicant: Oran Copy Department: Pink CoPV a - - Page Two Fees Paid $ INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date Owner: ,/ / . ./ Mail Addres `nn City: ! /, Phone: M f ry 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,,,,) &it Location Address & /or U ' / 2 - ,v4 u c d c s f Legal Description for A„,,�At/,%d a Lot Size / (2. 4X//0 2. No. of Bedrooms Septic Tank Capacity 107-P7/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? 5. Distance to nearest sewer system: /on, Have you attempted to arrange a connection with the system? h, 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, • f Date ignature o hpp scant (TO BE RETURNED TO ENVIRON. HEALTH DEPT.) ��dd a+ W � NNtl n rl au I I AKA C � i t , F 1 y •'f a b II ' • '1, SAA am il.Ix n ?AO Ad , u� a I a � f �IPh 46" fpo f /(W / q �IP INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES (TO BE RETURNED TO ENVIRON. HEALTH DEPT.)