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HomeMy WebLinkAbout01122 t i k W 1 ARPIELD do B G AND SANi DEPARTMENT ` , " "' 2014 lake Avenue LI I f 1 - o Glenwood Sp , nos, Colorado 81601 _ " I t, ,= 1 Phone 303)945.8241 las N Nis ii, S I I/ This does not constitute 1 INDIVI SEWAGE DISPOSAL PERMIT NI d 1 122 a building or use permit. I I I, Owner f lnuglas fkih�tn , " , Canyon : on Creek area i II W , ; System Location Licensed Installer ,/, /. •-r 'C$4 r G4 -crear rat /Co. I ) • Conditional Construction approval is hereby granted for a 1 / gallon II .x,x Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: , Il i I Pero rate of one inch in minutes requires a minimum of Ten / sq. ft, of absorption area per bedroom. iiii l Therefore the no of bedrooms 3 x /,/, // sq. ft. Minimum requirement e a total of "4'isq. ft of absorption area rt '" o May we suggest b� Y G. v // � S e. etA.�ss f/ ' oe&l' /3G - Z� �i/ - it /4c--714 ' Date 7 -...)q9 Inspector &.��--r° - 'Le k ) II 11 ' . I > FINAL APPROVAL OF SYSTEM: 'i No system shall be deemed to be in compliance with the Sewage Disposal Laws until the atte pbled system is approved prior to cover= u .- „t' ing any part. I" Ode' 2" • Septic tank access for inspection and cleaning within 1 of ground surface or aerated access ports above ground . 1 surface, iii di QP - Proper materials and assembly. Trade name of septic tank or aerated treatment unit. ,. i ( CC Adequate absorption (or dispersal) area ©VC-- Adequate compliance with permit requirements. 0.0C-- Adequate compliance with County and State regulations /requirements. aare e 3e-a Z >t /O' O N ,G�^Tv 7 9 /Uc-- cDG ea4--rzo72C /L.1 O th '..g c er /,v yu L)cv O+)e°72 ecet -ts 2—r2, Date 2 — c 7 ?C. inspector -- � RETAIN WITH RECEIPT RECORDS' AT CONSTRUCTION SITE 'CONDITIONS: ■ 1. All installation must compl with all requirements of this County Individual Sewage Disposal Regulations, adopted pursuant to 00 0 ' /I thority granted in 66.44.0. RS 1963, amended 663.14, H ORS 1963. 2. This permit is valid only or connection to structures Which have fully complied with County zoning and building requirements, iI Connection to or use wi h any dwelling or structures not, approved by the Building and Zoning office shall automatically be a viola. tion of a requirement of the permit and'cauae for bosh legal aotign and revocation of the permit. 3. Section III, 3:24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in, to volves a knowing and meterial variation from the terms �Dr specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine .. 6 months in jail or both). 1 r Applicant: Organ CoP Department: Pink CePV _. _a. . . - .. aaaaaada anattaaaanattauaaata tnna..u_ua._.__ma.,.ar age iwo Fees Paid $ _ . #W DIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date Ar _ • Owner: _ a t2u6 -con ,-. Des/,t) Mail Address: ` 7a8 &o / ° /MO ty : 6it+kwoo Zip: 8/ Phone: 9 VC - 9W6 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 GGe/JGwJ 0 o D SifbP Location Address & /or Legal Description csadroAJ ( .,Qg q. Lot Size 9- a 444 a/ 2. No. of Bedrooms .,3 Septic Tank Capacity 4.25o Aeration Unit Capacity N/A 3. Source of Domestic Water: Public (name): P,Q.A/47 wete. - B/E‘!// era scia. Private: Well V Depth Other Depth to 1st ground water table 4. Is facility within boundaries of a city /town or sanitation district? AM 5. Distance to nearest sewer system: /f4 703. — redO /d //)u.4fi 3jsrs t Have you attempted to arrange a connection w ith the system? NO 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. 6L e4-1,-. j � / 7 /9g/ Date / igna ure of pplicant G6' /GG 1i'm'6 GUS /fr,r ro 0 /6 rf 0/ \ (TO BE RETURNED TO BLDG. & SAM. DEPT.) . __ PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY Page Three D"• in 966. 7s�9 z I 1.21.23 ' R I0F21.11Irtk Su aD1 0f5I ad INDICATE BELOW THE'LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES STREAMS IRRIGATION DITCHES, ROADWAYS AND BOUNDARY LINES • 51-M LANG, ... - I(,.3 Aet4S ya�iQ T,uK pelon-r� L/1N0 pal OarE SA N.4.1 6040 /s So et) Dliag RIO IERU IfM� $A6D101S1Goa PR IO LANG 5 0N'M6R (LO -10 0.4 to 2AG0 Oct Q (TO BE RETURNED TO BLDG. & SANI. DEPT.) %.s