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Home My WebLink About01141 e --- 4 �4� 0 O+ s � GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945 -8241 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT : 1141 a building or use permit. Owner Barton Porter System Location Alkali Creek, New Castle - County Road 314 Licensed Installer Conditional Construction approval is hereby granted for a 1 gallon XX Septic Tank or Aerated treatment unit. • Absorpt area (of dispersal area) computed as follows: Pero rate of one inch in minutes r equ i res minimum of _A . ft. of absorption area per bedroom. / (12 / p Therefore the no. of bedrooms —3— x • .w� sq. ft. minimum requirement = a total of • sq. ff: bf absorption area. May we suggest Inspector � -y` o K. 3 ( / -8 X (c -i j� 5 • � ti • Date 1 � (� BZ i ... /I ,r-T 'r 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. 0 � C-- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper materials and assembly. r Atiora,,elk Trade name of septic tank or aerated treatment unit. 12. (v c / Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. I ((; � -4- c- t}t44 -1,/, Adequate compliance with County and State regulations /requirements. Other Date Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE "CONDITIONS: 1. All installation must comply with all requirements of the County 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 which have fully complied with County zoning and building requirements. Connection to or use with 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 cause for both legal action 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- 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: Groan Copy Department: Pink Copy am am naa &&&&& AnadadballkOta. .YaWnV• ∎Ya-g awassaa- --umnalm s YYlku Y ' INDIVIDUAL _HOME SEWAGE TRLA1MLNT SYSFLMS APPLICATION PAGE TUO J 4N WEN EDt'E3 z 1382 OWNER '' P O R T EIZ ADDRESS _PI ¢D I,U HZTFz RZVm Au'( 2S ((j PHONE _Gi.� Pits APPLICANT ,____ ADDRESS �� M PHONE CONTRACTOR ADDRESS Li sS PHONE - -__ - -_ IS PERMIT FOR: (X).New Installation ( ) Alteration ( ) Repair Attach separate sheets or, report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percolation test holes, soil'profiles in test holes. LOCATION OF PROPOSED FACILITY: County_` 64?(ZELP Near what city or Town paw uort _ Lot Size q L�! � - Legal Description MA/ 4 of NEe 07 ,iec •o`l 13 _ 1044, » G .Seu.t4 bh ilU_ Wea t _ 1 , L i- f WASTES TYPE: (X) Dwelling( ) !i q ( ) Transient User . i ( ) Commercial or Institutional ( ) Non - domestic Wastes ( ) Other - Describe: - - BUILDING OR SERVICE TYPE: Number of Persons 3 ___ Number of Bedrooms 3 (x) Garbage grinder (x) Automatic washer OC) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( )c) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: A/v /- - If supplied by community water, give name of supplier: ` GROUND CONDITIONS: c Depth to bedrock: 2.5 if Depth to first Ground Water Table: 150 Pf Percent ground slope: (U %V DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: _ Was an effort made to connect to community system? _ TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ()<) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: FINAL DISPOSAL BY: 4 ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( TO Underground Dispersal ( ) Sand Filter kIC� ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: 0 FACE 1!IREE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? _1/U SYSTEM IS DESIGNED FOR a,rjO�__ GALLONS PER DAY • If the system is to be designed by a Registered Professional Engineer (RPE), - state rate of absorption in test, holes shown on.the location map,'in.niinutes per,.inch:.'.._, , , of drop in water level after hbleslhaie beenlsoaked -for 24 hours: "; ________ SOIL PERCOLATION TEST RESULTS: Minutes "per inch in hole No.'1' Minutes —_ per inch in hole No. 3i Minutes � per inch in hole No. 2H Minutes. _ per inch in hole No..:* cc::: Name, address'; and telephone of RPE who made soil absorption tests: __ Name, address, and telephone of RPE responsible for design of the system;; Applicant acknowledges ; the_completeness , of the'application'is conditional upon such further mandatory'and additional tests and reports as may be required; !,_ by the local health department to be made and furnished by the applicant or by • the local health department for purposes of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973 as amended. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are or:will be represented to be true and correct to ' the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. r� v Date ( ( I G Signed /4r j PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • PAGE FOUR PLOT PLAN AND DESIGN FEATURES: Include by measured distance.location of wells,'springs, potable water supply , ^„ ;.;'„ lines, cisterns, buildings, property linesi subsoil drains, lake, water course,■ r n y. stream, dry gulch andshowlocation.of proposed system by direction and distance from dwellingTor other figed;referenee object, and additional submissions i n !-H ssifls in support of this,application. such as data, plans, specifications, statements and. ` - -' commitments. cemnit i i:.s. otd Sis \b � / f . , e( c in< '0 i ^c s � — — — - i }N p� e Y �� k �1 �0'/ ?v 1fou J f V 1 1f Lint Y S Sv �F v 1 . kudRtL citeRic CG1�l / lAtA 0f13 Mogi'a H OM(( U -- New Ccd . fester � � -- ki.. `, PERCOLATION TEST DATA Address M ( ( (A f ik .A.44 („,,ti, Profile hole T TEST HOLE N1 = N2 M3 TIME (Min.) Level Drop Level Drop Level Drop 1 I u 5 Z Z 4; 3 ` -- _1.116 f -- I 5/ I 1 10 L Z ., / } Y� � (ri �/ jra 'JET 15 I I �� vlj /(- f 2_/4- -_ / 1 �` � 91'? 3 � 1 / 3 1 II V 20 ' — Z I l _lf ' � / C ' ' Z = / 30 — — l 35 40 45 50 55 60 Percolation Rate lf, minutes per inch. Date (gjJZ Tester r �� m /I PERCCOLATION TEST DATA • Address 4 3(4 Q / — Po-ci / d Profile hole . L 44 TEST HOLE #1 N2 ll3 TIME (Min.) Level Drop Level Drop Level Drop 0 u 13� 3 II 5 1 7 4 a 1 ` v 1) 7(4 10 / 5 6 � / G al X Pik /i 15 _^ 7/W& " 5 5 fr, r rl �6 n 20 h 5-x 7b 25 / g" 4 /� ." 3 %h 6 30 7 35 40 45 50 55 60 Percolation Rate 2 7 minutes per inch.