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Home My WebLink About01235 *'m: :; `7 r ^a r. " ^^►° -.. ,. - f .. ,-, .- r ,.r. n a?nditeM1'0'et "noY'td.°Mw.r . /t SC. 0---'. e / �i. GARFIELD COUNTY BU?LDING' SANITATION DEPARTMENT 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945-8241 REPAIR OF EXISTING SYSTEM - NO FEE Evapotransporatlon system This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT JO 1235 a building or use permit. Owner Lnu Deane System Location 0477 Rose Lane, Carbondale Licensed Installer Owner < /3T /n /s • Conditional Construction approval is hereby granted for a —47750—.0 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pert rate of one inch in * T ' minutes requires a minimum of sq. ft. of absorption area per bedroom. 3 .ao.e m EO.6.44e..4.,-ca--rt." ,— Therefore the no. of bedrooms fir' x sq. ft. minimum requirement - a total of sq. ft. of absorption area. May we suggest .<4#, /9it/,5 4 51o4-Z /,c- / C 77O "us ce,C ,e 1 / /•viU/alJV. — Z) DateA7 — / — S'Z — I nspector r-��f �/� 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. Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper materials and assembly. Trade name of septic tank or aerated treatment unit. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. 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 66.444, 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 1, Petty Offense (5500.00 fine — 6 months in jail or both). Applicant: Green Copy Department: Pink Copy APPL I C. NT .Zgickaatter — - - 4 -- ADDPFSS __ r_rrff- = --G t7-1 -- 2Yzt4,- 1li e.._Art de• -- PHONE 9 Airr CONTRACTOR "R PHONE , " ADDRESS , .. -- - - - - -- ]S I'FrJi1T FOR: r ( ) New Installation ( ) Alteration (�) Repair LA.U :.!;::rate sheets or report showing entire area with respect to surrounding• areas, tcp22ri,phy of area, habitable buildings, location of potable water wells, soil ;,,- iLolation test holes, soil profiles in test holes.. LOCA11ON OF PROPOSED FACILITY: County _- — _.----- ___ - -- —' — Near. ,:hat .City or Town ; tn* * c, - ____ Lot Size ?r1_ T Legal Description - ,itirj, _ j.,,, - - WASTES TYPE: ( Dwelling ( ) Transient Use ( ) Commercial or Institutional (" ) Non - domestic Wastes .. - ( ) Other - Describe: -_ _- -_____ - -_ -_ -- BUILDING OR SERVICE TYPE: 0 Number of Persons 1? -- Number of Bedrooms' - , -- ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher SOURCE/ND TYPE OF WATER SUPPLY: ( ✓rwell ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: nee c( - If supplied by community water, give name of supplier. n (q — GROUND CONDITIONS: Depth to bedrock: - _ Depth to first Ground Water Table: c � Percent ground slope: r „ - — DISTANCE TO NEAREST COMMUNITY EWER SYSTEM: / _iga Was an effort made to connect to community system? 4 ,0 rj TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: . (v) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet () Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: _ FIN__A_L DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( • ( ) Underground Dispersal ( ) Sand Filter. . ( ) Above Ground Dispersal ( ) W'aste'water Pond ( ) Other - Describe: — SfsI rM ]S 1 CR - --- ;;S , LR If the system is to he designed by a Registered Professional Engineer (»a ), state rate of absorption in test holes shown en the location map, in :ainJtes per inch - of drop in mater level after holes have Lien scaled for 24 !ours • q -- 1 SOIL PERCOLATION TEST - _RESULTS: , c- t Minutes per inch in hole , 14o. 1 Minutes per inch in hole No. 3 Minutes _ per inch in hole No. 2 Minutes _ _ per inch in hole No. -_ • address, and telephone of RPE who made soil absorption tests: Came, address, and telephone of RPE responsible for design of the system: ____ • Applicant ackdowledoes that the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department -to be rnade 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 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•provi. by. 1aw. Date__ �{ /T t_– Signed - _— -- • 4 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY -- -- sc /1l t �SoL , • • • sfls . SCHMUESER & ASSOCIATES, INC. 201 CENTENNIAL STREET SUITE 306 GLENWOOD SPRINGS, CO 81601 (303) 945-5468 RECEI - t 1982 December 6, 1982 Mr. Buck Deane 0477 Rose Lane Carbondale, CO 81623 Dear Buck: Enclosed please find a final set of prints for your evapotransporation system. These plans have been stamped and have been approved by the Garfield County Health Department. Also, I am sending your county permit. Keep this permit and plans on the site while construction is in progress. Please contact me or Ed Feld, the Garfield County Sanitation, when ready for inspection. Note that the system must be approved before covering. If you have any questions concerning this matter, please do not hesitate to contact us. Sincerely, SCHMUESER & ASSOCIATES, INC. it A 1 / 4 -t Scott Leslie Operations Consultant cc: Ed Feld, Garfield County Sanitation Enclosure SL /sf