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Home My WebLink About01240 +..r^. -n.x a....,,.. -w ., m.. xr^n .. ,r.. r *.. r. , .... m+c. .. .- ,�. iw f5@�!.��^^pr�- +� +..itn `� .r zrLS� S t : a GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 4- 2014 Blake Avenue Glenwood Springs, Colorado 81601 4 Phone (303) 945-8241 , 7 - This does not constitute INDIVIDUAL SEWAGE DISPOSAL P RM 1240 a building or use permit. Owner George Pearson System Location I of a- Moore Subdivision, 32O Roa d,'Si�t — t�IPC c= Licensed Installer Robert Gordon Construction Conditional Construction approval is hereby granted for a 1,00f1 g allon xx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: r� Perc rate of one inch in 0 minutes requires a minimum of '2 �'1 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms ‘..3 3 x 22a io sq. ft. minimum requirement = a total of t 9'4 ft. of absorption area. May we suggest /2 X 57 X 3 / / e ep tP t- / I X 3 6 X 3 / c °e e/-', Date /r //8 Z Inspector 1 , JAI // �. / / 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. dCPC. Proper materiels and assembly. 2a ade name of septic tank or aerated tr1 (iment unit. (Pt - Adequate absorption (or dispersal) area. / ffp SrY-c c ` ice C.. Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. # c C ?-O CirW /f-a re'rrL r.CJSTr9z r.U� �.7 LPTG fl— Other w_'� /"tyre, � p ) J er - 't tiCJF GOT C err Date — / ��' Inspector T� G �/ w� Fie- r-0 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 II1, 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: Green Copy Department: Pink Copy Uto C s a w • - - An P ES$ 1 t . -' -- -- PHONE _ ADDRESS _= — — - -- - -- PHONE - -- — — CONTGAC1OR _ ; ` W 40/... /' — — — — � • ADDRESS . - - - -. ''._1'� // O i' j ' f p�� /p a// s ----- l0?.�' PI10NE ''� ... - IS i�Er .MIT FOR: ; ( ) New Installation ( ) Alteration ( ) Repair Att :ch s_psrate sheets or report showing entire area with respect to surrounding arras, topography of area, habitable buildings, location of potable water wells, soil prrcolation test holes, soil profiles in test hol / es.. LOCATION OF PROPOSED FACILITY: County ...4/ Near..what.City or Town r_____ _- — Lot Size . _4 , -, to - Legal Description fir S'6_ - - - -- WASTES TYPE: (X) Dwelling ( ) Transient Use . ( ) Commercial oc.lnsti.tutional (.) Non- domestic Wastes ( ) Other - Describe: - BUILDING OR SERVICE TYPE: Number of Persons —_— Number of Bedrooms 'J ( V) Garbage grinder (,r) Automatic washer (2r) Dishwasher ... SOURCE AND TYPE OF WATER SUPPLY: (,V) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: . 4-0 — If supplied by community water, give name of supplier: GROUND CONDITIONS: Depth to bedrock: /Z Depth to first Ground Water Table: itdI Aiiccw..• Percent ground slope: 9d ' DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 7/rs' • Was an effort made to connect to community system? A TYPE OF (,NDIVIDUAL 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: — FINAL DISPOSAL BY: (4 Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter'. . ( ) Above Ground Dispersal - ( ) Wastewater Pond" ( ) Other - Describe: • 1S Di Sio':ED 1 OR ' C'0.0 12:S 1'LR DAY If 'ix system is to be designed by a Registered Professional Engineer (RPE), state rr,te of absorption in test holes shown on the location nap, in minutes Per inch of drop in water level after holes have been soaked for 24 hours: i - SOIL PERCOLAT ION• TEST RESULTS:! r ! F i.S Minutes __ per inch in hole No.' 1. Minutes per inch in hole No. 3 1;inutes per inch in hole No. 2 Minutes 7 per inch in hole No. -, N :rye, address, and telephone of RPE who made soil absorption tests: __ _ Game, address, and tel of RPE responsible for design of the system: • • Applicant acknowledges_that_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,appl1cant,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. Date _ 9/751492 Signed *//eii--. f�----. --' PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY fin 39' a , y maw it fe too 0 4 � • Kiemoor /281. 32 ' rl , C1 / 11 S;i:N FF_i_iURE$: t Include by measured distance location of wells, springs, potable water supply • cistorns, buildings, lines, subsoil drains, lake, water ccurse, . strum, dry gulch and show location of proposed system by direction and distance from d,celling or other_ fixed reference object, additional submissions in support of this,. application _suph.as.data,:plans, specifications, statements ands, curniLwcnts. Gorda . I 5 .1 (,quo OD cti� &, D ar s 144,1A, dAs laic aCla 10 46- (AA- to (so 61 tat rdaytti . • • • • • • • Date �y- ` "" I TQster PERCOLATION TEST DATA Address _Pn /'So — /o t % i orc ex. co ,2 S Profile hole NO e AMC 7! n 7 TEST HOLE ql X12 *3 TIME (Min.) Level Drop Level Drop Level Drop 0 7% c 5 Gks /% S,Y8 3 /g 10 74 PX 3' /8 15 4 3 /i 4 . /B 20 3 73 98 44 VR 25 3 % n 37 3 /R 30 35 40 45 50 55 60 Percolation Rate / 0 minutes per inch.