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Home My WebLink About01247 • GARFIELD COUNTY BUILDING. AND SANITATION DEPARTMENT • 2014 Blake Avenue Glenwood Springs, Colorado 81601 �/oz 7_ 35 o _ oo -'/ Phone (303) 94548241 Y3 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT t{ 1247 a building or use permit. Owner Michael & Diane Smith D353- System Location A 237 Rnad Silt (k mi. Nnrth of 237 & 233 intersection - legal attached) Licensed Installer owner Conditional Construction approval is hereby granted for a 1,250 gallon XXX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in /S" minutes requires a minimum of 7? sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 4 x 79sq. ft. minimum requirement = a total of ./..afasq. ft. of absorption area. May we suggest /' '.Y 93 "X 3 / ..5G -=z-r tt r- , o.C. . 2 / a /X (n a Cs. 3 Date .' c ) 7 -'CP- Inspector /Ce L-/ 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. UCH moo Trade name of septic tank or aerated treatment unit. /C-- (' 6o . ��ii Adequate absorption (or dispersal) area. x z - 3 at Adequate compliance with permit requirements. ®�� Adequate compliance with County and State regulations /requirements. Other / �\ Date !a' eaa' 'r1 a3 Inspector C.. r� ) , 4 . 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 ($500.00 fine — 6 months in jail or both). Applicant: Green Copy Department: Pink Copy : ! 4 i . / C, :!.1R Al ICHA EL t P /Ad1E .5_ /TM AriLRLss 013 62. a — '? _f �1F_6 . _- ---- HONE 8/6:a82 APPLICANT __544/1E _ - -- — -- -- - -- — ADDRESS q 1 - - -- ---- __ - - -- PHONE _MME_ - -_ ____ CONTRACTOR _ $AJeE' op. --- - - - - -- -- - - - - -- PADRESS a - - — — PHONE — & tLn-L' - I 1S PEr,MIT FOR: (•() New Installation ( ) Alteration ( ) Repair Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable r +titer- wells, • soil percolation test holes, soil profiles in test holes.. LOCAT ION OF PROPOSED FACILITY: County .i - - - -- --- Near what .City or Town 3 ,<. (4r Lot Si ze .;72.. .;72.. ,9c,. - — .s. —R, y 2 w -- 7v ?tRat In/ rHE NESS op Se 3S E6 A /1�T Legal , Dcscri piton p c MEJQ,n($N GRze/EZO &o. COL 6. i • 8 - - THENCE W. 3 o.O' wEJt OF THE s SE' CK. OF THE A mF ° J c. 3s 5 ,R'• C l5 L w. . '& ¢ . ' &tta__g_ -TO 7ROE PO.6 j TM? N• V. 472.0 L 7N6roce S. 0,0 E. 2/8.0 i ?N&NCE /b. 01 "S4 49 "E. 47 7° 7/16 7Wu( p.a.:, WASTFS_TYPt: (>C) Dwelling ( ) Transient Use ( ) Commercial or Insti_tutio.nal (• ) Non - domestic Wastes ( ) Other - Describe: — - -- — ' BUILDING OR SERVICE TYPE: _PO/4E3PIt- Number of Persons •S ___ Number of Bedrooms ;_ +' V) Garbage grinder (x) Automatic washer ("X) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (X stre.m or creek � well ( ) spring ( ) ( Give depth of all wells within 180 feet of system: /— P0', Jr / a00 a ._ If supplied by community water, .v.e me of.supplier: IV. /4. GROUND CONDITIONS: �o Depth to bedrock: I Depth to first Ground Nate q 0 r , Percent ground sl ope: to / ors s.T 'e • DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 5 M /ue Was an effort made to connect to community system? No TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: . (/) Septic Tank ( ) Aeration Plant ( ) Vault P ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet () Recycling, other use • ( ) Chemical Toilet ( ) Other - Describe: FINAL DISPOSAL BY: ()<) Absorption Trench, Bed or Pit ()C) Evapotranspiration Underground Dispersal ( ) Sand Filter. . ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: e % r , y . rant S rLJ_,1 Vic. �i ; „,>:D hi i tD `� +ilc5 O( i E SiAIE? . -_ --- 7' - S1'S∎Lii IS ULSIS;:ED FOR 30 - -- -- C'.LLO' ;S PER DAY If the system is to be designed by a Registered Professional Engincar (RPE), state rate of absorption in test holes shown on the location rap, in minutes der inch of drop in water level after holes have been soaked for 24 hours: ____1 __ - ___ SOIL PERCOLAT1ONTEST'RESULTS:'r i I 1 <1`'Ji :',: Minutes per inch in hole No: 1 Minutes 7 per inch in hole No. 3 • Minutes per inch in hole No. 2 Minutes _ per inch in hole Ho. _ . 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_ that , 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. Date 9 - as - 8z- Signed -_ / Gct PLEASE DRAW AN C CWRIT�,I�jAP TO YOUR PROPERTY I AA �r/�� ARVe Y A , fIOg6 i f - -- T Noce -rd 0237 go --k ( - - -- c,,a- � ta la , . i . i PLOT PLAN AO DES) C.N, FEATURES: • I lnclude by measured distance location of wells, springs, potable wa supply • j 1i.,es, cisterns, bui1 dings ,- property .1ines, subsoil drains, lake, water course, I stream, dry gulch and show location of proposed system by direction and distance �l from dwell ing•or other, fixed reference object ,%and additional submissions in ; / support of this appl icati on.. such: as data, plans, specifications, statements and. 1 eouzni tments. - - • I 1 7 2d. A, , __ a roe °5 ep tell cn f � o \ \ \I 1 House &I e_mto10OC 25� / g ,1 7 E)(St /r/4 WELL • 15 SG/ - -- Sav tNE2� ppecc7ED .S Ant — 7 �� C Illg VEV C(2 -D° a • • • . �eft se �� af � ,a< rr � l 165 i Fk � —_ - -- - -- 231 ed. I' recency N o ds6 0 I ❑ i R1bd� CE Hoa1E LERoY i DO"- r /NKurt nifeuF' r PeESEd, 0213:15210 \ V d I i P { L ✓' Ctd d-(- 0 a S&riat p4t 3 , cif A . n, 4 ..../ CI:D C i 7 --,,,, �;