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Home My WebLink About01360 • I r • � I' I' GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 94S -8241 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT ,'^ 1 360 a building or use permit. Owner J. Robb Robinson System Location 0778 Cnttnty PnAH Q21 Pi fl Licensed Installer _ Own61• y , PLLl FYI �/ t2 -. �f /�/ [ L' • Conditional Construction approval is hereby granted for a 1 •000 gallon _ -X.JL 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 ° 2 9 sq. ft. of absorption area per bedroom. Therefore the no. of edrooms 3 x - sq. ft. minimum requirement = a total of £ Zsq. ft. of absorption area. 2-- -� - /, - CA47 i9 - .O /"APO ) r`3� -� ,,. � May we suggest X S •. Date - - <. 7 This Inspector t _ . 72 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. /J- -_ Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. 0-1‹ ProoppeeerrJmateria)s and ass mbly. QC'' L 'dd €R IGCp (� / - G] Gi Tr / � ame of septic tank or aerateddfeatment unit. C 1. ` Adequate absorption (or dispersal) area. L�r \ / � Adequate compliance with permit requirements. 0 X ` — Adequate compliance with County and State regulations /requirements. Other // / /, / �//,� Date Inspector , "1 /.I /, / f/'�!/ 4 RETAIN WITH RECEIPT RECORDS A •sN t"--6/ SITE / ` /fr "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 Copv Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: OWNER , ) p , .. (viS ADDRESS 1 R iF PHONE CONTRACTOR Fr) C N Si ADDRESS /. U B(K /yd. O PHONE 6)5 3070 PERMIT REQUEST FOR: (x) New Installation ( ) Alteration ( ) Repair Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes. /(See age // .) LOCATION OF PROPOSED FACILITY: County Ca ( Near what City of Town pi lk y / Lot Size C ec he S Legal Description 1)411£ ( 4 724 -n& Su %J c S(ar� Oran- tk 3,2/ p „I- WASTES TYPE: ( X) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: ', • Number of bedrooms ,3 Number of persons 2, ( ) Garbage grinder (fr. Automatic washer ( ✓) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (1,-- well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: -- If supplied by community water, give name or supplier: — GROUND CONDITIONS: Depth to bedrock: ? Depth to first Ground Water Table: / 70' ` Percent ground slope: 5 -14 6 1 0 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 2 Ihr/f S Was an effort made to connect to community system? A .a . )oSSr. e TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( Vf 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: (✓) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? /10 • Page 2 SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) Minutes , per inch in hole No. 1 Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes _ per inch in hole No. Nance, 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 the completeness of the application is conditional upon such further mandatory and additional test .nd reports as may be required by the local health department to be made and furnished . the applicant or by the local health department for purposes of the evaluation of the a • cation; and the issuance of the permit is subject to such terms and conditions as deeme. :.essary to insure compliance with rules and regulations adopted under Article 10, Title , C R S. 1973, as amended. The undersigned hereby certifies that all statements made, i :.tion : d reports submitted herewith and required to be submitted by the applica• • or will b- represented to be true and correct to the best of my knowledge and .- i: and are des g ed to be relied on by the local department of health in evaluating the ..m: or purposes of issuing the permit applied for herein. I further under- stand that any : s' ication or misrepr- s- ntation may result in the denial of the application or revocation .f .ny permit granted bas-. upon said application and in legal action for per- jury as pro d:. by law. N''ri st7 �2- — y ° 5 Date j � Signed i,./ul / • Lit_LL.“' PLEASE D'AW AND ACCURATE MAP TO YOUR PROPERTY R1 1 iy,v4l nil up SAI /114 ALIMIN -) ku s 1 --\ . S�k s 4 tql le(y7, nr ENerly C _. Page 3 PLOT PLAN AND DESIGN FEATURES: Include by measured distance location of wells, springs, potable water supply lines, cisterns, buildings, property lines, subsoil drains, lake, water course, stream, dry gulch and show location of proposed system by direction and distance from dwelling or other fixed reference object, and additional submissions in support of this application such as data, plans, specifications, statements and commitments. w t 5 ei- 3 ; 444.1 Lz7 4 e fed /4,t ..t •u( tn/ A PP Ira A S'6._ 0 Page 4 (Ale e ®