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• GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
• 2014 Blake Avenue
n ( r1 Glenwood Springs, Colorado 81601
1 01-1 Phone (303) 945.8241
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This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT 1452 a building or use permit.
Rodney L. Pretti
Owner
System Location
2018 Palmer Glenwood Springs, Colorado 995 -6658
Licensed Installer _ Evergreen Construction - John Sherman
Conditional Construction approval is hereby granted for a 1,250 gallon nicht LU $ r_
t/ Septic Tank or Aerated treatment unit. ho G7 4,42 qe Q)3 ,.D/o
Absorption area (or dispersal area) computed as follows: ('G5 C . A:,- 30x4,4
Perc rate of one inch in D minutes requires a minimum of _ ( r7 sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms / "'T x �7 /:S sq. ft. minimum requirement = total of sq. ft. o absorption area.
•
May we suggest / 2• X/ 3Z Y` 1 o{r /$ �G va � O N' L / /� 4, &, t .l 3 ' 4 e 1,�
r jj/eS / /✓ (/ Date Inspector —!�a.�� / FINAL APPROVAL OF SYSTEM: ,
•
No s• ``m shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover.
in / ipart.
v/' \ Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
(� vc Proper materials and assembly.
'71 re) e /
Q ( Trade name of septic tank or aerated treatment unit.
/lam Adequate absorption (or dispersal) area. 30 2.. ' yes fa-- f L�-
e I Adequate compliance with permit requirements.
0 ' _ Adequate cornpliance with County and State regulations /requirements.
/her
Dat g s Inspector At l #' fii
RETAIN WITH RECEIPT RECORDS /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
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
QWNER ��/p// - i L_ / County Official:
ADDRESS1205 AtwooP GIawoao 5f'f'iiwb Ca 61i$19, PHONE (79
CONT RACTOR /EC�9 Rf ov'l-zu &leo'.J
ADDRESS v dSo\ (ri 1O-I.0vwuo( Spa S1G,I 7
/ t� PHONE �Y"S Sa S-
PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration ( 4 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 page 4.)
LOCATION OF PROPOSED FACILITY: County C
Near what City of Town 6 Lwtwoab 5/"f /f4- 5r(fop,Ao Lot Size 2)- Iy /66PLp
Legal Description et Mt Sou Ar.Pbs of Aur GF 56rrrow (S Tr .(oS eirg
TH 617, ' 5(o •e /ir T65k!ra• 060 ;e >r
WASTES TYPE: ( Dwelling
( ) Transient Use
( ) Commercial or Institutional ( ) Non - domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE:
Number of bedrooms Lf Number of persons IF-
( A Garbage grinder ( Al Automatic washer ( A) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system:
If supplied by community water, give name or supplier: (fLLiwoaq 5,4pin,G5 , X07 0
GROUND CONDITIONS:
Depth to bedrock:
Depth to first Ground Water Table:
Percent ground slope:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /2-CO f F =T
Was an effort made to connect to community system? r)115‘
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(XO 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:
( A 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 ? Ad
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.
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 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 of issuing the permit applied for herein. I further under-
stand 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 per-
jury as provided bylaw.
Date / r /)^� y K Signed. AA/ /at
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
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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
commi tments.
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Itt ' O d d
t�C�1�1ry�
July 26, 1985
To Whom It May Concern:
Let it be known that the home located at 2018 Palmer (residence of a Mr.
Rodney Pretti) is not within 400', of an existing sanitary sewer. Therefore
he is not required to hook up to the City of Glenwood Springs sanitary
sewer system.
If you have any questions pertaining to these matters please feel free to
contact me at (303) 945 -7685
Si erely, 0.� ----^
Buddy Bu s
Program Director - Water/Wastewater - City of Glenwood Springs
j
806 COOPER AVENUE GLENWOOD SPRINGS, COLORADO 81601 303/945 - 2575