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Home My WebLink About01514 • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 ltl3'Tti It -. NO FEE Phone (903) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT ,i'4 °• 1514 a building or use permit. • Owner Lic 'arrin Rrl Andean System Location 0794 l t stban)c Rd., Glenwood Springs Licensed Installer —. Norm f`nnlrl • Conditional Construction approval is hereby granted for a /U t 7 (J gallon _• . —._ Septic Tank or _ Aerated treatment unit. / .t L. �i / (l J h; /Z•- / Absorption area (or dispersal area) computed as follows: a Perc rate of one inch in L _ minutes requires a minimum of 41___sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 3 x / ( , / sq. ft. minimum requirement = a total of _ sq. ft. of absorption area. May we suggest: c P r •l floc- Date _ .'or / V Inspector " ,.., � -'It �. ( 7 / 11,-1-' c ^ 7 FINAL APPROVAL OF SYSTEM: r. 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. L< Proper materials and assembly. Trade name of septic tank or aerated treatment unit. /� 1 O U ,1� r / � / 0 /_, Adequate absorption (or dispersal) area._. /I S r .. I f !' F ri l . t . ✓1 I ,'I 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 Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 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 violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs, alters, or installs an Individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 tine — 6 months in )ail or both.). Applicant: Green Copy Department: Pink Copy Permit .fi 5 r /° iJU F. "tai CHARGES Name of Applicant Tira & TsayArin Krlanar-o.0 Percolation Test MOM (Includes final Inspection) Amount Paid Permit Processing Fee 3$bO0 Date Paid August 14, 1936 Check _ Cashier Wirt j. Witten Cash Money Order ALL CHECKS ARE TO BE MADE PAYABLE TO GARFIELD COUNTY TREASURER Treasurer: Receipt White Copy Applicant: Green Copy Department: Plnk Copy PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY cf L �a c„, & 4 1 l o i . . C V ;/C 'r ` - T;NC: �� cY 1.0. ice . I,. tC•r n Ar POUGj / f - r C F'-dk INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES rf / �� e �� • • �x ' y i k in 5. in A ; (gyp * - s Tr P4 ' ka — — t-- _ (TO BE RETURNED TO HEALTH DEPT.) f E ( v ' i f 307 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by ,OWNER County Official: / Ana e Par -vi Et-lb-n. sen ADDRESS ✓ 7 A b , I s, 5 . «. CU PHONE ''CONTRACTOR M 6 l .,.1 4 ADDRESS PHONE PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration (x) 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 p 4.) LOCATION OF PROPOSED FACILITY: County �z G.J- Plc Near what City of Town 6JPAjwmo/ S� Lot Size Legal Description ;7pq- 41.4 WASTES TYPE: ( %/) Dwelling ( ) Transient Use ( ) Commercial. or Institutional ( ) Non- domestic Wastes ( ) Other - Describe 'BUILDING OR SERVICE TYPE: /6>c/ :'0/ Number of bedrooms Number of persons ( A Garbage grinder ( ?r Automatic washer (X) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ()(,) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: Hon If supplied by community water, give name or supplier: W tti h ,9- s GROUND CONDITIONS: Depth to bedrock: Un h J-jo w,-1 — Depth to first Ground Water Table: (,; (9*:C r Percent ground slope: )` / DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 4 A . t( f / s Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (L4—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? nl2 Page 2 r , • 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 by law. Date e/¢/1.6 Signed PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY Page 3 • This does not constitute I a building or use permit. • GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 'ERC FEE WAIVED - RATE KNOWN - FEE ONLY INDIVIDUAL SEWAGE DISPOSAL PERMIT N:' 807 Owner John L. Ray System Location Lot 2, Filing 1, Westbank Ranch Subdivision Licensed Contractor -- - R • • Conditional Construction approval is hereby granted for a 1.000 gallon Septic Tank or X Aerated treatment unit Absorption area (or diapersal area) computed as follows: a, "i - Perc rate of one inch in 5 - minutes requires a minimum of .. 25 sq. ft: of absorption area per bedroom. -, P Therefore the no of bedrooms 3 x 125 sq ft: mimmS1 dquiremant. a total of '31.6 sq, ft of absorption a S° May we suggest : Deep - field 10' square and 12' de .r� 7 a Y" r.e,."i1 July }2 1976 Date s _ I nsp� qr s ` �-s" i r 'y s i '. • � .t FINAL APPROVAL OF SYSTEM: 1 14 4 '• • r,: No system m shall be deemed to be in compliance with the Sewage Dispbsar U ' until the as &embjed system is approve pr or f cover ' in o any part. `• . ++a F' - . , t z -¢ � ^� v i r s ' Septic Tank cleanbLt to within�itf iFa�l r : ; ,pq s . o r e t • , ,' r ; r c f • Proper materials and assembly. k tK I. ; • Vif?� jJf Trade name of septic tank o[ a- stated treatmenta ` ' ' t' °s - * 3 . r ie- Vr r � ,t �;aI - Nti c 1 .4, i7 a A dequate a (or dis p e'Fs"al ; area. + `+ *.- a ,� ti ' g f + r / q� 0. 8ie p - Adequate compliance with pehmitrequirements -' * a , � 49,(e- .:, Adequate compliance with County and State regulations /requirements. :? - ! �' Other Date � I a RETAIN WITH RECEIPT RECOROSAT. 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 663 -14, CRS 1963. ° ,.. 2. This permit is valid only for connection to structures which have fully cofip with Cou Zoning and building requuements . Connection to or use with any dwelling or structures not approved by building and Zoning office'shalf automatically '- tion of a requirement of the permit and cause for both legal action and revocation of the permit: ,,,x..,' 3. Section I11, 3.24 requires any person who constructs, alters, or installs an individual. sewage disposalsystem in 8 ihanne ieh in,_ a S volves a knowing and material variation from the terms or specifications contained in the application s f permit Commit3A Class I, Petty Offense ($500.00 fine 6 months i n Jail or both. .. ' , 4`4 r '' x " 4 , Building Official —Permit White COPY Appl QreenCOPY Dept' -- COPY'�`i . , .. .. �4hr' - ,,.,... ....r n..nr cr Mr n0,, ... . .wrr ..r..n; r.---- fr rr•a- .n•?F..