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Home My WebLink About01709 • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 803 Glenwood Sprinps, Colorado 81601 Phone (303) 9454212 This INDIVIDUAL SEWAGE DISPOSAL PERMIT "4i 170J ab dongo r se ^ - „ „ ' � a building or use p@�rnit. Owner Bad Faber System Location LOtB 9 & 18 Section 32, T78, R8714 Owner Licensed Installer _ • Conditional Construction approval is hereby granted for a gallon -- Septic Tank or _ Aerated treatment unit, Absorption area (or dispersal area) computed as follows: Perc rate of one inch in _ minutes requires a minimum of 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. we suggest: / Me G 7 R c / • / 'S r.. r y /� y s I fr i t Y 99 / d' �7 } c rPti < . r J a / + � I � f �� Date I,J // Inspector j e t �i/ ' I /'� ( / V � I,+.� -+...� EtraiNFERED FINAL APPROVAL OF SYSTEM: f14 7 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. �'f• . Septic Tank access for inspection and cleaning within 12” of ground surface or aerated access ports above ground surface. Proper materials and assembly. Trade name of septic tank or aerated treatment unit. 'a c, f \ ✓ i1 ” F' 4 a( << ! /'. / I v) Adequate absorption (or dispersal) area. ; r. - .CCob -r1�e i.. Adequate compliance with permit requirements. i777 [ \P e I )) 4 ) Adequate compliance with County and State regulations /requirenlents. " " t' s E: t' (1 c• ,- !c. - �i� , U f ' r r 1 • f S ) V ^.. _Other~ Date 4T F C /'") / r! C� �/" � ,( / ✓i.ti. / Inspector /7%1'4A RETAIN WITH RECEIPT RECORDSPT'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,Jiolatlon 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 (5500.00 fine — 5 months In )ail or both.). Applicant: Green COPY Department: Pink COPY INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Offici OWNER n \ .. l: nr ., ADDRESS \ �r�11�6eJ' �J• C- wt�Cb�HONE ��3 —la�� t " ■ y,/ CONTRACTOR QW v,,� Cl ADDRESS PHONE X63 - 10 y� PERMIT REQUEST FOR: (N 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 page 4.) LOCATION OF PROPOSED FACILITY: County ��c�r - C-e ��C Near what City of Town C<,.Q -v �& -o&L_ Lot Size ' mg;) Legal Description WASTES TYPE: ( >4) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: .S Number of bedrooms 3 Number of persons o2.-- ( ) Garbage grinder ( ) Automatic washer (/) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (- well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: 2;5" If supplied by community water, give name or supplier: GROUND CONDITIONS: 1 Depth to bedrock: 1�e.\a(,) Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) 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? 1227 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 permttis 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 ( _ 1 \ `Y\ Signed 't.IZJUJ\r,,._ CCS JCs PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY Page 3 .4r * ! 7 t + `_ •i `r beet C57 r'en't... - Exhibit ' A tract of and ;:hated In Lots 9 an d 1 3. of S ect un 37, To..a:hip 7 • South, Range 97 west of the Sixth Priucinal Meridian, Garfield County, • Coloraeo, eescrioed at. follows: Beginning at a point ounce an iron post with a brass cap found in place and properly marked for the southeast corner of Section 33. in said • Township and Range. Pears; S. 82'38'00" E. 318.75 feet and S. 66'56'42" E. • 7923.014 feet; thence S. 82'38' E. 159.37 feet; • • thence S. 02'38'09" W. 1334.809 feet; • thence N. 82'38' W. 156.31 feet; thence N. 02'30'18" E. 1335.065 feet to the point of beginning. COUNTY OF GARFIELO I . STATE OF COLORACO • Together with an easement for ingress and egress, 30 feet In width, described as follows: A strip of land being 30 fee: in width to be used as a road right -of -way, situated in Lots 18 and 19 of Section 32, Township 7 South, Range 87 Wesc of the 6th P.M., • said easement being 15 feet on each side of the following described centerline: BEGINNING at the Southeast Corner of Section 33, Township 7 South, Range 87 West of the 6th P.M., thence North 66'56'42" Lest 7,923.014 feet; thence North 82'38'00" Vest 318.75 fee:; thence South 02 West 231.63 feet, co a point on the Easterly line of said Tract N... 3; r.`.en :e along said centerline South 78'53'37" Easc ,_ 286.32 feet; thence 91.37 feet, along the arc of a curve to the right, having a radius of 158.28 feet, the chard of which bears South 62'21'20" Easc 90.11 feet; thence 111.07 feet, along the arc or a curve to the left, having a radius of l ; 156.16 feet, the chord of which bears.Souch 66'11'30" East 108.74 feet; thence South 86 East 213.00 feet, thence 85.67 feet, along the are of a curve to ;y' ' the left, having a radius of 66.27 feet, the chord of which bears North 5 6'23'55" • Ease 79.83 feet; thence North 19'21'50" East 175.00 feet, more of less, to a point on th Sou therly right -of -way line of Colorado State Highway No. 82. ;- . a =ETHER with all of ,.......•.'.. .1,h.. t:cle and interest in and to any and all 1 water aed water rights, d : :c:': and dtrch rights appurtenant to said property, without warranty as to any such rights. 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