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Home My WebLink About01969 ,4"! r 4r:,.. 0 .. I 1:Stras ^SG x `ty R 04.) .'. a,.` "-4_t_ 1 a, t • y GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 81h Street Suite 303 Glenwood Springs, Colorado 81801 Phone(303)945.8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT N 1969 a building or use permit. ' Owner Latman and Donna Fogel' kJ System Location Ingeraol Lath, Silt Licensed Installer Colorado Plumbing Service • Conditional Construction approval is hereby granted fora gallon /1)","`I Septic Tank or Aerated treatment unit. 1 // , i ) ri f ".,1 / . Absorption area (or dispersal areal computed as follows: $ Fg ( ! I T , "+ , , ' - r , Perc rate of one inch in � 2 minutes requires a mini of sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 5 x sq. ft. minimum requirement = a total of sq. ft. of absorption area. May we suggest: Date r Inspecto 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. OD . Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper materials and assembly. , re' R ( t C i i > ) ,a » ct Trade name of septic tank or aerated treatment unit. .1- ti F r ^r t ✓r' A / - I/ ' / r � , of / 3 4/ fir. fir. tos / •y /4/ Adequate absorption (or dispersal) area. /-''"- _ Adequate compliance with permit requirements. I, Adequate compliance with County and State regulations /requirements. Other "r P C L/ 0,-1-4-4. Date 7/ "d. "' 9 3 _I nspector � --.L, / ey'r C ^ RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All Installation must comply with all requirementsof theColorado 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 1, Petty Offense ($500.00 fine — 8 months In Jall or both.). , A Applicant: Groan COPY Dapatmont: Pink Copy Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: 0.14I4ER Lanai.) 4 DoNN4 f0c1E ADDRESS 64 5 OL e5s1ER. atteOMnAt.E PHONE '%3.O �os° *I CONTRACTOR *pac o4t. ) CAL -o2Aflo Pt.UM5NJ6j 4GzWCE fff Abt1ME 3 4SloC IIk1Y 6iZ4, �L Id000S PHONE PERMIT REQUEST FOR: (‘,04 New Installation ( ) Alteration ( ) Repair Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes. (See page 4.) £''p'?G$'EI>: S'rt pc.b 1„AA'TCn 2,1t7/ LOCATION OF PROPOSED FACILITY: County giircpiCEL..r7 For R 1 Wj P'1t Near what City of Town a .. _ , e - 14. • Lot Size 2.2.38 De ay Legal Description pdtcti...C '-°T 3 'SEC. 30, '�'SS , it'll IN, ( (see tsibic QED p'-or pL.a.4.►) WASTES TYPE: (x( Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe _ BUILDING OR SERVICE TYPE: I It'Slp1L &JG€. Num\er of bedrooms 5 . Number of persons Cop (A' Garbage grinder (X Automatic washer (l() Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (X) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: 11p11(,. If supplied by community water, give name or supplier: GROUND CONDITIONS: � �` / Depth to bedrock: 5&JOSTO/JE D6prN vales ( OIL peopILt_tia!41S To co4pttr) Depth to first Ground Water Table: aver, Zoo (,L1/1Kkiawki Percent ground slope: 4:°?; To 12.7. DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 3 FAILA a Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ;Q 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: p4 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? 4 p t • 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 periiii'ti 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 Woe. at 2. Signed c_ 91°' t % 140ilarC" n LA < 7"\ . osiTE 7, At 3 4 4 r 2 SO Roso v RQ. $4' •4 rc% Ea �ldL1� air ti or T aws' Sinn. r— 4 . Off"' Co • ,r =-io, k)ear 97 J �. �— • ': .C.. dG' _._ I : r 1 ' • to I. • - - • t7 . 'I /- N 89 ° 3 7 3 E. ' ( /329. 90 " • # .O 7 .�36_S,Z7_TS,rr 6... o.,- y - TO n . . ! � I I F.-7:. l .' 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I • ..077: The boundary lines for this survey of Lot 3, Section 30, SCgGE: .-ow':sh1p 5 Sc::th, ;ante 91 Kest were established from the existing -.tome .;':artcr Corner, the restoration of the Southwest Section /inc/J : 2 °074 .. rner of sa /d °_c =tior. 30, as shown on this ran, and from the ..:eyor Cc :. cr:1's off GLO Flat dated Dccemb.er 13 lE 33: The • -1-r_ . -_:c ; t.•1r establichca by solar ob crvat -: uairl; 1' ' L