HomeMy WebLinkAboutSP-128GARFIELD COUNTY DEPART'IENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs,Colorado 81601
REPAIR PERMIT # F1251
Owner William Randy Gucci ni
(this does not constitute
a building or use permit)
System Location Lot 9• Sectlon21 TowrtshiP: i Sotth,
Licensed Contractor
Collor Excavating
Range 4 West, 6th P.M.
* Conditional Construction approval is hereby granted for a 7.5 gallon
_A— Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed -follows:
Pere rate / inches in /f7 minutes /( sq. ft.
absorption area per bedroom 7 t --ch.)
# of bedrooms x/" sq. ft. minimum requirement—
May we suggest/ '�, e G�19 ?eo. ZIve yrt./c-e" «aiz
Date '' `" 7/ `"'" 7— < Inspector
FINAL APPROVAL OF SYSTEM:
ij
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
Of Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly. -f1' rA? a ..c.- )
1014C Adequate absorption (or dispersal) area.
ePAdequate compliance with permit requirements.
6VG
Adequ a compliangp with Cou ty and State regulati4E02/0y1/(ts� V€
—��— azee7
Date
Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 86.44.4, CRS 1968, amended 66.8.14, 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 violation of a requirement of the permit and cause for both
legal action and revocation of the permit.
I, : �,� � � . � _ { ., , 11,11,,,i+ , , { II � { I arms or s disposal
i e who constructs,;�f { ecifications con-
,i(1-1,
on-
3. Section II1, 3.24 requires any person alters, installs an individualsewage
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1,.
COLOmDO DEPARTMENT OF HEALTH
tWater Pollution Control Division
4210 East Ilth Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE;
INDINIDUAL HOME SEWAGE TREATMENT SYSTEM**
Owner:/art.'.
Mail Address: jj..[)a k/u/ V-- Cit 4A)..N41 ip V466/ 6/ Phoneme' 724.: ]--
A. INFORMATION REGARDING"PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of a1'::a, haL! t:.::l:: Lu+ tds, +:.•cation of potable muter wells,
soil percolation test holes, soil profiles in test holes.
1. Location of facility: County644;09 .City or town 61_ifit.)e-J.t.ol.p(5.c
£ k 71 . c
Legal descr i pt i onljg S,c4,7 t /awak* 7s514;74 Lot size 2
I �'
2. No. of bedrooms Septic tank capacity `7 IWt'
unit capacity
3. Source of domestic water: Public (name):
Private: Well/ Depth/39 Other Depth to first ground water table._r__
4. Is facility within boundaries of a city/town or sanitation district?
5. Distance to nearest sewer system:
Have you attempted to arrange a connection with the system?
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in minutes per inch
of drop In water level after holes have been soaked for 24 hours
7. Name, address, and telephone of person who made soil absorption tests:
8. Name, address, and telephone of person responsible for design of the system:
5 felf`
Date S gnature of Owner
*Required by Article 66-28-12(CRS, 1963, 1967 Perm. Sum. Supp.)
**Required in areas which have been identified as areas in which danger of Fcilutinq
of waters of the State niay occur (Art. 66-28-8(5), CRS) and/or areas in w.:i c". thc1
is no local septic tank ordinance.
•
B. SIGNATURES OF LOCAL OFFICIALS: The undersigned have reviewed the notification
described on the front of this sheet and recommend approval or disapproval of
the discharge as shown -below:
Date
Comments:
Approval Disapproval
Signature for Local Health Department
Signature for City/Town Official Title)
Sinature for County Official (Titled'
Signature and Title
Note: The Notifier (front of this sheet) must obtain comments and signature of at
least one of the above.
C. FOLLOWING FOR STATE HEALTr DEPARTMENT USE: Recommendations of the District Engineer:
- • D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
W"-33 (10-72-2)
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