Loading...
HomeMy WebLinkAboutApplication-PermitOARP'IEID COUNTY' .DEPARTMENT OF E`dVIRONt1' W'1' L HEALTH 2011; Blake Avenue Glenwood Springs, Colorado B1601 ystem Location Contractor i ., Construction approvals Plans and location are hereby.a •proved. F'ER�lIT # k'e to nchea in "I ahsoirtior ansa par bedroom minutes* 2,1 S s . ft. of X 2 •tom sg. f.-eot_- si . feet minimum re qu i ra a nt . T. su cst /Z. ,Y 3.s— ■ r..rwrw.w..r�w...r. s r www• Date % 73 Incpeotor wrwa1wr4.....r...+w 2. Final approval of systems No system shall be deemed to be in compliance with the Sewage Disposal. Laws until the assemb:.ed system is approved prior to covering any part. 8" septic tank clearout with ams Seal 17---1 Proorr materials anct. aesembi Ade nate absor ora area 1.77-1 Ade ate concrete co E __ uelas 1771 Covenants si ned Date :� � ..,..r.s,,.. In specto ** Retain with permit records at construction site. PROPERTY 0W13ER_ FLAILING ADDRESS GARFIELD CCUNTY E11VIRONI,EI TAL HEALTH Field Test Data Sheet on Percolation test IALLLS-e-CA---e,4451514-S. -- PHOrz ; tf-,-74 DLSCRIPTSOI I OF PROPERTY:aerik /Y1 t,f Y.00AI'l, of TEST HOLES t x J -L . 5 ,/, 1-11 O f H (' i) .3 UoL C. 4 01 Afe a 11 Two (2) test..-.11es requi d per sys i.rn Test Hole Depths -- Diameter of test holes, .•sggeat 11 Water Rer. ning after 24 hour :703'- Soil indicated adequate soaking 4' Iliinir tum 4 '44,4 Yes iib orpt np ax f,'8sed No Percolation Rate Average Earl Hole Average Combined Rate S$] Description - - /6,Ali4/1.11 cn6, Am) Ai .4) 0 0,4 _OLoi2e Col nts - ( Wells, Streras, Water Table, Terrain etc. ) :Ilia OF PARTY RUNT XR TEST `C i M. /3/7:3PHONE (p ' d1 'T a drL Tli TEST Slaw HOLE S TEST HOLE #2 _-- Drop 1'i 'atesiDrop Nin.lin. _. 1in. 2 in, 5 iij ! 2 in. 444 1 gJ 1 n in. 4 in. a, .3. it- 3 in. 3/4 I.6 qt, ,S 4 in. J _.. 5 in, 15/9. I , QC 1 5 n. 6 n. - 1: , . . a • • 1-6 in. 1 ' 7 in.- FYI n . 15- 7 in. 8 in. 1 ' _ j 20 — t 1q' _._,. F 9 in. 9 in. r10 in. Fr1 in. 10 in. ---------------- 11 in, 12 in. —......-------...-- j 2 In. Percolation Rate Average Earl Hole Average Combined Rate S$] Description - - /6,Ali4/1.11 cn6, Am) Ai .4) 0 0,4 _OLoi2e Col nts - ( Wells, Streras, Water Table, Terrain etc. ) :Ilia OF PARTY RUNT XR TEST `C i M. /3/7:3PHONE (p ' d1 'T a drL -v COL') f DO nEi A}cr'T7.td r OE 11.•A i. i'tt hater Pollution .:ontrol Division 1210 i:ast, lltti. Avenue Denver, ..olorado 60220 A. i LI"ATION Fo't Ai k'StO•l , I;J.:ATIOI: I.' `i'P'ii ; fsr :1S Applicant (Owner)1_14/ Mail Address: Cit �j 1Y12 A. INFORIMATION REGARDING PROJECT SUBMITTED FOR REVIEW: Attach separate sheets or report showing entire area with „•aspect to surround- ing areas, topography of area, habitable buildings, location of potable water wells, soil percolation test holes, soil profiles in test holes. 1. Location of Facility: County _'App/e4.Q City or Town:4(0/T-611/14y/2414y Legal DesoriptionTj(vni,114,11,?,,4,1, N ma,vk Lot Site:___L2.06/ g. Type of area and facility - Number of persona served: Phone: Subdivision Other: :Motel Restaurant Trailer Court w 3. Source of domestic water: Public (name): Private: Well Depth Other de /Depth to first ground water tab h. Is facility within boundaries of City Sanitation District: /N/ 0 If so name: ,. Distance to nearest sewer system:, ,V,..1144/ Have negotiations been attempted with owner to connect: /k/a, If rejected, give reason: 6. Rate of absorption in test holes in minutes per inch of drop in water level after holes have been soaked for 214 hours: Aim 7. Name, address and telephone of person who made soil absorption tests: B. Name, address and telephone of person responsible for design of the system: 9. Est. bid opening date: -:let. Completion Dat©: Est. Project Cost: Date: /,Q •- 7,3