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Home My WebLink AboutApplication-Permit• 2(..!!'14 018 C200z4...10.*AAN, 7.00-4.9.* Robert D. & Kathy R. Heuschkel (0901 County Rd 129) :Zor a zApeop :7c-2ts Aez-:71ttFC. 2Y ccnput.cA as follows: n ch e s -3 It:',..nut z„942 11,-7,. t)::4 area par Lcdroom_610 sq. filetm..41,02 sq. friet al/ 770 itgrAger'4019 '""r'.7t r;IS aWYKIZ :pp_roval of Systm: ) .;,.,,qt.:(7n fThnll be doemr.A to be Sn cim7.pli, TfIt!.-1 the D:!.o.j La'z2 until the assembled riT2ti,In is 4,;,:c\rc.::0, v,..7r el:ilg eay pat thereof. 411544- '::'," 40L-Eank cl6anout with gem We --1 ... .........._______Y..FP.Pfl:`,......._3-7-W.-..a._,1511...-PAAY._...,......._:„_..„..„......___, ..„, ..... ,.. 110•••,•.. Adectuate absoryt.i.cn area Ante concrete cover (dry walls ioy Covenants s:',..gner.I PET 141-rtt. 0..4""•r :v*r. • L COL9RADO i EP TMENT OF HEALTH • Wafter Po1Eut :n Control Division- (4210 East 11:.,h- Avehue s , Denver, Colorado 80220 Building Official NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM** Omer: P /fie c . C Mail Address: _91/ro' tfr4' /29 CItY S z1Pg40/ Phone A. INFOi;MATION REGARDING PROJECT SUBMITTED FOR REVIEW: Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water L•tells, soil percolation test holes, soil profiles in test holes. 1. Location of facility: County C7 --ca, 74'63 icti City or town !e h o -567/'ih,S NE1,.Sfrt') secT.6S,)b'GyY,, Legal description G. *}i ,✓M, Gnr4,eLid Coon Lot size ,171 o/' an acre 2. No. of bedrooms 3 Septic tank capacity Aeration unit capacity __ 3. Source of domestic water: Public (name): NQ 19 Co /4,?1�y Private: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of a city/town or sanitation district? /%0 5. Distance to nearest sewer system:, Have you attempted to arrange a connection lith the system? i! f refected, what was the reason? .S 1s n o t I r j e_ e h a li f/ to rr.� c'f rash "'e it, ire ni i ryr S . 4t {✓O Q. rn 1 f 5 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 '.56-2&"Pc S iT 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: Date Signature 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 pollution of waters of the State may occur (Art. 66-28-8(5), CRS) and/or areas in which there is no local septic tank ordinance. , Ir ler. 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 (TltIe) Signature for County Official (Title) 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 HEALTH DEPARTMENT USE: Recommendations of the District Engineer: D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION: WP -33(10-72-2) r ti 01 / 0 Di -ane �_ Lamont L. Kinkade, Sanitarian barf..Co. Environmental Health 2014 Blake Avenue Tel. 945-7255 Glenwood Springs, Colo. 81601 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM** Owner: Mail Address: (79O/ /079 A90ezeif City A. INFORMATION REGARDING PROTECT SUBMITTED FOR REVIEW: ,y/6.0/ Phone Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percolation test holes, soil profiles in test holes. ‘i 1. Location of facility: County )eict4piceCity or town,g.o, v Legal description Lot size a «/.3 (.2. No. of bedrooms 3 Septic tank capacity Aeration unit capacity 3. Source of domestic water: Public (name): Private: Well Depth Other / Depth of first ground water table y 4. Is facility within boundaries of a city/town or sanitation district?(-) x5. Distance to nearest sewer system: /QO ? to- hit .0904 *-744 \fliave you attempted to arrange a connection with the system? 4i0 f 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: X �1, -25f /9'7.3 Date Signature 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 pollution of waters of the State may odour (Art. 66-28-8 (5), CRS) and/or areas in which there is no local septic tank ordinance. Please use the following space for directions to your property site. REGISTERED LAND SURVEYORS 303-945.8596 0 D COLORADO cry 0 Z GLENWOOD P. 0. BOX 669 818 COLORADO AVENUE September 14, 1973 Project #73119 Property Description A tract of land situate in the NE 4 of the SW 1 of Section 2, Township 6 South, Range 89 West of the 6th Principal Meridian; being more parti- cularly described as follows: Beginning at the Southeast corner of said NE 4 SW ti, thence N 88°18' W 405.50 feet along the South line of said NE 4 SW 4; thence N 0°02' W 175.72 feet to the true point of beginning; thence N 0002' W 200 feet; thence S 49°21'43" W 163.25 feet; thence S 00°02' E 90.00 feet; thence S 88°18' E 124.00 feet to the true point of beginning, containing .413 acres more or less.