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Date Inspector__
Approval of System:
.Ez) 'zyctcm.shall be-desmed to be in crImpl!.ac:a vith th(? fr,n7
nis;?osal Laws until the assembled systua :;:pprovca
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.7" septic tank cleanont withsas .cal
Proper materials and E.ssembl
i AdeguPte abse,Epti On area . „
Covenants signed
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Owner
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
'I icer[ p`; P i
PERMIT # S 019
(this does not constitute
a building or use permit)
System Location "4 (1C) .?)16-4--C 1 oc-AftLLe
Licensed Contractor
* Conditional Construction approval is hereby granted for a AMe2 gallon
Septic Tank or /. Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate inches in minutes sq. ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest �•
Date.......... ,�® � � Inspector
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 covering any part.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
4" -------Proper materials and assembly.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
/
Date / � � 75/` 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 66.44.4, CRS 1963, amended 66-3-14, 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.
8. Section III, 8.24 requires 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 con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
both.
0 • ' COLORADO DEPARTMENT OF HEALTH
• _Wat:Vr Pollution Control Division
4210 East Ilth Avenue
Denver, Colorado 80220
Building Official
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM**
Owner: /L, ' 1`
�lP� wmo d
Mall Address :�ya9 49/04e .> rre, City „Jlp.;,14, Zip 81J r Phone y'qs'- b.:cg7,
A. INFORMATION 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 wells,
soil percolation test holes, soil profiles in test holes.
1. Location of facility: County air. /,e l d City or town 622,0H cvov d -Spp;11::4
Legal description 44.4-/I% L- /73 £89/vtot size CZ ./4ercse
2. No. of bedrooms . Septic tank capacity Aeration unit capacity
3. Source of domestic water: Public (name): -----
Private: Well)( Depth 3 Other Depth to first ground water table .3,d-./1"-.
4. Is facility within boundaries of a city/town or sanitation district?NO
5. Distance to nearest sewer system: A,;,45.4-
Have
,i/esHave you attempted to arrange a connection with the system?
If refected, 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
NU
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:
4/04/ / a,Date /97
Signature of r
Signature of r
*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.
F
-4
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 Dopprtment
Signature for City/Town Official (Title)
Signature for County Official(Title
Signature and Title
Note: Th:Rotiflcr (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(U)-72-2)
1-. •! -/ ..rte.
•
-.� ter` re
Proposed two acre transfer to Piffer
Land to be retained by Billesbach
EXHIBIT ".A"
2014 Blake Avenue
GARFIELD COUNTY
ENVIRONMENTAL HEALTH
Glenwood Springs, Colorado 81601
June 29, 1973
Mr. Chuck Piffer
2409 Blake Avenue
Glenwood Spgs, CO 81601
Dear Mr. Piffer:
As a result of an on-site inspection by this department
on date, it
was determined that individual single family dwelling sewagesdisposal
facilities are completely feasible. Such system may be of either septic
or aerobic treatment type. No potential problems are foreseen at this
time.
If We may be of any further assistance, please feel free to contact our
ur
jk
Sincerely,
Lamont L. Kinkade
Director of Environmental Health
Phone 945-7251-
•
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GARF,IELD COUNTY
• COLORADO
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.SCALE / /NCH= /00 FEET
A parcel of lend situated in the NINE4 of Section 27, Township b South, Range 89 West
of ttie Sixth Principal Meridian, Iying.Southerly of the Northerly line of said Section
27,.Southwesterly of -the Southwesterly right:of-way line of Old State Highway No. 82
and Easterly of the centerline of. the Roaring Fork River, said parcel of land is des-
cribed as 'follows': -
Bag i.nn i ng ata point on the Northerly line of said Section 27 whence the North Quarter
Corner said Section 27 bears:N.89°21'00" W..; 1130.13 feet; thence S.39°21'00" E.314.00.
lea f ..11 r„ng 'the Northerly line of said Section 27, to a point on the Southwesterly right- .
o f - wn y line of said highway; thence S.33°23100" E. 300.00 feet along the Southwesterly
r -i c:h t -o; -way l i ne. of said -highway; thence S.05°17157" E. 30.00 feet; thence S.72°14'
1.:M.74 feet to a point in the center of said river; thence N.40°201.00" W. 452.00
fe `,aiong the center -of. said river, to a point on the Northerly line of said Section
2/, r:e•point of beginning.
. The a.:ove. described :parcel of land contains 2.00 acres, more or less.
13, .1.973 • - SCARRO';! AND WALKER, 1 NC.
.' Robert A. Wemsiey
Registered Lard Surveyor