HomeMy WebLinkAboutApplication - PermitAR;'IELD C X1';TY DEL'ARTMM OF E YIROUVITTAL ItEAI,T1t
2014 Blake Avenue
Glenwood springs, Colorado 816011
I'mrt 4 A
yntem Location ctfa1-f
Contractor 44ts+v`,
1. Construction aprrovels
Plana a•t:t location are hereby approved.
t'e. rate t•,uros in ercA minutes*sg. ft. of
abo r°.tion area cr bedroom.
X sq. feet .eq. foet minimum re
suirement 1 suggest 70a/Se cri Z 4
Date 7j Inspector CC/
2. Final approval of systems
No system shall be deemed to by in compliance with the Sewage
Disposal Laws until the assemb :Led system is approved prior to
covering any part.
ra- a - 8" 4 t nk cleanout with gas seal
Proper materials and. assembly
Adequate absorpti_u area
N/f Ade uate concr cover (dry wells only)
NA Covenants signed
Inspector Co
Retain with permit records at construction site.
CO.ORADO DEPARTMENT OF HEALTH r / _10Q
letbr Pollution Control Division I
4210 East 11th Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE
INDIVIDUAL. HOME SEWAGE TREATMENT SYSTEM * *.
Owner:Aspen Construction Corporation
Mall Address: P.' Box ZZ City Aspen Z1p 61611 Phone 925 -7224
A. INFORMATION REGAING 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, soli profiles in test holes.
1. Location of facility: County Garfield City or town Glenwood Springs
Subdivision
Legal description Lot 3 - Filing 1 - Westbank Lot size 1.27
2. No. of bedrooms 3 Septic tank capacity Aeration urrlt capacity %0017
3. Source of domestic water: Public (name):
1'14"
Private: Well 2 Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? No
5. Distance fo nearest sewer system: 5 Miles
Have you attempted to arrange a connection wit;' the system?Yes
If rejected, what was the reason?Distance
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:
Raulie Irwin, Jr. Rt. ',Glenwood Springs, Colorado 945 - 7393
8. Name, address, and telephone of person responsible for design of the system:__
S /i1,7j Date AO"Signature of /Ow fr
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.
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 Approval Disapproval
Signature for Local Health Department
Signature for City /Town Official litre)
Signature for County Official Title)
Comments:
Signature and Title
Note: The Notifler (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- $3(10 -72 -2)
41
a . .
uAhFIE,LD COUNTY Liiyxgou;£11TAL ULALT}1
Field Test DE•ta Sheet on Percolation test
PROPLRTY O[.11ER a ' L £C PHONE 92 „c 49.2 *
iIIii'r
RAILING ADDRESS j/Y_ ox Z ' r _
DESCRIPTIOU OF PROPERTY r _ 41 aa_S%
1.0CAAi OF ;EST MOLLS 0
sir
No (2) tet... holes required per sys'ica
4' 1,inir 2? f{ P& p?tc'd
Test Pole Depths.: -. - -__..Cf.
a r rjrtb r.._...._'......_.
ii
Uia titer. of test holes, 'uggest 1' •S ____.”—
w____
cater Re: ,irring after 24 hour aoc1:Q
Soil indicated adequate soaking es t:a5refir4F
I'M TP w..._._______._._.
L E UAL -- _. _, LS7 HOLE kk' -_ _w r' _... I S7 h10L1 i17
L_(a"Y PL
Uso Time Ias Drop Time iln.
21'' C > In. /L?J1_r L, TIZI q _ 12 .1 "7.17
y-s6 . 4 1 n. it x 12-(.2, _i. -__. __ t in. _/ if S nC2!in . fy.ai ILI _.a 4..._• _. __5 i, rr. /'/(r..2..!t5 r'eH " 1 e in.. /Y 0_Le -i t .. ....._. 3 _' G isle S/i f...L tiFX?I- 1 iri r/ ?,.1Ir! OS Y.33' / in 7/¢to
6 ILL! IV ri. tR: ±f:::n:SzT C iit
Ti { Irr
rrr S 1n
1'i L : )1 t ! 1 on Rate Atera je Lnc• . };c10. - •- - - - - -- - - -•- e 0 v __ _ .._.
Av:. r C rLined Rate v ._ . _ r _
St V-3(
Cot:r. ! . rl _ ( :Jell a, ' Strer..ar, Water Table, Terrain etc. 1
atU E 0 1 ' PARTY RUNDINI TEST al . /yin 1(4 Q , &PHONE_i f , 2 C a
SIGNATURE f`• ' --- DATE 7/21'f7 j