HomeMy WebLinkAboutApplication - Permit0AFtFIEI,D C:?JWY DEPARTMENT OR WWVIRONt4i 1TAL HEALTH
2014 Blake Avenue
O1onwood Springs, Colorado 81601
issrra
yntem Location S / aayi
Ccntraz for
1. Construction approval:
Plan'. and locatlori are hereby approved.
i'sro. rate news info/ minutes•sq. ft. of , µ
a'usorition arva per bedroom.
s foot •sq... feet minimum - re•-
2 irement 1 suygeet / O arc_f_ a VI 1&S
ate_e(7 3 Ine;peotor J
2. Final approval of systems
No system shall be deemed to be in compliance with the Sewage
Disposal Laws until the assemb'ced system is approved prior to
covering any part..
8"47- tlk cleanout with gas seal
i- "1 Proper materials and assembly
Adequate absorptinz area
NA I Adequate concrete cover (dry wells only)
1 11 1 Covenants si•ned
Oats/ — 2 _73 ins.ecto ac._°
Retain with permit records at construction site.
at
RADO DEPARTMENT OF HEALTH
er Pollution Control Division
1.4210 East 11th Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner:Aspen Construction Corporation
Mall Address: P. 0. Box ZZ CIty Aspen _ Zip 81611 Phone 925
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,
soli percolation test holes, soil profiles in test holes.
1. Location of facility: County Garfield City or town nlenwnnd Springs
e Subdivision
Legal description Tint af- F4]in,g ] - ' Westbank Lot size 1.09
2. No. of bedrooms 3 ' Septic tank capacity Aeration unit capacity/0
3. Source of domestic water: Public (name):
Private: Well 2 Depth_ Other Depth to first grr water table
4. Is facility within boundaries of a city /town or sailtaition district? No
i
5. Distance to nearest sewer system: 5 Miles
Have you attempted to arrange a connection with 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 IC
of drop in water level after holes have been soaked for 24 hours
id
7. Name, address, and telephone of ,pii
4':',4i , ri , ¢ t r?nade g9ii b }tests:9' :,
Raulie Irwin, Jr. - Rt. 1, G1 ! rgod prings, Colorado - 945 - 7393 1,
8. Name, address, and telephw:pi'>person responsible for design of the system:a46
H 1;
it i I,I.,j Tri 1
Date r s'^i t, i''4 .S gnature of yme /
ly i.d
Required by Article 66 28 1 ,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.' IGNATURES OF LOCAL OFFICIALS: The undersigned have reviewed the notification
described on the front of this sheet and recommend approval pr disapproval of
the discharge as shown below:
Date Approval Disapproval
Signature for Local Health Department
Signature for City /Town Official Title)
Signature for County Official Title)
Comments:
Signature and Title
Note: The Notlfler (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)
Alb,.
GARFILLD COUNTY F:fiVIRQFJLLU AL IILALTII
Field Test, Dote Sheet on Percolation test
PROPERTY OWNER 7_,
I;AILIIIG ADDRESS J Z z rcre...-..dt 6 ( 1
DESCRIPTION OF PROPERTY t
i:OCA9 i "d OF TEST HOLESS Sd
IVO (2) test• holes required per sys'!cfn
t tt tt
TTest !lc51 Depths-- _4 /t O ;` . . _SOCit Zn i l,,
c
cLiancteroftestholes, uggest i' ...w J__,...
1 :el after 24 hour sal »----- - - - « --C2
Soil indicated adequate soaking ------------es NoSTAI( or
wig re k ---------------
HO
tin__ _
4try E ThlST I,Etr.,,_ wn a i : f fax i7...._ _ .... .....___...-._._.
f'cci Tin t,isrates Drop toe in.LfoOUin Non,v. - . . . la,_so' M1 in. 0......_.__. JL, oeNs.__.......' -.
y3 ' i ntA1/4",._.'s.,20 ___z " in . - Pr
i ft J I20tr51iii.0- 24. 2)<4 • 4in. g "r
i- 141M - 111, lii ^2-±,441 3nt 12.}6-0It! / in. vy c_ . 1L.. ..._
r ___.B tl i . p 1 ..+ ._._.... . _...f U i r _ Q_ . I o
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f HAt+s=t[ n.
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I7
Iii in
Ti:? 10.r a? in.
Peree2;'.ior: Rate Averadr: l:fac' hole -
Avc ri3le Caadned Pate
Sol ) bez :ription -l2II0 ......LS
Comc,ents - ( Well , Stn.:: as, enter 2abic, Terrain etc. 1
1
J
IAIt OF PARTY RUNNIN :' TEST r // Jg. PHONE C- 5.f ('e4
SIGNATURE DATE S /2_S /,