HomeMy WebLinkAbout044Air ,
t- w
a
at
OARFIELD cnii^rrr DEPARTMENT ON ElVIRONt4*JTAL HEALTH
2014 Blake Avenue
Glenwood `;pr1ngs, Colorado 81601
JERNIT w 44 A
ystem Location S C V "
Contractor_Cri pt-x_ 4...t
1. Construction approval:
flans and location are hereby approved. /000 rei9L - dilme ? 4 z Uk/r
Pere. rate inctos in 3e minutes* 2 2 '7 s . ft. of
ahsnr aroa ier bedroom.
X 1 'ZS sq feet ' 00g a3. feet minimum re
auirement. 1. suggest 40'— S B
4241 -7-a ea-,Bu rgr s ,.c w
Date 6/5/73 Intpector
2. Viral approval of systems
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.
J8" gtic cleanout with gas seal
5:771 Proper materials and assembly
1 Adequate absorption arear
a
Am_1 Adequate concrete cover (dry wells only)
N4 Covenants signed naystsso*
Date Z — 7 3 Insrector
r
7.
na Retain with permit records at construction site.
QLORAUO DEPARTMENT OF HEALTH
Mater Pollution Control Division
4210 East Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: John Huebinger. Jr.
Mail Address: P. 0. Box ZZ City Aspen Zip 81611 Phone 925 -7224
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area,l'iabitable.buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
1. Location of facility: County_ Garfield City or town_1enwood Springs
Subdivision
Legal description Lot 7 - Filing 1- Westbank Lot size 1.01
2. No. of bedrooms 4 Septic tank capacity Aeration unit capacity
3. Source of domestic water: Public (name):
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 to nearest sewer system:5 miles
Have you attempted to arrange a conriectlon 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
of drop In water level after holes have been soaked for 24 hours
7. Name, address, and telephone of person who made.,'011 absorption tests:
Raulie Irwin, Jr. - Rt. 1 Glenwood Colorado - 945 -7393
8. Name, address, and telephone of person responsl for design of the system:
PvY
ger
Date Signature of Owner
Required by Article 66- 28- 12(CRS, 1963, 1967 Perm. Sum. Supp.)
Required in areas which have been IdentlPted 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 Title)
Signature for County Official Title
Comments:
Signature and Title
Note: The Notlfier (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)
OARFIELD COUNTY EIIVIROIflLUTAL iILM,TI1
F Id Test Da-tu Sheet on Percolation test
PROPERTY OWNER _ ' i.,g.PI 101,E «2J ,7era
1iAiL1rIG ADDRESS o e Z-_del 8'/G //
ADESCRIPTIONOFPROPERTYQ e} fJ :_
1
IUCA1: @,I OF 7F ST HOLES ..._._..._,__.._
tm C::) tcs` holes required per sys'c;n
w a--
4' tiinIntn+
Test Hole Depths-
u4j tYon" tui i. 5 °d t
rDimnatcrOftestholes, 'uggest 1' -
P -ater 1:e after 24 hour tier 'k Q
Soi.I. Sndicateo adequate soaking es l:o
V. _ r 15i' FIDE 42
Ur p '
it
1Lnc I+t.r,ttcs Drop r2VOi'4°- -°•-___».._ !a 7 in . O
1 .
N Sn._N 2 `S c Sn. S"3,t >r
3 p 3 71 ... /Y ILI 0 a
T
3in.. 1477—...._1 i2 .r35' Ian, y 4 l' k'j_f339Giri __ Y 39/i 5 1 '• `Lz ._ 3S.,y
6 in.
no In.O
11 tn.i in.iY? Sr
I'crcole:i,:tor Rnte Average Lac' Hole -••- ...... .....
t:vi.r,a e cor.bined Rate 1
Soi;! Oc hcription 3. Z -_111 _ i -- -47-!G, --e-
Crmru•.r.t:, - ( yell:;, Strer.15, :hater Table, Terrain etc. 1
NAM OF PARTY RUNNIN: TEST g. , R,_6" WA De pfrortE_74.t 6' 9176 G
SIGNATURE a .k