HomeMy WebLinkAbout047ACi,Aa!grtp C DEPAR?M 1F 08 S 1VIRONHIiNTAL NOALTH
2014 Blake Avenue
enwood Springe Colorado 81601
water K 47
stem Iocatton L cs r.
i;cmtractor
Construction approval:
Flans aid location are hereby approved.
sere. ate inches in 4U minutes* ?7C - sq. ft. (.f _
ao area pr:r bedroom, ....r.
Xc 75 9 . foot feet minimum re-
quirement. I surest
irate 4s Ine.peotor 0 9 `N,
2. Final approval of systems
No system shall be deemed to Ix in compliance with the Sewage
Disposal Laws until the s e ed system is approved prior to
covering any part.9 7r,
8" se >tic tank alearout with seal .
roper materials and assembly
Adequate absorption area
Po
Adequate concrete cover (dry wells only)4n.000,
I /I Covennants signed p
bate inspector
ke*,ain with permit records at construction site.
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COLORADO nEPARTM NT OF HEALTH
later Pollution Control Division
4210 East 11th. Avenue
Denver, Colorado 80220
AiPLICATION FOR ArPROiAL OF LOCATION FOR SEtTIC TANK SYSTEMS
THIS I8 NO? A PERMIT
Applicant (Owner): AIr// lIAF Lll oo,g1)
Mail Address: , ] 5/0 City: ArLE Mons t keJ
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with zespect to surround-
ing areas, topography of area, habitable buildings, location of potable water
wells, soil percolation test holes, soil profiles in test holes.
64/4100/) 1. Location of Facility: County 64/4100/) /^ J City or Town: SI /T
Legal Description Lot Sizes 75 &AM>
Type of area and facility - Number of persona served: ..2.
Subdivieion Motel Restaurant Trailer Court
Other: JAI M4 47
3. Source
l/ of domestic water: Public (name): GJ ,7i`.V f//`i/,/
Private: Well /.7 Depth JOOCOtbar Depth to first ground water tablef
4. Is facility within boundaries of City Sanitation District: 74%'
If so name:
5. Distance to nearest sewer systems J4474 ?jJ^,*4r7 -
Have negotiations been attempted with owner to connect:
If rejected, give reason:
6. Rate of absorption in teat holes 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:
9. Est. bid opening date:1st. Completion,Date: 4 Est. Project Cost:
Date: ( ?14 4 y 2, 23 tatAtreff (/
f o ner