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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
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System Location
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PERMIT # 8 059
(this does not constitute
a building or use permit)
(7o-7 . C
Licensed Contractor �/2,tc
* Conditional Construction approval is hereby granted for gallon
X . Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate / inches in //"' minutes /9d sq. ft.
absorption area per bedroom /;1240I'
# of bedrooms 1/ x /f() sq. ft. minimum requirement = 7a. '. p'r" PF-` ,940547.f-7r4hj
,11-297,
May we suggest .,2-".k - /x 5 /.5--Avey ett
Date 7-~ 57— 71 Insector
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.
4- Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly. 1/– _.eap _
OW.- Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date
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.
3. Section III, 3.24 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.
, COLORADO DEPARTMENT OF HEALTH
Wa,pr Pollution Control Division
4210 East 11th Avenue
oDenver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM**
Owner: �br•-y w.n. Me.
Ma 1 1 Ado res s: 7O 7 e 3 kip 1 c C i ty ?ilk Zipe/4,070 Phone -//q,
A. INFORMATION REGARDING PROJECT SUBMITTED .FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habit,Llc buildirgs, location of potable water wells,
soil percolation test holes, soil profiles In test holes.
1. Location of facility: County<5.;,,,.�',._1c, City or town W/A-C..c._,
Legal description:56U r� SW/ 8.,,2,41 71GS 11 +lrtot size yb 2c ria
2. No. of bedroomsY_Septic tank capacltyf2$ 0 Aeration unit capacity
3. Source of domestic water: Public (name):
Private: Well S( Depth.. Other Depth to first ground water table o
4. Is facility within boundaries of a city/town or sanitation district:7_0 o
5. Distance to nearest sewer system: G k_(,...q,_,
Have you attempted to arrange a connection with the system?
If rejected, what was the reason? .47,.-.4;77,1-0-7L20...65-
6.
moi 7- L2�E-6. Rate of absorption in test holes shown on the location map, in minutes pei nch
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:
‘61���0 a
8. Name, address, and telephone of person responsible for design of the system:
Date
l'nX
Signature of Owner
*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 or
the discharge as shown below:
Date
Comments:
Approval Disapproval
Signature for Local Hea1Th epartment
Signature for City/Town Official Title
Signature for County Official (Title)
Signature and Title
Note: The Notifier (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)