HomeMy WebLinkAboutApplication- Permitc
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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT # $ 060
Owner .; E 1 tL
System Location ilQt"rt" c a'"r'
Licensed Contractor 0(4706Z.--
*
tQ06
,a4 (L �..ti
rf i - .
(this does not constitute
a building or use permit)
* Conditional Construction approval is hereby granted for a I,Ac.'c gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate / inches in '3 minutes -2 3 P sq. ft.
absorption area per bedroom 1 1 tR
if of bedrooms 3 x •073'sq. ft.
'9i ' 'Y --
May we suggest -5e-
Date 7'` / 71'
FINAL APPROVAL OF SYS
M:
minimum requirement = eat, 9.e> S4 1C7 "041°421 #41.77^,
eat.easq4
/0"4.`.49EarP .0e oar, /'/Ve.tar7'", 4' `,5itcriehge=
Inspector,
No system shall be dee d to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part._T
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
��✓ Proper materials and assembly. .•:
Adequte'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 68.44.4, 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.
8. 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.
CtrLQRLOQ D: PARTMENT OF HEALTH
WaI:er Po1►+.'cion Control Division
4210 ast lith Avenue
Denver, Colorado 80220
Owner:
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM**
r : l -d 1 t 1
Hall Address:04g4( CauNYy Re' al- IA City e {/€ zip/66-0 Phone 1)026 -0'1715—
A. INFORMATION REGARDING PROJECT SUBMITTED_ FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topograpily u at,., I1obi tabu; bui lclinyS, lulu iC+ii cif potable water wells,
soil percolation test holes, soil profiles in test holes.
1. Location of facility: County GQR-rie/4 City or town
Legal description Lot size 5i-g_ey,s__/?fltFoRLess
2. No. of bedrooms 3 Septic tank capacity Aeration unit capacity
3. Source of domestic water: Public (name):
Private: Well,K_Depthfkalther Depth to first ground water table_
4. Is facility within boundaries of a city/town or sanitation district?_- _.a
5. Distance to nearest sewer system: ,f4`0 4 -1(
Have you attempted to arrange a connection with the system?
If rejected, what was the reason?
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
L5 C—Z-- /0(E77rivrn /7
7. Name, sddress, and telephone of person who made soil absorption tests:
3C—e''- /`� &7 1 i T
No
8. Name, address, and telephone of person responsible for design of the system:
-?dad&--J2w-Ared---7-
nature 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 of
the discharge as shown below:
Date
Comments:
Approval Disa royal
Signature for Local Health Department
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 -35 (10-72-2)
RICHARb E. BARR
ha s executed his promissory note . bearing even date horewith for the
principal cum of FIFTY—ONE THOUSAND SEVEN HUNDRED FIFTY AND NO/100
Dollars,
p:,yable to the order of J. EVERETT JEWELL and ORA JANE JEWELL, as joint
tenants,
whose addrese is Rifle, Colorado,
If
as in said note provides
ref er tire mists. th reaf, with interest thereon from the date thereof s:, tthe -rata ed .per-cesr4 per-> antra, payable
annually. Said promissory note provides that principal and interes
shall be payable in the sum of $6,000.00 on or before one year
from date hereof and the further sure of $6,000.00 on or before
each year thereafter until fully paid, provided that if not sooner
paid, the final installment of principal and interest shall be
due and payable 20 years from date hereof, that all of said payment
shall include both principal and interest and be credited first
to the unpaid interest and the balance to the unpaid principal,
AND WHEREAS, The said party of the first part iS desirous of securing the payment of the
principal and interest of said promissory note in whose hands soever the said note or any of them may be.
NOW THEREFORE, The said part y of the first part, in consideration of the promisee, and for the purpose
aforesaid, do es hereby grant, bargain, sef and convey unto the said party of the second part, in trust forever,
the following described property, situate in the County of Garfield and State of
Colorado, to wit:
The NE 1/4, S 1/2 NW 1/4, NE 1/4 NW 1/4 of Section 33, excepting
the• SW 1/4 NE 1/4 NE 1/4 of Section 33; the E 1/2, excepting the
E ./2 NE 1/4 NE 1/4; and the SE 1/4 SW 1/4 of Section 28; the
SW.1/4 SE 1/4 and the W 1/2 SE 1/4 SE 1/4, Section 21 and the
West 15 acres of the SW 1/4 SW 1/4, Section 27, excepting a strip
of land 15 feet wide conveyed for road purposes by Document No.
157657, all in Tp. 5 S., R. 92 W. of the 6th P.M., containing
685 acres, more or less.
Togeher with all ditch and water rights belonging to, used upon
or in connection with said property including, but not exclusively,
75 shares of stock in the Farmers Irrigation Company, a Colorado
corporation; also 250 acre feet of water from the Silt Water Projects,
Together with any and all grazing rights and privileges connected
with the above described property, including all rights granted
by the Bureau of Land Management.
Excepting, however, from the foregoing the following:
(A) The SE 1/4 NE 1/4 of said Section 33;
(B) A tract of land containing 5 acres, more or less,
described as follows:
Commencing at the NW corner of said SE 1/4 NE 1/4 of
said Section 33, thence South 258 feet along said quarte
section line; thence West and perpendicular to said
quarter section line 200 feat; thence North and parallel
with said quarter section lino 858 feet; thence East
and perpendicular to said quarter section line 200
feet; thence South along said quarter section line
extended 600 feet to the point of beginning.
(C) 45 acre feet of water from the Silt Water Project and
No. 840A. DEED 0/ TRCETr—Public Trtortec—Receivers Clause—Atteri Tisa.
--Bradford Publishing Co., 1824-46 Stout Street, Denver. Co3orado .8-60