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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL ?TEAT-TN
2014 Blake Avenue
Glenwood Retinae Colorado 81601
PERMIT* 166 Ilp _aA —,..A
S Incation 1 Ley Fi1►.Prn -s /Nee.
Contractor tent/ Al EP
qsa
1. Conetruotion approval for a _awn" , gallon Septic tank
1 Aerated treatment unit
and ab.orptlon area computed er
Pere mte / inoher �a_ to snlnutg �S qo at. of .—
abgorotton area per bedroom.!,.,)
r 1 X /49.0 Qa. feet X30 °a. feet minimum requirement.
1 "ucaeQt ice/ •Yae / x 3 r �c�9�o __
Date / / -73 Inopcctor
?. Final aooroval of gyetem:
No eyttem ghat, be donned to be in compliance with the Sewage Discos,
Law, until the anteatbled Ry*tem le eoproved prior to covering any Dart
thereof.
C_ R" , eptto tank, ottarrout with aanal
L_ ( Proper materialr antarnigolv
Adpayate ab4orotign area
/VA Adeanetit oatmeal poygr (dry welly opts)
C:ovente ..1. ed
y– 4 ►ta -7J 6' F �. ',psi/.` i60 re er16
6 &Z�JtEZ- t -97 7 / 9 4. V/ .0C, SflLq c.)
y c.:72 -' srsr- &9J v .isngc-C � et
Dab) i Z – /ij - 7 � Inspector et
ra Retain with mural record• at oonctructton rite.
• 9 2 - l p _ ..,r G
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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81691
PERMIT. 167
System LQoaUon tL.r'`/ ae ms :& y �c.G' H[=.e5r /
Contractor Otc.)1i/67TX'
?.. Constriction aporovat for a /4/.Y) gallon Septic tank
VAerated treatment unit
and absorption area computed as follows:
Peril rate / inches in /0 minutes- / /.v�S . ft. of
ebnorotton area per bedroom. (5) _...
3 X ,' 'S ea. feet -99S sa. feet minimum reautrement.
I_ egaae•t /02' AC y.? - /..1' .S Se y. 6a $cif ,
Dete / 2. — /O - X 7.3 Inspector •
?. Final approval of system:
No system shell be deemed to be in compliance with the Sewage Disposal
Laws until the assembled system is approved prior to covering any Dart
thereof.
1 .7 1 R" septic tank aleapaut with sap seal
ITT Proper materials and a*nernbly
171 J Adeauate absorption area
;r► Adequate concrete cover (dry wells only)
l C;ovcuaut• signed
i r
Date / . 2 — 7 '7 Inspector 'l
**Retain with pertr:it records at construction site.
OLORADO DEPARTMENT OF HEALTH Lamont Kinkade, Sanitarian , POc't/r7r °.v Fag � ater Pollution Control Division Garf. Co. Environmental Health ,frare/70 rule°.
4210 East i l th Avenue 2014 Blake Avenue Tel. 945 AsthfiamallSmolialq
Denver, Colorado 80220 Glenwood, Springs, Colo: 81601
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: I/A LLf y Farm s . rrpc
Mall Address: /3o x 0-48 City S-/L — Zip 6 /6s2_Phone b76.21137
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,
soil percolation test holes, soil profiles iri test holes.
1. Location of facility: County Afi' o Ci ty or town _
Legal description Lot size a,5 /9
2. No. of bedrooms 2' Septic tank capacity / 000 Aeration unit capacity
3. Source of domestic water: Public (name):
Private: Well Depth Other X Depth to first ground water table _
4. Is facility within boundaries of a city /town or sanitation district? /1/(
5 . Distance to nearest sewer system: 3 m i t e s
Have you attempted to arrange a connection with the system?_ A/ p)
If rejected, what was the reason? DflQ-NCr=
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
'at-wen. z-
7. Name, address, and telephone of person who made soil absorption tests:
.Sec. .ocriernser
8. Name, address, and telephone of person responsible for design of the system:
/7 /q'- 7.3 _ ��i�
Date 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
1s no local septic tank ordinance. Cn
•
/elf-
B. SIGNATURES 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 /
Slgnatu•- for Local Health Department
• Signature for City/Town Official (Title)
ft—a/ X .� � - ye y/ a, /,34c
Ig��e for County Official (i'it }
' Comments:
Signature and Title
Pir,tf: The Nc'.' !er • t: c f this sheet) must obtain comments and signature of at
least orie of the above.
C. FOLLOWING FOR STATE HEALTH DEPARTMENT USE Recommendaticns of the District Engineer:
D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
WP-33(10 -72 -2)
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