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GARFIELD COUNTY DEPARTMENT or ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Soringe, Colorado 81601
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System Igcatlon fgrniclatl Carl ._— . Cache CreekL_
Contractor e- 2c .Itil Csr-minct.. Eta is.
1.. Construction approval far e 7 5 __ lion Septic: tank
j Aerated tzeatment unit
and absorption area computed as follows:. _
b nit* inohee in .2 S Stnute0 a 3 o of . _
ebsgratlon area Per tier: ore. f=-?
2 2 8O sc. feet- 44'O sq. feet minimum. reautrement.
I nutmeat /,.�! X 39 ?'
Date / / —S - 73 Inspector _ __
2. Final approval of system:
No system shall be deemed to be in compliance with the Sewage Disposal
Lawn until the assembled system is approved prior to covering any part
thereof.
• ... . • . • ith car seal .—.... _ —.
Maeua•E. ab`orRnop ales
P y Adeaunte ooperate coyer (dry wells Qpjy)
R Qovenants signed
C Data - 7 y Inspector 1
e
**Retain with oennit records at conatructton cite.
L�rcont L, Kinkade, Sanitarian frt- / Y 7.l T r C''-C-- C_ .S - G r e ( TLF J 1
Gard. Go. Ervironmental Health �;
€014 Blal.e Alrenue Tel. 945 -7255. scow(
Glenwood Sr rings, Colo. 81601 HCc F C p '
NOTIFICATION OF PROPOSED D ISCHARGE TO WATERS OF THE STATE* i
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM ** l
Owner: (-.2)9/7., . :dl/i- G.41-/./ 67. r; e= C72 <2 =.c J
Mail Address: l /1- /7e) City ,ei_c- lip Phoneez5-/t33
A. INFORMATION REGARDING PROTECT 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 in test holes. E
1. Location of facility: County G4 fit] J City or town /- )F,L Er
1
I
Legal description /tiu te2%y,‘,492Trlf e77Lkv ✓/ Q1 =''ot size ;gin 7
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2. No. of bedrooms a Septic tank capacity7SC�Aeration unit capacity n
3. Source of domestic water: Public (name): S` Pet 1•r, G- / '+'i
Private: Well Depth Other Depth of first ground water table
4. Is facility within boundaries of a city /town or sanitation district? 5-1--A
5. Distance to nearest sewer system: ')-i. a. •
Have you attempted to arrange a connection with the system? \ Gt
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 5 /O ' —irr
7. Name, address, and telephone of person who made soil absorption tests: . T ,&67?,n, .
8. Name, address, and telephone of person responsible for design of the system:
Date Signature of Owner
* Required by Article 66 -28 -12 (CRS, 1963, 1967 Perm. Sum. Supo.)
** 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. ,' (<
. 2707
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--n`. GLENWOOD SPRINGS, COLORADO 01601
~ 'aa14 aLAks AVENUE PHONE 945•7266
"' November 7, 1973
ac :"
Carl BernklaL)
n 3" BOx "
+.; Rifle, CO 81650
;$ Dear Mr. Bernklau:
'+ Please find enclosed the application packets and permits
for your three individual home sewage treatment systems.
` After consultation with Mr. Kinkade, the Director of this
office, I am suggesting a deep absorption field for house
81 rather than a dry well system as we previously dis-
cussed. The deep field will be less expensive to construct
and equally efficient to the dry well system.
If we may be of any possible assistance, please feel free
to contact this office.
Sincerely,
Ed Feld
Garfield County
Deputy Sanitarian
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