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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL 13EALTh
2014 Blake Avenue
Glenwood Borings, Colorado 8160!
PERMIT i _„_, 1 �C t A
System Location
Contractor
1.. Construction approval for a ___ __ gailort f F piic tank
Aerated treatment unit
and absorption area computed as fnllowe:
Pert rate / inches in . minutes s:.. gt .f
absorotiop area per bedroom .(.z.e n s)
Xz
z'i`' ) ` Qc. feat ¢Meet mintmum reautrernent.
"IlO S x/S, _az4 i lr esce_D y i`a="
QGCe!.�.eow
Date -a Inspector
2. Finet eporoval of s ystem:
No system shell be deemed to be in compliance with the Sewage Disposal
Liam until the assembled system id/ approved prior to covering any part
� t " h ' em mo of.
� I�/i q• septic tank clespout Wigs ee ,,,,
11L_ l Piaoer mateIIILarid p �cembly
[ r/I Meauete abaoptipn area
�
I • • ens is •t• ad
" l
bete — /i - y/ Inspector
**Retain with permit remedy at conetructton cite.
Jeiont L. Kinkade, Sanitarian
Aarf, Co. Environmental Health
° 2014 Blake Avenue Tel. 945 -7255
Glenwood Springs, Colo. 81601
NOTI *ICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME. SEWAGE TREATMENT SYSTEM **
Owner: Westbank Ranch # 1 LTD.
Mail Address: Box 987 City Glenwood 71p 81 Phone 5 -6395
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 in test holes.
1. Location of facility: County Garfield City or town Glenwood
Legal description Club House Area Lot size 1.5 @
2 bathrooms for club house
2. Septic tank capacity innn Aeration unit capacity_woo
3. Source of domestic water: Public (name):
2 wells
Private: Well X Depth Imp Other Depth of first ground water table
4. Is facility within boundaries of a city /town or sanitation district? no
5. Distance to nearest sewer system: s miles
Have you attempted to arrange a connection with the system? yes
If rejected, what was the reason? distance
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
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:
Date Signature of Owner allir
*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 ogcur (Art. 66 -28 -8 (5), CRS) and /or areas in which there is no
local septic tank ordinance.
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Please use the following space for directions to your property site.
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GARF'IELD COUNTY DtR IITMVTs z O. ":A.f /l•'.N`.41. HrALT.7I
2011 Blake avenue
Glenwood SA;1ng , Ccic,:vgir,' Siern
PERMIT 41 ___44,4__
._.
Sys tem Igca tlOn.lZ.1- . 2-,,vl zVI' -4'/- /S/G1 L4S/ G2eis5 =
Contractor _ _ _ w___ _...___. _
• L. Convtrnc. ion approval for a _ c;elltcr: i``_j _..z tic yank
1 e .�a._sts a t.ea;:me:.t unit
and absorption area computed as fr:llown
Pere rtte__ t.^ehe0 In .67 c:
S" - .n :srao tot i)CUrC/JM.. (.
/ 9:9-! ! /'.. -'
>C17 _
•• :
yr/: .: r3 i ir�_ <c::� t
X c1'r 1 / t om- �jr /S X/5 /666:7 — !Yti &,,e.�ee.- --Gf rz . ?rc-C o2 -Z. s -�Ct L- i
Date 9 – 2_ Cc –23 In0pe e
2. }That aerwvat of P yeteto:
No aysi ^_r.1 Ch ,aiI be ac' ,red to be In compliance with the Sewage Disposal
L6wa until the aaatembled syeten is ooprvved pricy to covering &ny part
thereof.
q" 0raWs_tzttic_LQ tucalt_tektb_anp 0121
i... ...... .r..li :22t'r- t;c1!t Pt?ty,�,- r•.t.-t+t 17
17 1 . r. " ' ante. co.ni'reete c.Qver {dry wcI10 only
Date Irgpector
**retain with oenttt aeccrde at con °tract!cn cite.
/L. Kinkade, Sanitarian
."., Co. / Environmental Health
t - !Blake Avenue Tel. 945 -7255 '
lenwood Springs, Colo. 81601
NOTI PICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
!!! INDIVI'DUAL HOME SEWAGE TREATMENT SYSTEM **
1
Owner: Westbank Ranch # 1 LTD.
Mail Address: Box 987 City Glenwood 7ip8]fO1 Phone 5 -6395
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 in test holes.
1. Location of facility: County Garflaid City or town Glenwood
Legal description Club House Area, Lot size 1.5 @
2 bathrooms for club house
2. ibilkaltakevare Septic tank capacity Nen Aeration unit capacity _woo
3. Source of domestic water: Public (name):
2 well s
Private: Well x Depth 10G Other Depth of first ground water table
4. Is facility within boundaries of a city /town or sanitation district? no
5. Distance to nearest sewer system: 5 miles
Have you attempted to arrange a connection with the system? yes
If rejected, what was the reason? distance
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
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:
___4
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 is no
local septic tank ordinance.
•