HomeMy WebLinkAbout00077 LA
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT N 8 077 (this does not constitute +,
a building or use permit)
Owner Ha 1). SteWart
System Location Lot 1, Filing 1, Westbank Subdivision
Licensed Contractor coloredo West Sewage Systems
* Conditional Construction approval is hereby granted for a/' fl gallon
Septic Tank or_2(— Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
• Pere rate / inches in 60 minutes 330 sq. ft.
absorption area per bedroom 7kelf
# of bedrooms_s2Z x 330 sq. ft. minimum requirement =1494, p SQ Ft (%S:sc ely e ,4 fR rr f
+70'°0 A.11 •/2 /,J,b garou G770'v-
S�e�5 'ore. i��i v/, vrtr f9
May we suggesteryr /X " X eeP.tae 8 --- tXSG'c... t- / 7_
Date $ 0 - 7 V Inspector 94-4'0
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is aprved prior to covering any part.
__C_—_Septit Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
AC" Adequate absorption (or dispersal) area. /NM /=, k ,SL /z z S' f •.v 3 mt. 4.en
ae Adequate compliance with permit requirements.
dequate compliance with County and State regulations /requirements.
i s t/ �a a. en/v's - ,s aee'a rree Qo 844 7eia
Date ,0s' 75 Inspector ei`�"'-C /r
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 1983, amended 68.3.14, CRS 1983.
2. This permit is valid only for connection to structures which have fully complied with County Zoning and
buildigg,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. ----
CO..ORADO DEPARTMENT OF HEALTH
. Water Pollution Control Division
■ 4210 East filth Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: MU, 57 _
Mail Address:07P/ WSS7604e Ateh _City soziAyS Zip 9/60(Phone_la -334,0
A. 1NfORMATION 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: CountyraQ_CY City or town £A$700 6*/74 000 d Prif
GOtOne wGSTSONK
Legal description ,,,, n { um...Iyo&( 04 size / /% CC_crc
2. No. of bedrooms_ eptic tank capacity/04n) // itdyt, Aeration unitccapaci tyL mart r
3. Source of domestic water: Public (name) ;�tkg/A44b43Lefe ` QSScL 4flpW
Private: Well, Depth _Other - Depth to first ground water table _ LL ,/r�
4. Is facility within boundaries of a city /town or sanitation district74 4 qI .. tAS 14 O
5. Distance to nearest sewer system:19t yeeS _ 71- ___�_�_— ____ —.__�
H you attempted to arrange a connection with the system? N n _____ ^V`
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map. in minutes per Inch
of drop in water level after holes have been soaked for 24 hours'T_.l7_P__Q/CSlt'LYl //L2
7. Name, address, and telephone of person who made soil absorption tests:_4_, 09
8. iJa,nc, address, and telephone of person responsible for design of the system:______
_ dOeAaJ bags r SL- /qq c s S/S76W$ --
4 illy
Date Signature of 0 er
*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.
1
,
•
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 Approval Disapproval
Signature for Local Health Department
—'- Signature for City /Town Official (Title)
Signature for County Official Title
Comments: _
•
•
Signature and Title
Note: The Notlfler (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) •
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