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HomeMy WebLinkAbout00198 cur, x^ .c,. Jk } d og GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 4 - ) d 2014 Blake Avenue Glenwood Springs, Colorado 81601 Re.-72/4g e w PERMIT H S .loss (this does not constitute 4 -290.1$ 7 no o QIs, e- _ a( Q y a building or use permit) Owner 73C " "C. . ) A C . 1 c3 ( oco -errr System Location c'c„.14 T?b ...afl 1 Licensed Contractor 73 cc E. j tL(/1tQ( C)L * Conditional Construction approval is hereby granted for agallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate_l__inches in g r minutes 1 q Cs sq. ft. absorption area per bedroom.- '" 11 of bedrooms x sq. ft. minimum requirement,,,, 6 0 Ss F-r" p F k or -cft.4 Ot ) err t.:19, May we suggest p pleyttoet_c.... 1 l 1 5404At€r . 9 fa tnIte eetQua 11.1 " Date' ;?� 7 Inspector{ FINAL APPROVAL OF SYSTEM: l( No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. i Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. t tt-- Proper materials and assembly. a---- Adequate absorption (or dispersal) area. - -- Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. Date p '0i 2 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 66.44.4, 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. 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 (8500.00 fine • 6 months in jail or both. er awe - � theaT/ONroi /good UTAH ' COLO Jcn i t ���s ° " —_ 47.E / 3 S ;4'1 Zpi6Ji a_ ice led .29 _ Q v �- Mehl - m ENVER AND RIO GRANDE WESTERN RAILROAD "11 ) COLORADO DEPARTMENT OF HEALTH • Water Pollution Control Division 4210 East 11th Avenue Denver, Colorado 80220 . • NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM ** • Owner: Go rvv. 1�, r/Y1. Co(iP Mall Address: aIS City R,`Q9-e_ ZIp431650 Phone 6.1S (3S • 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 ea.tkcolj .City or town _ X 4 7 <. Legal descrlption`�% R. U) N`fj 564 sic .0 Lot size 6.:)( 2. No. of bedrooms 3 Septic tank capacity Aeration unit capacity 3. Source of domestic water: Public (name): L t . 4--y ,.O R;4k Prirate: Well Depth Other_ Depth to first ground water table 4. is facility within boundaries of a city /town or sanitation district? n(� 5. Dis.ance to nearest sewer system: 1/� `O , Have you attempted to arrange a connection with the system? '/ If rejected, what was the reason? 4, , nn (- 7� - a s f e ou. 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: 0 It Date •Sign:tu �'o •caner *Required by Article 66- 28- 12(CRS, 1963, 1967 Perm. Sum. Supp.) **Required in areas which have been identified as areas in which dame! of pcilutioe of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in w::ich there 1s no local septic tank ordinance. C � _ ,. -- \) *' I � L \., . li. I , I \ • jr _—_______t Nr .........-• ..., ‘ • • 0 r n o Log 0 ._, .; -.0 a i „..,/ __ \p • ' . ---,,, k in Ant. k - :H J\ 1 • p jl ` M h `� I ` `+ ` � 1 W 6r + \ (' C • a jb 11 _ `1 1 i i tr% [ " U.) I. ,r. es ` P: 1 \ N. j . _ O (_ __� i a .. .� III � u\ i H I� .— — .i ,, 1 I 1 si • J I. \ 1:-13'2k ` -20 ' \ cl -- \ r I e - I 1 I. , El \‘..._,..--? ) . I' 1 `I