HomeMy WebLinkAbout00178 's
; 4+' GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT # S 178 (this does not constitute
a building or use permit)
Owner Madelyn Nicholson
•
System Location N 1/2, Tract 9, Chelyn Acres -
Licensed Contractor , ��c--e' 4° - bent ni —,21°. •
* Conditional Construction approval is hereby granted for a • g a llor� p • Z „re-22A -0.
K Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
r n aaC
Perc rate / inches in 42 ;
. minutes sq. ft.
absorption area per bedroom
c r s --
11 of bedrooms -' x 4 '2 f sq. ft. minimum requirement • fi
May we suggest w ,y * ,r
"-At 4 sters6-
Date , Inspector �! /
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any 407/ Septic Tank cleanout to within 12” of final grade or aerated access ports above grade.
/D9v Proper materials and assembly.
*P' Adequate absorption (or dispersal) area.
,Adequate compliance with permit requirements. •
dequate compliance with with County and State re u ations /re uirement .
/ 9->M 01%1,52V rj1110/. 4000 nlork."-e-
Date ier" — " 7 S ,Inspector_ '" "‘:•0*"
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 68.344, CRS 1983.
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.
u9y• 8. 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-
ii
tained in the application of permit commits a Class I, Petty Offense ($500.00 tine . 6 months in jail or
both.
7
COLt.RADO DEPARTMENT OF HEALTH
.WAer Pollution Control Division
4 East 11th Avenue
Denver, Colorado 80220 .
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: - __ &.; .Laf+.g/tAA -1 /
Mall Address: / Q Rex / /le ci tya t er#0d4'.opZIpPa/ Phone S =7oo7
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, iocation of potable water wells,
soil percolation test holes, soil profiles in test holes.
1. Location of facility: County_(,?/ -g4/ .City or town — _
Legal description/ V ST::C/ T' CAe jn icbren Lot size 0 / fires —
2. No. of bedrooms ,j Septic tank capacity) OO .1i eration unit capacity
3. Source of domestic water: Public (name): // -
Pri.'ate: Well !'Depth /OD Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? _
5. Distance to nearest sewer system: (OO /+
Have you attempted to arrange a connection with the system ?4(r1 nphf /frant tot
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
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 ignat r: 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 da.nue! of pcilution
of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in there
is no local septic tank ordinance.