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HomeMy WebLinkAbout00175 P ..,tMt� ,Q.VICUL aatkji, GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 1— t - 2014 Blake Avenue Glenwood SpOings, Colorado 81601 PERMIT • " lin (this does not constitute a building or use permit) Owner Kelley & Shirley A. Meyer • System Weapon Rifle r3 • Licensed Contractor Baystnaer * Conditional Construction roval is hereb e gallon t--x' s i / 77 6t G app ygeanted for a/ Septic Tank or Aerated trbatment unit. • Absorption area (or dispersal area) computed as follows: • Parc rate inche% in / minutes /&_T sq. ft. absorption area per bedroom 7 ,r 'x' L' 11 of bedrooms `- x /i°S sq. ft. minimum requirement=- 4 ;;' r> C f° , ; -`' " "` May we suggest 2>i .a! - cie . 7 c., /3 /a .SUrc.r, r:;�w" �wf� lx -r -� r - r �:,, <. n'C ,<- / Date / S 7‘, , Inspector Ir 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 part. 0 Septic Tank cleanout to within 12" of final grade or aerated access l 01— Proper materials and assembly. OL Adequate absorption (or dispersal) area. —LteI Adequate compliance with permit requirements. -S.-Adequate compliance with County and State regulations /requirements. Date // , j. Inspector_ RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 1 *OONDITIONS: 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 1968, amended 66.8 -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 awiplation of a requirement of the permit and cause for both legal action and revocation of the permit:. 3. Section III, 8.24 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. i t COLORADO DEPARTMENT OF HEALTH Water Pollution Control Division 210 East filth Avenue Denver, Colorado 80220 e --4 -A ;ia lal- k 0 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* L v ( X 11 DIVIDUAL HOME SEWAGE TREATMENT SYSTEM*** • Owner: h 11 'l� (tt ) Mall Address: 1yO Zip Phone 11)‘•2 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 to test holes. - 1. Location of facility: County k�s.k) City or town Y\Q1) _ L egal descri P tion f �' E%� 15n I Lot size ,� -f- `` 2. No. of bedrooms 3 Septic tank capacity \EI1 Aeration unit capacity (( 3. Source of domestic water: Public (name): � „,�Q1) Pri•'ate: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? IA/0 -1-41--/.. 9>reep.e y 1 5. Dis.ance to nearest sewer system: \ ©CR.Ts 1 DC it ir?n'� \ Have you attempted to arrange a connection P V) t with the system? _ — _ If rejected, what was the reason? / I ; 6. Rate of absorption in test holes shown on t location map, in minutes per inch of drop in water level after holes have been soaked hours �G s� - -- 7. Name, address, and telephone of person who made soil bso ption tests: _ l 8. Name, address, and telephone of person responsible for de i n of the system: 6 /� — ! '- �� 4' — �a te Si ty-ture of Owni,r 1111 A *Required by Article 66- 28- 12(CRS, 1963, 1967 Perm. Sum. Supp.) * *Required in areas which have been identified as areas in which danue! of pcilutron of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in w;:ich ?hen: is no local septic tank ordinance.