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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT 0 167 (this does not constitute
FEE ONLY a building or use permit)
Owner Robert Annie
System Location Lot 014 and a portion of Lot 09. Crvstal Meadows Subdivision - Marble
Licensed Contractor * v11H '- 5 21- e- e-77/1en-)
* Conditional Construction approval is hereby granted for a gallon
• Septic Tank or/P Aerated treatment unit. 4
Absorption area (or dispersal area) computed as follows:
Pero rate / inches in 7 minutes .fir sq. ft.
absorption area per bedroom -- 2 " St A
,i /trio e fetter 4 7
0 of bedrooms a , x 8'> sq. ft. minimum requirement— ^' / '= /
w t`' May we suggest - ,"
'..: Date h - Inspector 4 ! ; otA
seta -r tese.Z. *-4
1 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.
ecC:Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly. /n/ S L c c
��- iAdequate absorption (or dispersal) area
Adequate compliance with permit requirements.
equate compliance with County and State regulations /requirements.
p
D
ki
ate V ( 7 i Inspector Lh?k
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 1983, amended 68.3.14, 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 (5500.00 fine • 6 months in jail or
both.
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COLORADO DEPARTMENT OF HEALTH
Water Pollution Control Division
421Q East filth Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO,WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM**
Owner: Robert Annis
Mall Address: 1220 Highland Ave. City Cushing, Zip 74032Phone 918- 225 -3526
• Oklahoma
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography ol arca, hab1t2ble buildir;s, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
1. Location of facility: County Gunnison .City or town Marble
Legal description Lot #14 and a portion of Lot size .96 acres
• , . -.i.' I.divisivn
2. No. of bedrooms 3 Septic tank capacity Aeration unit capacity 1000 gal.
3. Source of domestic water: Public (name):
Private: Well X Depth 4 O'Other_ Depth to first ground water table 22'
4. Is facility within boundaries of a city /town or sanitation district? no
5. Distance to nearest sewer system: 12 miles
Have you attempted to arrange a connection with the system? nn
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:
. Walt Barron, Gunnison County Sanitarian, Gunnison, Co. 641 -1460
8. Name, address, and telephone of pers.. - onsible for des! n_ef the system:
/ / c
1,177 ":411
Date rynature 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 dancer of pcilutioi
of waters of the State may occur (Art. 66- 23 -8(5), CRS) and /or areas in N;.ic! +he na
is no local septic tank ordinance.
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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
Commeits:
•
Signature and T!tle
Note: The Hornier (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:
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D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
•
WP-33(10 -72 -2)
103:1 I
Show: Road, drive •, parking, well. streams irri.ati•n protierty line etc.
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SE 1
TMNK
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• c 1of t ca,Rt - E 1
• House
l b ,, 1 it
TYPE OF SYSTEM APPLIED FOR (Dimensions to be •
Gilled in upon permit issuance)
Length deter " ' z . : " " ' cr
mined from i'
percol a- ••`
/.r / rom se•tic Ground �--�� --- Cleanout
ti on tes - / Surface � ^"— Hold
reSUl t �-' -- , or plant '—
_ Concrete
r^ i � Perior r at on Orr Layer ��' ? Cover
!` -' L�yer o[ Straw
i L ' d o lt��l>•YYY� , t ,� i rl `aw
fr To Septic o (''
T �oars �' 6 oao0 O?° 0 0 0 0 - O IU or plant 00 0 6176
' p dvo r6 0 O°io 0 0 °ooa D G U iJ(7J
V 0 0 0 o D 0 t„,`"0 ,„015
O O Gravel U� o b b l - 21/2"
9
I sr 1 2
Gravel
D(. 0000 •
Minimums - Gravel O
¢l 0060
N, \ \ \ \ \ \ \\ \\\ \ - Topsoil 000 1? X>CXX�UcXS�X x X�4 "Straw /hay D pO U
i 0O4o UN
{" PVC 0
0p0 O-( 0 1[,r' 2" of Veto 2'b" / N
C7 Y T" D ooc Gravel DOQ I I °Q,�
O co O 1 O QvO
To Septic or �j6 ObOD c7UQ COO D 66 6• t a000 00 0 Plant Or CI00000 00000006 1 0C1'h to
0 "0000000 0000000 21/2" gravel Pere. Hole
0 0 0 000800
0 - - El SEEPAGE BED DRY WELL
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0 OTHER
SEEPAGE BED REQUIRED UNLEDS OTHERWISE INDICATED
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• COLORADO DEPARTMENT OF HEALTH
DIVISION OF ENGINEERING AND SANITATION
ACTIVITY REPORT Code
Section County G�s.rnuasrr
FILE REFERENCE: -C
INDIVIDUAL OR
ESTABLISHMENT: L nrt e;011 p / )
ADDRESS: �9 , ( 7 ienr- , X / �� 4J
NARRATIVE: mac_
/®'M SS ,_se-, re ¢ tt„A• ,Q - •t6+yC
-n 4r r, ..,! nr..tc -44 7 ewt- Liza
- z , cr- tY / dt i ^ek,„
6 1 -0" 444411d -e-Ga sett-rated C-e
� tartb .Goals - ne. as' f pl Can vtc* amt 15
LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS:
DATE: j/�a , 19 7 REPRESENTATIVE:
ES: 7 (Rev. 6 -70 -100)
••RECEIVED JUN 1 E 1975
'iOf ° i� d
4 $ Gunniso ,;,4,, "; I . i i P
.8 7 `
Office of the County
SANITARIAN GUNNISON,COLORADO
13 June 1975
Mr. LaMont Kincaid
Garfield County Sanitarian
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Pear Mr. Kincaid:
The Garfield County Sanitarian is hereby authorizes to
issue a septic system permit to Robert Annis for Lots 9 and 14,
Block 1, Crystal Meadows Subdivision, Gunnison County, Colorado.
No permit fee will be required by Gunnison County.
I would appreciate your sending me one copy of the permit
for my files.
Sincerely,
WB /dj alter arron, Gunnison
County Sanitarian