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W GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 lake A4enue
Glenwood Springs, Colorado 81601
PERMIT b S 161 (this does not constitute
a building or use permit)
-
Owner Glenwood Springs Golf Club a
System Location Glenwood Springs
Licensed Contractor
* Conditional Construction approval is hereby granted for a / 9°0 gallon
f lie Septic Tank or /-- "Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate inches in minutes sq, ft. 1
770 ei
_t 1/4 ad,- < z.� -G:rt .i.- r. >er.. ' an'�. „ t' , v Ze4 .::fi
absorption area per bedroom t*`e
0 of bedrooms x sq. ft. minimum requirement
May we suggest /.<° ega - 4^atr".. ce- ,�C's,�`�
Date N r�
; Inspectoe. � -
• 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.
/ Septic Tank cleanout to within 12 " of final grade or aerated access ports above grade.
Pro r materials and assembly.
Ade uate absorption (or dispersal) area
°. dequate compliance with permit requirements.
/Z Adequate compliance with County and State regulations /requirements.
Date /Z/ � Inspector S J
RETTAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
1
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 88.44.4, CRS 1968, amended 86.8.14, CRS 1988.
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.
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-
' n in Fie • • • i • f '111 erm commits a lass I, Petty Offense ($500,00 fine • 6 months in jail or
_� IINI� gq1IiU Ord y m 1 ^ - p ° q1/111111A1 11 h 1 dM7 ° " mid l ily h' II 1 �I 11 1r '4p1
"wmwu!�V����q 1�i � ' � 1 �'�. ^ui ^� �il i :V' I � r N i � ]pl � M � li ii ` „ 4 +iu i '' i ligl
• COLORADO DEPARTMENT OF HEALTH •
Water Pollution Control Division
4210 East llth Avenue •
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO.WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
•
Owner: GLENWOOD SPRINGS GOLF CLUB
P.O. Box 1315
Mail Address: 0193 131 Road CitY Ginwd. Syps ZiP R9 6n1 Phoner_7nAn
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 Garfield City or town Glenwood t_
Legal description 0193 131 Road Lot size 40 acres
2. No. of bedrooms Septic tank capacity 1000 gaAeration unit capacity 2500 gal.
3. Source of domestic water: Public (name): West Glenwood Water
Private: Well Depth 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: 3/4 mile •
Have you attempted to arrange a connection with the system? YES
If rejected, what was the reason? COST
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 1 inch in,10 JDin.
7. Name, address, and telephone of person who made soli absorption tests:
Jim Roark, past Garfield Sanitarian'
8. Name, address, and telephone of person responsible for design of the system:
• DODSON ENGINEERED PRODUCTS, INC. P.O. Box 248. Glnwd. Sp.e. C 10-
t
June 3, 1975 L` ` - a••••
Date Signature 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 pcllutroir
of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in N:.ic`, thee:
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 3
the discharge as shown - below: t
Date Approval Disapproval •
Signature for Local Health Department
•
Signature for City /Town Official (Title)
•
Signature for County Official (Title
Comments:
•
Signature and Tltic
Note: The Notifier (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:
•
•
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