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HomeMy WebLinkAbout00158 fr. 4., GARFIELD COUNTY DEPARTMENT 6F ENVIRONMENTAL HEALTH 2014 Blake Avenue • Glenwood Springs, Colorado 81601 of 393 —o9t1" 0'0da" PERMIT b S 158 (this does not constitute a building or use permit) Owner FrnPnt Riani not tt System Location Block 17. Lots 6. 7. 8. 9. & 10 - Co�oaerton Da314 eedet,4 nth. Licensed Contractor ne-e-I - / 7=20— * Conditional Construction approval is hereby granted for a . 4 'C'r - lgallon Septic Tank or_2L_ Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate / inches in /y minutes //.6 sq. ft. absorption area per bedroom a # of bedrooms 3 x, //S sq. ft. minimum requirement -4'/S sck / r f . may ,; y,. , t, Y suggest //c -7 c� - , : //Gi ( Z r� F "C l; � , J / r / e ' May we su est '.� �`ivt r �sz c/ 9r e= '� f Date •,. (r J `> Inspector j! /.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. { Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. e•-`," •-, ._ Proper materials and assembly. C / Y;' Adequate absorption (or dispersal) area. Adequate e with permit requirements. com lianc h P P !'t % /t. Adequate compliance with County and State regulations /requirements. Date ,-_ / - 2 7 C Inspector 1z ' r ^, '' �2' RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the County Individual SA age Disposal Regulations, adopted pursuant to authority granted in 88.44.4, CRS 1983, amended 88.3.14, 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. 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 ($500.00 fine - 6 months in jail or both. ,:OL6ADO DEPARTMENT OF HEALTH Q S 613 Water Pollution Control Division � Qt n C �/tatei9'- 4210 East 11th Avenue ey�/r _, #IStii, Denver, Colorado 80220 • • NOTIFICATION OF PROPOSED DISCHARGE TO OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM** • • Owner: R. >;, © 't11 A R • Mall Address: \lok J( (9 cit Vii Zlp4 / 6SO Phone C2- ge•O 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, soli profiles In test holes. • 1. Location of facility: County CT4V it] d .City or town recrevibtl Legal description Sec A+}ucLe:0‘ Lot size S )( ) ZS 2. No. of bedrooms 2 Septic tank capacity ?CC Aeration unit capacity 3. Source of domestic water: Public (name): tAf t. 1I 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: U n k h o w Have you attempted to arrange a connection with the sys p 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: . • ! - 7 i 8. Name, address, and telephone of person responsible for design of the system: S72 ,S & Date Sr n re 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.lye! of rol lutlO'r of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas In w::ic`, the; is no local septic tank ordinance. • r 1- , 4 . . . . — ' 0/K 041:2211 . f • ' • • S a� Row) cSOPRvS AYENUE / t k' 0' • ti' to' • I /tr 7s' . /If' Fs1 /tr. Nf' • S0 l 1 it 42 I __ 2B __ ; t • 4 /k./I j _ �� `i 4 n #. \ 27 ,wt 1, " ' _ \ ¢ N e • M o w V� r # W e V 24 • 7„ V � I M V n B h , . V 13 n • - 8, Q — j e I t " CO 4 1 ' �4v - 3 / 4 4 NIA VL) • S • - _ . +� -_ � I . r1 _ I . _u' l3_ _.._... ... . t t -_ -._ . —._N } _: 1 ..._ X 11 _ -&-,- - 1.a..r.TK • 1 . 41. t+ ' w' M1' 0 - . in 71•• w- r /If e• ` t "w.• /If •# 0 ; ��' f e vamIN !no f '+/ : • 1 } Y V... 1 wyrwww 'NI N M ti O 1 Ai PROPERTY DESCRIPTION; ' • . , . . 7 Lots 1 thru 15 of Block 13 and Lots 6 thru 30 of Block 12 in Towsite.of 1 1 ' Cooperton. Garfield County. Colorado (recorded in Town Plat Book 1 at i • 1 'p490 16 Garfield County records), . . • .. . . I ' • I SURVEYORS CERTIFICATE; ' • 1 herehy certify that a field survey was conducted. under my FJ ; •. supervision on March 20 A 21, 1975 of•the property shown , ;' hereani and that this plat is a true rQpresontation of said t `Survey; to the best of my knowledge and belief. f Luther T. Musgrave, L.S. rai NO • 0 .are 0 4, -. Rei ar SI / Glue ' • i yI11�'v a .cam .�re— w 1 * � 10386* A 4. 4 - aF COAP 'LOTS 1 -1 BLOCK 13 3. t LOTS 6-30. BLOC 19 • • •» , GII KR^TOM :, .GOLORAAo i . I , FOR' • WRING. FORK REAL ESTATE . 1 4 i 0 B04 759 ' C/nROADALE, COLORADO BY V4 ,SGROVE ' ' . gWRXEYING 455, 31 ROAD. ! GRAND) J/p1,iC:fU0ti, C,040RAOQ PHONE: .. • 4150.1 303- 434 -7089 . • • MARcti. 26,, 197'5 FILE: 75 -03 -04 • . .. • , . 1 •