HomeMy WebLinkAbout00141 1,
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
REPAIR PERMIT # S 1'41' (this does not constitute
a building or use permit)
Owner Thad 3. Englert
System Location 4474 County Road 100 - Carbondale
Licensed Contractor flr,J A/
* Conditional Construction approval is hereby granted for a 7a L> gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate / inches in ,3n minutes •/ sq. ft.
absorption area per bedroom - 77,4* ) j7 On, n// rim ell)
N of bedrooms_ e_ x / o sq. ft. minimum requirement t h/. , f , r „ - " ; :,1 ., :
May we suggest /a / x 3S / X 3 / , -
Date. 6 -° /9- 7.0 Inspector 1" - /op'1,fer
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.
Proper materials and assembly.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
adequate compliance with County and State regulations /requirements.
Date Inspector
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 1963, 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 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.
COLOIADO DEPARTMENT OF HEALTH
Water Pollution Control Division
I, 4t1Q East filth Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: 1/140 .J L NGLerr
Mail Address: 4/97q Cptd, /00 city 2MOSA c Z1 pf /621 Phone 94513
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography o rc , Itabitubl:: buildin s, location of potable water wells,
soli percolation test holes, soil profiles in test holes.
1. Location of facility: County agepdfq43 .City or town eafriy aAge-
Legal description C/Ze //J ) Lot size l3 /Zra =f
2. No. of bedrooms / Septic tank capacity Aeration unit capacity
On /Afinnuni or a) •
3. Source of domestic water: Public (name): -
Private: Well Depth Other»Pt7 Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? —_
5. Distance to nearest sewer system: G iq 44S _ Have you attempted to arrange a connection with the system? 14
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 fo 24 hours —_ •
7. Name, address, and telephone of person who made soi absorption tests:
/ '0
8. Name, address, and telephone of person responslblefor design of the system:
,
.s• --
/ / at Date ignat 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 d<'incie! of pcllutrar
of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in a:.ich then;
is no local septic tank ordinance.
w ,
I
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
` "!<ia J . \ `•J� _.1 \
Signature f Local Health Department
,►rr*s .s t<; y ',\ .1,t\ t, ) \\ \, \.
Signature for City /Town Official Title)
. Signature for County Official (Titles
Comments
Signature and Title
Note: The Notifier (front of this sheet) must obtain comments and signature of at
least one of the above.
.i. ,
C. FOLLOWING FOR STATE HEALTH DEPARTMENT USE: Recommendations of the District Engineer:
L J .. .> x •
D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
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JUL 2 1 1972
>>o l>t
2014 Blake Avenue July 6, 1972 945 -7255
Thad Englert
Carbondale
Colorado 81621
Poor Sir:
-As you know, the water sample you rewuested be taken from
the water source suppling your dwcllinq has been reported
as "UUSAFE" by the State Health Department laboratory.
This condition is generally caused by inadequate protection
of the supply at the source. This can often lc: rectified
by proper construction of develop ent. facilities.
Since this supply in serving two or mor dwellings, it is
legally classified as a public water supply, and must
conform to the "standards of water supplied to the public."
Please find a copy enclosed.
This office feels that an improvement of the water system
is necessary to provide consistant safe water to those
served. please contact this office before July 13, 1972
as to what your intentions are for bringing this water-
system into caapliance.
Sincerely,
Jaynes C. Roark, Sanitarian
Garf. Co. Environmetal Health
Enc.
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4- • DIVISION OF ENGINEERING AND. SANITATION
C 6 0 REPORT Code q / I' :. it
Section County 1; T
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LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS:
AP
DATE: Cri I� , 19 w' REPRESENTATIVE: , ,,. - 41" 01:-.....—
8S: 7 (Rev. 6 -70 -100)