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HomeMy WebLinkAbout00130 GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH . IP, `i 2014 Blake Avenue Glenwood Springs, Colorado 81601 PERMIT 11 S 130 (this does not constitute a building or use permit) Transferred to Lloyd Balderston January, 1978 Owner -CMMi.-Arywi.l..kwlvr- System Location Lot 51 - Asaard Sub. Licensed Contractor owner * Conditional Construction approval is hereby granted for a? QOgalion Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate / inches in /• minutes /% sq. ft. absorption area per bedroom f-' / vc l . N of bedrooms - x sq. ft. minimum requirement =-a May we suggest .71 / A ..J'!. ' . 4 � . / ) 7j Date !G - / - Inspector c� sp�ec�t / or _ ��.� = f r FINAL APPROVAL OF SYSTEM: � Ana 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. O/':s Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. eve Proper materials and assembly. O/t Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. O/C Adequate compliance with County and State regulations /requirements. Date o ? 7� Inspector ae! 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 88.44.4, CRS 1988, amended 88.8.14, 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 1II, 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 ($500.00 fine - 6 months in jail or poth. T COLORADO DEPARTMENT OF HEALTH Water Pollution Control Division • 4210 Fast 1lth Avenue ' Deriver, Colorado 80220 . NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* 7 INDI• DUAL HOME SEWAGE TREATMENT SYSTEM** . O - g i / t�ld t -77 • Owner: / r7itseieas► — = // p c7 ���� � O$ (a © 1 yC 4p Zig7 /li..Sr7 Phone�E Ci 1 ?-Zl b2 Mail Address: � — • A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: - Attach separate sheets or report showing entire area with respect to surrounding areas, topography of arc:.^., habi..-..i: uild, ::ys, is y a:ion of potable wc•ter wills, soil percolation test holes, soil profiles in test holes. 1. Location of facility: County 6.74 i. P-,Q .City or town _ Legal descriptionet 7 / 1 Lot size /} - €7r;f -- G / 2. No. of bedrooms_4 tank capacity /Sr-JO / fetion unit capacity 3. Source of domestic water: Public (name): /. j2 e /7 - Private: Well Depth Other Depth to first ground water tabley4 3 `` 4. Is facility within boundaries of a city /town or sanitation district?//� 5. Distance to nearest sewer system: /5-pd / ( .r v,/ �TPSnJ Have you attempted to arrange a connection with the system? 4/6 d I f rejected, what was the reason? Rote fp .C'p ,,. C' • Sy S/°'rr1 _ 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 4 hours • v 7. Name, address, and telephone of person who made soil ab orption tests: _ . • .e 0 A�vv 8. Name, address, and telephone of person responsible for • /sign of the system: / Date 5 gnat•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 danger of pcllutinr . of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in .c.ich then: is no local septic tank ordinance. • • • B. SIGNATURES OF LOCAL OFFICIALS: The undersigned have reviewed the notification 4 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) Comments: Signature and Title Note: The Notifier (front of this sheet) must obtain comments and signature of at least one of the above. C. FOLLOWING FOR STATE HEALTF' DEPARTMENT USE: Recommendations of the District Engineer: • • • D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION: • UP - 72 -2) - • A47 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY ON THIS SHEET OF PAPER - .3 g4irS At/ 07 - 5 ,. 0t-t 0 49 A J fro ri 00%.4 • vo G. O CA re 11. L 51 °tVe rib ( d 0 e W V- 4e- ;f t( 49 totk 1‘4 ler6t f Odiw .) i` .4, ;Are og ;irl r'r : rcoI.:.f' ,. , . .,..., It 14 . \ T° \LLm - i 7e R1 rrt ■ A rt NI ' i l t O N 1 A T 1 Is I t \ : _ ,.. 4 S. p � .. : , N \4 th � a N t \ R t4 1 � 1 bx o 4 fi T1 3 P M• ill i r ip t i_ ol ier— —Le' k Il i E0 9 Id. o - ;R� e 5 4 R OAD w A TE �v\ < - a 1J f , \ .5 sec,/, / /nch ° /OOfee/ -``'•p 41 ,� TIE Sae f'0 4E: A 23S. B 7 To r 9E. $O CORNER StCr/ON 36, T. 5-5,4? 93 Me orrfl 6714C0 r o , w: ... MAI' OF A TRACT OF LAND situated In a. r:y , r Lint_, of SLCTIOA 36 , / " T. 5 S., ,R, 93 1,r, OF TIIC Uth P.M. . CARFILLD COLMIY, COLORADO • UI SCR I I'T I ON A tract of land situated In the LINE% of suction 36, Township 5 seal!), Range 93 west of the Uth Principal ,'lurldian, described as follows: Ueginning at a point, whence the Southeast corner of said sueiiun 36 Lars S. 34° 04' L. a distance of 4235.37 feat; thence i1. 3u° 1'3' L. 1 0.16 feet; thonc.) S. 14° 25' L. 234.2u feet; thence 5. 74° '29 luu.0U foot; th,.:nc:.: N. 14° ;'5' W. 305.25 feet to the point of beginning. lb,: above I rue of I.,nd (oni,r l ns 0.0•1 (Jr WI ecru, more: or I ess. This is to certify that on the 10th day of May 190 I made a survey of the above duscribc,d tract of d�� "' land, located in - the 1 ), of "�� s::c . t ion 30, Township 5 suuih I'..,n�io^ } j�rpq;l' , �,U f the 0th Principal Mur idi.rn, No improvcm.;nts on rr •f 'u f,.°r.fy:4r6 1 1.,imu of survey, A : ' L 6/3. ;Th.... 7 C4). & t. R.: I ins, sure. ,