HomeMy WebLinkAbout00127 GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
REPAIR PERMIT # S 127 (this does not constitute
a building or use permit)
Owner Paul H. Lindstrom
System Location MA Campground - New Castle
Licensed Contractor owner
* Conditional Construction approval is hereby granted for a (existingillon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate 1 inches in 10 minutes 165 sq. ft. (suitabl soil )
absorption area per bedroom
# of bedrooms N/A x sq. ft. minimum requirement
May we suggest 12' x75' x3' seepage bed following contour of earthen bank aroun .Lmi i ^dine;, Use
old drywell as settling chamber prior to disposal in seepage bed, 1,P '1rnt allow
Date 1/ / r lveway to cross over disft area. , /' y
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approvad prior to covering at part.
Z,,1Clb17t 4 n i "tic Tank cleanout to within 12" of final grade or aerated access ports above grade.
dye- Proper materials and assembly.
die—. Adequate absorption (or dispersal) area.
--—Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Date 'r— (78— 7S 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 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 • 8 months in jail or
both.
4,C0LORAWO DEPARTMENT OF HEALTH • •
•
'Water Pollution Control Division
4210 East ll:.h Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE • TO WATERS OF THE STATE*
���
INDIVIDUAL SEWAGE AL HOME S TREATMENT SYSTEM
-C AL2_IJ
Owner: -- 2i /
__ f�.✓,, / xt'n _— KO/4 2/ /4/kbei/VU,
Mall Address: 02" s AttAxif Ci ty ' ✓F!✓j(`ASTLE.Zlpc��l�7Phone " AN/ - ..25 1 7
A. TNFORMAT•ION REGARDING PR JECT SUBMITTED. FOR REVIEW: •
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitcbie buiidirjs, location of potable mter wells,
soil percolation test holes, soli profiles in test holes.
1. Location of facility: County 9 '/FJFjn __City or town A/r/A)
/VE '/ sEeay,'TSS »v /w,
Legal description ores rArr Lot si ze / ,2 ctCzZ- .
2. No. of bedrooms e _Septic tank capacity --- Aeration unit capacity I
3. Source of domestic water: Public (name):
Private: Well '( Depthilt Other — Depth to -first ground water table ii H-
4. Is facility within boundaries of a city /town or sanitation district?_
5. Distance to nearest sewer system: > I f ,27,4
• Have you attempted to arrange a connection with the system? 4/0
If rejected, what was the reason? ^. • - -
6. Rate of absorption in test holes shown on the location neap, 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:__
_ SC P6J /.2t1Jam:_
8. Name, address, and telephone of person responsible for design of the system:
• 4 -- / _�' // -- - SCE Pet.))/1"-
Date • 'Ignature 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 dander of pcilutio•r
of waters of the State may occur (Art. 66- 28 -8(5), CRS) and/or arc as in w:.ich there
is no local septic tank ordinance.
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 Offi (fide)
Signature for County Official en tle)
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 HEALTE' DEPARTMENT USE: Recommendatfons of the District Engineer:
D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
•
•
WP- 33(10 -72 -2)