HomeMy WebLinkAbout00113 •
1 •
P 4 ` GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 lake Avenue
Glenwood Sp ngs, Colorado 81601
c
PERMIT S 1
(this does not constitute
M
a building or use permit)
Owner ,,.'lam / i ease ne nere,2mtrt.s- Y r2E, /n,s0- r'T/N &,s- Y)
System Location iC» 3ae / / , l '7" CRt e)
Licensed Contractor 4 °y EN re- .42,P /•ses
* Conditional Construction approval is hereby granted for a 1 gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate % inches in minutes o /e-' sq. ft.
absorption area per bedroom 'TWO
N of bedrooms 97 x ..7/0 sq. ft. minimum requirement 4' "o pr e nettepp yciot , na
/ ii,6er sew (off. / / 92 " 6.Pr+on_ '
a we suggest a mss'' X /8 ,r 3 rs�nrx ¢ i of ®err
( Ad /fr.e 4 ( e->A Ses-a'loe war en C/O TArser
Date +' '' # e/*' { +rte /�FP)Inspector
,.;y _• /-V 7S
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.
e Septic Tank cleanout to within 12" of final grade or aerated access ports abovntade.
SG Proper materials and assembly.
ce,e' Adequate absorption (or dispersal) area.
Q om- Adequate compliance with permlt tequirements.
ICs) Adequate compliance with County and State regulations/requirements.
/�i°V.*r9c/fl9 >v €Jclt i9— r` /cic_c_ 'A/ - /4 / c - '4e_ edierC,.L
Date d /r 2 S — 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 1968, 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.
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 cons
' tanned in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or
both.
('340RADO DEPARTMENT OF HEALTH
p. 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: L v% S 6 () )- f e 7�'oh C. if. "4 I 711 /1J�-1
Mall Address: 1,76 R /19 L 7 Cl ty Ri t /p ZIp & /bSO Phone /1/o/ifa
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 • facl l i ty: County Oa e 1 i . .44 City or town R; Pl -
Legal description Lot size 14 — ___ -
2. No. of bedrooms A Septic tank capacity 1,5 Aeration capacity
3. Source of domestic water: Public (name): RJ * /p C i
Private: Well Depth Other Depth to first ground water table —
4. Is facility within boundaries of a city /town or sanitation district? yo_
5. Distance to nearest sewer system: / in i Al,
Have you attempted to arrange a connection with the system? h/6
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
< 5c / "Jt _L__�V
7. Name, address, and telephone of person who made soil absorption tests: _
8. Name, address, and telephone of person responsible for design of the system:
_
;75 1 7
de
Date Signature o "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 pollution
of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in which there
Is no local septic tank ordinance.
J
8. 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 Offic.lal Title)
Signature for County Official (Title)
Comments:
Signature and Title
Note: The Notlfler (front of this sheet) roust 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:
•
WP- 33(10 -72 -2)
t
July 18, 1975
Mr. Gordon Loy
LOY ENTERPRISES
Route #1 - Box 140
Rifle, Colorado 81650
Dear Mr. Loy:
As per your request, please find enclosed a copy of the Individual Home
Sewage Disposal Permit ( #113) issued to the Luis Cortez property which was
formally owned by Mr. C. E. Mattingj'y.
If we may be of any further assistance to you, please feel free to contact
this office.
Very truly yours,
ENVIRONMENTAL HEALTH DEPARTMENT
Edward L. Feld
Deputy Sanitarian
ELF /tlb
encls.
c GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
S .
.. • ..... _. Glenwood Springs, Colorado 81601
/ ... A
c r . , r�.- 1 13 (this does not co stitu i • PERMIT # S a building or use per i
Owner 2 iii 15 VOA' _ t ,i- ner.=. - y O.. e. /y- . 2 Y )
System Location Sri - - // 9 - -7 mil=t_ a 1 �
Licensed Contractor • �! C. l ',-' � - w /%r' i �r / A�/
* Conditional Construction approval is hereby granted for a ?` gallon
4 a
Septic Tank or Aerated treatment unit. lJ
X
Absorption area (or dispersal area) computed as follows: `f
Pere rate 7 inches in 0:O minutes -/C sq. ft. kil /
absorption area per bedroom "'"'
# of bedrooms r7 x "T,' / sq. ft. minimum requirement -- •,u.f_ - r ,6&.. ), e .. /, nA , ; r;
May we suggest . - V x " /8 'x" .9 /SEr x'9' 6- )4 ez ` . / ''CR • := -'# n_ ‘ br / ' t'r, :.,
`
f /,' 1, C �. .�0A .- &rLefO.e iG /E e.{ n ce: I gt. y
DateVii. ✓>>v. cwe ` e /re,6iaE:= ))Inspector , ,—
, -r - iii - 7- - -
INAL 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.
4 -- Septic Tank c]eanout to within 12" of final grade or aerated access ports above grade.
Ce74- Proper materials and assembly.
Adequate absorption (or dispersal) area.
a Adequate compliance with permit requirements.
``` — Adequate compliance with County and State regulations /requirements.
zfr ivi t eWe.,-/6 -- /) 7c t/
) cc /. z i3e- flr rtcc./ Cr ..:.t- 't'v -IC r-cJ " .
Date R iet 7 S" Inspector s.
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
CONDITIONS:
1. Al) installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 66 -44.9, CRS 1963, amended 66 -3 -19, 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, 3.29 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- I
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
both. t
I