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HomeMy WebLinkAbout00110 • GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL. HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 PERMIT b S 110 (this does not constitute a building or use permit) Owner Henry A. and E. Margaret Half System Location. Silt near Asgard Licensed Contractor Glenwood Septic. Tank Co_ * Conditional Construction approval is hereby granted for a /l -fr-' gallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate / inches in o 0 minutes • sq. ft. absorption area per bedroom 77/ a erg" 0 of bedrooms $$`_ x •/Ga sq. ft. minimum requirement r ,, : .' / r /9' 1 May we suggest J. • - .S'S..1e .3' , 9'aa'e'•'x itattear . Date . Inspector 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. ©/G Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. 4 t Adequate absorption (or dispersal) area 4dequate compliance with permit requirements. Adequate co liance w'th �+o�1n an State regulations /requirements. Lr� 7'2 ci iY'�"rt�7d ..vG=7,9-GiNb /A/C, f ©etere c - J,er oG 7W>✓.0 ae !lC72 / 6ct -79n er eU /7-pi cr y n>. . edge -F .9- cC enmeO Date la — 7 ' 7 S Inspector. ` y% � srri•s -- 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 68.44.4, 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- mined in the application oc permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or both. COLORADO DEPARTMENT OF HEALTH 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: 11, • . Mall Address: p :., . / `) City _4; , Zip Phone A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: Attach separate sheets or report showing entire area with respect to surrounding areas, topography c7 locatloa of potable water wells, soil percolation test holes, soil profiles in test holes. ��,QQ 1. Location of facility: County�JO City y or town 5/47— Legal description Lot size /0 .2 '7, 2C.40 2. No. of bedrooms 3' Septic tank capacityjDDV Aeration unit capacity 3. Source of domestic water: Public (name): Private: Wel l Depth Other Depth to first ground water table /Oi 4. Is facility within boundaries of a city /townnn or sanitation district? / 5. Distance to nearest sewer system: ap ?yw /ems Have you attempted to arrange a connection with the system? • 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 c iL= � f !�I 7. Name, address, and telephone of person who made soil absorption tests: —Sere ,°e7Z- / 8. Name, address, and 41 : 0 1- A p ••e of .e son responsible for design of the system:se- ? $ / i Date /. g = o'" Owne/' se C4' *Required by Article 66-28- 12(CRS, 1963, 1967 'trm. um. pp.) *`Required in areas which have been identified as areas in whit, danger of pcilution of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in .i,ich ?hurl: 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 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 HEALTR DEPARTMENT USE: Recommendations of the District Engineer: • D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION: WP- 33(10- 72-2)