HomeMy WebLinkAbout00108 Q r Rn` r.,,
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III
4 GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
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2014 Blake Avenue
Glenwood Springs, Colorado 81601 (1- 7 " ) 2")(4
TEMPORARY PERMIT # S 108 (this does not constitute
a building or use permit)
Owner Garrett Research R Deveinmment -fn. Inc.
System Location Logan Wash
Licensed Contractor
* Conditional Construction approval is hereby granted for a 3 "' °' "' gallon ✓
reb•r( !/ • lr ✓air
Sofa Tank or Aerated treatment unit.
Absorption area (o dispersal area) computed as follows: f:
Perc rate inches in minutes sq. ft
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest /.v. >e�ty n .. <r e 1 a-> 6 ;tto / / //A�1 S
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.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
c +r
Adequate absorption (or dispersal) area. x
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 88.44.4, CRS 1988, amended 88.8.14, 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, 324 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-
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COLORADO D.EPARTMENT OF HEALTH • -Z S .b
. Water Pollution Control Division
1421Q East iith Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM *>' •
Owner: QA1RE77- /'cSFAgc <l Co.
Mall Address: `j / ?oAo City - ZIp5“5" Phone29' "43
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire arca with respect to surrounding
areas, topography ci jr.;:;, 113b: t:Lic. uu:1C;; ;JS, i:....aL:en of potable water wills,
soil percolation test holes, soli profiles in test holes.
1. Location of faci 11 ty: County CARE /EG /J CO or town _
Legal description Lot size /✓ AO/ /cABtL
2. No. of bedrooms , S..Nth.. tank capacity y
v4wc Aeration unit capacity A/c •-•.c
3. Source of domestic water: Public (name):
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? /1VO
5. Distance to nearest sewer system: CJA//6/o u.of/
Have you attempted to arrange a connection with the system? /V o
If rejected, what was the reason? i✓o % AJ"/ec 7 " 0
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
/VoT /aLic4Q6
7. Name, address, and telephone of person who made soil absorption tests:
it/v7 ih / 0/9Lic- FI /j'G�_
8. Name, address, and teleph one of person responsible for design of the system:
p R T Q,„„ S i c .. —4, 7 Co .t..37 -A ii raw ..c i v e vR
1i..�� Date Signature ••Owner
" CIO L/ #47 Minx Fo rem i'VRA R, 1'A$#9 i/o
5E RocEn 6 cx ERIVk nom Sfanc TANK Ca.
*Required by Article 66- 28-12(CRS, 1963, 1967 Perm. Sum. Supp.)
1161
* *Required in areas which have been identified as areas in which danger of p ctition�
of waters of the State may occur (Arc. 66- 28 -8(5), CRS) and /or areas in N::i:h thee:
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
CommeHts:
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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 HEALTH DEPARTMENT USE: Recommendations of the District Engineer:
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D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
W"-33(10 -72 -2)