HomeMy WebLinkAbout00101 N " R F f' I I I. ( y �)
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 'Blake Avenue
Glenwood Springs, Colorado 81601
REPAIR PERMIT N S 101 (this does not constitute
a building or use permit)
Owner Ralph D. Hubbell
System Location 12431 Highway 82 - Carbondale
Licensed Contractor
* Conditional Construction approval is hereby granted for a gallon
Septic Tank or Aerated treatment unit,4rxi.57
Absorption area (or dispersal area) computed as follows:
Pere rate inches in minutes sq. ft.
absorption area per bedroom
k of bedrooms x sq. ft. minimum requirement
May we suggest 7a ,.e.r - '/h ,' r(Z n.oe t
Date /r' - 77 �
Inspector •cr r
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.
NA" Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
ase Peoper materials and assembly.
ar Adequate absorption (or dispersal) area
" Adequate compliance with permit requirements.
de oats com liance with County and State regulations /re uir sots.
Wri ca 77 rr� yf / `'�al el•+► ea,.til�cJa►+c >t' 4:
Date sta. -40 " 74" 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, ORS 1963, amended 66•3.14, 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.
3. Section 1I1, 8.£4 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 (6500.00 fine • 6 months in jail or
both.
_JRADO DEPARTMENT OF HEALTH
Water Pollution Control Division
4216 East llth Avenue
Ponver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
U
INDIVIDUAL MME SEWAGE TREATMENT SYSTEM ** •
Owner: TA-c-Pg �I ht 8lii.L
Mal Address: /243/ vv./ye& i treanonatalP 0421 Phone 943 -2705
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire arca with respect to surrounding
areas, topography of Jr f3u; E it Gy lccaiicn of potable water walls,
soil percolation test holes, soil profiles in test holes. //
1. Location of facility: CountyS4Rr /EL> City or town CARao/v}c.E
Legal description Lot size 3 Ac. Res
2. No. of bedrooms 3 Septic tank capacity :7570 Aeration unit capacity
3. Source of domestic water: Public (name): __
Private: Well)( Depthij/ Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? A/)
5. Distance to nearest sewer system: .2 miles
Have you attempted to arrange a connection with the system? t44)
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 o#9-1 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:
//— 22 - 74 1
Date Signature of Own , r
*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 pcilutio'i
of waters of the State may occur (Art. 66-28-8(5), CRS) and /or areas in w:;ich them;
Is no local septic tank ordinance.
,
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY ON THIS SHEET OF PAPER - I
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