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HomeMy WebLinkAbout00256 `,` t r r. i il . 'Its % This does not constitute , •� • a building or use permit. " - " r GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 REPAIR - PERC ONLY uINDIVIDUAL SEWAGE DISPOSAL PERMIT N9 258 ` � Owner Dr. Otto F, Prochazka - B111 Crutcher Of Bell Realty acting Agent System Location Mitchell Creek Licensed Contractor Hughes Plumbing & Heating * Conditional Construction approval is hereby granted for a 75? gallon ___,X_ Septic Tank or Aerated treatment unit. il Absorption area (or diapersal area) computed as follows: Perc rate of one inch in /0 minutes requires a minimum of /Va. Csq. ft. of absorption area per bedroom. p, Therefore the no. of bedrooms -2 x ./A.1 ft. minimum requirement = a total of _5 sq. ft. of absorption area. MaY we suggest , .G - -" , c ' ,zJe LL- / /X // 1 i 4 .4-/C # chi' / Oe?•5 eine?ee..I /.-ve 6-77 I Date --- / • _ ! /c Inspector r m� 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 cover• ing any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. 429ISL<-O !S2::: e>002... SC7'T?G c— " Proper materials and assembly. er 7'7`�Vir =_ Trade name of septic tank or aerated treatment unit. Adequate absorption (or dispersal) area. '" c--76' .K ��- Adequate compliance with permit requirements. Adequate compliance with County and State regulations /requirements. i L Other Date • — /c r 70 Inspector 0.6...-2?, 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 au- thority granted in 66 -44 -4, CRS 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 viola- tion 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 in- "Li volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, i Petty Offense ($500.00 fine — 6 months in jail or both. Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy Fees Paid $ 4mc INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date ' y NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: OHO / r re-? aJ 4 Z e4 Mail Address: PO 1C 7 City: 6rF4 L / Zip: 477y0/ Phone: 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 percola- tion test holes, soil profiles in test holes. J 1. Location of facility: County / < I /�N1 7 City or Town 6 / 7 //17/l sd gl Legal n S-.7 / t fiL /� g al Descri p 'c- C /Z /C PC Lot Si ze Z- el- as-0 2. No. of Bedrooms Septic Tank Capacity N S4 / Aeration Unit Capacity IV NS_ 3. Source of Domestic Water: Public (name): SJ IC!/ftri Private: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? , Y b 5. Distance to nearest sewer system: rli L2 S Have you attempted to arrange a conne ion with the system? A/ If rejected, what was the reason? 1S'1 0 7 FVG L, 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: 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: 9. Express permission is hereby granted for the inspection of the above property by any member of the Garfield County Environmental Health Department and /or such persons as they may designate. Any withdrawal of this permission shall be in writing and receipt acknowledged by the County Environmental Health Department. 10. I have been given an opportunity to read the Individual Disposal Systems Regulations of Garfield County and I hereby agree to comply with l terms onditions and requirements quirements J included therein. 9 /7A. D ate «r'r' ure o m ner -g `� "If e�Y� irse -l(// y (TO BE RETURNED TO HEALTH DE ) �0g J �� Y'/6a/ RECEIVED MAR 2 9 1976 Otto F. Prochazka, M.D. Radiology • SOUTHWEST MEDICAL CENTER P.O. Box 1067 Liberal, Kansas 67901 Phone 624 -1651 2 , — a 2 a , r 76 gc 0,'a,Flee 1 e s.� / da, D, -_f a/ eA�/ -- 5 ? / /«-a 1_ 2 e -12,, s 77— jel I- #'5'- - 7 111-1-tat A/7 -11-/ a 7ilt ■a „le , z2 --€ G � �. z. /_,c i c0 a- L cs 4 -ran �1� °G' 6,_ a l.;, „7G- t /� y E 6 j� y�J - � -� ” a.�`-ea -, '�/ 4 i � & f ? _ J 4,44___. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Garfield County OFFICIAL NOTICE DATE T0.t4e • r902-1/2 0 9714.0 Occu orJner ADDRESS���7��� . /rr sett r,/1.02ea .4 O, LO AI -�' 7 tdO/74 /},�cO(JE 7h`C 00 -s'9 ?o 6Tf7tE A10/f",& eterre C'Af7 YOUR ATTENTION IS CALLED TO THE EXISTING VIOLATION(S) FOR WHICH YOU ARE RESPONSIBLE•"z`=f -• a•/ die 7we c .9ef Q2-u yr J ',v a,oaez_ sc v�ec _2:yc -LS9t - ..tAr! i tte} - G- ge toe i ,i 4.41 Az-fit YOU ARE HEREBY NOTIFIED TO ABATE THE SAME BY4ae,_/ j19 r& (Legal service shall include posting of this notice in a conspicuous place). This office must be notified by letter or phone, as soon as compliance has been effected. If at the expiration of this time the same remains unabated, such action will be taken as required by law. 3 — /S 74' DATE DATE C ei/9rLo A • •y r,9 - r - trg 1 SANITARIAN -n1 OWNER & OCCUPANT vonwso v l0 / 441 -0 1 4jfl Sn7�.cL DATE ©/= / eefl%of SB- /Al& - e c -c J deeAts Note: If this office can be of any possible assistance or aid to you in resolving the above noted concerns, please feel free to contact us at any time. April 15, 1976 Dr. Otto Prochazka, M.D. P. 0. Box 1067 Liberal, Kansas 67901 Re: Garfield County Residence - 1752 County Road 132 Dear Dr. Prochazka: Please find enclosed your individual sewage disposal permit number 256, for the repair of said system at the above referenced address. You will note a final approval was granted April 12, 1976 and the system is now in compliance with existing Garfield County and Colorado State Regulations concerning individual home sewage disposal. Also enclosed for your records is a brochure describing the approved 750 gallon septic tank which was installed. I have also notified Mr. Crutcher of the final inspection and approval. Doctor, I want to thank you for your willing and helpful participation and cooperation. It has been sincerely appreciated. Very truly yours, ENVIRONt4ENTAL HEALTH DEPARTMENT Edward L. Feld Acting Department Head ELF /tls encls. VOLL,f14. ka c e r f (Oo eD9 / 1 S March 22, 1976 Dr. Otto Prochazka, M.D. P. 0. Box 1067 Liberal, Kansas 67901 Re: Residence - 1752 County Road 132 Dear Dr. Prochazka: I have recently talked to Mr. Bill Crutcher of Bell Realty, your liaison in Glenwood Springs regarding the above referenced property. Mr. Crutcher statdd he had sent you a copy of the Notice posted at your property March 18, 1976. Please allow me to elaborate. The inspection revealed what I consider to be a definite violation 66 Section III (3.01) of the Garfield County Individual Sewage Disposal Regulations, which reads as follows: General Sanitation Requirements: The owner of any structure where pedple live, work, or congregate shall insure that the structure contains adequate, convenient, sanitary toilet and sewage disposal systems in good working order. Under no condition shall sewage or effluent be permitted to be discharged upon the surface of the ground, or into Waters of the State, unless the sewage or effluent meets the minimum requirements of this Regulation or the water quality standards of the Colorado Water Quality Control Commission, or the Colorado Department of Health Guidelines 66 -44 -4, whichever are applicable. - Knowing your professional background, I am sure you understand the possible health hazard created by a situation as this and would endeavor to remedy it. Therefore, I am enclosing an application packet for you to complete and return to this office along with a schedule of abatement and fifty dollar fee. Your coopera- tion will be appreciated and I will look forward to assisting you and your representa- tive in resolving the matter. Should jiou have any questions, please call. Very truly yours, ENVIRONMENTAL HEALTH DEPARTMENT Edward L. Feld Acting Department Head ,off : fir_ - c V■gAer 4/0 o F rte: er j -res /S 7 G c= �l e=7 o<el- L5 7--Ceaee> c&� SnG ©L 09e .. -... _.. . D2 . S` '- r o p ' A1/77 42 / /2--th 5 7- -j, ;- 7 4, A , a, "6.), RECEIPT FOR CERTIFIED MAIL - .(' s , ' ,tage) V; o T ,.K ' • ' SENT TO Prochazka M D . -, • Dr. Otto • STREET AND NO. 1 O67 C 3 P. O. Box fi g, E M P.O.. STATE AND 11P CODE 6]gOl ._. - -- ° � °/ L R IC as D „.. • , N Liberal, SERVICES R RD IT ��. NAL FEES 1 . Shewt th wlmm ROE a dt delivered ........._. IE< I N RECE , 2. Shows � te wham, date andewhere deli vered .. 35< d w SERVICES With delivery to addressee only -..... } tr Ad — ................. .........._.................... Sot _ ' i b DELIVER T0 ADDRESSEE ON�� � (S• �� Rs Rl TO a - 5 F DELIVERY (• NO INSURANCE COVERAGE PROVIDED — 1lIL� en mt Z AS Apr. 3800 NOT FOR INTERNATIONAL MAIL n oro, 1 °'12 o- aeo -v+° r o A 1971 cautane Violati SENDER: Be sure fo follow Instructions on :Ober side PLEASE' FURNISH SERVICES) INDICATED BY CHECKED B OCR S A po (Additional chorea ventral for these services) e ❑ Show to whom, date end address Y . where delivered ,s ® a ( Sssee RECEIPT ... Received Ile numbered article described below REGISTERED NO. • ONATURE OR NAME OF ADDRESSEE (- t always be ft f �o R IFIED N0. 0 272342 t mrE E'S AGENT, I 0 'Y / 0 INSURED NO. BATE DELIVERED SHOW WHERE DELIVERED (Only U requested, and include ZIP Code) � _`_ AIM LIBERTY, ¢ , � Otto F. Prochazka, M.D. R 425 -'�N °t _,--(9 ...,..,..vim Radiology M .�,�.�.. -- r. -r- SOUTHWEST MEDICAL CENTER ' --�- -_ t'�' �� �._„ P. O. Box 1067 \' ' 7 c; O - - ^'- - `.� LIBERAL, KANSAS 67901 e =r-Az g« • ,.. 6/ a-ti a -mom * « I tel WKI / S ys - I %9..r-/..to ____ZP (et z E R-- r-,ry r% , -n 'i2 lienzzpew. e :30 1, Q- A- 0 /D07 7 9e2/ 0 t41) �2 4 C 4111,' cOWDCI r ( Ain a 1%6(2-e-fro 0 7 1717 - 4