HomeMy WebLinkAbout00290 r
+ This does not constitute
a building or use permit.
GAR,FIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Avenue
REPAIR - K*X1I0I M PERC ONLY Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT N.' 290
Owner
Allen Thulson
System Location 0403 County Road 131 - Sunny Acres - West Glenwood Springs, Colorado
Licensed Contractor Ed Dredger
• Conditional Construction approval is hereby granted for a `' c
j gallon
k Septic Tank or Aerated treatment u1it.
Absorption area (or diapersal r arrea) computed as follows:
Perc rate of one inch in 4 miin utes requires a minimum of - 300 sq. ft of absorption area per bedroom.
/
Therefore the no. of bedrooms % x -Pa sq. ft. minimum requirement = a total of q. ft. of absorption area.
M y e4 p,e ee4O T'-RerVe sr /00:10 /d. et-' .0 etc,/ -
Date � ` -' ��' Inspector �`�' G
•
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.
Proper materials and assembly.
/ /' fiade name of
g tanjor aerated treatment unit.
/ X /
Adequate absorption (or dispersal) area (%o - /� -ia�X 2
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Al/ir Other ��
Date C _..� .e.,/ � Inspector — --�'-,.1 -/
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.
II II volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1,
Ni Petty Offense ($500.00 fine — 6 months in jail or both.
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy
ee 549,-®0
' INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date (0-M -110
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
nQu _a INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: /I/44 lei !, /So <7
Mail Address :64 — /3/ /Zo( City: 61/2 Zip: g/txDI 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.
1. Location of facility: County cle f �� City or Town 44, 7 1 (/„ «,,, '
Legal Description J1 Lot Size A t
2. No. of Bedrooms / Septic Tank Capacity / cl), 7 Aeration Unit Capacity
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? /YO
5. Distance to nearest sewer system: ' Z . ,z44
Have you attempted to arrange a connection with the system? A
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:
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:
/3o
c Prparee — x /oaf Sas//. a 6X'. -0%/o • 902 7 —Sys/
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 all terms, conditions and requirements
included therein.
/S ' , 49 /
Date ignature o Applicant d e
(TO BE RETURNED TO HEALTH DEPT.)
. ..... . .... . ■
DE OF ENVIRONMENTAL HEALTH
AND POLLUTION CONTROL
Garfield County
O FFICIAL NOT
_ sSedv _ / /22b
DATE
TO -22:21 . ___ j .._ /Y!/d S_ Worse_ \//? seDA/
ADDRESS ___.0 C506 __...._. /atetA/
LOCATION _ ___Maent e C.. _St. .f. ._._____, 0_0_
YOUR ATTENTION IS CALLED TO THE EXISTING VIOLATION(S)FOR WHICH YOU ARE
RESPONSIBLE ._/_ _Se
3 • _ f ezmen 7ixd t- . .Wi». r iJ �earese
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YOU ARE HEREBY NOTIFIED TO ABATE THE SAME BV..4,44.444,19..74p
(Legal service shall include posting o notice in a conspicuous place). This office must be notified
by letter r phone, as soon as compliance has bgen effected. If at the expiration of this time the same
remains 1nabated, such action will be taken as the Law requires.
6- /4t - 7(• (- /y -74
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OWNER &OCCUPANT
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9 DERTIFIED W COI O r OSCALE NO. 44 PUEBLO, COLORADO 7 S • { , `
•- DRIVER OFF GH1 COl PPD ING_ S tr e; URNUMBE
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1 ACKNOWLEDGE RECEIPT OF THE ABOVE DESCRIBED MATERIAL AND RESPONSIBILITY FOR ANY DAMAGE OCCASIONED QYITS DE TO THE.,
ABOVE DELIVERY ADDRESS ,+ > , Z 4,41;x. 3--s2;:', z Y T, ' Ts • t e 4 A „
y U S^'k' t!.. ' - psx * e' ' ? I I -_ 1' A CARRYING CHARGE OF I ';,% PER
sICNAFUaE I a' MONTH N B% PER ANNUM( WILL BE
"` ' t,� - +..• ADDED TO ALL PAST DUE ACCOUNTS...' --.
FOUNTAIN SAND AND GRAVEL COMPANY P. O. BOX 535 / PUE BL,, o COLORADO 8107! ' :. » 303.544-50$1 ' ' , s ' _ 4. El PUEBLO PLANT /OKIN ST £ARKANSAS RIVER 303 - 544.54511 ` S IFLE
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- 0 COLORADO SPRINGS PLANT 3225 CONCRETE COURT J07 597.0400 MINTURN KANT +.. 3 03.32757567
❑ CASTLE ROCK PLANT 309 SO. GILIERT 303.688 -3973 ❑ BROOMFIELD, 61.M. KANT - 505 632 -33113
❑ 50. DENVER KANT 9002 N. MOORE ROAD ; ` 303 - 794 -2541 _ ❑ FARMINGTON, N.M. KANT. `, , ", SOS - 327 -5097
Q GLB4WOOD SPRINGS KANT3927 ROAD 154 303- 905 -6529 ❑ OTHER "-'
-_ CUSTOMER
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kS.T.M. MANHOLES
CATCH BASINS
• DRY WELLS .. .
• ELECTRICAL PULL BOXES -
PARKING LOT WHEEL STOPS _
CUSTOM TOM CASTINGS 28803 US. Hwy. 6 &21
SEPTIC TANKS Yard Located 2 Miler
DRAIN TILE CONCRETE INCORPORATED East of Rifle WATER METER PITS
WATER METER VAULTS' .:A.. ;:._ Manufacturers .of Precast'''. Concrete' Products '
JUNCTION BOXES
200 OTHER ITEMS AI.o Dlsnlbwor ro(Rolalcd hems
Post Office Box 169 ..Rifle, Colorado' 81650 - "
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SOLD 70 / '�/} i? /! !_ 4,-14 G''f ')'i SHIP TO r•-!-- •/ : Q..-7 jh
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DATE CHARGE - RESALE MDSE. RETD. JOB NO. I P. O. NUMBER
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CUSTOMER NO. SALESMAN PHONE NO. PERSON CALLING JDB NAME '
WEIGHT ITEM SaPWd - DESCRIPTION UNIT PRICE EXTENSIOI('
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. WARRANTY ON ABOVE-LISTED MATERIAL (INCLUDING NEW MACHINES, PARTS & SUPPLIES) 1S LIMITED
TO THAT AS PROVIDED BY THE MANUFACTURER, COPIES OF WHICH ARE AVAILABLE UPON REQUEST. .
DRIVER'S SIGNATURE I CUSTOMER b SIGNATURE ,t
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