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GARFIELD COUNTY DEPAR1 v1ENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT N:' 402
Owner Clarence E. and Eleanor Kentz a
System Location
Lot 8, Block 3, Oak Meadows, 3rd Filing 10RA �'`' # Z-
Licensed Contractor
owner i K & E Eackhoe '�'
* Conditional Construction approval is hereby granted for a /2 So gallon
Septic Tank or Aerated treatment unit. f T
Absorption area (or dispersal areal computed as follows: —
Pere rate of one inch in 9 minutes requires a minimum of 3') Q sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms _._ x 3n 0 sq. ft.' minimum requirement = a total of /' O' °sq. ft. of absorption area.
.5eer'A‘e / /o IC. P r
May we suggest 3¢ /2 2( o
0 3 Dee OTC ,.�'� X.� > � y 3
Date yid )127. /'ti / /7 7 7 Inspector :74 ,._! /1•; L„-e ais-r''Y . .i,
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-
C
- Proper materials and assembly-
+
ft Trade namemf septic tank or aerated tretment unit.
Adequate absorption (or dispersal) area 1 ^ ..::� ' , -t' ,`i - i , - 9 / n;/ 2 t r +
Adequate compliance with permit requir
Adequate compliance with County and $tate regulations /requirements.
Other
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 au-
thority granted in 66-444, 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 requirementp.
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-
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 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 $ 2S
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION S---9--)-/
Date
2 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME
SEWAGE TREATMENT SYSTEM
0.104W.40_12
Owner: tt o VGQd,i MIK gAdl
Mail Address: jii City: lipyp, PhoneV
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 . City or Town
Legal Description , _ . � 1 ; Lot Size S %O S
2. No. of Bedrooms _CIO Septic Tank Capacity 111515 Aeration Unit Capacity
3. Source of Domestic Water: Public (name): bals,v ap,dp,y4),_, w % Oak( ,
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? w ,e,
5. Distance to nearest sewer system: N / b • ‘C) mAA.O.44 4 .�
Have you attempted to arrange a connection with the system? Ka
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in minutes per inch of e
drop in water level after holes have been soaked for 24 hours: S^ --- p0S0-
7. Name, address, and telephone of person who made soil absorption tests:
S er r Pay s /r
8. Name, address, and telephone of person responsible for design of the system:
S Lc��� rgZ�t
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./1 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.
Date' 4 7 1 � Signature • of Appl ant
(TO BE RETURNED TO HEALTH DEPT.)
PiePt 2 ' Qv%••‘• -
OAK MEADOWS, FILINW NO. 3, BLOCK 3
— (Easement for Domestic Water Facilities) .
Lot 8
An easement for water system facilities including wells, pumps, pipelines,
storage tanks and sterilization equipment, said easement being specifically
described as follows:
Beginning at a point on the easterly lie of Lot 8, Block 3, Filing No.
3 of Oak Meadows, as filed in the office of the Garfield County Clerk and
Recorder, said point being located N. 2 °22'20" W 350.00 feet from the south-
easterly corner of said Lot 8, thence S. 87 °37'40" W. 50.00 feet, thence N.
2 °22'20" W. 70.00 feet, thence N. 87 °37'40" E. 50.00 feet, thence S. 2 °22'20"
E. 70.00 feet to the point of beginning.
Az. 27d 33':.5"
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PLAT & LEGAL. DESCRIPTION -EASEMENT FOR WATER FACILITIES
LOT 8, BLOCK 3, FILING NO.3 1 OAK MEADOWS
PR E PARE D BY; cis),/ k . 4 15/76
Rea. 01(0. /779
EXHIBIT NO