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HomeMy WebLinkAbout00415 N" `' This does not constitute It �a building or use permit. GARFIELD COUNTY DEPART.MENT OF ENVIRONMENTAL HEALTH �� a I'W 2014 Blake Avenue anti: 1 Glenwood Springs, Colorado 81601 , INDIVIDUAL SEWAGE DISPOSAL PERMIT Nit 41.5 W , O wn er Carbon ring Ltd ll System Location Four M111 Coal Mine I is Licensed Contractor E Conditional Construction approval is hereby granted for a •c ?� gallon Septic Tank or Aerated treatment unit. 1 Absorption area (or diapersal area) computed as follows: Perc rate of one inch in —,40C. minutes requires a minIi um of -0 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms x �$r 9 sq. ft minimum requirement = a total of, sq. ft. of absorption area. May we suggest a t,„:€ % «2 err.-."C„. /e it JI-C -G € .4 c'/ ea-7 Date 7 �Q 77 I nspector / 7 ii FINAL APPROVAL OF SYSTEM: o Gppwv.-eQ -- Weigweefifte, No system shall be deemed to be in compliance with with t Disposal Laws until the assembled system is approved prior to cover ing any part. NI �J - Septic Tank cleanout to within 12" of f grade or aerated access ports above grade. ii Proper materials and assembly. ade name of septic tank or aerated treatment unit. uq I xm, �' — Adequate absorption (or dispersal) area. " ' Adequate compliance with permit requirements. 11,t (1' t- Adequate compliance with County and Mate regulations /requirements. - q Other /r� --- G,. Date 7 a" b G Inspector M RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE a `CONDITIONS: 11 ' 1'4 '� 1. All installation must comply with all requirements of f,Jie County individual Sewage Disposal Regulations, adopted pursuant to au- il thority granted in 66-44-4, CRS 1963, amended 663.14, CRS 1963. III 2. This permit is valid only for connection to structures *hich 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. i 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in- I9Id volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, ,u mm Petty Offense ($500.00 fine — 6 months in jail or both. % Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy Fees Paid $ - 79 INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION Date S - ,.J(,C ) NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM • Owner: Carbon King, Ltd. P.O. Box 10840 Mail Address:Edgemnnt Branch City: Golden Zip: 80401 Phone : 988 -3410 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 srb 4r,sk City or Town Legal Description 4 ga S aft_, Lot Size 2. No. of Bedrooms 0 Septic Tank Capacity 7s7§ 'Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well — Depth — Other ( --- epTh to first ground water table ti 4. Is facility within boundaries of a city /town or sanitation district? Y`" 5. Distance to nearest sewer system: "oZ /yri C 6 7 ; 0r) Have you attempted to arrange a connection with the system? / 1/0`��� If rejected, what was the reason? 2)/ - T 7v -, 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 (-T- ,SnZ424/ 7 7. Name, address, and telephone of person who made soil absorption tests: c;(=- p0c- 414?i� ) 8. Name, address, and telephone of person responsible for design of the system: /� , �= /9 /l( // `i 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. 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. 4 /1, 0 '' /I �7/ f/ 4• May 26, 1977 / // Date / '.nature of pplicant v' (TO BE RETURNED TO HEALTH DEPT.) PL EASE DRAW AN ACCURATE MAP TO YOUR PROPERTY Township 7S, Range 89W, 6th P.M. f Section 28: SE' SE' Section 33: E1/2 NEB, SEA Section 34: Wk W1 Township 8S, Range 89W, 6th P.M. Section 3: W1/2 WW1/4, SEA WW1/4, SEA, E' SW1, SW' SW1 Section 4: El NE' All situated in Garfield County, Colorado INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES, STREAMS, IRRIG�ITIQN D)TCHES, ROADWAYS, AND BOUNDARY LINES , r ()) X \• • (TO BE RETURNED TO HEALTH DEPT.) RECEIVED MAY 3 1 1977 .r • O CARBON ING, KTD. P. O. BOX 10840 EDGEMONT BRANCH GOLDEN, COLORADO 80401 May 26, 1977 Mr. Ed Feld, Director Environmental Health Office 2014 Blake Avenue Glenwood Springs, Colorado 81601 Re: Carbon King - Individual Sewage Disposal Systems Application Dear Ed: Enclosed is our check in the amount of $75.00 and the application form completed to the best of our ability as of this date. The only portion not completed at this time is the sketch of the buildings, water supply, distribution system, etc., which we will complete as soon as you have reviewed our particular situation and made your recommenda- tions as to the type of system to be placed at the mine location. If you have any questions, you can contact me at 988- 3410 or contact Leonard at the mine at 944 -6055. I appre- ciate your help in this matter. Since ours, omas R. Young Vice President TRY /sp Enclosures