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HomeMy WebLinkAbout00463 .0 wr ,,, . r y iltroce , TT K^ O/ 'Pr. ^iw i v, " - r C 1 ..a,Jgri Rkrt X • - r , rilI • 417 . b This does not constitute a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH • 2014 Blake Avenue Glenwood Springs, Colorado 81601 REPAIR A ALTERATION - PERC FEE ONLY l ill l INDIVIDUAL SEWAGE DISPOSAL PERMIT Ni. 463 u' hiia O wner Don L. Lynch 11111 4j81 System Location Four Mlle Road • I i , ,r . Licensed Contractor 064 c n - 6 e C,[..4 are< a ew rrr iris, b l i p ll, • Conditional Construction approval is hereby granted fora 7.-St gallon tilt x i flu r: Septic Tank or Aerated treatment unit. . old Absorption area (or diaAersal area) computed as follows: Ilea If 1 : Perc rate of one inch in /0 minutes requires a minimum of "6 6 sq. ft. of absorption area per bedroom. g Il ^, Therefore the no. of bedrooms - I '� May we suggest '6�'', c s ? . , ..- - . c cY' t 3 'Date / -_;' -- -, -, Inspector 3 // Q/,• /N, 1 ni c. er r44 -6.t t:'-l) Be -''•y M d �' . slcve# / e -=00 .. , FINAL APPROVAL OF SYSTEM: ©2 Jcc -- atvi/z- 1.6" ,S e/cc —P No system shall be deemed to be in compliance with t Sewage Disposal Laws until the assembled system is approved prior to cover • ing any part. 0 eptic Tank cleanout to within 12" of final grade or aerated access ports above grade. TO 0 cP d+y'C=, i Proper materials and assembly. /� { de name of septierated tre�ptment unit. (5 — Adequate absorption (or dispersal) area. u. 0 Adequate compliance with permit requirements. ;ill Adequate compliance with County and State regulations /requirements. II I r Other Date l� In % ' 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 -14f 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- 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. Budding Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy Fees Paid $5n°' INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION Date -tea Y1 • • NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE cil vA INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM �) C FGCc�r��Y Owner: Ai / 4#wc„ Mail Address: 20• Box 384 City: anoehnS /4c Zip: 8/6o/ Phone:9VJ= 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 glAViCLD City or Town Legal Description N,NE . Lot Size .144Cc'Cs 2. No. of Bedrooms Tank Cap.city /p o O Aeration Unit Capacity ct'1 er/• 3. Source of Domestic is (name): Private: Well Depth O ther Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? 44 5. Distance to nearest sewer system: /Von✓e' Have you attempted to arrange a connection with the system? 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: ` , j 7= a'r5 / T 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: s�z -7 ,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. l a / / 7 7 , „ c/o. r e ate Signature og Applicant (TO BE RETURNED TO HEALTH DEPT.) PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • t 0 I >'Z % 3 O ' O r NANLWgIAN ?ieo pee Ty 0 v, Rb ti _ __ , fle 904/h'J2/%4Eh -- INDICATE BELOW THE LOCATION OF YOUR BUILDINGS WATER SUPPLY AND DISTRI- BUTION LINES STREAMS IRRIGATION DITCHES ROADWAYS AND BOUNDARY LINES w o o i •••, 1 p o • a. /' S �1 w 0 (TO BE RETURNED TO HEALTH DEPT.) r , ly ° P I I I L _ mm reT _,_ QC� -- Oft? Gov a.d--- . , � _a_?,Ardisiso,I - - — r xi LSD .-- �"-�'� -- a- d' - - - -- - O!t' l Y - � = rk , . e ri 1 0 I I 1 ° LL x _ Y u. w - li Ni ce .. _. - RECEIVED AUG 0 9 1977, - i • � o, ape a - - r aorz-ta-gS 7196tre a • fr °'Sel a/ • SENDER: Be sure to follow Instructions on other side PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S) (Additional charges required for these services) Show to whom, date and address Deliver ONLY • i I where delivered ❑ to addressee RECEIPT Received the numbered article described below REGISTERED N0. SIGNATURE4 NAME OF ADDRSHE (Aft always led in) ERTtFIED N0. 0 _ s a • "S✓ 2 Ac Q \, IONATURE OF ADDRESS 'S NT, IF ANY • INSURED (4� ©_ -' ' DATE Dt r' ' r9 HOW WHERE DELIVERED (Only if requested, and include ZIP Code) 197' 0 • • • DEPARTMENT OF HEALTH • AND ENVIRONMENTAL PROTECTION Garfield County OFFICIAL NOTICE glut 3, 1977 DATE TO Mr. Donald Lowe ADDRESS 601 Coale Drive - Glenwood airings, colones LOCATION first dwelling en sight past Oak Widows 9nbdls'islm eons m aouatg Road 117 YOUR ATTENTION IS CALLED TO THE EXISTING VIOLATIONIS) FOR WHICH YOU ARE RESPONSIBLE Discharging sal► aMp1 lnta makers of tbs stele (tour Nlis Creek) - 9se, Ur, 3.01, airfield Conner lndlsld- tw2 Sewage D1snsl R gulstlm. YOU ARE HEREBY NOTIFIED TO ABATE THE SAME BY "r. 1 + 19 77 (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. august 3, 1977 --- DATE DATE • / X/ -// --- SANITA — 1.. /old OWNER & OCCUPANT tsr al CLllrl /1tD Voltz. POSTED AT GARFIELD COUNTY ENVIRONMENTAL HEALTH 2014 Blake Avenue Pi. (303) 945.1255 DA 7/e- ITNE WITNE G.. WITNESS W ant/ Note: Iiluw�AitSPle� �G1i$u5,1FJssible assistance or aid to you in resolv t he bove noted concerns, please feet free to contact us at any time. • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Garfield County OFFICIAL NOTICE August 3, 1977 DATE TO Nt. Donald Lynch ADDRESS 602 Cowdln Drive - Glenwood Scorings, Colorado LOCATION First dwelling on rifest mast Oak Meadows Subdivision saves. on County Road 117 YOUR ATTENTION IS CALLED TO THE EXISTING VIOLATION(S) FOR WHICH YOU ARE RESPONSIBLE Di.oh=VIM sly. Into waters of the Stab (Four Nile Creek) - See. ZZZ, 1.02, GarStold County Individ- ual Sewage Disposal Regulation. YOU ARE HEREBY NOTIFIED TO ABATE THE SAME BY auy. 28 19 77 (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. August 3, 1977 --- DATE DATE SANE rstAN - '*'T • L. Feld OWNER & OCCUPANT PO t� 17 a uturn D NAIL 0a90UNTY ENVIRONMENTAL HEALTH y� 2014 Blake Avenue Pk (393) 945.7255 DATE /b�l� -taal-- Claowoad Springe Colorado 91901 WITNESS — N aa.tley Note: If this office can be of any possible assistance or aid to you in resolv the bove noted concerns, please feel free to contact us at any time. --7 7 G- 9-,31, c" -1 &f-f'T- ,oi}s T� . - e2.7G /fl C" &ze7 4 2i1, 4 1 ; .7)0 • g(lv 4.4 &70a C0 37 , � & . ego Z- �b ;6 D fzf u &cc N t000.D 8 �' 96 'Eric) \�ti D/,()/tyam s , C��Z en .6- G S// i frr-627 /- f 9i fl Y 5- e--gxc c` - /r r / //lit - y , d,,K pit / egsa scam > v €:"u"i" G`Q • 7-,47._ 7 7