HomeMy WebLinkAboutApplication-PermitGARFIELD Cm'J!Jn DEPART 4E fl OF EiVIR0NE4 :tdTAL HEALTH
20114 Blake Avenue
Glenwood Springs, Colorado 81601
"ystem Location ' / ! 'i'/r
'd
Ccntr.lctor �•
1,, Construction approvals
Plans and location are hereby approved.
Ya - � � inct;es 3 n .2 rnin►ates� f� a ft. of
absztion rL m
be+droo•
minimum rem
uirement. I su eat 1
00
Date
Impactor
2v Final approval of system:.
No system shall be deemed to be: in compliance with the Sewage
Disposal Laws until the assemb:.ed system is approved prior to
covering any part.
tic tank cleanout with as Beal
r materials: ani assembly
uate absor'tiou area
I,42',4_1Adeqiateconcrete cover d
IV—V Covenantrs signed �_........,..,..._.,,„
Date / '^ — 7-3' Inspector
44 Retain with permit records at construction site,.
COLORADO nEPAR.TidrNT OF HEALTH
Water Pollution Control Division
t&210 East lith. Avenue
Denver, Colorado 80220
ArPLICATION FOR APPROVAL OF LOCATION FOR SEr'TIC TANK SYSTEMS
THIS ISrNC111 PERMIT r_
Applicant (Owner): Y e 4-; /6p7-44-/7
Nail Addresss d 1 !'hone: -tom. •?
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach soparate sheets or report showing entire area with ;aspect to surround-
ing areas, topography of area, habitable buildings, location of potable water
wells, soil percolation test holes, soil profiles in test holes.
1. Location of Facility: County 61601--ci e 1 d, City or Towns
Legal Description Lot Site: 3, 4 40.
2. Type of area and faoility - Number of persons served:
Subdivision:dotal Restaurant Trailer Cour
Other:
)1,
3. Source of domestic waters Publio
Private: Well.- Depthr Other Depth to first ground water table
4. Is facility within boundaries of City Sanitation Districts
If so names
5. Distance to nearest sewer systems
F
Have negotiations been attempted with owner to connect:
If rejected, give reason:,
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 2I hours:
7. Name, address and telephone of person who made soil absorption tests:
Jr 4k v
8o Name' address and telephone of person responsible for design of the system:
9. Est. bid opening date: Est. Completion Date: Est. Project Cost:
�._-.r—"---""' mar.•--•
Dates
gna ure o ' ner
• 4'.. •'7
f%
GARFIELD =NT? ENVIRONMENTAL }I::ALTH
Field Test Dtta Sheet on Percolation test
PROPERTY OWNER U. e - Q IV SRT S O N PHONE
FAILING ADDRESS.
DESCRIPTION OF PROPERTY
•
LOCATE. OF TEST HOLES 0 �4 A G
Tw° (2) te:s t� r 101a
teles raga re gl pe Y
Test }Tole Depths --
Diameter of test holes, ...ggest 1"
Yater Re=<.ining after 24 hour -ea'
Soil indicated adequate soaking
c- H -I on? 13 F}c01DSs
4' Minimum
$u
Nola a
Yes
RatntigOLgeed
No
}percolation Rate Average Eac} }Tole
Average Combined Rate 1 Z. 3 4.4. (a uit--S ,� I u e H
Soil. Description - 5I u t- SAN -0 13 £Low
Comments - ( Hells, Strep as, Water Table, Terrain etc. )
OUB (Om YT PZof-t bfc S To (oU(;iQMEy7 CP Sk'
:WIT L OF PARTY RUNNINJ TEST cr,4,4As4.Q.,Z7
r • I'r('
I<
PHONE 7 r q
TEST HOLE #1
TEST HOLE #2
prop
1 in.{
e�
t" `rtes
Drop
o P
Min.
l
1 in.. .41
2 in.
3 in.
. ac.
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1
2 in.
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3 in. tante:
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4 in.
5 in.
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i 7 in.
1 8 in.
:lane
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= ,i;!
9 in.
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r-9 in.
10 in.
10 in.
11 in.
1 ruEG
r
to
r
11 in.
12 in.
112 in.
ml
}percolation Rate Average Eac} }Tole
Average Combined Rate 1 Z. 3 4.4. (a uit--S ,� I u e H
Soil. Description - 5I u t- SAN -0 13 £Low
Comments - ( Hells, Strep as, Water Table, Terrain etc. )
OUB (Om YT PZof-t bfc S To (oU(;iQMEy7 CP Sk'
:WIT L OF PARTY RUNNINJ TEST cr,4,4As4.Q.,Z7
r • I'r('
I<
PHONE 7 r q
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