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Home My WebLink AboutApplication-Permit• r. 4 . tt • • • - • t ' • C , (1 Air.) 1.)1TiVialhAENT I: NV i 1L MT N 7:114 B1e Aver -we fTi611 "04: tor.4 Pf.:PMT earbOrn (West Divide Creek) - + c 1 t4.:1 •rt Pr- 49 . -Pre.,,,- .."-61e.• 1 osp..1-.., ') _ 4$ 3 )11.; 0.1c.,',` . 0 fik i q_.-.....,.!:_.. 00 4 .,.5t. Soo ,.„ t,.... ,,, i 40 0 :::'ci..• ..,..ff.:!. -t.1,.qii,,,Li:t.c.!.,:. J.-±.t.,,IL.,re.,.....io .,ae.(i• .- ht7e70,-.:9aesz) 41 g 1 •A' . $O° as pli! sorrOwoo Am /giL' .5e-fil•-'7,„,,z/r.r.e-----41 .. ...„ ..,4,-. -7:1000" • !1•.,1 ...A..‘.10 - ' T -1, A t Ci " tk 1;.1. i 1' • ; ' ii`v? (","1 ..9.g I (' ; • -;. I (P ,....;.• 4/—/7-7"7/ .. .. ... ...... ....d....t‘o.pc,.,1,;,e .,', ).•:,• ' 10 i + \ '' ; tr '', ,. ; . b K. ..QRADO DEPARTMENT OF HEALTH Water Pollution Control Division 4210 Last 11th Avenue Donver, Colorado 80220 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS Of THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: Dearborn Mall Address: West Divide Creek City Silt Zip 81652 Phone A. 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 percolation test holes, soil profiles in test holes. 1. Location of facility: County Garfiled City or town south of Silt E 1/2, SW 1/4, Sec. 15, T7S, R92W, Legal description Of 6th P.M. lying SW of Co! road Lot s I ze 4Q mores + 2. No. of bedrooms 4 Septic tank capacity Aeration unit capacity 3. Source of domestic water: Public (name): Private: Well Depth Other Springepth to first ground water table 4. Is facility within boundaries of a city/town or sanitation district? No 5. Distance to nearest sewer system: 10 miles Have you attempted to arrange a connection with the system? If rejected, what was the reason? No 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 Se1C PG1 &V. T 7. Name, address, and telephone of person who made soil absorption tests: c -a.7- ►'�-tz j r 8. Name, address, and telephone of person responsible for design of the system: Eldorado Engineering Co., Box 6692 Glenwood Spring , Colo. - 945-8596 (Roger YJ 19 Feb. 1974 Date Signature o XMAMM Engineer *Required by Article 66-28-12(CRS, 1963, 1967 Perm. Sum. Supp.) **Required in areas which have been identified as areas in which danger of pollution of waters of the State may occur (Art. 66-28-8(5), CRS) and/or areas in which there is no local septic tank ordinance. Hock- ing) B. SIGNATURES OF LOCAL OFFICIALS: The undersigned have reviewed the nbtific:tior described on the front of this sheet and recommend approval or disapproval of the discharge as shown below: Date Cornents: Approval Disapproval Signature for Local Health i)ppartment Signature for City/Town officTaTTfTiTi) Signature for County Official (Title) Signature and Title Note: The Notifier (front of this sheet) must obtain comments and signature of at least one of the above. C. FOLLOWING FOR STATE HEALTH DEPARTMENT USE: •Recommendations.of the District Engineer: D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION: WP -33(10-72-2) REGISTERED LAND SURVEYORS ELDORADO ENGINEERING COMPANY 303-945-859G COLORADO 1 March 1974 Garfield County Sanitarian 2014 Blake Avenue Glenwood Springs, Colorado 81601 RE: Dearborn Percolation Test Ap- plication Dear Sir: Pursuant to my conversation with your office and the County Attorney I am writing this confirmation of items agreed upon. If the referenced application is granted it is understood that said u; application will in no way be construed as giving license for use z or permit to build on the property in question, EE I have discussed this matter with the architect who is the official representative of the owner, and he is in agreement with these terms, Very Truly Yours, GLENW00D P. 0. BOX 669 818 COLORADO AVENUE Roger Hocking P.E. & L.S. • Owner System Location Licensed Contractor 1 C_eek con * Conditional Construction apprval is hereby granted for a gallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate inches in minutes sq. ft. absorption area per bedroom 11 of bedrooms x sq. ft, minimum requirement May we suggest Date Inspector 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 covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 PERMIT li S O (this does not constitute a building or use permit) 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 authority granted in 66.44.4, CRS 1963, amended 66.3.14, CRS 1968. 2. This permit is valid only for connection to strictures 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 violation of a requirement of the permit and cause for both legal action and revocation of the permit. is S. Section III, 5.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowingnd material variation from the terms or specifications con- tained in the application of permit commits a Blass I, Petty Offense ($500.00 fine - 6 months in jail or both.