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2011 BLAU AVEVlif
GLE WOOD SIENGs, COLOa0
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
OWNER
CONTRACTOR:
SITE LOCATION:
RECEIFT #
zdi ADDRESS :R_
m..1
PRONE:–g82.2241d
ADDRESS: +
PHONE:.14. '
NO. OF BEDROOMS:��a .�. LOT SIZE:/ /6A,
Application for an individual sewage disposal permit is hereby submitted. The
individual sewage disposal .system gill be constructed in accordance with the
regulations concerning individual sewage disposal systems within Garfield County.
This appl`3.tion is valid for six (6) months from data reigned
DATE: _ - ' SIGNATURE:
.ti
"I
ara.esr„ '1
Percolation test rul :
Recommended minimum size c14 leaching system:
e:•wnasaas wic.a+s v.=n..++�.sru ammo sranzimeargrawswart..,u.rarra...rsAel Inusnosr�ay.m.s�mr.uirs,•
e
Recommended minimum size of to .e?
Minutes per inch=..v. -.-
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IC PL&N
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DATE: SANITARTAT?:
COLORADO DEPARTMENT OF HEALTH
.ter Pollution Control Division
42 ?O East l l th Avenue
'Denver, Colorado 80220
•
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
App 1Icant (owner): ���j���/�.Q/c �pE- v ��il-
mail Address: � 7_yM,--�/ C1 ty: Tl , feA2,27> '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,
soli percolation test holes, soil profiles in test holes.
Eminswimmorrorkrus
1. Location of Facility: County WA'l. 'l /. City or Town,,, ,050 „y,
Legal Description 7 .47 -
Lot Size:
2. Type of area and facility - Number of persons served:
Subdivision /1/) Motel 4//' Restaurant ,/A2 Trailer Court /1/IV.
Other:
i ,4' -
Other: (-10 id,,,vy 7f�NX
3. Source of domestic water: Public (name): /?/%' -
Private: Well X Depth Other Depth to.first ground water table a ?Q
4. Is facility within boundaries of City or Sanitation District: //Q •
If so name: /i¢
5: Distance to nearest sewer system:
Nave negotiations been attempted with owner to connect: ,i/0 •
If rejected, give reason:
6. Rate of absorption in test holes In minutes per inch of• drop In water level after
.r//9
holes have been soaked for 24 hours:
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:
9. Est. bid opening date: Z Est. Completion Date:
Date;
Est. Project Cost.:
Signature of Owner
6.
GARFIELD COUNTY ENVIRONMENTAL HEALTH
2014 BLAKE AVENUE
GLENWOOD SPRINGS, COLORADO
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SXSTEM PERMIT
REarrr #
OWNER - r+ •' • N / A ADDRESS: 1
CONTRACTORS ADDRESS:
SITS LOCATION0/4 /,, //e 47L
(i t NO. OF BRDR00MS =
r --
PHONE t 7 3 Z�
PHONE:
IAT SIZE:
/
Applioation for an individual sewage disposal permit is hereby submitted. The
individual sewage disposal system will be oonatruoted in accordance with the
regulations oonoerning individual sewage disposal systema within Garfield County.
This application is valid for six (6) months from date sign
DATE 7 1 9 '7p.3 SIGNATURE:
Peroo1ation test results:- Minutes per inch:
vierimorm
Recommended minimum site of leaching systems
Recommended minimum site of tanks
MCC PLAN
DATES SANITARIAN:.�
2D14 BLAKE AVENUE
GARFIELD COUNTY
ENVIRONMENTAL HEALTH
QLENWOOD SPRINGS, COLORADO BI6D1
April 2, 1974
Carbondale Roping Club
. _B"dx` 971-11 tai �7: �. �.
Carbondale, Colorado
Dear Sir,
PHONE 945-7255
Please find enclosed a Garfield County refund claim voucher
in your organization's name.
Your individual sewage facility permit fee was originally
paid on March 29, 1973.
In view of the fact you are a non-profit organization, it is
the policy of this office , with the Board of County Commissioners'
approval, to waive permit fees to organizations such as yours.
Please sign the front side (lower right hand corner) and send
it to the Garfield County Clerk and Recorder's office in the
Garfield County Courthouse in Glenwood Springs.
If this office can be of any further assistance, please do not
hesitate to call.
LLK, EF:jab
enc.
Sincerely,
Lamont L. Kinkade, Director
Department of Environmental Health
Garfield County