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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL. HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT # S 042 this does not constitute
a building or use permit)
Owner me A't J v%i
System Location f or r ' ui 1 . Yl C. 11/4 ' 12 : ,
Licensed Contractor t i 13 D 1441u .EtnF?.r .vn
A-t.0 1 SConditionalConstructionapprovalisherebygrantedfor1gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate inches in 6' minutes '9!'2 sq. ft.
absorption area per bedroom r,I P.r.fof
If of bedrooms .? x 9G) sq. ft. minimum requirement = .S' 7b 454), , T'
May we suggest /3 ')( .9 cse 3" SEE :61 r.t er det )
Date C- /4 - 7'f Inspector 1y
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.
f/ Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
p
Date , 'b 9 Inspector Cc f 7 't
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
1
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 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 violation of a requirement of the permit and cause for both
legal action and revocation of the permit.
8. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or
both.
Grand Valley, Colo. 81635
iA May 10, 1974
Garfiled County Dept. of
Environmental Protection
Edward L. Feld
Deputy Sanitarian
2014 Blake Ave
Glenwood Springs, Colo. 81601
Dear Mr. Feld:
We regret very much that we were not here when
you arrived. We were under the impression from
our conversation that you would be here at noon
or by one o'clock for sure. We are sorry, for
we wanted to talk to ythu personally.
You will find the data sheet enclosed, and also
the 575.00 fee.
We shall look forward to receiving your approval
at your earliest convenience, since the BROOME
REALTY CO. from Grand Junction will be here on
Wednesday, May15 in order to install our mobile
unit.
According to my understanding, I will not be able
to have the ground excavated for the installation
of the septic tank until I have your permission.
Thank you, and again we are sorry that we were
not here.
Sincerely,
Paul B. Baum
V
4 COLORADO DEPARTMENT OF HEALTHWaterPollutionControlDivision
4210 East 11th Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: PAUL B. BAUM GOLDA R. RAM
Mail Address: Morrisania Mesa CI t7 =rand Val 1 a ZI PR16Z35 Phone285 g5
A. INFORMATION REGARDING PROJECT SUBMITTED .FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildiny,, location or potable Hater walls,
soil percolation test holes, soil profiles In test holes.
1. Location of . facl l i ty: County Garfield City or townMORRIBANTA MRSA
Legal description TRACT # 14 Lot size
etZliellebIlSbere
2. No. of bedreonis 3 Septic tank capaclty1,000 Station unit capacity
3. Sourca of domestic water: x): ft. well, electrically ooereted
Feet
Private: Well x Depth189 other Depth to first ground water table __-
4. Is facility within boundaries of a city /town or sanitation district? No_
5. Distance to nearest sewer system:
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 hours90_minutes.
and the hole was . completely empty.
ace a -- z
7. Name, address, and telephone of person who made soil absorption tests:
Paul. B. Baum, RFD # 1, Grand Valley, Colo. Tel: 285x7 uT
8. Narne, address, and telephone of person responsible for design of the system:_
COPELAND CONCRETE, INC. two' miles east of Rifle, Colo. 81650
May 19,1974 ils..
Date Signature of Owner
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 po'rlution
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.
4
B. SIGNATURES OF LOCAL OFFICIALS: The undersigned have reviewed the notification
described on the front of this sheet and recommend approval or disapproval of
the discharge as shown below:
Data Approval Disapproval
Signature for Local Health Department
Signature for City /Town Official Title)
Signature for County Official Title)
Comments:
Signature and Title
Note: The Notifler (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)