HomeMy WebLinkAbout043AARFIELD C i.r :TY nct'ARTASNf 0?' E'IVIRONt4t NTAL HEALTH
2O11.e Blake Avenue
Glenwood `;prtnga, Colorado 81601
ystem Location A
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s , r,tractor......... --/ y`. e.--.
Cnntstruetton approvals
Plana and 'Manor, are hereby eiproved.
Pert. rate melee in 64minutess sq. ft. of
al:soorr.zyos area per bedroom.r_
X sq. feet .sti. feet minimum re.
uo rent._ I 2a pest 0 iate 3o'er fc Ow4¢ % c
vCam' 4- .._......,, ..
Date .44 Ine V "easador04
2. Final approval of systems
tJo system shall be deemed to be in compliance with the Sewage
Disposal Laws until the assemb:sd system is approved prior to
covering any part.
8" se tic tank cleauout with gas seal
Pro er materials and. assembly
Adequate ahsorpti_u area4
F/1 Adequate concrete cover idrywwells onl
r7 Covenan +.a signed
s...«+.Yr.rrr e
Oa t°1 /_ 73 I.ns .ector a
4 Retain with permit records at construction site.
4110RFA' +T'f'.NT OF IF,ALiH
eater :Dilution .;ontrol Division
10 cast llth. Avenue
uenvar, Jolorado 80220
As ?LIGATION t'0t A, 1120JAL OF LOCATION fOf G"3,1 TIC TANK SYSTEMS
r
A,}it ant (Owner )s C
gall Address'2 City: G • S .Phones 6 72a `7
A. FIFORMATION REGARDINO PRODACT SOBMITTED FOR REJIEWs
Attach separate sheets or report showing entire area with aspect to surround -
inw 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.._4_ t, P , City or Town: 6o_& Y damIc4
Legal Description e4..t 6 4,0 Lot Sites 02
Tips of area and facility z Number oP persons serveds Li
subdivision X otel Restaurant Trailer Court
Others
3. Source of domestic water: Public (name ):.5 A , C _._ .H„
Private: Well Depth_Other Depth to first ground water table
U. Is facility within boundaries of City Sanitation District:
If so Hemet
5. Distance to nearest sewer systems r, lr Lgz , 24 f,_
Have negotiations been attempted with owner to connects
If rejected, give reason:
6. Rate of absorption in teat holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours:
7. flame, 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:Est. Comple on Date:Est, Project Cost:
Dates ter / /!/ /.gna ure o t-ner