HomeMy WebLinkAbout044GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
1 HPERMIT S 044 this does not constituteQtic J 1
a building or use permit)
Owner
System Location NQW Po act l toys 41& • al4 f , eaiec
Licensed Contractor SP' 1f
Conditional Construction approval is hereby granted for a (- 0615-0 gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate inches in S" minutes '90 sq. ft.
absorption area per bedroom .Cnu.2-
R of bedrooms 19 . x /90 sq. ft. minimum requirement " 74,0 54) ,c T,
May we suggest .74 X 33. /X 3"r eep.,
Date se /'y' 74 Inspector
a / k 4's 3' $ f- 9 ,de-r, co.vs 772-u e rte
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.
I/Proper materials and assembly.
v Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Date S _ /7 7y Inspector
11,ETAIII,ITH 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 66.444, CRS 1963, amended 66.3.14, CRS 1963.
2. This permit is valid only for connection to structures which have 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, 8.24 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.
e,
C0I QRADO DEPARTMENT OF HEALTH Building Official
Water Pollution Control Division
4210 East 11th Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
moo--
NDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner:nti
Mall Address: t/d s 2 /`/ vi City Zip Phone ygi,l,S`4
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 ag,r4k city or town___________________
Legal descrlptIonWANE/q. T gS, 2,9 /k/ Lot size R acres
2. No. of bedrooms 4 Septic tank capacity Aeration unit capacity
3. Source of domestic water: Public (name):
Private: Well Depth Other Depth to first ground water table 1 g O
4. Is facility within boundaries of a city /town or sanitation district? rN,C5
5. Distance to nearest sewer system: 3
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 hours
SEE PE2M t r
7. Neale, address, and telephone of person who made soil absorption tests:
PERt41 T.
8. Name, address, and telephone of person responsible for design of the system:
S RJ%-t T
x 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 pollution
of waters of the State may occur (Art. 66- 28-8(5), CRS) and /or areas in which *here
Is no local septic tank ordinance.
AL rl
B. SIGNATURES OF LOCAL OFFICIALS: The undersigned have reviewed•the notification
described on the front of this sheet and recommend approval or disap,rcval of
the discharge as shown below:
Date Approval Disapproval
Signature for Local Health Department
Signature for City /Town Official Title)
Signature for County Official Title
Comments:
Signature and Title
Note: The Hornier (front of this sheet) must obtaln 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)
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GARFIELD COUNTY
ENVIRONMENTAL HEALTH
GLENWOOD BPRINOB, COLORADO 81601
2014 BLAKE AVENUE PHONE 945-725S
May 15, 1974
Mr. Pete Stecklein
6105 214 Road
New Castle, Colorado
Dear Mr. Stecklein,
Following the percolation test, site inspection, and this inspector's
conversation with you on May 14, 1974, it was deemed appropriate to con-
sider work on your septic system as a "Repair Permit ". You will find en-
closed a Garfield County voucher for a refund of the $25.00 permit fee you
paid at this office on May 13, 1974. The $50.00 percolation fee is applic-
able. There is no permit fee charged for repairs.
Please sign the enclosed voucher and return it to this office on or
before May 28, 1974 for prompt processing.
If we may be of any further assistance, please do not hesitate to con-
tact us.
Yours very truly,
Edward L. Feld, Deputy Sanitarian
Garfield County
ELF:jab
enclosure