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Home My WebLink About045Cc GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue s f Glenwood Springs, Colorado 81601 PERMIT s S 045 this does not constitute a building or use permit) Owner J kink k 5 - ToC.0 a ' L System Location E L. IF C P fire==1' TS Licensed Contractor Conditional Construction approval is hereby granted for aI.p gallon Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate inches in p minutes_., y_sq. ft. absorption area per bedroom T}F mgr of bedrooms_a_ x • , g n -sq. ft. minimum requirement = cog B'.4 p May we suggest ,D.44 x f t x B t S etgP ,tcse' serf? Date 5 - f 'S inspector fi' 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 anPPPg Y art. P Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Ose Proper materials and assembly.x;14 Ode Adequate absorption (or dispersal) area. et3C Adequate compliance with permit requirements. i6 Adequate compliance with County and State regulations /requirement.. 4. 4:=7.-c messyV 9499p ' reeOGE s 7- Z= i'S7su >.c.ens Oi4 srovosind odes- Snn.trisc Date er 7y 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 66.444, 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. 3. 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. COLORADO DEPARTMENT OF HEALTH Wate.y Pollution Control Division h210 East llth Avenue Denver, Colorado 80220 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM ** Owner:CJMCS TO Wet, L Mall Address: 130X 34 City/9598g ZipA /(v // Phone943 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, locaLlon of potable water wells, soil percolation test holes, soil profiles in test holes. 1. Location of facility: County6,411IM -D City or town 6(e/ PrifrYs• Legal description 5 Lot size o /QCelt5. 2. No. of bedrooms .3 Septic tank capacity Aeration unit capacity__ 3. Source of domestic water: Public (name): Private: Wel1_' Depth Other Depth to first ground water table 4 . I s f a c i l i t y w i t h i n boundaries of a city /town or sanitation district?_ '2 _ 5. Distance to nearest sewer system:1A 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 fir=aSLam__._—__ Y. Nene, address, and telephone of person who made soil absorption tests: 8. Na.t-, address, and telephone of person responsible for design of the system: — ___ 7y 1 Date Slg -ture 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 there Is no local septic tank ordinance. 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: 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 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) A GARkI'?:[d; COL;: ^'' f'JUSORNF7k,IITAG 2(•14. BLAKE AVENUE GLENWQOD SPRINGS, COLORADO APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT RECEIPT # 7 j42 PHON CONTRACTOR: Aspen Wiley Plumbing AnDAF:SS : _..1,_ O. $Dx._1122,_ 4Apnn PHONE: o25.0 SITE LOCATION: Cattle Creek_Aze--Ni). OP BEDROOMS* 3 SIZE OF LOT: _9 Arras_ . Application for -an individual sewage dispnssl, permi? Is hereby submitted. The individual sewage disposal syst(A. wits be ronst.r.'..ctted in accordance with the regulations concerning individual sewage disposal systems within Garfield County. This application is valid for a: :'. (6) months from date signed„ DATE:__ 45 SIGNATURE:d O Percuic:tion test results:Minutes per inch: Recommended minimum size of keaching ystem; Recommnndec; minimum size of tanks PLOT PLAN DATE:SANITJUtIAN: a H U Nd 02 0u eel12 .4 4 ea 2 A M CL W pgoIw u p o b N O Y • C fL P yp • at >i N ••5 Y O N a .0 Y W •w 41 .w 0 O 0 .+ W a Cl al sal as N C413 Y W Y C dvo.o ow wln Iu a 0 - + Wo44 oW 00 • 7 NCO l__ • l•1 .-1 0 00 O w N :• N • .0 • 0 co In w CO .a COelNNNl- .4 0 0 •“•1 1... N M 4 y.i a..4 s. .N ›. , w •-1 Id .• N •-I M • d pppg Pg d C W lla 0 0 al 0 CN! u • N 1 el W thiN, y 0 0 0 4) 0 O CI N Cl Y U 1 In q Q 8 gu q 8 . 0 b 1 COLORADO DEPARTMENT OF HEALTH Mater Pollution Control Division 4210 East 11th Avenue Denver, Colorado 80220 APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS Applicant (Owner): TIM I(WFiLI e riMailAddress: Pc B°X 3' Tt7 a"City: il51 Phone:995 -,J V A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soli percolation test holes, soil profiles in test holes. 1. Location of Facility: County altec Clty or Town Legal Description a-Ste. 47T4C11 Lot Size: At Re.; 2. Type of area and facility - Number of persons served: Subdivisionn Motel Restaurant Trailer Court Other:r R 1 u TG C.t t` l uu$ 3. Source of domestic water: Public (name): Private: Well 0#1-Depth _ Other _ Depth to first ground water410L14. Is facility within boundaries of Clty or Sanitation District:0 If so name: 5. Distance to nearest sewer system:7 4.1lLE s Have negotiations been attempted with owner to connect: If rejected, give reason: 6. Rate of absorption in test holes in minutes per inch of drop in water level after holes have been soaked for 24 hours:6,,R r 4/ 0 Pei? I'o 7. Name, address and telephone of person who made soil absorption tests: R (Ice $c f / M ticsC/2 4/6w naic qg4- aysW 8. Name, address and telephone of person responsible for design of the system: 9. Est. bid opening date: _ Est. Completion Date:Est. Project Cost: Date:A Signature of Owner B. SIGNATURES FOR LOCAL GOVERNMENT OFFICIALS: The undersigned have reviewed the proposal for the location of the above- described septic tank system and RECOMMEND APPROVAL or DISAPPROVAL in the space provided below: DATE APPROVAL DISAPPROVAL It6123 azure for Loca Hea °' Department 1 Signature for Mayor or City Manager Signature for Count Commissioners Comments:A AR W CLC-1-4 L 1 Ltd 104 0 an. gn ure and Tit e Note: The applicant must obtain the comments 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 -10 (Rev. 5 -70 -100)