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O~Rt>IP.I.D C!lUt'."l'Y nE1'~RTHEin' OF E"IVIRONftl'll'l'~L HBAL"fH
2014 .. BlAke Avenue
Glenwoad SPrtngs, Colorado 81601
;;ystem Looat1on f.....(~ /~ 4-fet~'-
Contraotor ________________ ... ______________________________ __
1. Construction approvalr
abson;tton area cer bedrogm.· -·-====-=---·--------~ ·':!if x IZ-~ : :-37~ ~ 1 ............,. S9: (!let ·• .R .,-~~ Stl• teet miniiiiiiJII l'e•
llisept1o tank ~leall.~ou;;;.t:;.,.;;wi;,;.;;oth;;..~sa;;a;;;s-:;;se:;;a:;;;1:.----------
Vj= Proper materials and;.· .::•:::sse::;;mb::.:::lzor...------------
I a-Adequate absora!:oll area
Adequate co!,lOr.•te cover (dg wells on).y)
Covenants stgne~
** Ret-ain with permit records at construction site.
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COLORADO DEPARTMENT OF HEALTH
W~~~ Pollution Control Division
~ East 11th Avenue
rrenver, Colorado 80220
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
F/t:.-G "r-/c_
/= / ry "1-z__
App 11 cant (Owner): .... Mc'-"'U''--"'JlC!..J'f(""f:..:.:J..:...cA..:...;6:::..H'-'---<-M.:..:U_;.R_P_»_..i_,_. ----------
U•r,a,lf.,~'i/~icfOi ~'Iff". Irs!/!!!::.""-· c 1 ty : _____ Phone: 'fl'r>-;.lf"8
A. INFORMATION REGARDING PROJECTfSUBMITTED 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, soli profiles In test holes.
I. Location of Facility: County Gf!1?FtEL.iJ City or TownC:tytla/ s?"iiJRrl
Legal Description Lot Size: Jl (;C(~
2. Type of area and facility-Number of persons served: ~
Subdivision ____ Motel Restaurant ____ Trailer Court-----
Other: ~wA-1"e. /?.t:~tQt!/'lc£
3. Source of domestic water: Public (name):
Private: Well ~epth :l?OF0ther __ Depth to fl rst ground water table __ _
4. Is facility within boundaries of City or Sanitation District: -LA(~o ______ _
If so name=--------------------------------
5. D I stance to nearest sewer s ys tern: .,.C..,.A~~~t;!.I!IJI(c..:q:E.Ft~t,.::.£ ___ _..:.?_...:/tf_IL._e...: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:---------------------
7. Name, address and telephone of person who made soil absorption tests:
~Mit:=:L?cl C/Jkt-~'iy SANr'ffiltt>N O(Mc~~
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:
B. SIGNATURES FOR LOCAL GOVERNMENT OFFICIALS: The undersigned have reviewed
propos~! for the location of the above-described septic tank system and
RECOMMEND APPROVAL or DISAPPROVAL ln the space provided below:
the
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Signature and Title
Note: The applicant must obtain the comments and signature of at least one of the above.
C. FOLLOWING FOR STATE HEALTH DEPARTMENT USE: Recommendations of the District Engineer
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D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
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WP-10 (Rev. 5-70-100)
Mr. Richard Cowen
c/o CAROL ANN JACOBSON REALTY
P. o. Box 1602
Aspen, Colorado 81611
Dear Mr. Cowen:
Januarg 6, 197 8
As per gour request, I am enclosing a copy of the individual sewage disposal
sgstem permit (#53) issued to Ms. Shelagh Murphy's 17 acre parcel of ground located
on what is commonly referred to as Missouri Heights. This permit is sufficient
documentation the said system was installed in accordanoe with Garfield Countg and
Colorado State rules and regulations.
Should we be of any further service, please feel free to call.
ELF/tls
encls.
Very truly yours,
ENVIRONMENTAL HEALTH DEPARTMENT
Edward L. Feld
Department Head