Loading...
HomeMy WebLinkAboutApplication- Permitits GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 PERMIT # S Owner 1--1t1. %.0.4 h . m1M System Location NI o :.k 4 re til e Z ICU 059 (this does not constitute a building or use permit) Licensed Contractor '"Tel * Conditional Construction approval is hereby granted for a/—?gCe2 gallon ..._ Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate / inches in /.5" minutes /9c2 sq. ft. absorption area per bedroom/4s # of bedrooms 1 x /9r sq. ft. minimum requirement= 76.4�4,"-� 73 ns, ,(,) / /9'11 :9 ;J CDMay we suggest ate f.•-- /-- 7 Inspector 7 Oo rz-�v�.�, s - �o�-a 3o"u�rd�o5'4-e' 1 . CSGG.9704- ein a,A-47/2-4Pr> 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. L� Adequate absorption (or dispersal) •area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date �c 7� »Inspector *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 1968, amended 66.3.14, CRS 1968. 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, 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. RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE CIL)?''.t)( DEPARTMFNT OF HEALTH Water Pullut.ion Control Division 4210 East llth Aw nue DeIvpr, Colorado 80220 Owner: NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM** Mail Address: r w .302 City . Z i p c9 /V Phone 6AE a,y p/ A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: Attach separate sheets or report showing entire area with respect to surrounding areas, topography of arca, hA;tuLle bai ldirGs, location of potable water wells, soil percolation test holes, soil profiles in test holes. 1. Location of facility: CountyCity or town Legal description Lot size /(j7 A 2. No. of bedrooms Septic tank capacity 2 Aeration unit capacity r`J 3. Source of domestic water: Public (name): Private: Well !/Depth Other Depth to first ground water table 2 4. Is facility within boundaries of a city/town or sanitation district? 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 hours 7. Narite, address, and telephone of person who made soil absorption tests: Ste- 8. Name, address, and telephone of person responsible for design of the system: Date gn ure of Owner *Required by Article 66-28-12(CRS, 1963, 1967 Perm. Sum. Supp.) **Required in areas which have been identif;ed 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 Comments: Approval Disapproval Signature for Local Health Department Signature for City/Town Official (Title) Signature for County Official (Title) Signature and Title Note: The Notifier (front of this sheet) must obtain comments and signature of at least one of the above. C. FOLLOWING FOR STATE HEALTF; DEPARTMENT USE: Recommendatjons of the District Engineer: D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION: WP -33 (10-72-,2) `, 1 2014 BLAKE AVENUE 5' GARFIELD COUNTY ENVIRONMENTAL HEALTH GLENWOOD SPRINGS, COLORADO B1601 PHONE 945-7255 WA. s L . CTS -re --aJ c k -k edaScD. T_t .7 is -0 C.Q p ft e:;,63 s t D LL) rt- c , 1z c ra is 3 t - - H T Ls/`) O 1 C. EE -13c c> 4J ST-r-cAAC Ft E t-{- Cg ( ems l3 1 ?J T� C� C ©� 1 ►1 cQ 2_ r O F (11' �c) O 00 o C> p O Od [0 C) pO O O 0 C f0 0 0 X66 C'6 C.P 21 v��F_�[2F�D� L,f POS. R= X02 ATE0 f i c -'OO 1 b fi 5' 4 mss' III ----,e, ,,�[OGOp� Vfr o bio ip • � Oma, c_T10s..1 ' BPtc fr=F LL F HAY 7 t� co12 ; e -c_ e p1 PE 013 DC --Z.- PI PC a r V -e-corak -D - c