HomeMy WebLinkAbout00160A �1azti� ( t
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL FIEALTH
2'119 Blake Avenue
Glenwood Springs, Colorado 816M
PERMIT # 1 CO 4'
System race Von (Zd9 2-4 aer ia__ _, (te tOSe
Contractor - ,,,,,, ,,,,St 442- '7q ,5t. «'»o i W fete
Construction approval for a 1 flfl"O gallon Septic tank
Aerated treatment, unit
and ebsorotton area computed as follows:
h rate 1 Sachet in ZS rainutec- 2-30 sq. it. of
abcorotiolt free per bedroom. (3) ^ _�
JC 230 sa. feet (na r, sa. tasjmr imjm reautrement.
L_°tiggevasialic SR X 3 S EEPntse Pzen _.
Ra te Il - , s ._ Inspector
?. Final approval of system:
No system *hail be dented to be in compliance with the Sewage Disposal
Laws until the assembled system is approved prior to covering any dart
thereof.
rte -
tt ! R" ( septic tang cleanaut with aas seal 6•7400 er:�r�-
L°''rk, asa to leis ftntassemb _.
k . TL. Aaecuate absorption Area
[: Adeauet9 gonorete payer (dry welts only)
1 A6f J UeVettatitc a toned
OPis✓er0 re ¢pcdarii- fi-.ctC a,o .vie es> :FZ o flMV
! �o ✓es^e everx s erel,r, a ,a erV .y�v .off rr e, rx rt�xrs co e.v
Date / Ie - "1� In4pector lW
**Retain with petu.tt teoords at construction cite.
LLamopt .. iankade, Sanitarian Ni
Gad. Co. 'nvironmental Health
`L 014 BlakelAvenue Tel. 945 -7255 - ( G 2 1
Springs, Colo. 81601
Glenw, odJ f7`Re`SE
NOTIFICATION ICATION OF PROPOSED. DISCHARGE TO WATERS OF THE STATE* it
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: & 94L /3 2/1/X C .9-(-f K€ ,,-c e 0'4
2d
1 4
Mail Address: 47 faek /70 City 7` • Zip •Phonq'0Z,S - /Z3S
ij
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: Countyc.91 - -i 6 City or town ,KF[ c=
Legal description Alai // a ) / /*,il, 77 i`ene✓ ,t.4 ✓/9 orE> size /20%77€ fi
2. No. of bedrooms 3 Septic tank capacity /C Aeration unit capacity
3. Source of domestic water: Public (name): e5n n/ /�
Private: Well Depth Other Depth of first ground water table
4. Is facility within boundaries of a city /town or sanitation district? NO
5. Distance to nearest sewer system: N, ■9-.
Have you attempted to arrange a connection with the system? N./4 -,
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 56-7-LC , -,n,T
7. Name, address, and telephone of person who made soil absorption tests: f.; r±ar- ,n,T
8. Name, address, and telephone of person responsible for design of the system:
/� /7 3 -t f i,"_,.
Da Signature of Owner
*Required by Article 66 -28 -12 (CR.S, 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. // •