HomeMy WebLinkAbout00155A GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT # 1
System Lpoetton Daryl G. Richardson
Contreotor O,,/iv n)
t..
construction approval for a 7) gallon CrrSeptic tank
04• 9 Aerated treatment unit
/cod
and absorption area computed as follows:
Pero fate / Loohes in minutes- . /p sq. ft. of
absorption area Der bedroom, (1)
r X NO sa. feet - 4‘a-c-2 Fa. feet minimumrenuirement.
j suaaest /.a / X 36 X 3 Sfr-r=Pinae az ' �
Date // -/ - 73 Inapector
2 Final eoprovat of system:
No system shall be deemed to be in compliance with the Sewage Disposal
Laws Until the ussembted system is approved prior to covering any part
thereof.
R• sentta tank aleanoft with gap seal
a Prpoer materials and nssemb%y
•
14 Mesita ab'Dratign rt1'ej
Maauate aopot* cover (dfv welts only)
N4 Q oveeeats stand
Data / - y j _ 7 3 Inspeotoi
**Retain with oen sit records at construction site.
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Lamont L. Kinkade, Sanitarian St
Garf. Co. Environmental Health
2014 ijyi.ake Avenue Tel. 945 -7255
Glenwood Springs, Colo. 81601
NOTIVCATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
/ - , INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: I /$ )', Yis o - 7 - t
Mail Address: Ycr7 30 City / ew / -7751/. Zip Phone fl4l -224
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 ICv y fe /d City or town
Legal description #. u- z% d w 77 0 f 4 Lot size // O 0 q rvt.e -st.
2. No. of bedrooms ? Septic tank cap ;city . Aeration unit capacity
3. Source of domestic water: Public (name): .rtimo
Private: Well Depth Other Depth of first ground water table
4. Is facility within boundaries of a city /town or sanitation district? X10
5. Distance to nearest sewer system: //J ///1,' /e
Have you attempted to arrange a connection with the system? /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
7. Name, address, and telephone of person who made soil absorption tests:
8. Name, address, and telephone of person responsible for design of the system:
/0 30-73 .f /,/ �'. ,��— —
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 there is no
local septic tank ordinance.
/ 'P'__ a use the following space for directions to your property site.
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