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Home My WebLink About00142A "seit e- GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Borings, Colorado 81691 PERMIT 44 14.2 it System Lpeetion HARlc'Y 1 ///A,EY ..5C4/ifSS Contractor _ ©ryn/E.e. l•.. Construction eporovet for a Vero gallon rfrleptic tank Aerated treatment wait and absorption area computed as follows: Pere rate / inches in /0 minutes- /6" sq, ft. of ab"Qg$ton °tee vet bg lroQM. r.3,) 3 _ X /06— Pa. feet. -dna sq. feet minimum reautremeent. • • • • - • .i.. - . JiL v' '4" / - 7aoamPt? n e Date 9 ,,-9_3 Inspector 2. Final approval of system: No system shall be deemed to be in compliance with the Sewage Disposal Law* until the assetabled system is approved prior to covering any Dart ( thereof. • R• *antic tank cleattut with car seal 1 //f Praoer materials and esseitbty r ig fideauate ab•crotten area .v.o Adecuata oenarpte code( (dry well* only) �� Aovenantt* et nedd r Dete y /i c. 73 Inspector **Retain with Permit re c t a ooad a con traction site. Lamont L. Kinkade, Sanitarian Garf. Co. Environmental Health �� ,` �� j � 201'4 Blake Avenue Tel. 945 -7255 Glenwood Springs, Colo. 81601 NOTIVCATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOM &SEWAGE TREATMENT SYSTEM ** Owner: Ha/Z /e' arMhey Coot R eS eingeicAv Mail Address: (' 4 Jt't CRee k City Zip /4/,/ Phoney- flfl3i- A. INFORMATION REGARDING PROTECT 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. I 1. Location of facility: County G ai f � e City or town Legal description Lot size a 2. No. of bedrooms 3 Septic tank capacity JD d O9,„/ Aeration unit capacity_ 3. Source of domestic water: Public (name): Private: Well Depth Other Depth of first ground water table SI 4. Is facility within boundaries of a city /town or sanitation district? , 5. Distance to nearest sewer system: /r ,- 14i�40 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 levsil after holes have been soaked for 24 hours 7. Name, address, anal telephone of person who made soil absorption tests:. 8. Name, address and to ephone of person responsible for design of the system: yttr -619) Mi r. e U. n(c1 //4 ( -Rana Ciem uA/ Seeijit -c I Q � iii /I ,, 9 e Date r � � 210A 111 ( , , �) 't'IA Da Si a u 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 o4cur (Art. 66 -28 -8 (5), CRS) and /or areas in which there is no local septic tank ordinance. 1 / 4 ..... i ., 4 % Please use the following space for directions to your property site. opow 11 \\\\ I N N i I -. -----__- _ ---,- t - Z 1 I I 1 I ) 1 . 1 , 1 / . - , p_ ---- /_,---)-----. I , , r , , s , 1 r s , \ t , 1 1 i c ..._.