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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH .•
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT # S 078 (this does not constitute
a building or use permit)
Owner Larry V. Billesbach
System Location :SP ••-•Try a:'ir C/fl ts1CICWC
Licensed Contractor -.44.-E 2 -1-S'c'/coi
* Conditional Construction approval is hereby grantetior artc0 gallon
Septic Tank orb— Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate inches in minutes sq. ft.
absorption area per bedroomT./p
# of bedrooms — x -- sq. ft. minimum requirement
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May we suggest/01)(14A/ Tu. a .r) , C ,'ez4> .54 7nx2r.-
Date 9- /'P'- - '.1./ , Inspector e0v'‘.
FINAL APPROVAL OF SYSTEM:
No system shall be deemedPto be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
tee :° ea t within 12" '
Septic Tprilt cl nou to tthin 12 of final grade or aerated access ports above grade.
ice` Proper materials and assembly.
W' Adequate absorption (or dispersal); area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
nieragoozetto ray anew - tehe r x .. cessorrrf'a 4- -`rc'i /e. e ( "4, 70 ne y n rr?) c e,v -,
Date /v 8 '•?f Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*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 1988, amended 684.14, CRS 1988.
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 vit:nation of a requirement of the permit and cause for both
legal action and revocation of the permit.
8. Section III, 824 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 ($500.00 fine • 6 months in jail or
both. y
COLORADO DEPARTMENT OF HEALTH
' Mater Pollution Control Division
21Q East ilth Avenue
Denver, Colorado 8022Q
NOTIFICATION OF PROPOSED'DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: / any . � S; h.l dam![.. •
" Mall Address /17 (ors .. , City .Cyni re Z l p t /(o/ Phone d"'* !�{ �°� t?
hi A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, sooill profiles in test holes.
• 1. Location of facility: County($ ».1 c,., / City or town
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Legal descrJPtion4/4 X141- .'a7?� /yC RR7$' size , 4r's. �S
2. No of bedrooms 2 Septic tank capacity 95`a .Aeration unit capacity
3. Source of domestic water: Public (name):.
Private: Well Depth.2 C'Other Depth to first ground water table ir' ,'
4. Is facility within boundaries of aclty /town or sanitation district? 10/0
y'
/ 4 �
5. Distance to nearest sewer system:
/- hii B4
Have you attempted to arrange a connection with the system? go
• If rejected, what was the reason? f^
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
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7. Name, address, and telephone of person who made soil absorption tests:
5 nen
8. Name, address, and telephone of person responsible for design of the system:
s et D ! Ignature o 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.
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y A `B. SIGNATURES ,OF LOCAL 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 Approval Disapproval
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Signature for Local Health Department
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Signature for City /Town Officio
"IG Signature for County Official (Title)
Comments:
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Signature and Title
Note: The Notifler (front of this sheet) must obtain 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:
fi WP- 33(10 -72 -z)
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October 9, 1974
TO WIIOF1 IT MAY CONCERN:
This is to certify that the Billesbach property, located on Highway 82,
Garfield County, now has in place one (1) properly installed sewage disposal
system for the existing dwelling. SEE ATTACHED - � a C
ENVIRONMENTAL HEfLTH DEPT.
Lamont L. Kinkade, R.P.S.
Director
LLK/tlb
encls.