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• GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH � �
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT H 8 084 (this does not constitute
a building or use permit)
Owner John Mor„ttzkv
System Location Highway 82 — Carbondale
Licensed Contractor Ron Troxel Excavating
* Conditional Construction approval is hereby granted for a1 -51-> gallon
Septic Tank or X Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
! , 4 L Pere rate / inches in 'y minutes /e sq. ft.
absorption area per bedroom tcPtPs --
N of bedrooms --5/ x //S sq. ft. minimum requirement - /erne ` • ,,«'`"�
S� 5!1 a r; �> a¢ F zr7� �/e z • � Is .r >r nc y/3�s/> sue, ` r l
t 11 ,dGr„ 7' 7 ' •SL°'7" ,y .✓/ i. / .
May we suggest / °79
S'er /i O r,•,,63e!' "G e�K.m) / InS e - /N i7)/i).O'Ij $(/ ` F'< e, f�' /�f ) - . .
Date L/, , ?.7 ?<f p
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the as system
is approved prior to covering any part.
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'' Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Oat- Proper materials and assembly.
fl Adequate absorption (or dispersal) area.
�� Adequate compliance with permit requirements.
A dequate compliance with County and State regulations /requirements.
,°,d/LOUf77 cpve7& eaz,.n,eG o>v e' - nen... /-re22 "-'
Date " '/ 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 1963, amended 68.3.14, CRS 1963.
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.
8. 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.
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\ ONA/ _/790€ / ra ft Y s v s rem
PAC- / v /N yen//V OR Less
/ a /#1,/ An ,-t /16 SQ Pr 0oei2 .QORm
-V twain X //S 54 Fr = 'yirvo sQ FT
PS yo .e art) u C--7 CM/ / 4/ s / ne..) � .s z O �o�.
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C /%/= L c.i r �� 7s sae ,s-
Od #'BSO /Lf /¢/LE'?? env nee rti a ni,
2'e& P ,BED See &440U NOn •OS TfLcn rIn evv r
$rZpuJ CM/ r
OCrrt.er EA-C, 7' 3, OEt t-L— /S'X S• 75" • 84. ZS sc FT'.
-4' (s'OetoPn -L$) = 3MS 34. GT.
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DENVER POLICE DEPARTMENT I
CITY AND COUNTY OF DENVER
DEL JOHN E. MORITTK" --
PHONE: POLICE BUILDING -. - - -. ' -- -
13TH ST. & CHAMPA
297— x.042 2 DENVER, COLORADO -..._
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COLORADO DEPARTMENT OF HEALTH
. Water Pollution Control Division
4210 East 11th Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM * *.
Owner: Cehh Ala't — .17PP /// nc. I e k
Mall Address: /�wy 8 City (ArpaxdakZipi /643 Phone
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 tN.Avi'.`dr( .city or town l r6 PkIe
Legal description • Lot size `/S )C /S'a
5 0 / �
2. No. of bedrooms ife-7/ Septic tank capacity - - Aeration unit capacity
3. Source of domestic water: Public (name):
Private: Well__XDepth Other__ Depth to first ground water table _
4. Is facility within boundaries of a city /town or sanitation district?_ no
-
5. Distance to nearest sewer system: 6 1a ___ Y _�, •
Have you attempted to arrange a connection with the system? Ko
If rejected, what was the reason?
6. Rate of absorption in test holes shown on the location map, in minutes per ir.ch
of drop in water level after holes have been soaked for 24 hours
PE= .1 n'1
7. Name, address, and telephone of person who made soil absorption tests:
u E= c 4 P =G - USA Crt -
8. Name, address, and telephone of person responsible for design of the system:
R o - r, 40.1 Fic_4- -o1/4. - 3 a jj-- --eef /o o - , �d��Qd&
Date Slgna a of Owner
*Required by Article 66- 28- 12(CRS, 1963, 1967 Perm. Suin. 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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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 Approval Disapproval
Signature for Local Health Department
Signature for City /Town Official (Title)
Signature for County Official (Title)
Comments:
Signature and Title
Note: The Hornier (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:
WP- 33(10 -72 -2)