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GARFIELD COUNTY DEPARTMENT „OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT R 8 094 (this does not constitute
a building or use permit)
Owner Fred G. and Charlotte J. Snyder
System Location 3 1/2 miles from New Castle ''?/
Licensed Contractor Gary Gray and Owners a . ,
* t pnditional Construction approval is hereby granted for a4neke, gallon
± Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows: -
,
Perc rate / inches in /0 minutes /art' sq. ft.
•
absorption area per bedroom r.vc.
# of bedrooms .3 x ./6, sq. ft. minimum requirement ' 7 -4 fir .40.5rr < >ev/tae i
1.
May we suggest/a' .lt *2 '.t a ?'Sanoon• ot Oe:0 Car 0 Mer4 4:1'x$ca'X9'
Date "yt 9, w P Inspector %” -a-" . N ,
FINAL APPROVAL OF SYSTEM: j 4.
No system shall be deemed to be in compliance With the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
r , . tial ! fete Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. �,.ei..y
dr ..
PrOper materials, and assembly. trerdle<
' Adequate absorption (or dispersal) area. ,es /X 7/a ia, a'
adequate compliance with permit requirements. "prod ,e24 , e _ e _i , mac
Adequate compliance with County and State regulations /requirements.
Date le — '- >-- 7.S Inspector c � ` s��L�
, RETAIN WITH RECEIPT RECORDS AT CONSTRUCTIIQ,N SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations;, .
adopted pursuant,to authority granted in 86.444, CRS 1968, amended 66.3.14, 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, 8,24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowingiand material variation from the terms or specificati con•
twined in the application of permit commits a bless I, Petty Offense ( *500.00 fine • 6 months in intim
both.
COLORADO DEPARTMENT OF HEALTH
Weter Pollution Control Division
4210 East 110h Avenue
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: FRen L p rCNAk.&a 7 g
s vyrie - --
Mall Address: P.O, .WX 0971 City4Iag OASVEZlp f /�o'�9'Phone 9w - .aa /6
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
of i t:.h buildings, d. 1
areas, topography o, rca, ItcLi le �i u�riyS, ocailon of potable water wells,
soil percolation test holes, soil profiles to test holes.
1. Location of facility: County O_City or town) E W (7,157
•
Legal description Sc 4-4(11JC N C'O Lot size 2 / /. CC E.S
2. No. of bedrooms 3 Septic tank capacity/ Aeration unit capacity
• 3. Source of domestic water: Public (name):
Private: Well Depth Others to first ground water table_
4. Is facility within boundaries of a city /town or sanitation district? Aj
5. Distance to nearest sewer system: 3 '70.04
Have you attempted to arrange a connection with the system? A/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:
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.
3.
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 Notlfler (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:
D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
WP - 72 -2) •