HomeMy WebLinkAbout00199 GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
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*w 2 014 Blake Avenue
Glenwood Springs, Colorado 81601
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PERMIT #8 199 (this does not constitute
a building or use permit)
1 Owner '". C t1 13 .S per-) is Co C
System Location 132127-1"1—t 1'I 0 G 2 1 Fcc .. C OS A `-( ;_'.. It c.� >'t•1�'•'^+-
Licensed Contrrctor C>G2..7E cqZ.° - -
* Conditional Construction approval is hereby granted for a 1 (50x0 gallon
_it_ Septic Tank or Aerated treatment unit.
i Absorption area (or dispersal area) computed as follows:
Pero rate I inches in 10 minutes I (>S sq. ft.
absorption area per bedroom * Lam"
# of bedrooms .F5 x 1 L >S sq. ft. minimum requirement =- 4 1 c i 5` F- T , () gm'
May we suggest ,�,,l X "%I 'Ai ) — 1 SeEEP�> INC E=. ('� >l' t "ir'ya. dkiA
4 1" ��w'A tom. 1
Date q w i C? -- 1 S Inspector r l' �?' /' /
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliahce with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
1 Proper materials and assembly.
Adequate absorption (or dispersal) area.
1
Adequate compliance with permit requirements.
1 Adequate compliance with County and State regulations /requirements.
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Date .._ . '7_.' 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 66-444, CRS 1963, amended 66.814, CRS 1963. `
2. This permit is valid only for connection to structures which have fully complied with County Zoning at�d
building requirements. Connection to or use with any dwelling or structures not approved by the by'
and Zoning office shall automatically be a violation of a requirement of the permit and cause for'
legal action and revocation of the permit.
8. Section III, 8.24 requires any person who constructs, alters, or installs an individual sew
system in a manner which involves a knowing and material variation from the terms or spf
tanned in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 m
both.
San: 7 (8- 53 -50)
COLORADO STATE DEPARTMENT OF PUBLIC HEALTH
DIVISION OF SANITATION Code
•
Sect �n
ACTIVITY REPORT County
FILE REFERENCE: //Ili / (/ /Q se tairl1lpG►/r
INDIVIDUAL
OR -
ESTABLISHMENT: - „.. .� , , 1
ADDRESS: //ite
NARRATIVE:
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Goa.! c t /deb" ire 7y7t ,? ✓/r c.
1 sT Troier /10.5 .6 /G / r ... ' a_t
4 ( \( t t /#e z rr,oa o W- / y' y e
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Sys'r s,
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9ys 72- 4
LETTER TO FOLLOW: () OTHER RECOMMENDATIONS:
DATE: , 19 REPRESENTATIVE:
(Bldg. Official Appvl.;eaf
INDIVIDUAL DISPOSAL SYSTEMS APPLICATION Building Zoning SB -�5)
Fees Paid $ 7,
. NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
I INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: _co/).7-1 SAV,46.6
Mail Address: //,)9 r7 9'3 A City: Zip: &/4 saPhone:e.473 42,7
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 percola-
tion test holes, soil profiles in test holes.
1. Location of facility: County 64y,///r/ n City or Town
Legal Description Lot Size /, >v Lt-rt-An��
2. No. of Bedrooms •p Septic Tank Capacity fale Aeration Unit Capacity
3. Source of Domestic Water: Public (name): „4 /,.p '
Private: Well Depth 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: /rd
Have you attempted to arrange a connection with the system? spec
If rejected, what was the reason? 14 Pev,l jV
fr
6. Rate of absorption in test holes shown on the location map, in minutes per in of
drop in water level after holes have been soaked for 24 hours: C, /2 z �1�lf (7`
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:
c /- n-f 7 1
9. Express permission is hereby granted for the inspection of the above property by any
member of the Garfield County Environmental Health Department and /or such persons as
they may designate. Any withdrawal of this permission shall be in writing and receipt
acknowledged by the County Environmental Health Department.
10. I have been given an opportunity to read the Individual Disposal Systems Regulations of
Garfield County and I hereby agree to comply with all terms, conditions and requirements
included therein.
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Date fr,t A ir i.natur /o OF -r