HomeMy WebLinkAbout00174 ♦ -P
' GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
X! , Glenwood Springs, Colorado 81601
PERMIT 4 S 174 (this does not constitute
a building or use permit)
Owner Dr. Wilmer C. Allen - to care of James Mangan
System Location South of Carbondal e
Licensed Contractor On ( P. X (1 Per )ftr' 1 k r
• Conditional Construction approval is hereby granted for a / -rO gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate / inches in /P2 minutes //)- sq. ft.
absorption area per bedroom .ci' 4'
4 of bedrooms 5/ x /6. c sq. ft. minimum requirement = 6 & , i = -T� c ..- �� zo d
May we suggest /= X ....SS ',.\- 3 / 3 t =:' ) 6.52, tr ,r9
Date 2 7S Inspector �t
FINAL APPROVAL OF SYSTEM:
•
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.
17/ Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
O/ Proper materials and assembly.
(1'' Adequate absorption (or dispersal) area.
ell
Adequate compliance with permit requirements.
<//' C4dequate compliance with County and State regyftn s %requirements.
Date g f' -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 88.44.4, CRS 1983, amended 88.344, CRS 1983.
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
.A10110,1 1 , le alp t , N y 1,, 11 .11, 11, l‘ W 11 , 1 1 ii11 11 I I �l 1 II ry I 9il1,1 li 111 �� s 7 1 i1^h t��1, 7,11,11110`1 p > 1'i 4 r1 ' , II III n om. -
nunA F I-Ail n 1 )', ii - ,� ' , , C . 1 � 1 yyy tt III I F , � '1)111i11,'7.} I , ,fl ll . ; lu i 1 ,J , -II' ! i l l ilk , ... ' 'disypp�os — 1 —
Y te C d I . 1 1' ' i C� 1 i N Ky,1f) r 'lt j t 1 1 ' 1 f ' I I' S ! i ! I1 1 1 1 w� +^ r' N I •'eci oat 6 ^
L[ 4
o nn1 �a ea 1d �� 8 i a in �a111R ti I r
i >.m
y I 1 Irl, V I1 vV iW I . 1 , II r ...__
w ICI ICI� �I� 5 _U Iw1l rw .e.J .Ji , �I Huth �yu11�. ^ .�,____w. - --- - ,,,iL -4.,. i.mil+sli 4 ,.�..« 1. __. si,,..._.u.s__L..,. _ _�. _ _._.
•t COLORADO DEPARTMENT OF HEALTH C_L" • _■ C.1 I _
Water Pollution Control Division
4210 East filth Avenue /?/
Denver, Colorado 80220 /�
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM**
• Owner: Dr. Wilmer C. Allen - in care of James Mangan
i
Mail Address: county Rd. 130 City Glenwood SPUZlp 81601 Phone 945 -7041_
•
A. INFORMATION REGARDING PROJECT SUBMITTED TOR 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: 4County Garfield .City or town south of Carbondale
Legal description SW SW sec. 11, T8S, R88W Lot size 36._24 acres —
2. No. of bedrooms 4 Septic tank capacity 12 *0 Aeration unit capacity
3. Source of domestic water: Public (name):
1'ri.'ate: Well X Depth Other Depth to first ground water table 75
4. Is facility within boundaries of a city /town or sanitation district? nO
5. Dlscance to nearest sewer system:_ NA
Have you attempted to arrange a connection with the system?
NA
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 fo 24 hours •
7. Name, address, and telephone of person who made soil absorption tests:
Ai
8. Name, address, and telephone of person responsible br design of the system: Q
Date Signature Owner
*Required by Article 66-28- 12(CRS, 1963, 1967 Perm. Sum. Supp.)
* *Required in areas which have been identified as areas in which da..ue! of pcilution
of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in w.`,ich then:
is no local septic tank ordinance.
1,r 1
�n I
1` 9
I \- u
\\\Itesa .(Qt1
�� It I
�o I NI
,` I
i -S) 4
r n
64 0
c.,„3/44.1 ,-
! I I t
■
\tl G !
1 V �i
N.
.. k.C) Gs
it c I
.I 1
N
X
•
o
e
t 1 1
I ; x
r I
r\-)
_ _ I
OZ° 28' 3 9 8S E.3"/ ' _ . . x'�;�
�c �w n( =727 sc:- ' s ^ 1
r te'
.� �� � :fi r.