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HomeMy WebLinkAbout00159 o C1 u :R M _ 6 .. ^ ` 1 ` , .. i . 1 \ i i .. a 1 ,10 qG I ` GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue u - t z .-t 3 Glenwood Sp1tings, Colorado 81601 I I PERMIT k S 159 (this does not constitute a building or use permit) II Owner Debbie and Scott Fifer II System Location Chealvn Acres - Section 3, T, 7 S., Range 89 W., of the 6th P.M. Licensed Contractor diti v/Lea * Conditional Construction approval is hereby granted for a /eon gallon i s Septic Tank orb Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate_i______inches in, s" minutes, a ; sq. ft. id absorption area per bedroom 7/,1t&ZS 0 of bedrooms _l___. x3r3i> sq. ft. minimum requirements E'f'C .7 /=t; °A.,/ r1 � ,�''�' /> � May we suggest /o? t..5�' a7.2. .7� �ihote .± i �' f ', Date & —' ,9 y--7S' Inspector °e' / r FINAL APPROVAL OF SYSTEM: p 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. i Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. dee; Adequate absorption (or dispersal) area. p Adequate compliance with permit requirements. - • de •ante compliance with Cou op St to regulations�/re is t . # sw at i �� �i ` .Z --7 Date � N� 7 7? Z' /L� , Date ` �" 'T Inspector_ - di 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 1983, amended 86.3-14, CRS 1963. 2. This pernijt 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. 3. 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. pc tanned in the application of permit commits a Class I, Petty Offense (3500.00 fine - 8 months in jail or both. • COLERADO DEPARTMENT OF HEALTH •• Water Pollution Control Division , 421Q East iith Avenue Denver, Colorado 80220 • NOTIFICATION OF PROPOSED DISCHARGE TO,WATERS OF THE STATE* r INDIVIDUAL HOME - SEEWAGE TREATMENT SYSTEM ** ? Owner: 4,27/e f , C � // CY7T / 774r r Mail Address: Ciet; 5 /.4411 eaPQ1 CltyaLgathip S, %o/ Phone 9e-fry -767) #oz/ r A. INFORMATION REGARDING WOJECT SUBMITTED FOR REVIEW: y Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, iocatlon of potable water wells, soil percolation test holes, soil profiles In test holes. 1. Location of facility: County G ,ejn1 .City or town C. „rnncJ „Si, Legal description\ 4 3 f 7S RRdu) Lot size (, 1q .—' e' J J J J 2. No. of bedrooms 3 Septic tank capacity Aeration unit capacity inpn qp,1,( }) 3. Source of domestic water: Public (name): - V Private: Well/ _ Depth Other Depth to first ground water table I 4. Is facility within boundaries of a city /town or sanitation district? iJr7 5. Distance to nearest sewer system: T iylq/ ,/p d ) Have you attempted to arrange a connection with the system? /L/C) If rejected, what was the reason? 6. Rate of absorption in test holes shown on the location neap, in minutes per inch of drop in water level after holes have been soaked for 24 hours • - tom ___ 7. Name, address, and telephone of person who made soil absor tion tests: yz.-c�C• 8. Name_ �n4 telephone of person responsible for design of the system: X1" 8-r ,, _ 14,.e.+./, , , i4 1 % 'tA/toy 6 f.?}/ / 4 -- - 7G - _ .__ Date •Signatf of ^;ner/ *Required by Article 66- 28- 12(CRS, 1963, 1967 Perm. Sum. Supp.) * *Required in areas which have been identified as areas in which diner of pcliutrar 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. • 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 Notifier (front of this sheet) must obtain comments and sicnature 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-33(10 -72 -2) , . • ., CAP FIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2 114 Blake Avenue Glenwood Suring., Colorado 81611 PERMIT # 16S Sy c tem Location_)ace _einicee/ a* ...ar.ver 2 ‘ Contractor__ ---... . ticnegrucition approval for a / 0 9. 0galton Septic tank W Aerated treatment unit Tec...eaaanset ,d-cc .Ti GOIGIeta and atvrortition area computed at follow9:___ Pftric itte___ _inciter AL_ minute e - rq. tt. of o bt 9 tatt4ip area per bed/gen 1__$Q Les.; „ .,____rst _teet ratalmumseatikereent. i - 4.V.Sle' t 'frc, /ma) ang.t:oval of 4 S 14r , :ye tem °hail be ch..Eltied to be tri compliance with the Sewage Dv law tin Hi the Piocon:bled 0-trtteni 1 a:loft:wed prior to covering any umi 0 , ,:k.tis, „Leith . dttlitl2ILLY/iilLSIA2.2. _ 1.. _ 1.. ,Iteae M1/401cLiot_i_lattcLtt,2120.12 t ._..... 0 t.,._14 ...thltawtig_4 _ 1 _]„_/.4.eizok, lodivecto (*ver we Ilt_grily) _ 1:1 -,,trit.t ..t 1 1 . .t... : Ineoecter *it 11*-teo tvith r-i ie. U ieccrde at wiring-3ton , fte. ,I _ COCORADO DEPARTMENT OF HEALTH Water Pollution Control Uivision 4210 East llth Avenue Denver, Colorado 80220 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM ** Owner: 4i/ ) )Ii k.n h1 . 2 ; I M a i l Address: B o X / 0 9 O City CJ..w..' .gip t /6 /Phone 9i/3"— ,-77r A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: Attach s::pr./rate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable bulidings, location of potable water wells, s.I1 percolation test holes, soil profiles In test holes. 1. Location of facility: County G•o_ f .1 4 .City or town Legal description q,,(ttr—� e Lot size 11 q a-e.v, • 2. No. of bedrooms 3 Septic tank capacity_ Aeration unit capacity_L0 O ? q c_/. 3. Source of domestic water: Public (name): ✓ water Private: Well Depth Other _Depth to first ground table__f i 4. Is facility within boundaries of a city /town or sanitation district ?_ O 5. Distance to nearest sewer system: v.. ✓�� _�` Have you attempted to arrange a connection with the system? y r7 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 - Ta elt ce.«r C•'l'te.h. 'fe' eta ora. 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 Slgne re f Ownel *Required by Artlele. 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. 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 Offir a wit e _ Signature for County Official Title Comments: ^_ Signature and Title Note. The Noti`ler (front of this sheet) must obtain comments and signature of at •icast 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-33(10-7'2.-2Y I , , ` / r. f ' S , C / " ii. r Ir 2 \r ■ t rr!• 1��i r r / 4: l , � . 1 a ll i• e' rA I ' 'L r • 5 J� h \ ,'.. , 1 21 4 1 :. ;Y / � ' (` f S / ` i .f , L 4 . b , } +' ' . , 1 ; ; • . ,; r * r l \ ,f i / 1 1 t ! •: I �, A I l . r , 1, . ( f • •.! , t,\ t,: :,:,:' , , 16 f , � p , ,. I 14; 4 . , / l+.t �cl. , , ' - .I, ! I a 7•. 1r f ., 1". Q se9.46 o E •f „ f tat ' t :; i . 2/ , ee /.8.3 . I ' `. d :.. U � ! u CC ^ • tt ' ' i O � ' .8' etS i'tst6 X I ,•, I . VVV r ;PAReez. NO./ .�. i,as I / { o / 9.acr :� V •• AOARCEL NO 3 ; ' I ; 1, t ,h 00.) • _ .. a 455.9 / e 02°'24 . e 4 4 11 'V' - \ j ,, ;n et NO. 2 to '. 0 V o ti ` J ° + .S.49°44 Sate 4/ • 4 / 1 ,,f , , ri Q •,......., f ,. • • PARCEL NO. 3 OF TRACT NO. 2. ' • GARPIELD COUNTY COLORADO A parcel of land in Tract No. 2 of the Chelyn Acres Sub - Division situated in the Wf of Section 3, Township 7 South, Range 89 West of the Sixth Principal Meridian is described as follows: Beginning at a point on the Northerly line of said Tract No. 2 whence the Southwest Corner of said Tract No. 2 bears: N.89'46 W. 210.90 feet and 5.07'54'00" W. 309.19 feet; thence 8.89 E. 221.33 feet along the Northerly line of said Tract No 7 to a point on the Easterly line of said Tract No. 2;. thence 215.00 feet along "the are of a curve to the right, having a radius of 218.45 feet, the chord of whlch_bears: 5.01'22 W. 206.42 feet; thence 11.89'46'50" W. 245.05 feet;. thence N.07 E. 208.29 feet; to the point of beginning. The above described parcel of land contains 1.19 acres, more or •less. September 25,''19 8 SCARROW AND WALKER, INC. Robert D. Scarrow • Registered Land Surveyor � I } . , • • 'Sail: 7 (8- 53 -50) • COLORADO STATE DEPARTMENT OF PUBLIC HEALTH DIVISION OF SANITATION Code Section ACTIVITY REPORT County' atQ FILE REFERENCE: Air/.cr.q 0 091/4,1 /Vat epid"A*t 1/tiptiir ACV'S INDIVIDUAL OR L ESTABLISHMENT: zniewar i Sep !'7^' ADDRESS: 0 ,12 L y' . V 409G n e:c. NARRATIVE: C/V69rit) mats tc.,cale-, /!s's - teerz/iezv- Os Ya .e- .o,a.406- 51 /.c) ,tees- 770.t/ tO ya t ,ec,,OD,9 - novv torn reas., `E" Ta ragg .4e.s d&7'S S ct.W /90eP[e O "rea ie cE .4592 . ..x- SrAo vac aeZ, (e cw ,c a ' z?s ©f 4C.)a&*'e 77/E Lam/ Gf t' c CS ,902e Da 2 a CZ- © g.9 -yez? Tire` 57,9W+ : GCS /77'1 RI EV 115 tci,7417e- /4„) 7 eAt fie92- 777 Ttr' Se ea d/2 a:2 �.5 cess ---- -- gt sec ear_ c. // Lvacf rtsiti�_ 4'1 LETTER TO FOLLOW: () OTHER RECOMMENDATIONS: G vv w #TM Ran rr a-ir /345. es t YZ� DATE: Cream , 1976 REPRESENTATIVE: 6G7'/ v