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HomeMy WebLinkAbout00157 G GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue • Glenwood Springs, Colorado 81601 e,vai Cm - PERMIT N S 15+ (this does not constitute b e�� .� ( a building or use permit) Owner - k/� v C �lflom 970 . System Location' Block 12, Lots 11, 12, 1. , 14, & 15 - Cooperton Licensed Contractor * Conditional Construction approval is hereby granted for a /»*29 gallon Septic Tank or___X— Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate / inches in 1 minutes // `v ft. absorption area per bedroom T ft/l -trer # of bedrooms 3 x / /..5 - sq. ft. minimum requirement-=. -S sew i 0/ '9t May we suggest.7• /0 '.5ccrti'-9raE .' ?' ©e=t .",e CVr' /�ifl =/ Date - 7,6' Inspector -^ '` ".' r %�/" / 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. / Oo fi e?' /9-he 0/C Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. refit Proper materials and assembly. art Adequate absorption (or dispersal) 9 P ( P ) area :- edequate compliance with permit requirements. .Adequate compliance with County and State regulations /requirements. Date a Inspectoe RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all req Illents of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 6 •44.4, CRS 1968, amended 66.844, 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. 3. Section HI, 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 • 8 months in jail or both. w n Fees Paid $ L) INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date ( -3.-"c' NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: • 6 /.- ... Mail Address: 4zri /11,14 1/, 9 'City: 6 /p.. 1 3, Zip: 6740 Phone: �,5-_ ___ 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 Oar Q e 1 City or Town (�0OPc>r-} (�5� ,,,, Legal Description 3ttek 14 L.nfs j 1— J5 Lot Size /10 'K 2. No. of Bedrooms � Septic Tank Capacity Aeration Unit Capacity 1000 4 3. Source of Domestic Water: Public (name): W e-1 1 ( Cn n P er - ) Private: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? N o 5. Distance to nearest sewer system: a Have you attempted to arrange a connection with the system? Mr) 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: S )42 ,9,-„,,7 7, Name, address, and telephone of person who made soil absorption tests: ^f- c "etc°� fie rin• 8. Name, address, and telephone of person responsible for design of the system: r$cr pe rin•T 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. Date gnature 1 ner (TO BE RETURNED TO HEALTH DEPT.) . - - c ••■::, r --..„. ./ - .;: r N„.... 4 -t)..1,1..Ce-14 r ". - 12 t: 4 "....C.C.7.raVe ,"7 ..... H.'' -ir ' .:-...r.?... 7,14nr • C .'"....' .. -. " ' '' ..C.-- : ' ... .. Ine: ' 1 _Eckt) CS_ ___ .c.) i: - /LL ,.- I e -.0 e. - //0 _ ,. 1 l 1 111 ,„ 1 ap ' N 1 ,, • . • • . .. ( ' - - 1, . ..... 1 ■4 a 1 . ■ --' . , . r: . ,. \ • \ • 9 . a ro \ • itsi , Pi c) ,. /o• . 4t /6.K. , . , cs<2 „... : •.i. 4 • • VI t . , , . . t.. . Et • . . . , t a 1 1 9 Jr % • 144 1 , • ..."' . - , • • Y ' , I , . . .-4 ,/, cri ,, • i .• - , / •k• • , -.) . ," • c.., E. --- Fi') -i • - I _.. O/k.e ttp 4 , Is ro• f /�.. CALS(61! i 1 i • ,fit Ja /S A✓EN!/E (ia�'/ea/✓) ,: !- yf• y+ r :f' `L � L -- 7r 4 - rr f' r? I, / :r' 7 . .7.`4 1 t. � A S' tiro' � w1 • i n n ' . ! n' /lr' r • `t L o l l . , . / „ N 1 7 s' • l h 30 • H 144 � � 1 , ' 1, 1 �_ 4 -- 19. 4 \ 1 7 — '�S. I. - \ MI-' s f __..._... . . h _.... k f 1 �. - 1G ' -• -• y ,,.• •i . . Q \ Y _ " .r i L _ . 4 " .. o y � ~ i rlr k 1 M a ;; u , # W J _ zi o - 7 � V ) , o i u 0 m 0 8 n, }, ^ • O n 2 -8O 9 • H 4 4 1 / , t la �._ - /4 N 44, i H /7 h M - `O' /4 • h 1 • E W r * N• /N. � f • ° - � 14-'11 w• o c ..11 . .p- -�. Fa v o w . �iwr ro ' s -*1 ' 0- 4 i st 7 1s %• % .n % 1 < • . ,y "vow. I• '44 h I • N ;I .t D, i l PROPERTY DESCRIPTION: Lots 1 thru 15 of Block 13 and Lots 6 thru 30 of Block 12 in Townsite.of 1. • • • Cooperton. Garfield County. Colorado (recorded In Town Plat Book 1.at c. 'page 16 Garfield County records). / SURVEYORS CERTIFICATE: I 1 hereby certify that a field survey was conducted. under my F.1 i supervision on March 20 A 21, 1975 of the property shown ) i' hereoni and that this plat is a true representation of said .`survey: to the best. of my knowledge and belief. I Luther T. Musgrove. I,.S. 10386 'te am o 4705-nta'a t .✓/16.10• • s • •vl11'Y+'ii a .rte Kea «�,'C.o! s , � ....... . . --47 ..c O L0 f osTE is 10386 3 1 . 1 ye- _ C `���. sown' V' , , t , '&DTS 1-15. BLOCK 13 8 40TS 6 -30. BLOCK 19 € 1 - �GDDPRIDa;, CDLDRADD t; FOR' • Roma FORK REAL ESTATE . ) P,O, 80X, 759. , ' PJ1.`RVOWALE. COI�OIRADO SY . N ,SGROYE SURNEYtNO. 655, al ROAD • • DRANO, 4.PNC/t0,4, C.0t0RAD0, PHONE: • , 81 303 434 - 7089 NJ�RCH. 1925 FILE: 75 -03 -04 • .