HomeMy WebLinkAbout00143 •
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL. HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT # S 143 (this does not constitute
a building or use permit)
Owner f11rk flavi
System Location Oser Haven - Hn flertw
Licensed Contractor Lael Hughes
* Conditional Construction approval `t'1 reby granted for a 7-5 gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate / inches in .+,?.o minutes o ' / A sq. ft.
absorption area per bedroom •rz.) r�
H of bedrooms x .7./D sq. ft. minimum requirement . h/ -c2 .5Q # 7 off' r9 s4904''7794..1
y�e
May we suggest /a-' A 36 ' X 'f / -s ' e< ' Ca ' S eve/
t� , , `'�? rr - lug.
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Date •.� J. - Ty Inspec r
�5+ t/5 Atrnn,,r tion / e 2A/<V GVoe Beer/ em77o�V 6 /t ic -
FINAL APPROVAL OF SYSTEM: 434157416"14146' 7► t y& ntts ,. , /G,fG
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.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
,5 -
- -roper materials and assembly.
7
ate-- Adequate absorption (or dispersal) area.
/9e/ Adequate compliance with permit requirements.
- Adeqna1e c mpliance with County and State regulations /requirements.
/C /X re) 3(, / /,c) 5.,?79z t ern
Date ('` 5 76.- Z Inspector at‘,(
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 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
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-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or
both.
` * COLORADO DEPARTMENT OF HEALTH
Water Pollution Control Division
4210 East llth Avenue .
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL HOME SEWAGE TREATiIENT SYSTEM **
Owner: ,/ 9_,..c20 7 00 -aid '-
Mail Address: Cc _, ,a�u
.. i ∎ •j t
Rhone
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: /
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of arca, habitcble buildings, location of potable water wells,
soil percolation test holes, soil profiles / i in n test holes. 4.
tit 1. Location of facility: County] e � / �L . or townie. ,„„ ,// x / •
Legal description / Lot sine //
2. No. of bedrooms Septic tank capacity74O Aeration unit capacity
3. Source of domestic water: Public (name): /17 M . f ..e_ ,
Private: Well Depth Other Depth to first ground water table
4. I s f a c i l i t y within boundaries of a city /town or sanitatiion district? _ 'r ..
5. Distance to nearest sewer system :,2 4 3 hru�� e
Have you attempted to arrange a connection with the system? �--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:
/Z - 7 sr p .,,i ,A... .
Date itig�f � - oflw
Ir, , o. /
*Required by Article 66- 28- 12(CRS, 1963, 1967 P- , . Sum. Sup..
* *Required in areas which have been identified as areas in which daaue of pcilution
of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in w'r.ich them,
is no local septic tank ordinance.
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1
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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 si,nature of at
least one of the above.
C. FOLLOWING FOR STATE HEALTF' DEPARTMENT USE: Recommendations of the District Engineer:
D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
WY-33(10 -72 -2)