HomeMy WebLinkAbout00138 GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
NO FEE REPAIR PERMIT # S 135 (this does not constitute
- a building or use permit)
Owner Kenneth Henderson
System Location 1 mile South of Carbondale - Highway 82
Licensed Contractor Lael Hughes
* Conditional Construction approval is hereby granted for a 1.000 gallon
.Y. Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate inches in minutes sq. ft.
absorption area per bedroom - existing and functioning
it of bedrooms x sq. ft. minimum requirement
May we suggest
Date Aori l 79. 1975 Inspector < i.x, V i_ ') •
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.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Date 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 1988, amended 66-3-14, CRS 1988.
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 • 8 months in jail or
both.
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!COLORADO DEPARTMENT OF HEALTH .
' Water Pollution Control Division
4210 East ilth Avenue
Denver, Colorado 80220
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NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
1NDl.VIDUALL HOME SEWAGE TREATMENT SYSTEM**
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Owner: ,k,P� n-tegiis 4n /
Mail Address: /t Mic 8 Cit�C.�i�1,�a�A z1PgU23Phone 32769
A. INFORMATION REGARDING'PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography 07 arcs, hal: ...:ie Lui iu;;: ;s, iccaticn of potable water wells,
soil percolation test holes, soli profiles in test holes.
1. Location of facility:. County i�,�_ .City or town �i9. (97/C
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Legal description Li, ,.� 91 .; it / - 9'2—
2. No. of bedrooms k3 Septic tank capacity /W Aere ion unit capacity
- 3. Source of domestic water: Public (name):
Private: Well X Depth Other Depth to first ground water table 60
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4. Is facility within boundaries Of a city /town or sanitation district? .v'O _
5. Distance to nearest sewer system: 2e,
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Have you attempted to arrange a connection with the system? 9-00 r
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
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7. Name, address, and telephone of person who made soil absorption tests:
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8. Name, address, and telephone of person responsible for design of the system:_
`/ / "
ate . e ‘W% er
*Required by Article 66- 28- 12(CRS, 1963, 1967 Per Sum. Supp.)
*Required in areas which have been identified as VVV areas in which dancer of pcilutinn
of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in 4:.i;h the;,t
is no local septic tank ordinance.
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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
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Signature for City /Town Official (Title)
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Signature for County Official (Title) —
Comments:
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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:
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D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
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NP- 33(10 -72 -2)