HomeMy WebLinkAbout00137 ''t I' !Y
GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Slake Avenue
Glenwood Springs, Colorado 81601
PERMIT # S 137 (this does not constitute
a building or use permit)
Owner Rah Rurkwtt
System Location Cattle Creek
Licensed Contractor owner
* Conditional Construction approval is hereby granted for a /000 gallon
—( Septic Tank or Aerated treatment unit.
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Absorption area (or dispersal area) computed as follows:
Pere rate / inches in .C' minutes /aS" sq. ft.
absorption area per bedroom 2Z4Cd9E ,
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# of bedrooms z3 x .W..s" sq. ft. minimum requirement = 375r4
s' Fr of n• � fntlti`
iu May we suggest / /,: .3.a' X 3 5 /ire 4,602, f .. //
I0 Date rY` -- .7/) - 7.."' r Inspector i '/ ` 6 14 •
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.
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/alp "
44-- Proper materials and assembly.
��yG� Adequate absorption (or dispersal) area.
` Adequate compliance with permit requirements.
,G.Adequate compliance with County and State regulations /requirements.
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Date d 7 —C -- Inspector M<<%2�//
y 111
Il, l RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must•pgmply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 66.44.4, CRS 1985, amended 88.5 -14, CRS 1985.
2. This permit is valid only for connection to structures which have fully complied with County Zoning and
building requirements. Connection to of 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
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COLORADO DEPARTMENT OF HEALTH
V Water Pollution Control Division
421Q East filth Avenue .
Denver, Colorado 80220
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
I INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM **
Owner: /2 // au in( Z ° // ..
Mall Address: 004' )2 Cit) 64X' OOP Ddrzipd /403 Phone 91.
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A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography el arc , hab, Lui1d;iigs, locaLlon of potable w:.ter wells,
soil percolation test holes, soil profiles in test holes.
1. Location of facility: County4g(Y'tI .City or town /^/ lif- 77 PE)
Legal description Lot size ` !' 4e.
2. No. of bedrooms 3 S eptic tank capacity / 06W Aeration unit capacity -
3. Source of domestic water: Public (name):
Private: Well Depth 3J` Other Depth to first ground water table el ls /C
4. Is facility within boundaries of a city /town or sanitation district? Pm
. .
5. Distance to nearest sewer system: e /1 /
Have you attempted to arrange a connection with the system? g
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:
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8. Name, address, and telephone of person responsible for design of the system:_
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1i 4 5 a 5
Date •Signature of Owner
*Required by Article 66- 28- 12(CRS, 1963, 1967 Perm. Sum. Supp.)
* *Required in areas which have been identified as areas in which dancer of pollution .
of waters of the State may occur (Art. 66-28 -8(5), CRS) and /or areas in N::ic`, the;.:
is no local septic tank ordinance.
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B. SIGNATURES OF LOCAL OFFICIALS: The undersigned have reviewed the notification
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described on the front of this sheet and recommend approval or disapproval of
the discharge as shown- below:
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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 signature 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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If" 33(10 - 72 -2)
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