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1 GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 PERMIT # g 102 (this does not constitute a building or use permit) Owner 8111 Porter *,. System Location 2 miles SE of S i l t 44 " ° Licensed pontractor 5111 Porter * Conditional Construction approval is hereby granted for a /40097 gallon X Septic Tank or Aerated treatment;pnit. Absorption area (or dispersal area) computed as follows: Pero rate / inches in ai?O minutes vT /O sq. ft. absorption area per bedroom l7tt ar if of bedrooms 3 x dl/O sq. ft. minimum requirement = 6.70 ac.' Fr or= $bsc,urso4/ ,*2 taxi — May wesuggest /aa S3 ' X a se %"tsE e Date Inspector • FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly.nr.we- ,n,rOc is Oci G,y ayG- Adequate absorption (or dispersal) area. /3'x S[> 'X 8 / /:_' .se -z' c' ,3c= niws7naar e Adequate compliance with permit requirements. A dequate compliance with County and State regulations /requirements. Date 3" / 7 Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION'$ITE • *CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 68.44.4, CRS 1968, amended 66.8.14, .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 II1, 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 (8500.00 fine • 6 months in jail or both. DEPARTMENT OF ENVIRONMENTAL HEALTH AND POLLUTION CONTROL Garfield County OFFICIAL NOTICE _„,_ etesr B DA E TO 1120_•'.. nap. - ' -- /lJ/tT, ADDRESS .40 4.40 ..._.._____ -- LOCATION t /VO OF 041 Z-qr *j -- CO2E r , YOUR ATTENTION IS CALLED TO THE EXISTING VIOLATIONIS)FOR WHICH YOU ARE RESPONSIBLE IC_1tZc%. t_ ,Za .LL GCL seree1az1F _,G s r A49 12! YOU ARE HEREBY NOTIFIED TO ABATE THE SAME BY/ __ 19 (Legal service shall include posting of this notice in a conspicuous place). This office must be notified by letter or phone, as soon as compliance has been effected. If at the expiration of this time the same remains unabated, such action will be taken as the Law requires. or— 77 74 DATE TEE eri SANITARIAN � 0 N 2/I 810 dj yT� POSTED AT /Pee ee uGl iDATF // �j -'/ ,yp/�� 'erdee: _ _dos a..4t fllt/4.a , ecct---t',. t - (.e -rwre a.G»_ ote■fesc."' a te+epL - i C fl ...ftnrCe DEPARTMENT OF ENVIRONMENTAL HEALTH AND POLLUTION CONTROL Garfield County OFFICIAL NOTICE DA E - - - -� -- .��;.. D. TO ADDRESS 7 44;,Z , CJtr. 37-1. -L -- LOCATION .fVt0 l"✓i -�.... c- �C/'f - f=>k� YOUR ATTENTION IS CALLED TO THE EXISTING VIOLATIONIS)FOR WHICH YOU ARE RESPONSIBLE ft.^t'.r4l,".t'!r T-E. r940tr ` -A-L : 7:0 JiE- /e E iorc_d- lX= tNb 1, s Aor9,£,•- e-- a —cde,c -," e'Y Weten 4C YOU ARE HEREBY NOTIFIED TO ABATE THE SAME BY/e5!_. 19.pcp/ (Legal service shall include posting of this notice in a conspicuous place). This office must be notified by letter or phone, as soon as compliance has been effected. If at the expiration of this time the same remains unabated, such action will be taken as the Law requires. ....,,//// A/' 741 DATE CSATE SANITARIAN OWNER &OCCUPANT POSTED AT WITNESS c ' DEPARTMENT OF ENVIRONMEN AL� HEALTH AND POLLUTION CONTROL Garfield County OFFICIAL NOTICE „_ ,... 7_, DATE TO /LG � Q fl#t ADDRESS r. _7/i,140i.^� _dfQ y LOCATION civ/ 07. Sr• 0..E_ StA ..._ YOUR ATTENTION IS CALLED TO THE EXISTING VIOLATIONISIFOR WHICH YOU ARE ' R SPONSIBLE f!Q /tttQ '_ __ cate xi i t enon , 1 ) YOU ARE HEREBY NOTIFIED TO ABATE THE SAME BY_7_H /' 19 7" (Legal service shall include posting of this n tice in a conspicuous place/. This office must be notified by letter or phone, as soon as compliance s been effected. I{ If at the expiration of this time the same remains unabated, such action will be take the Law requires. _ a � DAZi /, / / SANITARIAN DATE �GGG OWNER &OCCUPANT P STED AT , �Z�� %��1�[�' T EI/"'� r // WITNESS E DEPARTMENT OF ENVIRONMENTAL HEALTH AND POLLUTION CONTROL Garfield County OFFICIAL NOTICE DATE To r e2ed ADDRESS .`'1•).7 13tte LOCATION cad e77/ �5 .E'.- - -G f. —. T YOUR ATTENTION IS CALLED TO THE EXISTING VIOLATIONIS)FOR WHICH YOU ARE RESPONSIBLE 1giL 41/ . G-_ _'G_!_C1 7L9 //Li e'en?", /// T 7 ' � � a a" ',r1 r7/ -rrr rrrl sl ;/r YOU ARE HEREBY NOTIFIED TO ABATE THE SAME BY 7 _ 19 71 (Legal service shall include posting of this notice in a conspicuous place/. This office must be notified by letter or phone, as soon as compliance has been effected. If at the expiration of this time the same remains unabated, such action will be taken as the Law requires. /1 � IV DATE, ,, DATE SANITARIAN OWNER &OCCUPANT POSTED AT 1-7$1 "..:1 DATE ��`y`�� ' WITNESS I COLORADO DEPARTMENT OF HEALTH Water Pollution Control Division • 4210 East filth Avenue Denver, Colorado 80220 • NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* INDI.VIDUAALL HOME SEWAGE TREATMENT SYSTEM** Owner: g6 � I' / Mall Address: (04<„ f � FC•L 3// City / (.0/471p Q /6Y7Phone c,(' 222 -3 y A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: Attach separate sheets or report showing entire area with respect to surrounding areas, topogrcphy or r JL:t U1 iJ j:y , loc tion of potable water well, soil percolation test holes, soli profiles in test holes. 1. Location of facility: County �'a1r /Tt /J .City or tom Sn Legal description Lot size ? 7 a(:.6 e 2. No. of bedrooms 3 Septic tank capacity (Ou D Aeration unit capacity 3. Source of domestic water: Public (name): Private: Well6. Depth Other Depth to first ground water table 20 4. Is facility within boundaries of a city /town or sanitation district? ,l/o 5. Distance to nearest sewer system: -z. Have you attempted to arrange a connection with the system? yj/ 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: — 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 pcilution of waters of the State may occur (Art. 66- 28 -8(5), CRS) and /or areas in N: thrr:: Is no local septic tank ordinance. f 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 signature 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: • • W "-33(10 -72 -2) . tf Po er-c t S y.r T.c be 777' sIyii /Ve rc-_s r / ©N /3o 7 rs St�',Di4 ro Ao'Z7 4 f3'XSo „ • err? COLORADO DEPARTMENT OF HEALTH DIVISION OF ENGINEERING AND SANITATION ACTIVITY REPORT Code Section County a„0040 FILE REFERENCE:LeN/RAiG _ / INDIVIDUAL OR /! ESTABLISHMENT: AO-2- ADDRESS: // tad, ec?2 .� (It tC _ 2 .,+LG S NARRATIVE: .t. At a- A' -et; -6 �� � ,1/4 cant -4 .Z ti -Asse edie ��. ,fie twit-, g , tics. ,',ovt f -de ,,G , L ..GGa,t -erste - tw- x-s..Gic e ,4.e-vt c.,c 04? _Arec --star a alt' ,..'.l 4.•44 -x - ,C4swt.G / 2 / f r . �c a ,sG,s-ceag aaryt 4 - y ieti.&r s e, e au.. ,.e - e--;. 1A.'+� .c Age se ere.. .�C�,K ` Zee --Xe o e e a r lea , • tea LETTER TO FOLLOW: C'J OTHER RECOMMENDATIONS: _ O DATE: / , 197y. REPRESENTATIVE: y yru7{Q ES: 7 (Rev. 6 -70 -100) COLORADO STATE DEPARTMENT OF PUBLIC HEALTH DIVISION OF SANITATION Code Section ACTIVITY REPORT Countyg,,gga FILE REFERENCE: ,'S >,' 'O INDIVIDUAL OR E STABLISHMENT: s _2 ADDRESS:/ tes 57 - NARRATIVE: &.'P &n/se 7a dosy!/'c eez.voi 77604>s < -eu.va -- ,-/ec -ni s S exone: - G/.Urt= .UC4.W /Nt z , "7-q /,c)s779 — ,9i°AfloX LC' .< -OAJ,> rzv *Oe is 1 6 hi t --7 /"9 ' • CCOGe . Goays receC-77 420 PC /r pN .C'_6702) 2: /srf 9 x>ce 7Z) ,O/2aDcnrz1 u vt/o/n Td ,r /ro/377c,J- -� - 2:>/2ezr0 e -(rn<9 /ez-0 gO . ,' cril LC >4 r ib .0n a7 /G/f/G -7L /1 - 4 r� B�OIo,L' , /et _ /75 - !o / ic-r z�J &O tte79�7W T . LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: DATE: //— 19 7 REPRESENTATIVE: / < ES: 7 (8- 53 -50) COLORADO STATE DEPARTMENT OF PUBLIC HEALTH DIVISION OF SANITATION Code Section ACTIVITY REPORT County A/,oz.O FILE REFERENCE: ,t INDIVIDUAL OR ESTABLISHMENT: H//4„e.i 7 JaoJ, sar22- ADDRESS:s,T Aiu/ /7es - ice- S /.trn -_ NARRATIVE: R9'PoN3er 7 UU C'-o,n.oc 'ft .0 7_ 6o4/o/ rn ®.cos 'cat/A-40 — /72n/t ee . &none rte✓/ - — s /zs /.cam, u ' v ' e , c ) see ) 'Watt r" .,'-.. /ti.ST G.4-4- — /r ic704.a oA . 45 • ( - c'*Ota¢.Gt finer, .•2t4C /4 EZ- -- ia. k So' -9 IC / GG fr,nct r / Axe rr/ /7 .�� -r� i2idcre - rO i flc /eoc,G — { i - coeds r.ZGec -77 s (/) .vo Pt ,/ r o /v t e 9 ' 2)157- ricer 7v .o/l10.4s,22 /.vim uvt,o ai/ C.SSC 3 ' 70 /,rve,d r /e roo .) /Apo/owT • K /.o,c,"-r r-- D /.Pern.,e- axemzG/ezD CO £O,4 - . "&ft9" /W /' - 4 / -Pe 1 , of . , - - nhnr. - &Me,c, t/ C?o. /t rry LETTER TO FOLLOW: () OTHER RECOMMENDATIONS: - DATE: //-- y , 19 REPRESENTATIVE: crter....< e 3 st1 ES: 7 (5- 53 -50) a r • • COLORADO STATE DEPARTMENT OF PUBLIC HEALTH DIVISION OF SANITATION Code Section ACTIVITY REPORT Countyith " FILE REFERENCE: -5 , (-- INDIVIDUAL OR ESTABLISHMENT: € /e , /71-/ ,4,- ADDRESS:,/ /- 7 NARRATIVE: / / ' / k / r , - ' / / / r / // / , , LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: DATE:/' , 192 REPRESENTATIVE: ES: 7 (8-53-50)