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d, Q This does not constitute
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GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERC WAIVED - LT. SYSTEM - PEE ONLY Phone (303) 945.7255
INDIVIDUAL SEWAGE DISPOSAL PERMIT N 620
Owner John A Anc7ra Keireth
System Location Lot 48, Kings Rosy Subdivision
Licensed Contractor
' Conditional Construction approval is hereby granted for a .Z€2:24_ gallon
K Septic Tank or Aerated treatment unit.
WC PLANS & SPECS ATTACHED -
Absorption area (or dispersal area) computed as follows: ....
Perc rate of one inch in /VA- minutes requires a minimum of l sq. ft. of absorption area per bedroom.
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Therefore the no. of bedrooms ( 5 x,cc ti q. ft. minimum requirement = a total of sq. ft. of absorption area.
May we suggest Plans and specifications of design by Registered ! ofessio�i?41 Engineer
ached `�
e mb e er 88, 1978 1s 8tt
Ste / / / /� \
Date e , Inspector G �f
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved pribr to cover- .
ing any part.
a Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Proper materials and assembly.
6. 7 4Trade name of septic tank or aerated treatment unit.
Adequate absorptio (or disperse area. llo - 79erZL...e,
a1/4 Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Other )/
Date J — / — / 7 ? 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 au-
thority granted in 66.44.4, CRS 1963, amended 66.3.14, 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 viola -
tion 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 in-
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I,
Petty Offense ($500.00 fine - 6 months in jail or both).
Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy
Fees Paid $zs 2
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION fnC0.3/r"'e-°
9
Date -S�' 2S-
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE Ncer�s/rP ono
p INDIVIDUAL HOME SEWAGE TREATMENT, SYSTEM ` 2 Wt be -,[c'
Owner: -4 I ti- Th --7 [ 7/l/ 1 1Q' Len
Mail Address: U0')( o2ga City: 1!L 362—Zip: ?l `Lf Phone: ? 3Q4 /
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 Garfield City or Town // p 0014
Legal Description L r ,SCe4Senc0_,54 Lot Size 0 ,./. 0 . b ,4 t .
2. No. of Bedrooms 3 Septic Tank Capacity / Qb b Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well Depth Other C!OMl4. to •first ground water table
4. Is facility within boundaries of a city /town or sanitation district? D
5. Distance to nearest sewer system: Jee - 347.26-
Have you attempted to arrange a connection with the system? A/O
If rejected, what was the reason? /OM
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: Pc-- w
7. Name, address, and telephone of person who made soil absorption tests:
3cz, Pca4“t
8. Name, address, and telephone of person responsible for design of the system:
EE Pc-Tt cu. t in
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.
7/ /
Date
g ature .f Applicant
(TO BE RETURNED TO HEALTH DEPT.)
RECEIVED OCT C 3 1978`
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Mr. Ed Feld
0 z Garfield County Environmental Health Department
3 s 2014 Blake Avenue
cc $ Glenwood Springs, CO. 81601
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o RE: ET System for Kairath Residence
w Lot 48 Kings Row Subdivision
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z o Dear Ed:
f Please find enclosed three prints of the above system. If you have
z m any questions or comments, please call.
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N 8 Sincerely,
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Rick Kinshella
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RECEIVED OCT 2 3 1978
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z 0 October 20, 1978
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N Z Mr. Ed Feld
5 Garfield County Department of Environmental Health
it 9 2014 Blake Avenue
0 Glenwood Springs, CO. 81601
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s RE: Amended Plans for Jed Kairath Residence
Lot 48 - Kings Row Subdivision
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a 0 Dear Ed:
- „ Please find enclosed for your review and files three prints
of the above plans. If you have any questions, please call.
Z m Sincerely,
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Rick Kinshella
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