HomeMy WebLinkAbout00125 AND 00124 •
.. CITY Or
CITY MANAGER
John D. West GLEmwoop SPRINGS
CITY ATTORNEY
T. Peter Craven coLonz.no
DI RFCat p7INANCE
VI s • s " P.O. BOX 728, 81601
December 15, 1976
Mr. Ed Feld
County Sanitarian
Glenwood Springs, CO 81601
Dear Mr. Feld:
In reference to our -telip conve of December 14,
.. .....-,
1976, the City of- Clenyybod' Spfins like to request
Garfield County - Allow the Fowlei'ltubslAyision individual
sewage systems and further/aak ;Rat tfi system be
made to com ly_thith all Ctiunty
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If you ne d ,any furtbe \ r :-: ormatio p\ease. feel free to
contact his office,„: rirvo
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Yours uiy,r,iif rii).: 4n vr,t A
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Robert M. West,- ,ii __ "..
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Fees Paid $ 75 .w
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION
Date
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM
Owner: Loyd W.Fowler Jr. ( Robert Young Lot)
Mail Address: 50R W.Bth Street City: Glenwood Sprinc¢iip: 8160I Phone:9455702 .
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 rarrield City or Town Glenwood Springs
Legal Description Lot 5 Fnwlrr Addition 12 Lot Size 76.87 X300.24
2. No. of Bedrooms 7 Septic Tank Capacity 1.000 Aeration Unit Capacity
3. Source of Domestic Water: Public (name): City of Glenwood Springs
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town ornjitta'CfimX8i@ riXt? Yep
5. Distance to nearest sewer system: one Mile
Have you attempted to arrange a connection with the system? Yes,at.tach ed letter
If rejected, what was the reason? Above
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: I" in I0 min.
7. Name, address, and telephone of person who made soil absorption tests:
':nrfteld County S'natiorn
8. Name, address, and telephone of person responsible for design of the system:
Fd Fe1dt
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.
.4
7
Date Signa e of Appli 'nt
(TO BE RETURNED TO HEALTH DEPT.)
3) If at any time hereafter it is determined by the Garfield County
Department of Environmental Health, Garfield County Commissioners, or the
Colorado State Health Department, that additional inspections or testing
may be required after the two year pre -paid inspection period, such inspec-
tions or testing shall be provided at the expense of the owner of the above
described land.
4) This Declaration of Covenants shall be binding upon the undersigned
and the heirs, personal representatives, successors and assigns of the
undersigned.
IN WITNESS WHEREOF, the undersigned owner(s) has /have executed this
Declaration of Covenants as of the day of , 19
-- OWNER(S) --
STATE OF COLORADO
ss.
AND COUNTY OF GARFIELD
The foregoing Declaration of Covenants was executed before me this
day of , 19 , by
as owner(s).
Witness my hand and official seal.
My commission expires:
Notary Public
Approved this day of , 19 . This approval
subject to withdrawal if the foregoing Declaration of Covenants is not
recorded within ten days of this Approval or if these covenants are violated
at any time. Such withdrawal of approval shall also render all applicable
permits null and void until reapproved in writing by the Garfield County
Department of Environmental Health. _
Approved by Aviv / ' < `> _ ':r _ t(r
.war. . e •, is ing leper men - Head
Garfield County i- partment of
Environmental Health
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