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Home My WebLink Aboutpitkin.eh.246730200007 (1971)Document Layout (From Most Recent to Oldest Permit) Permit Application Log Sheet/Notes & Photos Communications As -built Design Engineer Design Soil Information Water Permit & Information Second System on property Third System etc. Floor Plans Please see Building and Land Use Approvals Files for additional information :..; LOPADO DEPARTMENT OF OLTH Water Pollution Centres Division 4210 East 11th Avenue Denver, Colorado 80220 • ;?y47 -3,R_00 APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS Applicant (Owner): IVaNprJ- H• nnROT4 Mail Address: P o t y 0 Cl ty:S .WA A4 Phone:9Z7- 37 Z 47 A. 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 percolation test holes, soil profiles in test holes. /�pp 1. Location of Facility: County - r>M<IN City or Town 6S7 SIPR/S Legal Description SS'14 See 36, f' 85 '?l 'Lot Size: 2. Type of area and facility - Number of persons served: Subdivision Motel Restaurant Trailer Court Other: 3. Source of domes ticater, Public (name): Q/Z►dy�E ik6*d-e- Private: Well _ Other _ Depth to first ground water table 4. Is facility within boundaries of City or Sanitation District: Ap _ If so name: 5. Distance to nearest sewer system: 6 /l /C. Gis & SA Cl Have negotiations been attempted with owner to connect: If rejected, give reason: 6. Rate of absorption in test holes 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: g. Est. bid opening date: ze-fo€st. Completion Date:Esq Project Cost: L—� Date: �•Z1i"7� _ Signature of Owner 10� q Y APP}:1 TE SYSTEid 1.00ATIOP:- Give distances ill feet EI Septic & Bed gal VAbA ._,A a. I o . y we J1. ' S Type of system applied for dimensions to be filled in upon permit issuance. 1" Top Soil Straw To Septic -• 6"1" Gravel 11" Gravel VIA Septic & Nordak Septic - r depth F."I Septic & Dry Well(s) Septic ...._............ •- 1" Gravel Cender Block 2" Gravel 8" clean ou,.'. Concrete co --,,t: i Ca _ i` Mechanical Dimensions Bed Dry Well r r• , . r7 . { Nordac Holding pond \ Chlorinated dis. _._.....,..,..-...- .-- .. Septic Tank , ::_':_'___ ___ __________.-_� _ ,_,•„ ___ gee Page 16 ofSe.�aSe Dis osal• yste:r Sealed Holding ` ) •-1 Pit Privy a i 1" Top Soil Straw To Septic -• 6"1" Gravel 11" Gravel VIA Septic & Nordak Septic - r depth F."I Septic & Dry Well(s) Septic ...._............ •- 1" Gravel Cender Block 2" Gravel 8" clean ou,.'. Concrete co --,,t: i Ca _ i` Mechanical Dimensions Bed Dry Well r r• , . r7 . { Nordac Holding pond \ Chlorinated dis. _._.....,..,..-...- .-- .. Septic Tank , ::_':_'___ ___ __________.-_� _ ,_,•„ ___ gee Page 16 ofSe.�aSe Dis osal• yste:r Sealed Holding ` ) •-1 Pit Privy a --`COLORADO DEPARTMENT OFQALTH • Water Pollution Control Commission 4210 East 11th Avenue Denver, Colorado 80220 / DECLARATION OF COVENANTS KNOW ALL MEN BY THESE PRESENTS, THAT: WHEREAS, the COLORADO WATER POLLUTION CONTROL COMMISSION HAS approved the following described land, situate in the of and State of Colorado, to -wit: (describe entiFe—parcel entire—parcelto be serve by sem-4aul:) 1- Sd'/`f See.. -30 Jet �er�{io�� Sys[�wv T-19 Is ", g( W EAtr SOPrAkS GREE K as a location for a septic tank, as defined by the Colorado Water Pollution Control Act. of 1966, as amended, for the treatment of domestic sewage on a temporary basis. NOW, THEREFORE, in consideration of the approval of the above described land as a location for a septic tank, the undersigned, as the owner(s) of said land does/do hereby declare that the following covenants shall be and constitute cove- nants running with said land: 1. When the Colorado Water Pollution Control Con-nission determines that a community or municipal disposal system is available and can provide service to the above described land, the septic tank located upon said land will be abandoned and wastes from the described lands will be carried to the available community or municipal disposal system and the owner of the above described land shall bear the entire cost of constructing and installing any sewerage system necessary to carry such wastes to the available compunity or municipal disposal system. 2. If at any time hereafter, the septic tank shall adversely affect the quality of the waters of this State, the owner of the above described land shall use such other sewage disposal system as will maintain the quality of the waters of this State within the limits set by the applicable water quality standards adopted, from time to time, by the Colorado Water Pollution Control Commission. 3. This Declaration of Covenants shall be binding upon the undersigned and the heirs, personal representatives, successors and assigns of the undersigned. 3 (Continued on reverse side) DECLARATION OF COVENANO Page 2 IN WITNESS WHEREOF, the undersigned Declaration of Covenants as of theIR _day of E s) as/h ye executed this 19 --OWNERS)-- STATE OF COLORADO ) • ) ss. AND COUNTY OF ) The foregoing Declaration of Covenants was executed before me this _ day of ¢fiti , 19_ZL. by eta,, a Z�0, as owner(s). Witness my hand and official seal, My commission expires: My Comm"w upra Map 5, 1974 `' r Notary Public Approved this day of '19 . This approval subject to withdrawal if tiT e foregoing Dec ar•ation of ovenants is not recorded within sixty (60) days of this Approval. WP -30(1-71-40) �r t. COLORADO WATER POLLUTION CONTROL COMMISSION Dy Technical Secretary