HomeMy WebLinkAboutApplication.pdfGarfield County RECEIVE It:ilmn''Jnlitv Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield·county.com OCT 1 02013 GARflcLD COUNTY
)MMUNITY DE.VEI.OPMENT TYPE OF CONSTRUCTION .IZ J' New Installation ---WASTE TYPE o Alte ration INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PERMIT APPLICATION o Repair J!J Dwelling '0 Transient
Use-1--"'0--::-"-=.:::':":><--,-'-=-Co ----r---------Comm/lndustrial 0 Non-Domestic o Other Desc ribe INVOLVED PARTIES I Property Owner: _..1(.:-Cb o"o.lrJ7-. n~-~"'~EI:~.. ~--R-r~:
f-~> ,<-.\;1Ise.4-VC~~~~~~~-pch--o-n-e-: -'(-97)"0 ) 'tn~»fe 1 Mailing Address : -;::~b~O,,-4,---:4~-:-:=L,-' --:s-,~ ~ ~~=::/dl~.~I ======::::;;::::;;=:::=;::;;:::::;:;:;::~= I Contr;ct;;-r:
_~De"";::'A'IV-'v;{\',~..~:;>---_C3Q=}'!-'=~"'Ll\.(l>...U~ n-l.-__--,o Phone: (~) 3 f'JS-n-'s : I Mailing Address: jJ.IIO CD, Qd. ,;2:4K Q,-Fk eM tf;!hSQ Engine-e-r:-_--.:.-_-____-_
____-_ -_ _ -_~~~~_-_-_---_ -__ Ph:e: (_1 _ ) : -~ 1 Mailing Address: PROJECT NAME AND LOCATION CI -I--Job Address: -=--rJip I __ })~-tcd--------------1 Assessor's Parcel Number: zI190510/0DZSub,
D~I..ft?lrfr e;rfJlftf lot _2-_ Block __ : J Building or Service Type: ___________ #Bedrooms: ____ Garbage Grinder_ Distance to Nearest Community Sewer System: __________________ _ Was
an effort made to connect to the Community Sewer System: Type of ISDS Ground Conditions Final Disposal by ~Septic Tank I 0 Aeration Plant I 0 Vault I 0 Vault Privy I 0 Composting Toilet
D Recycling, Potable Use 0 Recycling I 0 Pit Privy I 0 Incineration Toilet o Chemical Toilet 0 Other Depth to l Si Ground water table I Percent Ground Slope II( Absorption trench, Bed
or Pit I 0 Underground Dispersal I 0 Above Ground Dispersal ~ o Evapotranspiration 0 Wastewater Pond I 0 Sand Filter o Othe~r ~~======~~============~~========~========~--Water Source
& Type ;aWel! I 0 Spring I 0 Stream or Creek ~_Ci_st_er_n __________ 1 o Community Water System Name E fflu-e-nt-----Will Effluent be discharged directly into waters of the State? 0
Yes jif, No ~ --
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<· ,jJCERTIFICATION • Applica-nt acknowledges that the completeness 6fthe application is conditio-naiiipon such further : mandatory and additional test and reports as may be required
by the local health department to be , made and furnished by the applicant or by the local health department for purposed of the evaluation . of the application; and the issuance of
the permit is subject to such terms and conditions as deemed -necessary to insure compliance with rules and regulations made, information and reports submitted • herewith and required
to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of
health in evaluating the same for purposes of issuing the permit applied for herein . -further understand that any falsification or misrepresentation may result in the denial of the
• application or revocation of any permit granted based upon said application and legal action for perjury as provided by law. I hereby acknowledge that I have read and understand the
Notice and Certification above as well as ation which is correct and accurate to the best of my knowledge_ 9--:{D ---/2 7----~-Property Owner Date OFFICIAL USE ONLY Special Conditions:
~rmitF~6 :;rk Feeb6 sotalFees~ Fees Paid: '(!;---S eo Building Permit Septic Permit: Issue Date: Balan,eue: E?"f-11 -{p -/3 $ --BLOG DIV: ~~~~~ -/~ ~~3 /APPROVAL DATE ' ~ \O ' \P · ~
lG Garfield Coun~ J Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com SEWAGE DISPOSAL PERMIT CHECKLIST INDIVIDUAL
SEWAGE DISPOSAL SYSTEM (1505) APPLICATION CHECKLIST Permit applications can be obtained and submitted to the Garfield County Community Development Department at 108 8th Street, Suite
401, Glenwood Springs, Colorado. See below for additional information. All applications are required to be submitted in person. PERMIT APPLICATION & SUBMITTAL REQUIREMENTS: • Complete
application. • 1 Copy of a Site Plan that includes well, all streams, irrigation ditches, and any water courses. Draw in your house, septic tank & system, detached garages, and driveway.
If a change of location is necessary, you must submit a corrected drawing. • Engineered System will need copy of perk rate and design for our records prior to final inspection. FEES.
FEES ARE NOT REFUNDABLE Make Check payable to: "Garfield County Treasurer" • Septic Permit for a New installation ..................................................... $73.00 • Septic
Permit for alteration and/or repair .............................................. $73.00 • Septic Perk test ............................................................................
$100.00 ATTACHMENTS • Percolation Test Instructions • Recommended minimum requirements for Individual Sewage Disposal System (ISDS). FINAL INSPECTION • When all components are in place,
connected and ready to cover, request a final inspection by the County Inspector. • DO NOT backfill any part of the system prior to the inspection. • The initial fee covers the percolation
test and one (1) inspection before cover up. Any additional percolation test will be charged at $100.00 each and additional inspections will be charged at $50.00 each. • Upon final approval,
carefully cover the entire system. • Engineered Systems are inspected by the Engineer prior to backfill. A final sealed letter by the Engineer is required to be submitted to Garfield
County. (.'\ppIIC311t'S Copy)
PERCOLATION TEST INSTRUCTIONS • The successful operation of your septic system depends on the rate the soil in which your leach field will be installed will accept water. • THIS IS CRITICAL
If instructions are not followed completely, technician may not do the perk test and you will be charge a $50.00 fee for 2nd visit. • The rate of absorption is called the percolation
rate and it determines the size of the leach field needed for a particular flow of sewage and in some cases even determines the feasibility of the installation of a septic tank and leach
field system. • PERCOLATION TEST MUST BE DONE AT THE GROUND DEPTH WHERE ABSORPTION WILL TAKE PLACE. STANDARD LEACH FIELDS ARE INSTALLED THREE FEET DEEP, SO THE 3 PERCOLATION HOLES ARE
DUG FOUR FEET DEEP, AT LEAST 20 FEET APART, IN A TRIANGLE SHAPE. THE PERCOLATION TEST IS DONE IN THE BOTTOM ONE (1) FOOT OF THE HOLE. Post Hole Backhoe Hole ~\!r)." --=-!t\--IpJr----~I
(O~) "51 A posthole digger, auger or backhoe can be used to dig the percolation test holes. If a back hoe is used, dig the backhoe hole 3 feet deep, with 2 steps or a ramp. Put a test
hole 1-foot deep and 8 to 12 inches in diameter in the bottom. Installation of absorption areas (i.e. drywells) deeper than three 3 feet require the permission of the Environmental Health
Department. All dry wells shall be deSigned by an Engineer registered in the State of Colorado. Saturation with water will affect the percolation rate, and since the system will be expected
to operate when the soil is saturated with water, THE LOWER TEST HOLE MUST BE FILLED WITH WATER AT LEAST 8 HOURS BEFORE THE TEST AND ALLOWED TO STAND. More water will be needed to perform
the percolation test, so AT LEAST 5 GALLONS OF WATER PER HOLE SHOULD BE ON HAND WHEN THE TEST IS PERFORMED. AN 8 FOOT PROFILE HOLE IN THE LEACH FIELD AREA IS REQUIRED BY THE STATE OF
COLORADO TO DETERMINE THE PROXIMITY OF GROUND WATER AND BEDROCK. (One soil profile hole shall be dug to provide observation of the soil profile of the area of the soil absorption system.
The hole shall be prepared at least 8 feet deep. The hole may be terminated when ground water or bedrock is encountered. The hole shall be prepared in such a way as to provide identification
of the soil profile 4 feet below the bottom of the soil absorption system.) If ground water is found in any perk or profile hole, an engineered systems is required. Percolation rates
faster than 5 minutes per inch or slower than 60 minutes per inch require engineered system andl or Board of Health approval. (I\pplicant s Copy)
RECOMMENDED MINIMUM REQUIREMENTS FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS (JSDS) Before construction is started, the Inspector must be contacted for approval and detailed information concerning
the proposed disposal system is needed. Higher standards than those which follow may be required in individual cases to assure attainment of the objective. Those objectives are to locate,
construct and maintain individual sewage disposal systems in such a manner that existing or contemplated water supplies will not become contaminated and so that sewage will not overflow
the ground surface and result in a nuisance or health hazard. LIQUID CAPACITY OF TANK (GALLONS) (Provide for use of garbage grinder, automatic clothes washer and other water using household
applianoes). Number of Bedrooms . Recommended Minimum Tank Capacity 2 or less I I -----750 gallons. ... ! -----3 or less .. ------------. ._1.,()QOgallons ----_.. . 4 or less --------.
.J,2,5Q.91jllons -------For each additional bedroom, add i 250 gallons Dwelling on less than two acres, areas of high water tables, or areas with a percolation test rate faster than
1" in 5 minutes must have alternative sewage facilities, i.e., central collection, holding tanks, individual treatment, etc. EXEMPTION: Absorption areas may be allowed with percolation
rates faster than one (1) inch in five (5) minutes provided the soil is a sandy texture and no water table problems are encountered. An Engineer is required. Slopes greater than 30%
also require an Engineered System. 1. Maximum length of drainage line: .. IJOO.li~earfe?t • 0."_ ••• .,., '_--, .. _-.. __ . 2. Minimum width of drainage trench: 118 inches 3. Minimum
spacinq between trenches or pipes: 6 feet 4. Maximum qrade of drainaqe system: l.~iJ~v~Las Jl.o_s§ipl~"" , ... " ... ....• " ... 5. Minimum depth rock under drain PVC: I 6"underPVC;]
over PVC ... 6, Minimum depth of cover over distribution lines: • 12 inches 7. Maximum depth of cover over distribution lines: I'v'<lriable ... '......_ .... ". ----, -. 8. Minimum grade
of house sewer: 11/8 to %" per linear ft 9. M'lnimum distance of sewage disposal system from dwelling: · 20 feet . ... 10. Minimum distance of septic tank from dwelling: ISfeet .. -----._---,,_.
---'"'' -----'" .... 11. Minimum distance of leaching area to a well: LT66ieei ~tv1inimum distance of. .s eptic tank to a well: ,, ___. . --_._---· 50 feet 13. Minimum distance of leaching
area to a stream of water course: · 50 feet ... _ .... -.",. 14. Minimum distance from septic tank and disposal field to property lines: fi'Oieetfordiywell' ...... : 1 0 feet for leach
field. 15. Minimum sewerJliJl.e and distribution pipe: 14 inch diameter • Septic tank construction should be of concrete, concrete block or of a material that will resist deterioration
and which can be made reasonable watertight • Acceptable drain field pipe materials include plastic, terra cotta or concrete. If the house sewer line is longer than 10 feet between house
and septic tank, a clean-out Y should.!>e installed outside as near as practical to the house. • Septic tanks should be inspected once a year and cleaned when necessary. Cleaning is
recommended when space between the scum accumulation and sludge residue on the tank bottom is less than eighteen (18) inches. • The Department recommends pumping a septic tank once every
four (4) years, when a yearly inspection by the owner is not practical. (Applicants Copy)