HomeMy WebLinkAboutApplication.pdfc:e; Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com INDIVIDUAL SEWAGE DISPOSAL SYSTEM (1505)
PERMIT APPLICATION , ------~--------------------------------------------------------------, I TYPE OF CONSTRUCTION ! TI~\IJ InstaiJation ______ .__ i [J Alte~ation • Repair i WASTE TYPE
=-'----~----I i. Dwelling i ° Transient Use I ° C-.:o:.:.m:.:.m=/loo:n"'d.::u"'s.t r." 'ia:.I ___. ..l..-'O=.....:.N-".o. .n. .-.: :D.:o"'m",e::s:::ti.::c ___ -: L~ Ot~er D~scribe Contractor
Office Restroom =:J iiNVOlVED PARTi~----~-···-··-·---··--·······----··· I' P~ro-pe-rt~y ~Ow-n-er~: ~Bil~l S-pir-es-C-on-ta-ct: -B-re-nd-a Z-eg-ar-sk-i ~-------P-ho-ne~: ~--~~~~~~----~
(970 )4855963 I Mailing Address,,".:: =================:============:.. I -: Contractor: Phone: ( __ ), ______ _ j Mailing Address: ______________________________ _ , ,i Engineer: High
county Engineering, Inc. i Mailing Address: meal@hceng.com I I PROJECTNAME AND lOCATION· Phone: (~)..:9"'458::.:6::.76=_ ___ ~ i Job Address: 1650 CR 240 Glenwood Springs I! I Assessor's
Parcel Number: 2123-343-00-078 Sub. _________ lot --~ Block --I Building or Service Type: Residential Commercial IIBedrooms: 3 Garbage Grinder 1L.. I i ! I Distance to Nearest Community
Sewer System: .9." -r"'e"'al"'e"r..,I'-!ha"n"--'1::.m=iI"'e ___________ I Was an effort made to connect to the Community Sewer System' No Type of ISDS l • se~~'cTankl~eration PI~~ [J
Vault .1 [J va~.J . [J ~Il1Postll1g Toilet ~ ! [J Recycling, Potable Use j 0 Recycling I 0 Pit Privy ! D Incineration Toilet o ChemfcaIToillrt----1 0 Other --' L.. ____________ -----~--Ground
Conditions Depth to l·E Ground water table I Percent Ground Slope Final Disposal by • Absorption trench, Bed or Pit I 0 Underground Dispersal ! D Above Ground Dispersal I I ' . , ---I
: 0 EvapOtranspiration I [J Wastewater Pond fDSand Filter " ! CJ Other =-1 [Water Source & Type l. Well L~.. ....~ -,,-,,=--I~_~tream or cre~ ',[J CIStern I i I 0 Community Water System
Name I \ Effluent -or Will Effi.~.:t~~disCha-r-ge~~!rectIY into_ ~aters of the state?----oy~-. ~~_ __~ ~J
Nov 12 13 08 :39a Bill Spires 7203795025 p.2 CERTIFICATION ApPlicant acknowledges th,ii'the-compieteness ofthe-. -pplication is conditlonai"iipo'ri'sLlchfurther ---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 evo luation 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 2nd reports
submitted · herewith and required to be submitted by the applicant are or will be represented to be t rue 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. I : fu rther understand that any falsification or misrepresen
tation may re sult in the denial of the : application or revoca tion of any permit granted based upon said application and legal action for perjury · as provided by iaw. I hereby acknowledge
that I have read and understand the Notice and Certification above as well as have provided the required information wnich is correct and accurate to the best of my knowledge. Ud;'"",(lJ;"
c:" r xk.~ /I~/I-/J Property Owne-;;?rint and Sign Date OFFICIAL USE ONLY Special Conditions: -,;: . Penn" Fee: 73. (/fJ. Perk Fee: Total Fee !>: ["[vCi . 7:8.00 ~~ cP Building Permit
Septic Permit: Issue Date~ ~DC50 I::>E?\-~-o::J I \ . \ ':). -\'?:::, BLDG DtV; ~ 1/):z.j'/'5 ; j APPROVAL DATE , ~ V~6.. \j\~
ce; Garfield County Community Development Department IDS Sth Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com SEWAGE DISPOSAL PERMIT CHECKLIST INDIVIDUAL
SEWAGE DISPOSAL SYSTEM (1505) . APPLICATION CHECKLIST Permit applications can be obtained and submitted to the Gartield 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 ATIACHMENTS • 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. (Applicant'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 BiI&kbg~ HQI~ ~'!D.II !i\ p-'5>tep D'f.
~I (O~J ~/() ~\ ~ I I li~~~l'~1 wJ~( f. 8"-1).11 I deep J v ---\OO1f( (I Ii." fa 11'1 I ' I-!!~ .J 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 (Le. 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. (Applicant's Copy)