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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Permit
4225
Assessor's Parcel No.
This does not constitute
a building or use permit.
s , (p Ce, �' S7 Co- s/oz
Owner's Nameiv ��� 1—DP Address ) one
System Location 1 t S(L) ( R 3G,‘
Legal Description of Assessor's Parcel No .79'--)90-0O-(00
SYSTEM DESIGN
Septic Tank Capac Other
Percolation Rate (mi • - h) Number of Bedrooms (or other)
Required Absorption Area - See Attached
Special Setback Requirements:
Date Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer
Septic Tank Capacity
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other
(gallon)
Date -5—'3v—°9— Inspector U iL �oqe Cmqmeer)
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 1-!
*CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter
25, Article 10 C.R.S. 1973, Revised 1984.
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con-
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a
requirement of the permit and cause for both legal action and revocation of the permit.
3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves 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).
White - APPLICANT Yellow - DEPARTMENT
OWNER
ADDRESS
" INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
+ J :2,, ,1. &eLC/V'
I l .h 6 c. R. 352 -
CONTRACTOR
52
CONTRACTOR C,4),€ ({i� F,4/49,A /
PHONE C/'7 0 511OF
ADDRESS cos -c/ c P
PERMIT REQUEST FOR (4) NEW INSTALLATION
PHONE ?7
( ) ALTERATION ( ) REPAIR
Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable
building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4).
LOCATION OF PROPOSED FACILITY:
Near what City of Town R. ,` f ` -C CO Size of Lot / Sce,(--
Legal Description or Address / / ,.6- 6: C k - ;'� � /4,? ��'l� C C)
WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE
(X) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER—DESCRIBE
BUILDING OR SERVICE TYPE: G -Cf =, r e / S -h vg
Number of Bedrooms Number of Persons / — /F
( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /ice / p),
Was an effort made to connect to the Community System? N 0
A site plan is required to be submitted that indicates the following MINIMUM distances:
Leach Field to Well: 100 feet
Septic Tank to Well: 50 feet
Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet
Septic System (septic tank & disposal field) to Property Lines: 10 feet
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT
A SITE PLAN.
GROUND CONDITIONS:
Depth to first Ground Water Table
Percent Ground Slope
2
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
SEPTIC TANK
VAULT PRIVY
PIT PRIVY
CHEMICAL TOILET( )
( ) AERATION PLANT
( ) COMPOSTING TOILET
( ) INCINERATION TOILET
OTHER -DESCRIBE
FINAL DISPOSAL BY:
( ABSORPTION TRENCH, BED OR PIT
( ) UNDERGROUND DISPERSAL
( ) ABOVE GROUND DISPERSAL
( ) OTHER -DESCRIBE
VAULT
RECYCLING, POTABLE USE
RECYCLING, OTHER USE
( ) EVAPOTRANSPIRATION
( ) SAND FILTER
( ) WASTEWATER POND
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? /1/ 0
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the
Percolation Test)
Minutes per inch in hole No. 1 Minutes per inch in hole No. 3
Minutes per inch in hole No. 2 Minutes per inch in hole No. _
Name, address and telephone of RPE who made soil absorption tests:
Name, address and telephone of RPE responsible for design of the system:
Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and
additional tests 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. I 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 in legal action for perjury as provided by law.
Signed Ue1<-6
- Date F_ -0 6
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
CIVIL ENGINEERING
May 23, 2007
An Employee -Owned Company.
Andy Schwaller
Garfield County Environmental Health
108 8th Street, Suite 201
Glenwood Springs, CO 81601
Re: Elder Property
HCE Project Number 2061010.00
Dear Andy:
LAND SURVEYING
RECEIVED
MAY 3 0 2007
LD ,.'OUNTY
uviLDING & PLANNING
The following letter is to confirm the engineer's acceptance of the designed septic system of the
Elder property, 1156 CR 352, Rifle Co 81650. The design included a 1,000 gallon septic tank, and
bed system. A 1,500 gallon septic tank was installed instead of the 1,000 gallon septic tank, and
the bed system configuration was moved about 165 feet south and rotated per site conditions per
the attached as built drawings. The pond was re -located as well to best fit the topography and
maintain the 50' setback distance from the field. All of the inspection wells, infiltrators,
manifolds, and cleanouts were inspected and were installed satisfactory.
With the above noted changes, the system has been completed with the intent of the original
design.
If you have any questions, or need additional information, please contact us.
Sincerely,
HIGH COUNTRY ENG . ' V ' 1 G, INC.
oger ► eal
Se Project Manager
1517 BLAKE AVENUE, SUITE 1 01
GLENWOOD SPRINGS, CO 81601
970-945-8676 • PHONE
970-945-2555 • FAX
WWW 1-IrFNr rnU
14 INVERNESS DRIVE EAST, SUITE F-120
ENGLEWOOD, CO 80112
303-925-0544 • PHONE
303-925-0547 •FAX
High Country Engineering, Inc.
1517 Blake Avenue, Suite 101
Glenwood Springs, CO 81601
(970) 945-8676
Field Report
Conditions: /° l/oupY
Project Name: fi_ckt /� ,nuc. t5n 5
Project Number: dao /o/o. en
Contractor:
Subcontractor: PA
Report Prepared By: 7Z0
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High Country Engineering, Inc.
1517 Blake Avenue, Suite 101
Glenwood Springs, CO 81601
(970) 945-8676
Field Report
Conditions:
Project Name: jictr_ / nos
Project Number: /O / U, oo
Contractor: r
Fj Date: A2,5%
Subcontractor:
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100 LF OF 4" PVC
0 2% MINIMUM GRADE
PROPOSED CLEANOUT
100 LF OF 4" PVC
0 2% MINIMUM GRADE
co 0 0
ic=aco�td/
oDo
1R6POSEDLf GALLON
SEPTIC TANK WITH BAFFLE
Gni G ?
rThi
PROPOSED BED SYSTEM_\i
EXISTING
RESIDENCE
1
44'
47 LF OF 4" PVC
10 2% MINIMUM GRADE
50' MINIMUM
PROPOSED RETE
SECTIONS 20 & 21, TOWNSHIP 8 5, RANGE 83 W, 6TH P.M.
CONTRACTOR TO VERIFY SETBACKS
FROM ADJACENT PROPERTY
MINIFY MAP
SCALE: 1" — 2000'
PROPERTY BOUNDARY
EXISTING
RESIDENCE RESIDENCE
2
CEIERAL NOTES
I. ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE GARFIELD COUNTY
AND THE CDPHE REGULATIONS OF INDIVIDUAL SEWAGE DISPOSAL SYSTEMS,
EVEN THOUGH ALL SUCH REQUIREMENTS ARE NOT SPECIFICALLY NOTED ON
THE DRAWINGS. THE CONTRACTOR SHALL BE RESPONSIBLE FOR SUCH
SPECIFIC DETAILS AS ARE REFERRED TO IN THE ABOVE MENTIONED REGULATIONS.
UKELY CONFIGURATION FOR THE PROPOSED RESTROOM FACILITIES.
OPTION ONE:
4 8-1-1OUR SHIFTS FOR ONE FACTORY AND
2 8—HOUR SHIFTS FOR ONE OFFICE BUILDING
PER CDPHE GUIDELINES FOR COMMERCIAL CONFIGURATION,
THE AVERAGE FLOW 15 170 GALLONS PER DAY
OPTION TWO:
3 BEDROOM SINGLE FAMILY RESIDENCE WITH
2 PERSONS PER BEDROOM
PER CDPHE GUIDELINES,
THE AVERAGE FLOW 15 450 GALLONS PER DAY.
OPTION TWO WAS USED DUE TO THE HIGHER FACTOR OF SAFETY
THEREFORE, THE AVERAGE DAILY FLOW EQUALS 300 GPD
DESIGN FLOW = 1.5 * AVERAGE = 675 GPD (Q)
SEPTIC TANK SIZING
0 * 1 DAY/24 HRS * 30 HRS = 844 GALLONS
INSTALL ONE 1000—GALLON TANK WITH BAFFLES
INFILTRATION TRENCH SIZING
A = Q „fT Q=MAXIMUM FLOW
t=PERCOLATION RATE = 27 min./in.
675 5- = 702 SF'
3, CLEAN OUTS ARE REQUIRED AT ALL BENDS AND AT LEAST EVERY 100
FEET ALONG THE HOUSE SEWER.
4. THE CONTRACTOR SHALL BE RESPONSIBLE FOR INSTALLING ALL
WATER TIGHT COMPONENTS, PRIOR TO THE ABSORPTION AREA,
5. TOPSOIL COVER MAY BE VARIED (WITH 1 FOOT MINIMUM) TO ALLOW
LANDSCAPING,
6. INSTALL RISERS AS NECESSARY TO BRING
WITHIN ONE—HALF FOOT OF FINAL GRADE
7. LOCATIONS OF ALL COMPONENTS MAY BE
AS ALL MINIMUM DISTANCES AND SLOPES
ALL ACCESS POINTS TO
OR HIGHER FOR INSPECTION WELLS.
VARIED AS NECESSARY AS LONG
MEET THOSE REQUIRED.
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C7
r
5630 -----
5 /3 Cr
26 LF OF 4" PVC
—PROPOSED
WAREHOUSE
& OFFICE
PROPOSED
TRUCKWASH
& BARN
1,500 GALLON
SEPTIC TANK WITH BAFFLE
5 )
8. PROVIDE POSITIVE DRAINAGE OF SURFACE WATER AWAY FROM ABSORPTION
FIELD AREA USING DRAINAGE SWALES AS NECESSARY.
9, SOILS AND PERCOLATION INFORMATION PROVIDED BY H,P GEOTECH, INC.,
JOB NO. 105 694, DATED AUGUST 31, 2005.
10. 11H15 DRAWING DOES NOT CONSTITUTE AN ISDS PERMIT. PERMIT MUST BE
OBTAINED FROM APPROPRIATE CITY OR COUNTY OFFICIALS.
ENGINEER MUST OBSERVE CONSTRUCTED SYSTEM BEFORE BACKFILL
11. THIS SYSTEM IS SIZED FOR TYPICAL DOMESTIC WASTES ONLY. BACKWASH
OR FLUSHING FLOWS FOR REVERSE OSMOSIS UNITS OR WATER SOFTENERS
OR FILTERS SHOULD NOT BE INTRODUCED INTO THIS SYSTEM.
12. SITE PLAN INFORMATION FROM CLIENT,
13. THE ENGINEER SHALL BE CONTACTED FOR SITE INSPECTION PRIOR TO
BACKFILLING OF SYSTEM COMPONENTS.
14, THIS SYSTEM IS DESIGNED FOR TYPICAL DOMESTIC WASTES ONLY. THE
OWNER IS RESPONSIBLE FOR TIGHT PLUMBING FIXTURES. I.E. HISSING
TOILETS AND RUNNING WATER IS NOT ACCEPTABLE AND MAY OVERLOAD THE
15. HIGH COUNTRY ENGINEERING RECOMMENDS CONCRETE SEPTIC TANKS
OR FIBERGLASS EQUIVALENT.
16, THE ISDS SHALL BE LOCATED MORE THAN 100' FROM ALL EXISTING WELLS.
17. CONTRACTOR TO VERIFY SETBACK.
REMOVABLE CAP
4 — 1/2"0 HOLES
SOLID CAP FOR —
SUPPORT @ BOTTOM
OF TRENCH OR BED
(BOTTOM OF SAND)
SCHEDULE 40 PVC
COUPLING
PERFORATED PIPE
WRAPPED WITH
FILTER FABRIC
COMBINATION AIR VENT &
INSPECTION WELL DETAIL
N.T.S.
Cp
9,c9)(--cf
-64.0 yr f
PROPOSED BED SYSTE
44, .....,44016cri'4P•
s'„
moi..
162 LF OF 4" PVC
56'
RETENTION
POND
GRAPHIC SCALE
( IN FEET )
1 inch = 30 ft.
TABLE II
TABLE OF MINIMUM HORIZONTAL DISTANCES IN
FEET BETWEEN COMPONENTS OF A SEWAGE DISPOSAL SYSTEM
AND PERTINENT PHYSICAL FEATURES
Sip r T K
RECORD DRAWING
5/30/07
THIS RECORD DRAWING HAS BEEN PREPARED BASED ON INFORMATION
SUBMITTED, IN PART, BY OTHERS, WHILE THIS INFORMATION 15 BELIEVED
TO BE RELIABLE, THE ENGINEER 15 NOT RESPONSIBLE FOR ITS ACCURACY,
NOR FOR ERRORS OR OMISSIONS WHICH MAY HAVE BEEN INCORPORATED INTO
THIS DOCUMENT AS A RESULT.
REMOVABLE PVC CAP—
INSTALL MARKER IF CAP
IS TO BE BURIED
FINISH GRADE
4' SEWER LINE
A
44'
GLEAN OUT
ASSEMBLY
SEWER CLEAN OUT DETAIL
N.T.S.
EDGE OF GRAVEL
INSTALL INSPECTION WELL.
INSTALL INS19ECTION WELL
3' MAX.
A
BACKFILL
—I' MIN.
BED PLAN
N.T.5,
DRAINAGE TRENCH AROUND—
HIGH SIDES OF BED
—INSPECTION WELL
WITH AIR TIGHT CAP
FILTER FABRIC
`y
Cit_ Q'7'
00000 00
3,
4.5' -
PERFORATED
1 1/2" SCREENED ROCK) 4"0 PIPE (TYP.)
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N.T.S.
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2061'
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Spring,
Wells,
Suction
Lines
Drinking
Water Supply
Line (1)
Drinking Water
Supply Cistern
Dwelling
Occupied
Building
Property Lines, drain
tides, Piped, Lined
or IntermittentCourse,
Irrigation Ditch
Lake, Water
Irrigation
Ditch or Stream
Dry Gulches
Septic Tank
Absorption Trench,
Seepage Bed, Sand
Filter, Sub -surface
25
25
20
10
6
Dispersal System or
100
50)
25)
Orywetl
Seepage Pit
100 (2)
50
25
20
25
(2)
50
(2)
25
6
Lined
Evaportranspiration
Field or Lined
60
10
25
15
10
25
10
5
Wastewater Pool
Unlined or Partially
Lined
Evapotranspiration
System Wastewater
25
25
15
1t?
25
15
10
Pond, or Surface
100
Disposal System Other
than Aerosol
Lined Sand Fitter
60
10
25
15 -
10
I
25
10 _
5
Unlined Sand in 5011
With a Perc Rate
Slower than 60
minutes per inch
(2)
100
25
25
15
10
25
15
10
Dispersal System Using
(2)
(2)
(2)
Aerosol Method
100
10
50
125
10
25
10
10
Vault Privy
50
10
25
15
10
25
10
-
Septic Tanks,
Treatment Plants,
50
10
25
5
10
50
10
-
Dosing Tanks, Vaults
Building Sewer or
50
10
25
0
10
50
10
-
Effluent Lines (1)
Sip r T K
RECORD DRAWING
5/30/07
THIS RECORD DRAWING HAS BEEN PREPARED BASED ON INFORMATION
SUBMITTED, IN PART, BY OTHERS, WHILE THIS INFORMATION 15 BELIEVED
TO BE RELIABLE, THE ENGINEER 15 NOT RESPONSIBLE FOR ITS ACCURACY,
NOR FOR ERRORS OR OMISSIONS WHICH MAY HAVE BEEN INCORPORATED INTO
THIS DOCUMENT AS A RESULT.
REMOVABLE PVC CAP—
INSTALL MARKER IF CAP
IS TO BE BURIED
FINISH GRADE
4' SEWER LINE
A
44'
GLEAN OUT
ASSEMBLY
SEWER CLEAN OUT DETAIL
N.T.S.
EDGE OF GRAVEL
INSTALL INSPECTION WELL.
INSTALL INS19ECTION WELL
3' MAX.
A
BACKFILL
—I' MIN.
BED PLAN
N.T.5,
DRAINAGE TRENCH AROUND—
HIGH SIDES OF BED
—INSPECTION WELL
WITH AIR TIGHT CAP
FILTER FABRIC
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Cit_ Q'7'
00000 00
3,
4.5' -
PERFORATED
1 1/2" SCREENED ROCK) 4"0 PIPE (TYP.)
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