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HomeMy WebLinkAboutApplication.pdflak 4es-6 03 gYLeiAui_s -S-4,eruvy ASIrt.:4 bc) _(_)c)c% GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 4 22 6 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Namel tY - r S4-111 p. -n Present Address l moi. 11 - System Location Assessor's Parcel No. This does not constitute a building or use permit. 5 / PhoneJCl _ a� INVz _ tit Legal Description of Assessor's Parcel No Z--1 - t - .51D2--- C) Q - JQ 9 SYSTEM DESIGN Septic Tank Capacity (gallon) Other Percolation Rate (minutes/inch) 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 /} %/f� �' �/ �y� Date a3 _ Inspector I 64,1)§,a f . %t /Rf - RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE .31a. -C -!/' D *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 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER Steven and Cynthia Tanis ADDRESS P 0 Box 551 Rifle, CO 81650 PHONE 379-0365 or 625-8032 CONTRACTOR Tapestry Builders ADDRESS P 0 Box 6065 Battlement Mesa 81636 PHONE 285-0398 or 250-3449 PERMIT REQUEST FOR ( ) NEW INSTALLATION ( ) 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 Rifle Size of Lot Legal Description or Address Parcel 3 WASTES TYPE: 11.4 acres McKee Subdivision Exemption (xQ DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER -DESCRIBE BUILDING OR SERVICE TYPE: Number of Bedrooms 3 Number of Persons (X) Garbage Grinder (x) Automatic Washer (X) 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: Was an effort made to connect to the Community System? 2 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( FINAL DISPOSAL BY: ABSORPTION TRENCH, BED OR PIT UNDERGROUND DISPERSAL ABOVE GROUND DISPERSAL OTHER -DESCRIBE AERATION PLANT COMPOSTING TOILET INCINERATION TOILET OTHER -DESCRIBE VAULT RECYCLING, POTABLE USE RECYCLING, OTHER USE ( ) EVAPOTRANSPIRATION ( ) SAND FILTER ( ) WASTEWATER POND WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ti 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 famished 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 ;,, egal action for perjury as provided by law. Signed Date PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 7 T -MANIFOLD Distribution scheme for 2 Trench system layout. The manifold is to be level at each T Group, to promote even fluid ftod to the trenches. OUTFALL LINE - 4'0 Standard PVC Pipe Not Perforated and Minimize Pipe Bends. Min, Grade - QRZ Max, Grade - L•FG 6' Minimum SEPTIC TANK to FIELD 10' Minimum HOUSE to SEPTIC TANK PLOT PLAN RESIDENCE Living Area 2944 sq.ft. HAS NOT BEEN PREPARED. Drawing to be determined. Reissued When Plot layout is Mln. 71' ran! an!_ =PROPOSED FIELD I REPAIR AREA e r N PRECAST SEPTIC TANK \ Cap the ends of all distribution pipes. 1000 GAL, CAPACITY, n n. 4'0 PVC DISTRIBUTION PIPE Must have 2' of Gravel Cover. ORIGINAL GROUND SURFACE - 3 min FILTER FABRIC for SEPARATION. Non -Woven, minimum Grab Strength of 120 lbs. such as Amoco 4547, Contech C-5ONW or Miraf 1 140N. 12' Thick 'TOPSOIL' Do not tightly compact, Plant with grass, lightly irrigate. 3 min -j„ 1'ORIGINAL GROUND SURFACE Each Trench to be 36' wide, 30' deep and 71' long. 3 3 6' 3 3 FREE WATER TABLE a eater Than 10 feet, 6-21-2006 SPECIFICATIONS: - Traffic compact the trench gravel & imported silty sand to at least 8596 of Maximum Standard Proctor, ASTM D-698 or 'water settle' the sands, prior to placing the screened grovel and distribution piping. - Bottom of trenches to be graded to 0.04%, away from the distribution pipe. - Soil type & conditions must be the same across the trenches and is to be confirmed by the Design Engineer. - Do not compact or smear the native soils in the trenches during the excavation and installation process. - Outfall lines from the house and the septic tank to be 4" dia. PVC. - Perforated pipes to be 4" dia. and placed with the perforations down (5 & 7 o'clock positions). - Sand Filter to be a Clean, Coarse Sand, Effective Size between 0.25 & 0.6 mm & Cu = 4.0 or less. - Screened/Washed Gravel to be placed around the Piping, Minimum 2" cover on Sides and Base. - Cover the Sand Bed & Gravel with Filter Fabric, Nonwoven, min. Grab Strength of 120 lbs. Use Amoco 4547, Contech C-50NW, Mirafi 140N, or equal. - System to be inspected by Design Engineer at: 1) bottom excavation, 2) bottom sand, gravel & pipe in-place, 3) silty sand in-place & 4) final. - Final Surface to drain water off and away from the mound/bed/trench area. - Gravel and silty sand to be graded to meet the following criteria: Screened or Washed Gravel Silty Sand Suggested, Others may Work,. Sieve 3/4" 100% passing Sieve 1/2" 100% passing #4 1% passing #4 7096 - 100% #10 20%-60% #40 8%-30% #100 2%-20% #200 0 % - 696 DATA: - Building 3 Bedrooms @ 150gal/day/bdrm = 450 gal/day AVERAGE SEWAGE FLOW = 450 gal/day 1.5 S.F. for MAXIMUM SEWAGE FLOW = 675 gal/day Increase Area - washing machine (40 %) = 180 gal/day & garbage disposal (20 %) = 90 gal/day MAXIMUM FLOW for Design = 945 gal/day - Septic Tank 1.25 X 675 gal/day = 844 gal/day Septic Tank to be 1000 gal. capacity, min. - For Design, Use PERCOLATION RATE of 5 min/inch Design will Require a 24" Thick Sand Filter Bed Beneath the Piping and The Screened/Washed Rock Pipe Cover. - Absorption Area A=(945 X 2.236)/5 = 423 sq.ft. use 2 - 3 ft. wide trenches (422/3)/2 = 71 ft/trench ENGINEERS' CERTIFICATE: I HEREBY CERTIFY THAT THIS SEWAGE5F-WALE_EIELLLQUI.21 WAS PREPARED BY ME or UNDER MY DIRECT SUPERVISION. By. " N: 30590 EDWARD M. MORRIS, Registered Professional Engineer State of Colorado - Number 30590 SEWAGE FIELD DESIGN — TANIS RESIDENCE Parcel 3, McKEE Sub. 317 CR, RIFLE, COLO. TAPESTRY CONSTRUCTION, Battlement Mesa, CO. GRAND JUNCTION LINCOLN DeVORE 1441 MOTOR STREET GRAND JCT., COLORADO 970-242-8968 (fax 970-242-1561) • 92503 -GJ DRAWN er: E. M. MORRIS SCAU: PLAN - 1"=40' SR EE1 6 1 DAT[ 8-8-2006 a ED ar.E. M. MORRIS FlRE 925031S0S REV. May 25 07 04:03p Witt/Tapestry 9702857596 p.2 p.1 May 25 07 03:11p 6 .1 Lincoln-DeVore Inc. (9701 242-1551 GRANT) .1UUNCTI0N LINCOLN - 1)cVOIt1L, Inc. GK(rro l IN I( 411. EN( 1 NEEI4? • 11K(11,11G:1M.: I .1.11 .71oe)/- SI. /rind Jun et in*. (A 7 R I SDS May 25, 2007 Tapestry Builders P.O. Box 6065 Battlement Mesa, CO 81636 Rc: Residential Sewage Disposal System (ISM) Tanis Residence, 410 County Road 317, Rifle, CO TE1.: 1971)1 >L' WHOt t1tX: 19701 ].I2-151.1 Gentlemen: Pcrsannel of Grand Junction Lincoln DcVore observed the mostly constructed but not backfilled Individual Sewage Disposal System at the above -referenced site on October 16, 2006. The system was observed utilizing the sewage field design prepared by Grand Junction Lioaeoln DeVore, Job #92503-Gi, dated August 8, 2006. The excavation for the piping and tranches encountered silty sands with gravels. and some sandy clays, similar to those described in tht Report of Subsurface Soils Exploration and the soils that were tested for a soil percolation rate. The soils in lite bottom of the trenches were somewhat sandier, containing less clay, than those described in the soil profile log for soil percolation teeing at this depth. The soils were observed to be slightly loosened by thee xeavation process but were not "smeared" or excessively compacted, neither on the base nor on the trench sides. The sou Is observed during our observation on October 16,2006 appeared to fit the design parameters and our findings during the ensile percolation testing, Basal upon aur observations, no modifications to the sewage Geld design performed by Grand Junction Lincoln DeVore are required as of the date of our observations. It is believed that all pertinent points have been addiesxed. If any farther questions arise regarding this project, or if we can be of any further assistance, please do not hesitate to contact this office at any time. Respectfully submitted, GRAND JUNCTION LINCOLN DeVORE, INC. by: Edward M. ams. P. Principal Engineer GJLD Mb No. 92503•G I E. paapQ • 0 30590 N: