HomeMy WebLinkAboutSP-3775/�o2 t((Q5 [ Cita
- r•
CQ
l
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit Nr_ 3775
Assessor's Parcel No.
J
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
1
Owner's Name
4,
i System Location
This does not constitute
a building or use permit.
0 I -NW 4' , 11"' 'Present Address // rCoaswr y (4b N.ede nod° • C • 4.2 1114
6/S-3aor
330 CI. (GO C orbotq ace 62/4)..1
Legal Description of Assessor's Parcel No
4 SYSTEM DESIGN
02391 —1g/- 50- oac0
0 /I $3
Septic Tank Capacity (gallon) Other
Percolation Rate (minutes/inch) Number of Bedrooms (or other)
Required Absorption Area - See Attached ���
V 4���` C. ` 'T
Setback Reauirements: YYYY 1 M FAIT—
Special
4 o
ysTsi'1.
Date Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer
Septic Tank Capacity
e
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
III Cs /I ;1-1-13 /-/-40
Other Rnci , T"' )4044-
'7am
Date Inspector / - 3 0 ` 03
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
•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 opstructures not approved by the Building and Zoning office shall automatically be aviolation ora
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 1, Petty Offense (8500.00 fine — 6
months in jail or both).
While - APPLICANT Yellow - DEPARTMENT
}
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER 44/' ` AI Ni/ ha An
Eamon, /V Cnno/'eN
ADDRESS //, (Dm � y Clu b Prk f .27,32- PHONE
CONTRACTOR (.o4:,, 5 (n4D`/'Gct i ah
ADDRESS qS 7SS lily .0 OW ONWI eo° 11.5 PHONEp/i V -O
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 Cii IOriIOr L E Size of Lot 251.6 ,q ,
Legal Description or Address /,/,Net/ asrCOvofy IV Covn/y R✓ /03 1nk/wcf%on
WASTES TYPE:
(jQ DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER—DESCRIBE
BUILDING OR SERVICE TYPE: Ave //1nd /t5(
Number of Bedrooms c2N Number of Persons Z
Qpl Garbage Grinder (, Automatic Washer (X) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (,'Q WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 37 r:/es
Was an effort made to connect to the Community System?
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 ( ) AERATION PLANT ( ) VAULT
( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE
( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE
( ) CHEMICAL TOILET( ) OTHER -DESCRIBE
FINAL DISPOSAL BY:
( ) ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION
(C) UNDERGROUND DISPERSAL ( ) SAND FILTER
( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OTHER -DESCRIBE
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? /10
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 Date //�6�� 2
PLEAS ACCURATE MAP TO YOUR PROPERTY.(!
3
-c
C
-c
s
4 `
a Q, - ii V
stel
1
i
;fair art
, r
7,d�r�9 71c159/yLc�
a
sro
-4 NJ
a,
ft0 ,
t
k
^St
� c.
�>.
3-
•t;
f te/
®!%;
c‘..\
\Q|
\ ,
rin \- 4.9%
\\ @4 t�
-5-11'71i--t
\�
QQ} .�
"2°
7
_/ ../ ' \ m
Z
Arg - /1/
Z
,
•� _ \
24 3
�% /-,( §
x
;
/1./ \
,
5--5-___,\%
.maw <
ƒoc �� \\
\Fc iZ
2� +
ƒ\ / ■ % }
17 2 IL CD
$\e ` 4 N^
z
_
a
Z
N (4m D AAD
yr Mir In
D 2 -OLy paw 2
mm rgr
m0mr0
D> _0X20 NOW "9 1•10C >9
1_ g N� -Oo O a,2
I_I'�V•� yy Z02 'A AA N
D 0 2 V CO nazis
N r0`f-1- r O 0-010 N0
op r,Z�NO QI ULI ,2S
t.
Oy ,1-..r I<, ONm_1
Z C01An~ 'ML MN Zr2-s2
4 2 'MAN <r
yy�JC m.1 S Np
4N •OO mmDCr
.. =12
m<\ mo mmrm
nos'
y
> p_FI fDi�.11OO f
z O Z-Um(01
NE± I -t -mm O
9Z . , mppm
-room
0> 0 4 • OnAJ�n
-yTIm O $ m(r-r(
pFm O 0 -
D€O-i
C N -trim'
▪ Q<n°Am
•
- cri.,
D ,Om �m z n
� _ >ma
H NECo
Dgxy
1n 9
.11 In
m
3
3
1
x
TWOS DIHdVHC
NTRY ENGINEERING, INC.
SIE 101 14 NVBIESS DRIVE EAST, STE D136
3. CO 81601 ENOLEWCOD, CO 801Q
111(3010 925-0554
FX(DW) 925-0547
DES. DJW
NO.
DATE
REVISION
DR. DJW
CK. RDN
5/30/03
REVISE FOR 3 BEDROOM HOUSE
DATE 5/22/03
FILE: 22HOGAN
re)
m
J m
mo
00 02 0 0m 0002 m z
mor x0 C2 A0 D 0_ 02
0>r N0 m2 r ND
pOpK ro < Om >0
Z'1m y4 1 -Ry 0-4�p2 -1 •tT
>0 mia D2 r- mpg Z1' 1 r ~Or
Oro n2 0Q1 OD D N mN
DAO Ann N=' -4100 Drn
o 0 D nm
rC y m0 <O - r y
yy -.Z A DM 2 0
QQ# -0 oo22-4 p02 <0X -A D0 p0 Cm
>21. 2m nZ Z0 8 y AL 0
N r'1 t O O 2
YCN Km on ± Z 0 �
02 p2 ZCO m
i> 00 <0 m F C 00 2
r r Am - A .1>>D Z
0- 0 n> m0 JC m Am 2
0123 Or
00fn O 2 D D
C 02
110 9n 0 O 'nDC
20 m
0~ AX 204 1An 0S.
m~- T p>> m
02 coD DO 0 • 20 <
n < AR < 0z m
mmm y m a o n•Z
Zr n0 N0 0 A • mA 41
Sm 2
to D2A
0
m ->ypp 1' -00
12
N 00 23� m =N
DO •
m4 O • DD
0 MO -IPI
OAO >
2
m
1IVNS SlYaflY1 NO IdaOSer
WII
2 D
O
0
NN
N P w
3
2
0
m
J
mzm
y0
oio
or.*
mrm
mpm
/0am
Aman
MOM
s
N - - O
m
2
N
m J
N -m r- 2A_ 2202 2S TA 00 --2 D0 ODS m0 mopcn
- A '1m m oo OmY- O- 1'1000 n y L m 9A01
1n rO- K 0, +Ify >N f < DT x-1 91~n y C pp
OO mm D - Um- 2N O- 0-I ZA 00 AAn D� Am�1
r 12 2 r rco y 20 m 0 -
mo zn t2 -<i O0" rn> >r4i o r g
D_ Cp10 n- m <20> AZ m la
0 n -i- r Poi
r`p mm Zm O $ N
r NZn1 m MEA.F.
> Z 2A ZO yS1 �N yD
2- 00400 yA Nm yOr �p0f Oml Cy O ly O< -tipn -
o AlN CS> m m1�Ci $� A zy <y > 5r A +21nA 1xlm 02>S1
9s1 .T OS m> N OmV1Yi
AP On Or s f r _0 pxm rt0
Omy Arrr -S0 0
ANVy,N• 1 0 '[ O 0O m2
N yyypp pp Oy T.
8 p D12nr NC 4�1
G9m O >A DC 8? F1 20 Jw-
2 - TAO A1'm1 N A0 OmA-1 >2 -- 2`�ZI 10 p 0
ZA40 0A0 00>0 < DP m gUml < 2Nm NO 2NA
.y O1'1 0 y In 1nA 00-10 NZ 0O Nr`1 0 p
O - z z _ny Czmz Opppp�1 mm z 233 9A z
C 11'103 mD ZAK -1 -i0-1
yyO 2N O A_ y A -Di NO
O p N >0 2 1N0 KA-- Ym O A OV > -Nc
1n n} Tm O O y<C 04 r1/� ms O F a2 r 2O2
r Aim O< COC ON p wp- C p< nm - 1N N
Z 2<y r A sg OAm 2 mAl TN DA 2 Om m ASN
m m r2 a m DP m n -, mm HN
• GNO Z y Oy ypn2 L NO NC 2
21 PI PI G
VI
z
n.
2 Q0�102 p CCy N pp yF 1n2 r
A 1nNS +1m 9 020 C<N >C N1n ~O 0 8 00A 0 '110
0 mrr <2 m - Sy 1mn Of9n rim~O NA A 0 - AZ y ACX
ys p V1 >p 2 _ yy In23
y~y9 y9 NON 0-1C !TI:
(F my 1O'1 pa :7>
n_ynp
Z • EO mm
in NA1Kn m�K J< < m y 2r a - 2
_ -1 <FN > wx 90 _ 0 N'1
o
Zi `'A'Zm_ y n r1/n�� 2< P19 0' -> z o ▪ Asa < i%
< 3<O m0 0 OK PT , C >mC 8.m OK y r f A 0-
r 22 1n r y 2 N- T K yp
c4 mn x zJnSn o� ro 0 0 2.
0 ,.• <
N N m O
0 2
DAN HOGAN
GARFIELD COUNTY, COLORADO
HCKIWIENDS
1.1..1. n.,11a1 ocnuArs: rleprtgAI RYRTEM
HIGH COUNTF
E0 BLAKE AVENUE, STE 1C
GLE NWOOD BPRNOS, CO
PI{W7D) 945.8676
1K. .n-..% n.c_nnc
NATURAL BACKFILL
�-'ire:• <
Pee
rilibte6:11":11;
yi':li -wajOr i':r+ //�
�\/\ WV01 AONY5
N(DNal
nfil tri
S YS A1131YNO
SalsIVI .f NO 13313S
HIM
\,„ Jd3N Y1'SN301009 NOUVAY+ Zt s—
\\� 11Y 3A0113tl ONY S/1NO
801Y21111lNI M0130 Air
\/ 30 H1d30 Y 01 31YAV0%3
PpPO -�
ooV
z
0
1---
0
W
0
0
z
J_
Q
W
0
—J
J
z
0
1-
0
W
0_
0)
z
CC 3
CO
(
•
P. • \a • 0-
erF • 0°
4"0 PVC SEWER (T1P,)
•
•
•
001 00 0
/ \ 0
/ C5 IS
%,
&»
011000000000
, X�000l
N.
` ,
t
01100000000
\ �
•••••••
•
•
•
•
•
•
z
zw
gzbui L.
)\}/\}\/
2G!!zla"
/
/
July 30, 2003
Andy Schwaller
Garfield County Building and Zoning
108 8th Street, Suite 201
Glenwood Springs, CO 81601
Re: Hogan ISDS
HCE Project Number 2031022.00 x 0218
Dear Andy:
RECEIVED
JUI- "d 1 "tubi
GARFIELD COUNTY
BUILDING & PLANNING
The following letter is to confirm the engineer's inspection of the revised septic system of the
Hogan Residence. The design included a 1000 -gallon septic tank and 27 infiltrators. The ISDS has
been installed according to design. The first trench has 14 infiltration units and the second trench
has 13 infiltration units. The manifold was in place along with the house line with clean out.
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 Fj�IGINEERING, INC.
Roger D. Neal, P.E. - i 1 1
Project Manager 29975 I
vS: •..... ••G\
h °NAL EN
15 Blake Avenue, Suite 101,
Glenwood Springs, CO 81601
Telephone (970) 945-8676 - Fax (970) 945-2555
14 Inverness Drive East Suite F-120
Englewood, CO 80112
Telephone (303) 925-0544 - Fax (303) 925-0547