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HomeMy WebLinkAboutApplication-PermitC-1 4- aSS"oZ GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 4264 108 Eighth Street, Suite 201 Assessor's Parcel No. Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT This does not constitute a building or use permit. PROPERTY rt `77D'L+I _ Q S4- ;k Owner's Name p-121r�e' , r /u�r I slen(t�Address�1//Q� `J UYY�Fes-' Phone o"11— I"I ...X-+ System Location !,U l_. Q 2"Q��`� ^` I�n�t� ` �� Legal Description of Assessor's Parcel No. ��l /L/ �Y �3 — u� ^ 39 7 SYSTEM DESIGN Septic Tank Capacity (gallon) Percolation Rate (minutes/inch) Required Absorption Area - See Attached Special Setback Requirements: Inspector Other Number of Bedrooms (or other) FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation r. System I Septic Tank 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/r Other Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation mustcomplywith 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. Anyperson who constructs,alters, orinstallsan individual seWagedisposal system in a mannerwhich 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 )ail or both). White -APPLICANT Yellow -DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION e!L< W, S ATSC' ADDRESS CONTRACTOR PHONEO�l—ry5c) A Zi PHONE 7 - / 1 SGS PERMIT REQUEST FOR k 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: l Near what City of Town , ` Sizzle of Lot Z - � Z 14(�e� S�Bq Legal Description or Address L-0--tt� 'R F u L A (i W i LS C r-) 'bu"3 � J; S o G� r C A-(Oci WASTES TYPE: C)< DWELLING ( ) TRANSIENT USE C' cfq k ( ) COMMERCIAL OR INDUSTRIAL ( ) OTHER—DESCRIBE ( ) NON-DOMESTIC WASTES BUILDING OR SERVICE TYPE: Number of Bedrooms 3 v--, V.,F@ S Number of Persons____ ('�o Garbage Grinder (`,N Automatic Washer K) 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: lk% Was an effort made to connect to the Community System? rti /19 A site plan is required to be submitted that indicates the following MINIMUM distances: Leach Field to Well: Septic Tank to Well: 100 feet 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 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 ( ) UNDERGROUND DISPERSAL ( ) ABOVE GROUND DISPERSAL ( ) SAND FILTER ( ) WASTEWATER POND ( ) OTHER -DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? Ai0 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 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:? i(7f t 5 dl2 QtT�m� Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as maybe 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 thepermit 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. ./1 , , n , Signe Date ZZ OG PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 September 17, 2007 Jeffrey Sabo Legacy Homes of Aspen, Inc. 612 Surrey Road Carbondale, CO 81623 RE: As -Built OWS System, Sabo Property, Lot A, County Road 109, Garfield, CO SE Job No. 25254.01 Dear Jeffrey: Pursuant to County Regulations, this letter provides documentation that the new OWS system recently installed is in general compliance with the permitted design. Sopris Engineering has performed site visits to measure, inspect, and document the as built conditions of the constructed system. The system was inspected prior to backfilling and after all installations were completed. The as -built conditions and installation of the new OWS components is in compliance with the permitted design specifications for the system. The septic tanks, transport distribution pipe, and absorption field installations are in accordance with Garfield County Regulations, the design presented in the Sopris Engineering design drawing, dated April 14, 2006 and revised March 22 2007. A primary 1500 -gallon dual compartment concrete septic tank and a secondary 1000 -gallon dual compartment concrete septic dosing tank was installed in series with an Orenco duplex biotube filter pump assembly. The duplex dosing pump system is installed in the secondary compartment of the second tank to dose primary treated effluent to the absorption field. The full pressure dosed absorption field was constructed with a total of 72 Quick -4 Infiltrator leaching chambers in a trench configuration with (6) 52 -long trenches containing 12 chambers each. The treatment/absorption field system is configured for alternating pressure distribution over 2 pressure distribution zones (3 trenches per zone) through alternating pumps. The effluent from the secondary tank is distributed by alternating duplex pump assemblies in the dosing/septic tank (pump vault). Each trench has a custom perforated pressure distribution pipe running the length of the chamber row. Three trenches are dosed per each dosing pump cycle by alternating pumps. The dual 1.25 -inch transport lines from each pump is bedded in road base and installed to allow gravity drainage of effluent back to the tank and to the individual distribution zone manifolds respectively on each set of trenches located at a high point at the head of the trenches. All distribution piping, valves and pump assembly components have been installed and are in operation in accordance with the design and performance specifications. The chambers were backfilled with native soil and/or screened rock to the top of the chambers, and backfilled to the finished surface grade with native soil. Each trench was installed level. Inspection ports were installed on each end chamber. The chambers were installed in the native silty sand and gravel with cobbles soils over 6" of concrete sand consistent across the field. The field has two sets of trenches with pressure manifolds and individual split flow tees that connect with the pressurized perforated distribution laterals at the head of each trench. The minimum setback distances have been maintained. The 6 502 Main Street • Suite A3 • Carbondale, CO 81623 (970) 704-0311 • Fax (970) 704-0313 SopRis ENGINEERING • LLC civil consultants Jeffrey Sabo SE Job No. 25254.01 September 17, 2007 Page 2 trenches have a separation distance of approximately 6 feet and are installed approximately 2 to 3.5 feet deep relative to the existing grades. Additional observations of the soils within the field were performed during construction indicating that the soils are consistent with the reported descriptions. A minimum 6 inches of sand was placed in the trenches to mitigate the presence of cobbles and enhance treatment of the effluent. No ground water was encountered in any of the excavations on site. OWS Operation and Maintenance The system shall be inspected on a regular basis and be properly maintained. The system and responsibility for repair and maintenance of the systems will remain with the Owner. The owner shall employ the services of qualified service providers to inspect the OWS and perform any maintenance required and periodically pump the septic tank as necessary to ensure that the system is in good operating condition and performing as designed. The OWS should require minimal maintenance. Several factors influencing the system's health, longevity and need for maintenance include: actual wastewater flows versus design flows, the volume of kitchen/domestic waste (excluding human waste and toilet paper), excessive use of household chemicals, extra strength laundry detergents and other toxic liquids. The tank, sanitary tees and effluent filter should be visually inspected bi-annually for clogging debris, damage or leaks. In general, for a properly utilized system, septic tanks should be pumped and 'inspected every 2 - 4 years. The effluent filter should be cleaned every six months and at the time of pumping. Absorption fields should be maintained with suitable vegetative cover and kept free of root invasive plants. Positive surface drainage away from the absorption field should be maintained. If you have any question or need any additional information, please call. Sincerely, SOPRIS ENGINEERING, LLC Paul E. Rutledge Design E gineer Yanc iho1, P.E. Principal