HomeMy WebLinkAboutApplication- Permit•
•
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL GAGE DISPOSAL PERMIT
PROPERTY
tirs�
Owner's Name Or' Present t1 OJQ_ l tOS
System Location 03!O 3C ‘ C uJ—
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Legal Description of Assessor's Parcel No
Permit N°
3947
Assessor's Parcel No.
This does not constitute
a building or use permit.
37ct -1 an
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Phone Q
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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
Date - 9-I aS Inspector P�2(' �. A1�11 A , P- -•
RETAIN WITH RECEIPT R CORDS AT CONSTRUCTION SITE ZJ97 7$
•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 Gregory and Victoria Shaner
ADDRESS 11749 County Road 311, Silt, CO 81652
CONTRACTOR Caribou Construction
ADDRESS 714 Main St. Silt. CO 81652
PHONE (970) 309-0279
PHONE (970) 876-5220
PERMIT REQUEST FOR (x) 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 Silt Size of Lot 35 Acres
Legal Description or Address
WASTES TYPE:
(x) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE:
Number of Bedrooms 4 Bedrooms Number of Persons 3 (8 for Calc)
(X) Garbage Grinder (X) Automatic Washer (x) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (X) 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? No to far (Aoorox 10 miles)
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 Over 8 -feet
Percent Ground Slope Varies 6% - 10%
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
2
SEPTIC TANK
VAULT PRIVY
PIT PRIVY
CHEMICAL TOILET( )
FINAL DISPOSAL BY:
( ) AERATION PLANT ( ) VAULT
( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE
( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE
OTHER -DESCRIBE
ABSORPTION TRENCH, BED OR PIT
UNDERGROUND DISPERSAL
ABOVE GROUND DISPERSAL
OTHER -DESCRIBE Mound System with Dosing Tank
( ) EVAPOTRANSPIRATION
( ) SAND FILTER
( ) WASTEWATER POND
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE
STATE? NO PERCOLATION TEST RESULTS: (To be completed by
Registered Professional Engineer, if the Engineer does the Percolation Test)
Minutes 103 per inch in hole No. 1 Minutes 108 per inch in hole NO. 3
Minutes 116 per inch in hole No. 2 Minutes per inch in hole NO.
Name, address and telephone of RPE who made soil absorption tests: Greaory Shaner P.E.
1517 Blake Avenue Suite 101 Glenwood Snrinas CO 81601 (970)945-8676
Name, address and telephone of RPE responsible for design of the system: Roper Neal P.E.
1517 Blake Avenue Suite 101. Glenwood Sorinos CO 81601 (970) 945-8676
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 purpo - of issuing the permit applied for herein. I further understand that any
falsification or misrepresen • tion .. r. y res in the denial of the application or evocation of any permit granted based
upon said applic • on and ' legal a ( o ' for perjury as provided by law.
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
CIVIL ENGINEERING
March 21, 2005
Andy Schwaller
Garfield County Building and Planning
108 8th Street, Suite 201
Glenwood Springs, CO 81601
An Employee -Owned Company
Re: Greg Shaner ISDS — County Road 342
HCE Project Number 2031615.00 (2022032.00x1562)
Dear Andy.
LAND SURVEYING
The following letter is to confirm the engineer's inspection of the revised septic system of the
Shaner Residence on County Road 342. High Country Engineering's field inspector performed the
field inspections. The house has two effluent lines leaving the house, each having their own
cleanout. The two lines join together prior to the 1,250 -gallon septic tank. The 1,000 -gallon dosing
chamber has been rotated 90 degrees. The two-inch HDPE effluent pipe has been tied into the
dosing field at the northeast line instead along the northwest line. The sand was reduce from 24 -
inches to 18 -inches because twelve -inches of crushed rock was place across full width of field
instead of two trenches. We anticipate that these revisions will have no adverse impact to the
functionality of the system.
If you have any questions, or need additional information, please contact us.
Sincerely,
HIGH CO Y ENGINEERING, INC.
Rog • . Neal P.E.
/Principal
1517 Blake Avenue, Suite 101
Glenwood Springs, CO 81601
970.945.8676 phone
970.945.2555 fax
www.hceng.com
14 Inverness Drive East, Suite F-120
Englewood, CO 80112
303.925.0544 phone
303.925.0547 fax
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