HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
Permit
Assessor's Parcel No.
4
This does not constitute
a building or use permit.
PROPERTY ` ^` ny 1uc 1 e / t1
Owner's Name �r/ u�a ^ 1Present Address I �� ��a
Phone D-73- B ��%
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System Location reanS 'I
&ty1GP� `-r-�/ Q�
Legal Description of Assessor's Parcel No x ` ) B C 5
-75-7 1 _c3C Y is
SYSTEM DESIGN
Septic Tank Capacity (gallon) - Other
Percolation Rate (minutes/inch) Number of Bedroogls
G Z 1 (it(
�(,m, fr,�
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 /ON)
4
Septic Tank Manufacturer or Trade Name (14";t2,4142:1.4. -it,
Septic Tank Access within 8" of surface N'gA
Absorption Area Type and/or Manufacturer or Trade Name
)?C.
Adequate compliance with County and State regulations/requirements I /O#
Other
Date
Inspector
Ip
X Al fiL4 /
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 or structures not approved by the Building and Zoning off ice 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 ($500.00 fine —6
months in jail or both).
t
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER avtiln sot
ADDRESV (_R/ 9 52_ / ?IL' C 1, y/oil PHONE Ga 5 —39e..."2
CONTRACTOR /! eewder7 —Vn,-e11
ADDRESS a',3'/7$ LA -t RZI2 CO 9650 PHONE 6,2-5-573/
PERMIT REQUEST FOR
3>2' jr3y�
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 /` ,,/P Size of Lot 410 A res
Legal Description orAddressCly2. .hex\S-er-) 4 -F(e Y16Sii
WASTES TYPE: (SCI DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER—DESCRIBE
BUILDING OR SERVICE TYPE:Pk ✓fitF-1R. 5 'c%Ph c.€ -
Nun*er of Bedrooms Number of Persons
bage Grinder 9. ,)„ Automatic Washer
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL
If supplied by Community Water, give name of supplier:
(j Dishwasher
( ) SPRING
(✓IL,'Sfier4
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /
( ) STREAM OR CREEK
Was an effort made to connect to the Community System? /1/0
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
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
(A) UNDERGROUND DISPERSAL ( ) SAND FILTER
/( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OTHER -DESCRIBE
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 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: fr(
( WO) 6/8- St) 55 l im pe.r
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
PLEAS iRAW AN CCURATE MAP TO YOUR PROPERTY!!
V/5
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fllL PO Sox ,
SDIYICE wn.we spire, CO P602
Ph 9704185033
Fat MI -216-2926
October 11, 2004 Project No. 1034
JeffJohnson Architects, Inc
Attn: JeffJohnson
136 East Third Street
Rifle, Colorado 81650
Subject: Subsurface Investigation and Onsite Wastewater System Design, Proposed Jensen Cabin
Colorado Road 252
Garfield County, Colorado
Mr. Johnson,
As requested, ALL SERVICE septic, LLC has prepared an onsite wastewater system (OWS) design
for the proposed residence. Subsurface conditions were investigated September 29, 2004.
SITE CONDITIONS AND PROPOSED CONSTRUCTION
The site is a 40 -acre lot located in a rural area near Rifle Gap reservoir where OWS and wells are
necessary. The drain field area slopes 10% to the southwest. Ground cover consists of native grasses
and sagebrush. A 3 -bedroom, single-family cabin is proposed in the area indicated on Figure 1. In
accordance with the Individual Sewage Disposal System (ISDS) regulations, the sewage load for a 3 -
bedroom residence with 2 persons per bedroom is to be 450 gallons per day (GPD). The peak sewage
loading is 675 GPD using a 1.5 peaking factor.
If the owner is anticipating finishing of additional bedrooms in unfinished areas, we recommend the
OWS be constructed to handle the additional loading. The installation of a properly sized OWS to
serve future build -out can be cost effective. ALL SERVICE Septic, LLC should be contacted to
revise this design, if additional bedrooms are proposed.
SUBSURFACE
Subsurface conditions were investigated by digging a profile hole and three percolation holes at the
locations indicated on Figure 1. Subsurface conditions at Profile 1 consist of 6 -inches of clayey
topsoil, underlain by sandy clay to the maximum depth explored of 8 feet. Free water was not
encountered in Profile 1. Percolation test results indicate percolation rates from 240 minutes per inch
(MPI) to 60 MPI and an average percolation rate of 140 MPI.
OWS Design
Project No. 1034
Page 2
DESIGN SPECIFICATIONS
The OWS design is based on 3 bedrooms, an average sewage load of 450 GPD and an application
rate of 0.20 gallons per square foot (SF) per day. The application rate is based on evapotranspiration
and absorption. The installation must include a 1250 -gallon, two-compartment, precast concrete
septic tank with a pump in a Biotube® vault in the second compartment. Six 8 -foot by 100 -foot
sections of drip irrigation field must be installed for a total area of 4800 SF. Distribution valves must
be used to distribute effluent to the drain field. The OWS should be constructed similar to Figures 2
through 4. As a tank alternative, two 1000 -gallon, two-compartment, precast concrete septic tanks,
with a filter on the outlet of the first tank, and a pump in the second compartment of the second tank,
may be used. Construction must be according to the county ISDS regulations, the septic permit
provided by Garfield -County Health Department, and this design.
The surface of the field must be seeded after installation of the system to minimize erosion and
provide vegetation transpiration. A native seed mix should be used. The seed mixes should not
require irrigation. Do not irrigate over drain field.
INSTALLATION OBSERVATIONS
The installation of the OWS is to be observed by the ALL SERVICE septic, LLC and the county. An
observation is required prior to backfill. At that time, the septic tank is to be installed with risers on
the tank, and inlet and outlet connections properly bedded. The drain field is to be ready for backfill
with all pipes in place. Other components such as distribution valves, effluent filters or pumping
systems, as applicable, will be observed at that time. The installation observations will be invoiced
separately and are not included in design fees.
OPERATION INFORMATION AND MAINTENANCE
The homeowner is responsible for maintaining the system. The homeowner should pump the
septic tank every two years and clean the effluent filter as needed. Loading from a water softener
should not be discharged into the OWS. Livestock and automobile traffic should be kept off the drain
field at all times. No landscaping or plastic should be used over the drain field that will reduce the
performance of the drain field. No hazardous wastes should be directed into the OWS. Mechanical
room drains should not discharge into the OWS. The OWS is engineered for residence waste only.
The drain field should not be irrigated.
LIMITS:
A low-pressure drip irrigation system requires installation by a contractor who is experienced
in its installation. If conditions different from those described in this report are encountered, we
should be called to observe the conditions.
Pipe type and size, burial requirements, septic tank construction, and other specifications that are not
depicted in our report are to conform to the requirements of the ISDS regulations. The installer of the
system is to be approved by the county health department, and is to have demonstrated knowledge of
the ISDS regulations and requirements.
If there are questions please call.
Sincerely,
ALL SERVICE septic, LLC
7�.
Timothy R. Petz
3 copies sent
Reviewed by:
OWS Design
Project No. 1034
Page 3
Joseph C. Kordzie
SITE PLAN AND LOCATION OF
PERCOLATION HOLES
PROPERTY UNE
TOPOGRAPHY LINES AT
APPROXIMATE 10 FT
INTERVALS
SCALE
1"=200'
NORTH
J
PERCOLATION HOLES
AND PROFILE PIT
PROPOSED
3 -BEDROOM
RESIDENCE
DRIVE - ACCESS
FROM LANGE
PROPERTY
PROPERTY UNE
JENSEN RESIDENCE
COLORADO ROAD 252
GARFIELD COUNTY, COLORADO
ALL
SERVICE SEPTIC, LLC
970-618-5033
PROJECT NO. 1034
FIGURE 1
LOCATION OF P - ' POSED OWS
P-2
0
P-1
SCALE
1"=60'
NORTH
1250 -GALLON, TWO-COMPARTMENT,
PRECAST CONCRETE SEPTIC TANK WBTH
BIOTUBE PUMP VAULT IN SECOND
COMPARTMENT
DISTRIBUTION VALVES
4800 SF OF DRIP IRRIGATION DRAIN FIELD
AREA PER SECTION = 800 SF
WIDTH OF EACH SECTION = 8 FEET
LENGHT OF EACH SECTION = 100 FEET
TOTAL NUMBER OF SECTIONS = 8
LATERALS PER SECTION = 4
\
45 deg ANGLE TO BE USED
FOR ENERGY DISSIPATION
CLEANOUT
JENSEN CABIN ALL
COLORADO ROAD 252 SERVICE SEPTIC, LLC
GARFIELD COUNTY, COLORADO 970-618-5033
FIGURE 2
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map
L/_I I
GARFIELD COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
Percolation Test and Soils Data Form - TABLE 1 - PROJECT 1034
PROFILE PIT
0 - 6" Topsoil, Root Zone, Clayey
6" - 8' Sandy Clay, Very Stiff, Moist, Brown to Light Brown
Calcareous Veins
No Groundwater or Bedrock was Encountered
Date of Test: 9-29-04
Hole Hole Interval Measurement at Measurement at Change (in.) Percolation Rate
No. Depth (in.) (min.) Start of Interval End of Interval (min.An.) MPI
(in.) (in.)
1 29 30 3.50 5.00 1.50
30 5.00 5.75 0.75
30 5.75 7.00 1.25
30 7.00 7.50 0.50
30 7.50 7.75 0.25
30 7.75 8.00 0.25
2 41 30 7.25 8.25 1.00
30 8.25 8.75 0.50
30 8.75 9.00 0.25
30 9.00 9.00 0.00
30 9.00 9.25 0.25
30 9.25 9.50 0.25
3 30 30 4.25 6.25 2.00
30 6.25 7.50 1.25
30 7.50 8.25 0.75
30 8.25 9.00 0.75
30 9.00 9.50 0.50
30 9.50 10.25 0.75
AVERAGE = 140 MPI
120
240
60
NI II
Pump Sel ctibn for a Non -Pressurized System
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814 AIRWAY AVENUE
SUTHERUN, OREGON
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Net Discharge, gpm