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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 ��% �J 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 • 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 X 0 g I- Cr) w1O rc a0 a. LT. co z 0 a 0 LT 0 W a co z 0 1— < Q 0 re cc a 2 0 '• • 10 • w !FuIli •'a X a w C am E t ^co � . E U N 2 co 0 0 N 0 V/ co 0) c .0 E c co W Effluent Discharge Check Valve (optional) 6 E 0. C a W W O c y O ot 0J 0- c c O iZ Eliotube. Pump Vault Fiberglass or concrete riser 2 0 c O 0 0 S .? N ec 00 0. 00 U Y II 3 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 0 e o3 z c 814 AIRWAY AVENUE SUTHERUN, OREGON g g 1 Effluent Pumps P30 Serbs 12hpto1-12 hp 1 _ N a1 _ O a n N 8 0. 1 + 0 m n R lead `(Has) PGH 3!weuAo Phos E S 0 e g S g n q « a g o 0 0 ii I j r J g E l s enEto ~2, 1 w u I o 0,044 2 ID 0 O CO n 0 Net Discharge, gpm