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Home My WebLink AboutApplication- PermitGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Permit 4023 Assessor's Parcel No. This does not constitute a building or use permit. cgti I�� , /l { ` 1 n �,/�� 9c 341441 Owner's Name al'/'`r L and./n PresentPrre�AAddress ,"w' alo `a ` id nsaphone \'&S- \Q&o System Location in'l't' Pik gar) �QJ J 0 t�J re Com- 44a, Legal Description of Assessor's Parcel No. C� t , 57-09 - Odo SYSTEM DESIGN }�-st) t aSeptic Tank Capacity (gallon) Other � DS' (1 Percolation Rate (minutes/inch)M Number of BedroRms( (L other) 1"f 6a' ) 'I flea Required Absorption Area - See Attached iccal '�O Ataj t 2) na ( LO.0G � Special Setback Requirements: 1 42, Date pc -V 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 *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 specif ications contained in the application of permit commits a Class I, Petty Offense (8500.00 f ine — 6 months in jail or both). 6cInspector RETAIN WITH RECEIPT RECORDS A CONSTRUCTION SITE White- APR_ WANT Vlkw, ncoaoTucMt OWNER INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION A4N0On/ 4,vo FRSotI ADDRESS 2-34 µR4+ -a.0 coofT CONTRACTOR k A.4 D Ana pet•CAn— PHONE 9 Ste¢ -3949 ADDRESS i�r. 3 . 431 C w S to c -/fro PHONE 95/ S- V4/44. PERMIT REQUEST FOR (VNEW 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 iv F w c.t s rL E Size of Lot 3.8 7 AC - Legal Description or Address Cor 6 rj.Q.&E etc; Rot- - oq `fig E IK Run NR -vi Ccts- -e. WASTES TYPE: (),41 DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER -DESCRIBE BUILDING OR SERVICE TYPE: S„v t 4.44-7 F f, s'b Efll4 L Number of Bedrooms 4 Number of Persons 4 (0 Garbage Grinder (.4 Automatic Washer (t4)ishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: c, vy ,vc w CQ r TL,>r DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: L',v),vow.I Was an effort made to connect to the Community System? #Vo 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: (V 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 ( ) SAND FILTER ABOVE GROUND DISPERSAL ( ) WASTEWATER POND OTHER -DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? OD PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) 09-0 I Minutes per inch in hole No. 1 04 Minutes kr per inch in hole No. 3 90 Minutesper 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 !0-¢-�¢ PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! r 0 z 0ce A 0316 ELK PIS Rn. N€N C4STLC,co• N ce O N • 0 F. 0 O A A -a a 0 Y ci)t. • "0 0 O[ O .0 et U oU N !i' -0 3 Y o -0 0 0'y 0 b 0 'b tO [ ti 0 '7 N U_ c4 [ W C ,, o U q,U'� 0 Y U N N O N N W O N N [ 3 0 N U td U W o — a V N g ,J o ' c .0 Q 4 021 c0 cc ›" Z d t County Road (Note the Road Number and Name) 1 1 cI Lr LC c c 0 e, 2 Fe WATER LINE DISTRIBUTION BOX ANDERSON RESIDENCE LOT 6 3 ELK RUN NEW CASTLE, COLORADO DATED 5\02\05 SHEET: 1 OF 2 1250 GAL. SEPTIC TANK I 0 d SEPTIC SYSTEM PLAN N.T.S. ANDERSON RESIDENCE LOT 6 3 ELK RUN NEW CASTLE, COLORADO DATED 5\02\05 SHEET: 2 OF 2 TYPICAL INFILTRATOR SECTION NOTES: 1. INFILTRATORS TO BE INSTALLED LEVEL ON UNDISTURBED SOIL. 2. CARE SHOULD BE TAKEN TO AVOID "SMOOTHING" THE SIDES AND BOTTOM OF EXCAVATION. 3. FILL SIDEWALL AREA TO TOP OF CHAMBERS WITH NATIVE SOILS. 4. DESIGN BASED ON FOLLOWING; FLOW Q = (4 BR) x (2 PERSONS / BR) x 1.5 x (100 GAL./DAY/PERSON) = 1200 GAL / DAY AREA = (1200 GAL / DAY) x SQRT(27 MIN. /IN.) x 0.5 = 623 SF 5 LENGTH OF INFILTRATORS REQ'D = 623 SF / 3 FT WIDTH = 207 LF. HAI anrInn\F1 K RI IN\cnptir rt WATER LINE DISTRIBUTION BOX ANDERSON RESIDENCE LOT 6 3 ELK RUN NEP( CASTLE, COLORADO DATED 5\02\05 SHEET.• 1 OF 2 1250 GAL. SEPTIC TANK \ \ SEPTIC SYSTEM PLAN N.T.S. ANDERSON RESIDENCE LOT 6 3 ELK RUN NEW CASTLE, COLORADO DATED 5\02\05 SHEET: 2 OF 2 TYPICAL INFILTRATOR SECTION NOTES: 1. INFILTRATORS TO BE INSTALLED LEVEL ON UNDISTURBED SOIL. 2. CARE SHOULD BE TAKEN TO AVOID "SMOOTHING" THE SIDES AND BOTTOM OF EXCAVATION. 3. FILL SIDEWALL AREA TO TOP OF CHAMBERS WITH NATIVE SOILS. 4. DESIGN BASED ON FOLLOWING; FLOW Q = (4 BR) x (2 PERSONS / BR) x 1.5 x (100 GAL./DAY/PERSON) = 1200 GAL / DAY AREA = (1200 GAL / DAY) x SQRT(27 MIN. /IN.) x 0.5 = 623 SF 5 LENGTH OF INFILTRATORS REQ'D = 623 SF / 3 FT WIDTH = 207 LF. August 11, 2005 RECEIVED AUG 1 1 2005 GARFIELD COUNTY Garfield County Building & PlanninglUILDING & PLANNING 108 8th Street # 201 Glenwood Springs, CO. 81601 To Whom It May Concern; Regarding the residential sewage treatment system installed at; 0448 Elk Run Road New Castle, CO. 81647 I hereby certify that the installation was done in accordance with design documents prepared by myself and dated May 2, 2005. The design meets all applicable state and county requirements and was based on percolation testing performed by the Garfield County Building Department. Respectfully, L4fidon Anderson, P.E.