HomeMy WebLinkAboutApplication- Permit4
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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945.8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name `^�` Present Address a es (o C.i�
System Location 944'511'C,e 33C /J'&.rs C4 It .$l to "I
335 --
Permit N° 360q
Assessor's Parcel No.
This does not constitute
a building or use permit.
hone 9kU-3 .e7q
Sect-o3�2
,� V -eV.
Legal Description o(Assessor's Parcel No..
SYSTEM DESIGN
•
$optic Tank Capatt& (gallon) Other
F
Percolation Rate (minutes/inch) Number of Bedrooms (or other)
Required Absorption Area • See Attached
Special Setback Requirements:
Date
l44t4444,&.f 1 SJrC01
Inspector
FIAL SYSTEM INSPECTION AND APPROVAL (as Installed)
CO 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 R
2- D —03 -^a !-Il.ryA4L C C4J
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. 1913, Revised 1984.
2. This permit Is valid only for oonnection 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 o1 permit commits a Class I, Petty Offense ($500.001Ine — 6
months in )all or both).
Inspector -
1).1.
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
While - APPLICANT Yellow ,r,DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER Anti J c.L u }i
ADDRESS .26, Cep dour. LI Jpad 33r New dost -/e PHONE q8q-35-75/
CONTRACTOR Se ! 4 -
ADDRESS
ADDRESS PHONE
PERMIT REQUEST FOR (✓(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 Nati 12a sf/t Size of Lot 27 -acres
Legal Description or Address Sech-wn
$ Tocunsl„p t'o
ante 9/ W l'M /:., /79eralon
WASTES TYPE: (.''DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: S 1
Number of Bedrooms 1 Curren 14, /oossi6/j 2 4 4- Number of PersWns / now, Jme 4 3 %ahr-
( ✓j Garbage Grinder ( Le/Automatic Washer (')'Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (vfWELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: x 1/1711/es
Was an effort made to connect to the Community System? h0
A site plan is required to be submitted that indicates the followine 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 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 e each , e Id — —D —
resf- v$- area_ wAerp. earlsM✓cfcci ti /,5" /oer /2"
2
' TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
• (t SEPTIC TANK ( ) AERATION PLANT ( ) VAULT
r ,
( ) 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? ,469
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: y�
Name, address and telephone of RPE responsible for design of the system: Tl r &e04 -C CIA
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
A-447 1%4
Date
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
Designate North Arrow
Vi N
o
en Ts
z00 gc
z
z
a
t•
■
L❑CATI❑N ❑E
PROPOSED
DWELLING
ONE BDRM
-\////-
-- EXISTING
LEACH
FIELDS
—SEPTIC
TANK
SCHULTZ PARCEL D
27.5 Acres
NOTE.
1. ALL SEPTIC WORK TO COMPLY WITH
THE GARFIELD COUNTY AND COLO. STATE
HEALTH DEPARTMENT REQUIREMENTS.
2. FOLLOW INSTALLATION GUIDELINES FOR.
CONCRETE TANK— Copeland Concrete
J FACH FIELD— BY INFILTRATOR SYSTEMS,
3. LANDSCAPE LEACH FIELD TO PROHIBIT
VEHICULAR TRAFFIC OVER THE INFILTRATORS.
4. INSTALL 4" AIR VENT/INSPECTION PIPE
AT THE END OF EACH ROW OF INFILTRATORS.
EXISTING
GARAGE
MINIMUM DISTANCES!
100 feet Leach field to well 110'
50 feet Septic tank to well 55'
50 feet Leach field to water course (>500').
10 feet Septic system to prop. line 40'+
INC.
For the second holding tank, recommend
to Install an Orenco Systems Inc. (OSI)
Blotube Effluent Filter (or equal)
to better protect the leach field
from solids.
DE
De
De
In
k
Ta
90,
DEj
POWER
POLE
ELECTRIC
SERVICE
WATER
LINE
NEW SEPTIC
TANK
GRAVEL DRIVEWAY
JGN CALCULATIONS (Pert, Method):
Ign Flow = 75 gpd ( 2pp bdrm) x 150% x 4 bdrms = 900 gpd
Mr. Craig Schultz
2656 County Road 335
New Castle, Colorado
(970)984-3574
COUNTY ROAD 335
11111
NEV LEACH FIELD
M1IL 20'x20' concrete
Splash block or ep,oI
1,500 gal. Septic Tank
Inv. out= 3' below Invert In
Inv. in= -2% min. from house.
18' bury to top of tank min.
Ign Area = 10/In. x Design Flow = x 900 = 590 sf
5 5
ltrator Area = 50% of Design Area = 0.5 x 590 sf = 295 sf
Ifiltrators = E95 sf = 19.03, use 20 standard Infiltrator units
15.Ssf/Inf
capacity = 900 gpd held for 30 hours, therefore a 1,125
in tank Is needed. Recommend a 150Qga1. 2 compartment tank.
1,50 a lton tank Installed
SCHULTZ, PARCEL D
SEPTIC SITE PLAN
Use 20 Infiltrator units with a 1200 gal tank min,
SCALE: 1"=30' I May 15, 2001
As-bullt 10-31-01
SURVEY BY: Developer
ENG. BY: JERRY C. LAW, P.E
335 Donegan Road
Glenwood Springs, CO 81601
(970)945-2769, fax -6596
SHEET NO.
The new septic system for the accessory dwelling
was overdesigned and bulli to ecommodate the needs
of four bedrooms in the event that the main house's
system falls In the future.
All portions of the Installation Inspected either
meet, or exceed, the standards established by the
Colorado Deportment of Health.
Jerome Cftner7ke (6.2
' La21
E X1SiING
I E ACEI
FIE 7
I
L❑CATION DE
CONSTRUCTED
DWELLING
ONE BDRM
EXISTING
GARAGE
WATER
LINES C
SCHULTZ PARCEL D
27.5 Acres
NOTE:
1. ALL SEPTIC WORK TO COMPLY WITH
THE GARFIELD COUNTY AND COLO. STATE
HEALTH DEPARTMENT REQUIREMENTS.
2. FOLLOW INSTALLATION GUIDELINES FOR•
CONCRETE TANK— Copeland Concrete
I EACH FIELD— BY INFILTRATOR SYSTEMS, INC.
3. LANDSCAPE LEACH FIELD TO PROHIBIT
VEHICULAR TRAFFIC OVER THE INFILTRATORS.
4. INSTALL 4" AIR VENT/INSPECTION PIPE
AT THE END OF EACH ROW OF INFILTRATORS.
MINIMUM DISTANCES'
100 feet Leach field to well 140'
50 feet Septic tank to well 57'
50 feet Leach field to water course 0500').
10 feet Septic system to prop. line 40'+
For Mc second holding tank, recor,nenc
tc Insto4 cr lIrenco Syste ns Inc. (CIS!
Hloteri:e Effluent F liter (or equoli
to
het -lc r protect the troch +grid
f r or, souls.
DESIGN C
Design Flo
Design A
Inflltrato
k Infiltra
Tank cape
gallon tan
DESIGN: Us
POWER
POLE
ELECTRIC
SERVICE
—WELL
Si,
yo
b9,, ro F1c
Mr. Craig Schultz
2656 County Road 335
New Castle, Colorado
(970)984-3574
COUNTY ROAD 33
GRAVEL DRIVEWAY
NI V
1 ANF
F.P11C _.....__..._....._
11/16/01)
1,250 gaL Septic Tank
Inv, out= 3' below Invert In
Inv. In= -2% min. from house,
18' bury to top of tank min,
Loading Dock
4" INSPECTION PIPES
Ca
(Pe M thod)
= 75 gpd (2pp bdrn) x 150% x 4 bdrns = 900 gpd
t = 10 /In. x Design Flow =410.7 x 22Q = 590 sf
Area = 50% of Design Area = 0.5 x 590 sf = 295 sf
1rs = Z95 sf = 19.03, use 20 standard Infiltrator units
15.5sf/Inf
ty = 900 gpd held for 30 hours, therefore a 1,125
Is needed. Recommend a 1250 gal. 2 compartment tank.
20 Infiltrator units with a 1200 gal -tank rein
NfW LF. AC H F 1[ 1
NUIL, zo ?ii.
Wouh h 6 c„r.,!
SCHULTZ, PARCEL D
SEPTIC SITE PLAN
/1f
�y 1'3(,)001Installed 11-16-01
As -built 12-16-02
JF'Vl1 f.1; II(v to'o't
I IJC, 1,I 'i I ( I AW, f'.I
_- IIGIiC �i�lll Iti p_I f
l if 11w{,I`�i,rilu; c CI f'IGU1
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