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HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 401 4 6 4 0 Permit Assessor's Parcel No. Glenwood Springs, Colorado 81601 EN(a•Sys• Phone (970) 945-8212 ?L 7. ° 2. o9 INDIVIDUAL SEWAGE DISPOSAL PERMIT �Js This does not constitute a building or use permit. PROPERTY �„�� Owner's NameVv�A� , 1 LW'PMS Present Address ?Da 3'-D1p'C1 4VtjEPhoneZ.e93'77 System LocationTA0 Legal Description of Assessor's Parcel No. SYSTEM DESIGN Z.Z'%2. 2-14oc.31 4.oO. 135 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 Inspector 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. Connection 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 1, Petty Offense ($500.00 fine - 6 months in jail or both). White -APPLICANT Yellow - DEPARTMENT GARFIELD COUNTY SEPTIC PERMIT APPLICATION 1088"'Street, Suite401, Glenwood Springs, CO 81601 Phone: 970-945-8212! Fax: 970-384-3470! Inspection Line: 970-3845003 1 PerkFcec I, -6ai_r_.0 O V "' 1 //G.y�yf Parcel No:(this information is available at the assessors office 970-945-9134) 2409-314-00-135 2 Septic Permit #: Job Address: (if an address has not been assigned, please provide Cr,Hwy or Street Name & City) or legal description SG 22-32 Pad site Off of Frontage road 170 See attached Access Description 3 Lot Size: Lot No: Block No: • Subd/Exemption: emp4 See Attached Survey Plat package Slack {etatSaiD,AurDS, grr .1 Owner: (property owner) Williams Production RMT Co Mailing Address PO Box 370, Parachute, CO 81635 Ph: 970-285-9377 Alt Ph: f 5 Contractor. Williams Production RMT Co Mailing Address PO Box 370, Parachute, CO 81635 Ph: 970-285-9377 ext 2288 Alt Ph: 6 Engineer. N/A Mailing Address Ph: Alt Ph: 7 Permit Redest For: (X) New Installation ( )Alteration ( ) Repair 8 Waste Type: (X) Dwelling ( ) Tranient Use ( ) Commercial or Industrial ( ) Non- Domestic Wastes ( ) Other- Describe 9 Building Or Service Type: Number of Bedrooms: 2 Garbage Grinder ( ) Yes (X )No 10 Source & Type of Water Supply: ( ) Well ( ) Spring ( ) Stream Or Creek ( ) Cistern H supplied by COMMUNITY WATER, give name of supplier Down Valley Septic and Waste 11 Distance to Nearest Community sewer Was there an effort to connect to the System: N/A community System? N/A YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUSED WITH OUT A SITE PLAN 12 Ground Conditions: Depth to 1st Ground Water Table N/A Percent Ground Slope N/A 13 Type of Individual Sewage System (ISDN Proposed: ( ) Septic Tank ( )Aeration Plant ( ) Vault ( ) Vault Privy ( )Composting Toilet ( ) Recycling, Potable Use ( )Recycling, Other use ( ) Pit Privy ( ) Incineration Toilet ( ) Chemical Toilet (X) Other- Describe: Hauled to Down Valley Waste for their disposal 14 Final Disposal By: ( ) Absortion trench, Bed or Pit ( ) Underground Dispersal ( ) Above Ground Dispersal ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater pond (X )Other -Describe Hauled to Down Valley Waste for their disposal 15 Will effluent be discharged into waters of the state? ( )Yes (X )No 16 Percolation Test Result: (to be completed Minutes per by Registered Professional Engineer, if inch in hole No.1 in hole No.2 made soil absorption test: N/A the Engineer does the Percolation Test) Minutes per inch in N/A hole No.3 No.4 Minutes per inch who responsible Minutes per Inch in hole Name, address & telephone of RPE Name, address & telephone of RPE for design of the system:N/A 17 Applicant acknowldges by the local health department the issuance of the permit and reports submitted herewith belief and are designed understa t any fal action for pe -r. that the completeness to be is subject and to be relied -ffffffff{ff{ ���ction or spro made to required on i1 •a ► of the application is conditional upon and furnished by the applicant or by the local such terms and conditions as deemed necessary to be submitted by the applicant are or by local department of health in evaluationg the :1'.ignsentaion may result in the denial of the :17t'„ such further mandatiory and additional test and reports as may be required health department for purposed of the evaluation of the application; and to insure compliance with the rules and regulations made, information will be represented to be true and correct to the best of my knowledge and same for purposes of issuing the permit applied for herin. I further application or revocation of any permit granted based upon said application 5- l2--Oi t�' - r _,A - nature:' - d ' otard Date °° '3.12.0 STAFF USE ONLY Pecmra Foci ^ o V /2 PerkFcec I, -6ai_r_.0 O V "' 1 //G.y�yf Building Penult `d: yr-rT11- Septic Permit #: tissue Date: 6.13.09 BulidingSei?run grr .1 APPROVAL , 6— /3-c53 QA"FE GENERAL PERMIT CONDITIONS DOMESTIC WASTEWATER VAULT SYSTEMS AUTHORIZATION TO UTILIZE A VAULT SYSTEM UNDER THE GARFIELD COUNTY BOARD OF HEALTH "INDIVIDUAL SEWAGE DISPOSAL SYSTEMS REGULATIONS" The Garfield County Board of Health "Individual Sewage Disposal Systems Regulations" adopted in 1994 pursuant to current guidelines of the state board and adopted in compliance with Section 25-10-104(2), (3), and (4) C.R.S., shall govern all aspects of permits, performance, location, construction, alteration, installation, and use of individual sewage disposal systems of less than 2,000 gallon per day design capacity. This permit specifically authorizes the entity(s) listed on page 1 of this document to install and utilize a vault system, as of the effective dates stated on page 1, in accordance with permit requirements and conditions set forth in part 1 hereof. Any vault system installation authorized herein shall be consistent with the terms and conditions of the permit. SEPTIC PERMIT NUMBER c'yo WELL SITE LOCATIONS (APD#(s)) SG 22-32 OPERATORS NAME Williams A. GENERAL: Vaulted wastewater systems are not permitted in Garfield County for any facility that will generate 2000 gallons or more of wastewater per day. A vault system as permitted by Garfield County is allowed only for limited use occupancy with a cumulative usage period of less than one year and for occupancy of 24 or less people, only on property which cannot accommodate a sewage treatment system. Vault systems are allowed on oil and gas well pads due to the limited development time frames and limitation of on site disturbance set by the Colorado Oil and Gas Conservation Commission, the United States Forest Service and the Bureau of Land Management. A vault, as permitted by the local board of health, shall have a minimum 1000 gallon effective capacity. B. TERMS AND CONDITIONS 1. Minimum, horizontal distances from the various components of a system to pertinent terrain features, including streams, lakes, water courses, springs, wells, subsoil drains, cisterns, water lines, suction lines, gulches, dwellings, other occupied buildings and property lines, shall be in accordance with the following "Table of Minimum Horizontal Distances". 2. No vault system shall be installed in a floodway. 3. When a system is installed in a 100 -year floodplain then the system shall meet or exceed the requirements of the National Flood Insurance Program. The system as approved by the Garfield County Building Official or his/her designated agent shall be designed to minimize or eliminate infiltration of floodwaters into the system, and discharge of the system into the floodwaters. 4. Only tanks that have been certified by the Colorado Depai tuient of Public Health and Environment shall be used for a vaulted system. 5. All tanks shall be installed in accordance with the manufacturer's specifications. 6. Watertight vaults shall not allow infiltration of groundwater or surface water and shall not permit the accidental or intentional discharge release of wastewater or liquids to the ground surface or to waters of the state. 7. Vaults shall not have an outlet unless designed to flow to another tank in series for the purpose of increasing holding capacity. Such outlets shall be water tight. 8. Tanks shall be so constructed and installed as to withstand earth and hydrostatic pressures when filled and when empty. 9. In locations where groundwater may cause instability problems to the vault due to flotation, the tank shall be anchored in a sufficient manner in order to provide stability when the tank is empty. The method of anchoring must be approved by the Garfield County Building Official or his/her designated agent prior to installation. The local authority may require the design of the anchoring system to be prepared by a Registered Professional Engineer. 10. Each vault unit shall be equipped with an access manhole located to permit periodic physical inspection and maintenance of all the tank and removal of the waste contents. 11. Components shall be so designed and constructed that when installed in accordance with manufacturer's recommendations, they shall be capable of being easily maintained, sampled, drained, pumped, inspected and cleaned. 12. The surface of the ground over the vault system must be restricted to activity or use which will allow the system to function as designed and which will not contribute to compaction of the soil or to structural loading detrimental to the capability of the vault to function as designed. 13. All metal surfaces shall be properly coated to prevent corrosion. 14. Plumbing fixtures, grease traps, building sewers, vents, sewer lines and other appurtenances shall be designed, operated and maintained so as to comply with the minimum requirements of the International Plumbing Code. 15. All wastewater lines used in individual sewage disposal systems shall be constructed of compatible pipe, bonding agent, and fittings. 16. Where plastic pipe and fittings are used, the minimum wall thickness of the pipe shall conform to ASTM Standard D 3034, or equivalent. 17. All electrical work, equipment, and material shall comply with the requirements of the National Electrical Code. 18. A signal device shall be installed to indicate when pumping is necessary. 19. The permittee shall provide for maintenance and cleaning of the vault system through a legal contract with a company experienced in the removal, proper handling, transport and proper disposal of the vault contents. 20. Disposal of waste materials removed from a vault system in the process of maintenance or cleaning shall be accomplished at a site approved by Garfield County in a manner which does not create a hazard to the public health, a nuisance or an undue risk of pollution and which complies with state and local rules and regulations. 21. When the use of a vault system is terminated or the vault system is relocated, the contents of a vault shall be properly removed and disposed of and the emptied vault shall be filled with soil or rock, or the Garfield County Building Official may allow the vault to be reused, removed and disposed of properly. C. RECORDS The Permittee shall establish and maintain records. All records shall be maintained a public records and be made available to Garfield County or other third party upon request. Required records shall include, but not be limited to, the following: • A copy of the permitees's current legal contract for removal of vault waste. • A copy of this permit. • The dates, location, and time of pumping tank contents; • The individual(s) and company that performed tank pumping; • The volume of waste removed from the tank; • The location of disposal including a receipt from the receiving facility; • Any system repair or maintenance performed including the reason for said repair or maintenance. D. CERTIFICATION OF AN APPROVED VAULT SYSTEM INSTALLATION 2 The Permittee shall inform the Garfield County Building Official in writing of any intent to construct, install, or alter any vault system, no greater than 48 hours after construction, and shall furnish the Garfield County Building Department such plans and specifications to evaluate compliance with the Garfield County ISDS Regulations. E. REMOVED SUBSTANCES Solids, sludge's, or other pollutants removed in the course of vault maintenance shall be removed and disposed of in a manner such as to prevent any of this material from discharging to the ground surface or from entering waters of the State. For all domestic wastewater treatment works, the Permittee shall dispose of sludge in accordance with State (Regulation No. 64) and Federal (Section 405(d) of the Act) regulations. The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in violation of this permit that has a reasonable likehood of adversely affecting the public health or environment. Permittee shall maintain a copy of a service contract and any pumping and disposal records from the approved contracted systems cleaner and submit such information when requested by the local regulatory authority. F. PERMIT VIOLATIONS Failure to comply with any terms and/or conditions of this permit shall be a violation of this permit. The surface discharge of any pollutant identified in this permit in a manner other than is authorized in this permit shall constitute a violation of the permit. Permit violations will be subject to enforcement provisions as outlined in Section IV.H, IV.I and IV.N of the Garfield County Board of Health "Individual Sewage Disposal Systems Regulations". Violations of the permit are the sole responsibility of the Permittee. G. ACCESS TO THE SITE For the purpose of inspection and enforcing applicable rules, regulations, terms and conditions of any permit issued, the Garfield County Building Official or his/her designated agent is authorized to enter upon private property at reasonable times and upon reasonable notice for the purpose of determining whether or not operating sewage treatment systems are functioning in compliance with this permit. 3 October 1, 2008 Garfield County 1098th Street Glenwood Springs, CO 81601 R& Authority es Agent Dear County Repressztativg This Jetta is to ounfljs the Agents to execute nPp of Sandy and Ede tree fallowing e Mk= Production kW Company e PiftethLLL eRyas Cobh fit, This 1y is grated for all doeunaents fonds to(Wed Calmly. Shicerely, .01.00.0L - Altus Banton Vice President Denver Region DREAMS 10!01/06 FXPIORATION 1058 CRe2.15 no.Sane floulum CO 11635.0370 9Thrinten RE: SG 22-32 Pad Site The site will temporary office and house up to a maximum of 8 individuals during natural gas drilling activities and is expected to complete in less than 6 months. The individuals will occupy 2 individual trailer offices/houses located on the well pad. One above ground sewage holding tank of approximately 4000 -gallon capacity on site. Sewage flows estimated to be 600 gallons/day (8 individuals' x 75gpcd). Sewage holding tanks need to be emptied approximately every 6 days (4000 gallons/ 600 gallons/day). Waste water vaults have overflow alarms. Williams utilizes the services of Down valley Septic and Waste to remove and haul the wastewater to a State Certified treatment/disposal facility. One aboveground water tank of approximately 500 Barrels capacity on each site. SCALE: 1' a 80' DAZE: 10-03-08 Drawn By. D.R.B. Revised: 10-14-08 D.R.B. Revised: 11-06-08 O.R.B. Total Pit Capoclty W/5' of Fneboad ar 37,880 Bbfs * Total PH Volume - 9,980 Cu. Yds WILLIAMS PRODUCTION RMT COMPANY TYPICAL RIG LAYOUT nae Ra 0.01 t ID N 8o'Pnm $C 1 MOOS to, ssN iuWn reg Baa sea. Prop. e SO e 4 &We ss EP - Rahn S0 421—: t fLtroe s9 472-3z 150' U Stack Storage tt Area 0000 Sulk Storage Tanks 372-32 two 30 12-32 hos 60 671-32 60 325-32 211-32 BOO�rO�m, Boon 1111111111 11 1:i11111 11 a MS 1111111111* lf111111111 • E� �® �µT L.;. pfeaaos0esaa epee ciNsTe• kqY i, tett, \ 4 `�aOFe©Cp10,ddb �© 9 Cons rdction House Portable Water Septic Toolpusher House UINTAH ENGINEERING do LAND SURVEYING 86 So. 200 East * Vernat, Utah 84078 * (486) 788-1017 PROPOSED LOCATION: SG 522-32, SG 532-32, SG 432-32, SG 422-32, SG 322-32, SG 22-32, SG 521-32, SG 321-32, SG 21-32, SG 421-32, SG 11-32, SG 311-32, SG 411-32, SG 511-32, SG 12-32, SG 312-32 & SG 412-32 EXISTING 2 -TRACK NEEDS UPGRADED 0.7 MI. +/- �`.�JJ•1. ED/ PR OPOSEO (.I ACCESS .4 +/ -PROPOSED ACCESS FOR SG 31.320.15 M 1: +I-'` LEGEND: -'--�-�- PROPOSEDACCESS ROAD EXISTING ROAD Uintah Engineering & L and Surveying 85 South 200 East Vernal. Utah 84078 (435) 789_1017* FAC (435) 789-1813 N WILLIAMS PRODUCTION RMT COMPANY TOPOt3RAPHIC110 MAP 7 08 SCALE: 1' = 2000' 1 DRAWN BY: ILO. 1 REVISED: 00.00.00 R� 961 q jpS 1 1L\ PROPOSED LOCATION: SG 522-32, SG 532-32, SG 432-32, SG 422-32, SG 322-32, SG 22-32, SG 521-32, SG 321-32, SG 21-32, SG 421-32, SG 11-32, SG 311-32, SG 411-32, SG 511-32, SG 12-32, SG 312-32 & SG 4 2-32 LEGEND: Q PROPOSED LOCATION Uintah Engineering & Land Surveying 85 South 200 East ♦ erual, Utah 84078 (435) 789-1017 * FAX (435) 789-1813 TOPOGRAPHIC GRAPHIC 121 i U� M A P MO DAY veer SCALE: 1:100,0001 DRAWN 6V: J.L,G 1 REVISED: 00.00.00 EXPLORATION AND PRO 10 PC) 80X`2121]3 .. TULSA, 0K 74121 1219 11°00000053 i ?u' 1:0 ? L9232261: 0914?8811'