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•• \ . ·~, • GARFIELD COUNTY BUILDING AND SANITATION D~PARTMENT
\I~·---· · .. • .. • 109 8th Street Suite 303
Glenwood Springs, Colorado 81601
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Phone (303) 945-821i!
Permit N: 3661
AsseHor'a Parcel No.
This does not constitute
a building Qr use permit.
Owner's Namet'\oujooq.'\ ~~~~nt Address i5ko ee.1& I Ca rbvxjabone 14 ~ -(p~q!o
System L~l~q C 12... \\S Cn.rbrdaf..o... 1
Legal Description of Assessor's Parcel No. Le± a. G:::ll\~ Gye.~;t>C')
SYSTEM DESIGN
______ 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 _____________________ _
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
•CONDITIONS:
1. All installation must comply with all requirements of th~ 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. Con4
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 of permit commits a Class I, Petty Offense ($500.00 fine-6
months in jall or both).
White -APPLICANT Yellow -DEPARTMENT
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i
' •
- - - - - - - - - ------ - - - - - - - - - - - - - - - - - - ------------- - - - - - - - - -----
INDIVIDUAL SEWAGE DISPOSAL svs;rEM f\PPLICATION
OWNER M:.,_x 9 C-e..:> r-:z/ o.... fV\<>t..c)o ,,e.J \
ADDRESS oR-60-\L\ Pr1gcJ CuckAJ..,\e PHONE CJ7o-'2Lf.S--6"2.SL
CONTRACTOR l?e.. Y Da V i ~
ADDRESS03'1./ s &Ii~ D.J. G/..,"'wo...d $f3s PHONE '17o -"lys-s-s ~fl
PERMIT REQUEST FOR (v("""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 Cc. c-'ot.t--clc. ~ Size of Lot .S: C\. c.. \e S
Legal Description or Ad-dr-es-s ~~~~-Q-'(Z_-\ \-C::,----.(_....-' ,-'d-Q-((,--~/r~o=-f~~"---G~;:,"""o-u.. \-'-o\-"--'-f=X'-€'=t'i-pj-, ""'
WASTES TYPE: ()4 DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER-DESCRIBE,__ ______________ _
BUILDING OR SERVICE TYPE:.~R~e~2~;J~e~t..~t~.'-c...__ _______________ _
Number of Bedrooms -=.3 ___________ _ Number of Persons ~.3"------
(,X;) Dishwasher (I>() Garbage Grinder (.X) Automatic Washer
SOURCE AND TYPE OF WATER SUPPLY: ()0 WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier: _____ -:-----------
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: _ _._tJ_,/'-'-A'---------
Was an effort made to connect to the Community System? __ ~pj_/~A:~---------
A site plan is required to be submitted that indicates the following MINIMUM distances:
Leach Field to Well: 100 feet
Septic Tank to Well: SO 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 __________________________ _
2
TYPE O~IVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ,
( ). y(EPTIC TANK ( ) AERATION PLANT ( ) VAULT
f l
( ) VAULTPRIVY ( ) COMPOSTINGTOILET ( ) RECYCLING,POTABLEUSE
( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE
( ) CHEMICAL TOILET ( ) OTHER-DESCRIBE. ___________ _
FINAL DISPOSAL BY:
( ~ABSORPTION TRENCH, BED OR PIT ( ) EV APOTRANSPIRATION
( ) UNDERGROUND DISPERSAL ( ) SAND FILTER
( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OTHER -DESCRIBE
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?_,_/V_,O=------
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, ifthe 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. ______ _,,er inch in hole NO.
Name, address and telephone ofRPE who made soil absorption tests: ______________ _
Name, address and telephone ofRPE 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 pennit 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 pennit applied for herein. I further understand that any
falsification or misrepresentation may result in the denial of the application or revocation of any pennit granted based
upon said application and in legal action for perjury as provided by law.
Date_~1,__/l<--+-/--=z.'-l._1.,,._/_,~"'--),___ ___ _
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
GAMBA
a A8•0CIATS•
CONSUL.TINO •NOIN•&:RS
6 LAND 8URYSYOR8
WWW.•A••Allt•IN SI It N•.Celt
PHONE: 9701948·21580
PAX:970/94S•t4t0
•
t ta NINTH STREET,
SUITE 214
P.O. Box t 488
GLENWOOD SPRINGS,
COL.ORA.DO 81802-1488
•
TRANSMITTAL
DATE: Moy 20, 2002 TIME: 1:50 PM
PRoJBcT NAME: Macdonell ISDS
PROJBCT NUMBER: 02327
To: Garfield County Planning Dept.
COMPANY:
ADDRESS:
PHONE: 945-8212 FAX:
FROM: Chris Strouse ci
Rm: ISDS Design Submittal
CC:
WI! Hl!Rl!WITH TRANSMIT THI! FOLLOWING:
x DRAWINGS D CONTRACT DOCUMENTS D BID DOCUMENTS D SPECIFICATIONS
0 PRODUCT LITERATURE D CHANGE ORDER D OTHER
FOR YOUR:
DD APPROVAL D REVIEW Be COMMENT D DISTRIBUTION TO PARTIES D RECORD D INFORMATION D U£".(
• COMMENTS:
Two Shee1s-Original Signed ISDS Design
- - - - - - - - - - - - - - - - - - - ----- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---------------------
GARFIELD COUNTY
ISDS DESIGN CALCULATIONS
f •
Owner's Name Parcel ID#
House Size (sq. ft.) .2400
Number of Bedrooms in Main House
Number of Offices, Libraries, Studies, Similar-sized Rooms in Main House
Number of Bedrooms in Detached Caretaker unit
Number of Offices, Studies, Similar-sized Rooms in Caretaker Unit
(If the caretaker unit is ATIACHED, treat as if part of main house.)
Average Daily Waste Flow: 450
State Review Required?: no
Pere Rate (t) • -
Design Flow (Q) • #potential bedrooms X 2 people/bedroom X gpd X 1.50
Q-675
Absorption Area =
A•
IA=;x~
1396.45 sq. ft. of absorption area required
90 infiltrator units without reduction -----A maximum 50% reduction is allowed for use of deep gravel or gravelless chambered system.
only If lhe lol tlze and 1011 conditions are optimal.
If a reduction is being proposed, describe why lot size and soil conditions are optimal:
We will use a 40% reduction in Trench area because of the Percolation Test results.
A• 837.87 sq.ft. with reduction
54 infiltrator units with reduction __ :..:;_ __
•
Type of system: [X]Absorption trenches OAbsorption bed D Gravelless chambers
ODry well OSeepage Pit OOther (type)
SETBACK FROM WELL
# offeet • ___ __:1;.::00.;:.
SETBACK FROM POND, STREAM OR IRRIGATION DITCH
# offeet • 50
SETBACK FROM DRY GULCH
# offeet • 25 -----'-'-
FINAL INSPECTION BY:----------
Page 1 of 1
75
DATE: ____ _
PERC SHEET
PERCOLft:TION TEST RESULTS FORM
---------... ··-·--' -· _,, __ ------------------L___ ___ ----
HOLE DEPTH OF TME MEASURE DROP in WATER PERCOLATION
No. TEST HOLE TIME INTERVAL MENT LEVEL RATE REMARKS
(in) (min.) (min) (inches) (inches) (min/in)
**I 43
-----
9:14 -
9:17 0:03 7 112 7.500 0
- -----------
9:27 0:10 8 0.500 20
---------
9:57 0:30 8 518 0.625 48 . ----
10:30 0:33 9 1/8 0.500 66
----------
11 :00 0:30 9 1/2 0.375 80
------
11:30 0:30 9 7/8 0.375 80
----
----------
------
-------------
---------------
**2 48
·-· -------
9:20 9 1/8 9.125 0 -----------
9:29 0:09 9 1/4 0.125 72
---- --------
9:58 0:29 9
'
318 0.125 232
- -
10:31 0:33 9 3/4 0.375 88
----' ··----,,, _______
11 :01 0:30 10 0.250 120
-------
11 :31 0:30 10 1/4 0.250 120
----
--------------
---------
----------
--- - ---
--------------
---------------··· ------·--·-··· ---·--------____ ,, ______
-------------------------
**5 48
----.. ------·--
9:21 8 518 8.625 0
-----.. -------
9:30 0:09 8 314 0.125 72
------
9:59 0:29 9 0.250 116
----
10:32 0:33 9 1/2 0.500 66 --
11:02 0:30 9 314 0.250 120
-------
11 :32 0:30 10 0.250 120
--------------.
-----
---------------
------
-------------·-
--------
-------------··' ---------------------!
Averae Pere. Rate: 107
Page 1
GAMBA
6 ASSOCIATES
CONSULTING ENGINEERS
6 LAND SURVEYORS
WWW,• AM a A• NGIN•• 1t ING. C 0 M
PHONE: 970/945·2550
FAX: 970/945-1410
113 NINTH STREET,
SUITE 214
P.O. Box 1458
GLENWOOD SPRINGS,
COLORADO 81602·1458
TRANSMITTAL
DATE: July 12, 2002 TIME: 3:33 PM
PROJECT NAME: Max MacDonell ISDS
PROJECT NUMBER: 02327
To: Garfield County Planning Dept
COMPANY:
ADDRESS:
PHONE: 945-8212
FROM: Chris Strousf!b
RE: Revised ISDS Plan
CC: Max MacDonell fax No.: 945-0563
WE HEREWITH TRANSMIT THI!: FOLLOWING:
x DRAWINGS D CONTRACT DOCUMENTS D BID DOCUMENT• x BPECIP'ICATIONS
D PRODUCT LITERATURE D CHANCIE ORDER D OTHER
FOR YOUR:
OX APPROVAL X REVIEW 6 COMMENT 0 DISTRIBUTION TO PARTIES X RECORD 0 INFORMATION X U ·
• COMMENTS:
Revised plan and calculations due site restraints after construction has been started.
GARFIELD COUNTY
ISDS DESIGN CALCULATIONS
Owner's Name Parcel ID#
House Size (sq. ft.)
Number of Bedrooms in Main House
Number of Offices, Libraries, Studies, Similar·sized Rooms in Main House
Number of Bedrooms in Detached Caretaker unit
Number of Offices, Studies, Similar·sized Rooms in Caretaker Unit
(If the caretaker unit is A TI ACHED, treat as if part of main house.)
Average Daily Waste Flow: 450
State Review Required?: no
Pere Rate (t) --
Design Flow (Q) • #potential bedrooms X 2 people/bedroom X gpd X 1.50
Q• 675
Absorption Area •
A• 13%.45 sq. ft. of absorption area required
90 infiltrator units without reduction -----A m.udmum 50% reduction is allowed for use of deep grave] or gravelless chambered system.
only Jf the lot size and soil conditions are optima.I.
If a reduction is being proposed, describe why lot size and soil conditions are optimal:
We will use a 40% reduction of the leach area for the trench design because of the high percolation rate.
A• 837.87 sq.ft. with reduction
54 infiltrator units with reduction ----'----
Type of system: [)(]Absorption trenches OAbsorption bed 0 Gravelless chambers
ODry well OSeepage Pit OOther (type)
SETBACK FROM WELL
# offeet = 100
SETBACK FROM POND, STREAM OR IRRIGATION DITCH
# offeet -50
SETBACK FROM DRY GULCH
# offeet = ----=2:..5
FINAL INSPECTION BY:---------
Page 1 of 1
75
DATE: ____ _
BOTIOM OF DRY SIDE WALL TOTAL AREA Kl"OJIRrr N?i-A
SIDE WIDTHS L x W ft. AREA WELL AREA OF DRY WELL C sD
1:?96A?
5 5
:20
20 25 500 10 900 1400.00
10 40.5 405 12 1212 1617.00
21 25 525 12 1104 1629.00
20 26 520 12 1104 1624.00
20 27 540 12 1128 1668.00
TALAREA
SIDE WALL LENGTHS ft.
31.95
5 00
9.90 229.58 16 ... 1200.48 1430.06
25.18 229.58 J7,$ ... 1313.025 1542.61
3 229.58 .u.~. !3$8.05~ 1617.64
Page 1 of 1
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GAMBA
6 ASSOCIATES
CONSULTING ENGINEERS
6 LAND SURVEYORS
WWW" .OA M OA • .. 01N••1t IN 0. C Cl M
PHONE: 970/945·2550
FAX: 970/945-1410
113 NINTH STREET,
SUITE 214
P.O. Box '458
GLENWOOD SPRINGS,
COLORADO 81602-1458
September 3, 2002
Garfield County Building & Planning Dept.
I 09 81h Street
Glenwood Springs, CO 81601
Re: Max Macdonell Residence l.S.D.S.
To Whom It May Concern::
RECEIVED
SEP 0 4 2002
BU GAAFILDt IELD COUNTY
NG & Pt.ANNiNG
On August 08, 2002 Gamba & Associates, Inc performed a final inspection at the
Macdonell residence off of Red Canyon Road .
The system as observed by Gamba & Associates, Inc., was found to be in
substantial conformance to the revised design calculations and drawings
submitted on July I 2, 2002, and accepted ISDS construction practices.
If you have any questions or comments, please call me.
Sincerely,
GAMBA & ASSOCIATES, INC.
Chris Strouse, Design Engineer
H :\02327-Macdonell\FIN _LETTER.DOC
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