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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name
System Location
3enaThOtY1 Present Address 091 lJ r CZ I
0091 c& I a
- co-Dlci
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
Permit 4 4 6 7
Assessor's Parcel No.
This does not constitute
a building or use permit.
hone
0145"5b5
U1. Septic Tank Capacity (gallon)
/9
Other
Percolation Rate (minutes/inch) Number of Bedrooms (or other)
Required Absorption Area - See Attached
Special Setback Requirements:
Date
Jog /Ce P�
�cz L /A/ 77e, ',W- Gz//
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/ ow
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 4 �/
Absorption Area 523 f�l1 r �� ce /74/40
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other
Date 5 � 3 ` /� Inspector ;112;1 WiL SCA /".i92 piI1/l.
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. Ail 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 specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6
months in jail or both).
White - APPLICANT Yellow - DEPARTMENT
GARFIELD COUNTY SEPTIC PERMIT APPLICATION
108 8th Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003
www. field-county.com
1
Perk Fee:
Parcel No: (this information is available at the assessors office 970-945-9134) / g.-- -, J -``�
il:
description [}
2
Septic Permit #:
Job Address:ss(if an address has not been assigned,edplease provide Cr, Hwy or Street Name & City) or and legal
07 2 �el� a ) .2 7 6. c vki, Yap I.
3
APPROVAL DATE
Lot Size: r7irz7 Lot No: Block No: Subd./ Exemption:
4
Owner: (property owner)
ZVI MAV f EIVA CKEL
Mailing Address 5/60/
01 0(/:',(0, l.?7 C S(?
Ph:
110 eV. 5-67-g"
Alt Ph:
5
Contractor:
Mailing Address
Ph:
Alt Ph!
6
Engineer:
Mailing Address
Ph:
Alt Ph:
7
PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration ( ) Repair
8
WASTE TYPE: (,Dwelling ( )Transient Use ( )Commercial or industrial ( )Non- Domestic wastes
( )Other - Describe
9
BUILDING OR SERVICE TYPE: .CIL, F/fr i1 t. Y
Number of bedrooms
5
Garbage Grinder ( )Yes )4No
( )STREAM OR CREEK ( )CISTERN
1/5rz; 4 A* : <.
()QWELL ( )SPRING
of supplier: TM WWA Hi -tom /wilt- 114-72'n..
10
SOURCE & TYPE OF WATER SUPPLY:
If supplied by COMMUNITY WATER, give name
11
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to the Community System?
Was
/ /-j// e --
,t%LT
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN
12
GROUND CONDITIONS:
Depth to fist Ground
Water Table Percent Ground Slope
13
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED:
'Septic Tank ( )Aeration Plant ( )Vault ( )Vault Privy ( )Composting Toilet
( )Recycling, Potable Use ( )Recycling, other use ( )Pit Privy ( )Incineration Toilet ( )Chemical Toilet
( )Other- Describe
14
FINAL DISPOSAL BY:
(NAbsorption trench, Bed or Pit ( )Underground
( )Wastewater pond ( )Other-
Dispersal ( )Above Ground Dispersal ( )Evapotranspiration ( )Sand filter
Describe
15
Will effluent be discharged directly into waters of the state? ( )YES ( )NO
16
PERCOLATION TEST RESULT: (to he 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
No._
Minutes per inch in hole No.2 Minutes per inch in hole
Name, address & telephone of RPE who made soil
Name, address & telephone of RPE responsible
absorption test:
for design of the system:
17
I
Applicant acknowledges that the completeness of
the local health department to be made and furnished
issuance of the permit is subject to such terms and
reports submitted herewith and required to be submitted
and are designed to be relied on by the local department
understand that any falsification or misrepresentation
and leg I action erjury aj\Is pr vidQ ed by law.
the application is conditional upon such further mandatory and additional test and reports as may be required by
by the applicant or by the local health department for purposed of the evaluation of the application; and the
conditions as deemed necessary to insure compliance with rules and regulations made, information and
by the applicant are or will be represented to be true and correct to the best of my knowledge and belief
of health in evaluating the same for purposes of issuing the permit applied for herein. l further
may result in the denial of the application or revocation of any permit granted based upon said application
r� ` 11 ,0 3
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OWNERS IGN T 1,1 ► v'Ij1i/t"
DATE
STAFF USE ONLY
Permit Fee:
Perk Fee:
Total fees:
Building Permit #:
Septic Permit #:
Issue Date:
Building & Planning Dept:
APPROVAL DATE
Garfield County
Building & Planning Department
ALL APPLICATIONS ARE REQUIRED TO BE SUMBMITTED IN PERSON
PROCEDURE REQUIRED FOR COMPLIANCE WITH THE GARFIELD COUNTY SEWAGE
DISPOSAL REGULATIONS.
Permit applications can be obtained and submitted to the Garfield County Building and Planning Department
at 108 8rn St, Suite 401, Glenwood Springs, Colorado. See below for additional information.
I PERMIT APPLICATION & SUBMITTAL REQUIREMENTS:
• Complete application.
• Site plan (1 copy) to include well, all streams, irrigation ditches, and any water courses. Draw in
your house, septic tank & system, detached garages, and driveway. If a change of location is
necessary, you must submit a corrected drawing.)
• Engineered System will need copy of perk rate & design for our records prior to final inspection.
FEES:
Make Check payable to: Garfield County Treasurer
• Septic Permit for a New installation $73 00
• Septic Permit for alteration and/or repair $50.00
• Septic Perk test $100.00
FEES ARE NOT REFUNDABLE.
II ATTACHMENTS:
• Percolation Test Instructions
• Recommended minimum requirements for Individual Sewage Disposal System (ISDS).
111 FINAL INSPECTION:
• When all components are in place, connected and ready to cover, request a final inspection by the
County Inspector.
• DO NOT backfill any part of the system prior to the inspection.
• The initial fee covers the percolation test and one (1) inspection before cover up. Any additional
percolation test will be charged at $100.00 each and additional inspections will be charged at
$50.00 each.
• Upon final approval, carefully cover the entire system.
• Engineered Systems are inspected by the Engineer prior to backfill. A final sealed letter by the
Engineer is required to be submitted to Garfield County.
PERCOLATION TEST INSTRUCTIONS
• The successful operation of your septic system depends on the rate the soil in which your leach field will be installed
will accept water.
• THIS IS CRITICAL If instructions are not followed completely, technician may not do the perk test and you will
be charge a $50.00 fee for 2nd visit.
• The rate of absorption is called the percolation rate and it determines the size of the leach field needed for a particular
flow of sewage and in some cases even determines the feasibility of the installation of a septic tank and leach field
system.
• PERCOLATION TEST MUST BE DONE AT THE GROUND DEPTH WHERE ABSORPTION WILL TAKE PLACE.
STANDARD LEACH FIELDS ARE INSTALLED THREE FEET DEEP, SO THE PERCOLATION HOLES ARE DUG
FOUR FEET DEEP, AT LEAST 20 FEET APART, IN A TRIANGLE SHAPE. THE PERCOLATION TEST IS DONE IN
THE BOTTOM ONE (1) FOOT OF THE HOLE.
Post Hole
Backhoe Hole
A posthole digger, auger or backhoe can be used to dig the percolation test holes. If a back hoe is used, dig the backhoe hole
three (3) feet deep, with 2 steps or a ramp. Put a test hole one (1) foot deep and 8 to 12 inches in diameter in the bottom.
Installation of absorption areas (i.e. drywells) deeper than three (3) feet require the permission of the Environmental Health
Department. All dry wells shall be designed by an Engineer registered in the state of Colorado.
Saturation with water will affect the percolation rate, and since the system will be expected to operate when the soil is saturated
with water, THE LOWER TEST HOLE MUST BE FILLED WITH WATER AT LEAST EIGHT (8) HOURS BEFORE THE TEST
AND ALLOWED TO STAND. More water will be needed to perform the percolation test, so AT LEAST FIVE (5) GALLONS OF
WATER PER HOLE SHOULD BE ON HAND WHEN THE TEST IS PERFORMED.
AN EIGHT (8) FOOT PROFILE HOLE IN THE LEACH FIELD AREA IS REQUIRED BY THE STATE OF COLORADO TO
DETERMINE THE PROXIMITY OF GROUND WATER AND BEDROCK. (One soil profile hole shall be drilled or dug to provide
observation of the soil profile of the area of the soil absorption system. The hole shall be prepared at least eight (8) feet deep.
The hole may be terminated when ground water or bedrock is encountered. The hole shall be prepared in such a way as to
provide identification of the soil profile four (4) feet below the bottom of the soil absorption system.)
If ground water is found in any perk or profile hole, an engineered systems is required.
Percolation rates faster than five (5) minutes per inch or slower than sixty (60) minutes per inch require engineered
system and/ or Board of Health approval.
RECOMMENDED MINIMUM REQUIREMENTS FOR
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS (ISDS)
Before construction is started, the Inspector must be contacted for approval and detailed information concerning the proposed
disposal system is needed, Higher standards than those which follow may be required in individual cases to assure attainment of
the objective. Those objectives are to locate, construct and maintain individual sewage disposal systems in such a manner that
existing or contemplated water supplies will not become contaminated and so that sewage will not overflow the ground surface
and result in a nuisance or health hazard.
LIQUID CAPACITY OF TANK (GALLONS)
(Provide for use of garbage grinder, automatic clothes washer and other water using household appliances).
Number of Bedrooms
2 or less
3 or less
4 or less
For each additional bedroom, add
Recommended Minimum Tank Capacity
750 gallons
1,000 gallons
1,250 gallons_
250 gallons
Dwelling on less than two acres, areas of high water tables, or areas with a percolation test rate faster than 1" in 5 minutes must
have alternative sewage facilities, i.e., central collection, holding tanks, individual treatment, etc.
EXEMPTION: Absorption areas may be allowed with percolation rates faster than one (1) inch in five (5) minutes provided the
soil is a sandy texture and no water table problems are encountered. An Engineer is required.
Slopes greater than 30% also require an Engineered System.
1. Maximum length of drainage line:
100 linear feet
2. Minimum width of drainage trench:
1
18 inches
6 feet
As level as possible
under PVC, 2" over PVC
12 inches
3. Minimum spacing between trenches or pipes:
4. Maximum grade of drainage system:
5. Minimum depth rock under drain PVC:
16"
6. Minimum depth of cover over distribution lines:
7. Maximum depth of cover over distribution lines:
Variable
8. Minimum grade of house sewer:
1/8 to 1/9' per linear ft.
20 feet
9. Minimum distance of sewage disposal system from dwelling:
10. Minimum distance of septic tank from dwelling:
!
5 feet
11. Minimum distance of leaching area to a well:
100 feet
50 feet
12. Minimum distance of septic tank to a well:
_
13. Minimum distance of leaching area to a stream of water course:
50 feet
14. Minimum distance from septic tank and disposal field to property lines:
:
10 feet for drywell
10 feet for leach field
4 inch diameter
15. Minimum sewer pipe and distribution pipe:
1
• Septic construction should be of concrete, concrete block or of a material that will resist deterioration and which can be
made reasonable watertight.
• Acceptable drain field pipe materials include plastic, terra cotta or concrete. If the house sewer line is longer than 10
feet between house and septic tank, a clean-out Y should_be installed outside as near as practical to the house.
• Septic tanks should be inspected once a year and cleaned when necessary. Cleaning is recommended when space
between the scum accumulation and sludge residue on the tank bottom is less than eighteen (18) inches.
• The Department recommends pumping a septic tank once every four (4) years, when a yearly inspection by the owner is
not practical.
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Parcel Detail Page 1 of 4
Garfield County Assessor/Treasurer
Parcel Detail Information
Assessor/Treasurer Property Search I Assessor Subset Query 1 Assessor Sales Search
Clerk & Recorder Reception Search
Basic Building Characteristics 1 Tax Information
Parcel Detail I Value Detail 1 Sales Detail 1 Residential/Commercial Improvement Detail
Land Detail 1 Photographs 1 Mill Levy Revenues Detail
Tax Area
Account Number
Parcel Number
2007 Mill Levy
008
R080795
218528100029
60.596
Owner Name and Mailing Address
KENNICKELL, JONATHAN A.
909 COUNTY ROAD 127
GLENWOOD SPRINGS, CO 81601
Assessor's Parcel Description
(Not to be used as a legal description)
SECT,TWN,RNG:28-6-89 DESC: A TR. IN
NWNE & NENW. PRE:R080025 BK:1659*
PG:695 RECPT:667954 BK:0839 PG:0300
BK:0768 PG:0098
Location
Physical Address:
909 127 COUNTY RD GLENWOOD SPRINGS
Subdivision:
Land Acres:
2.73
Land Sq Ft:
0
Section
Township
Range
28
6
89
2008 Property Tax Valuation Information
http://www.garcoact.comIassessor/Parcel.asp?AccountNumber=R080795 6/24/2008
Parcel Detail Page 2 of 4
Land:
Improvements:
Total:
Actual Value
140,000
71,010
211,010
Assessed Value
11,140
5,650
16,790
Additional Value Detail
Most Recent Sale
Sale Date:
Sale Price:
8/7/1992
66,000
Additional Sales Detail
Basic Building Characteristics
Number of Residential
Buildings:
Number of Comm/Ind
Buildings:
1
0
r
Residential Building Occurrence 1 Characteristics
r 1
1 STORY:
924
TOTAL HEATED AREA:
924
ABSTRACT CODE:
SINGLE FAM.RES-
IMPROVEMTS
ARCHITECTURAL STYLE:
MANUFACTURED
EXTERIOR WALL:
MOD METAL
ROOF COVER:
PREFAB MET
ROOF STRUCTURE:
FLAT
INTERIOR WALL:
AVG PANEL
FLOOR:
SHT VINYL
FLOOR:
CARPET
HEATING FUEL:
GAS
HEATING TYPE:
FORCED AIR
STORIES:
STORIES 1.0
BATHS:
1.5
.......... .. . .
ROOMS:
6
UNITS:
1
it
http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R080795 6/24/2008
Parcel Detail Page 3 of 4
BEDROOMS: 113
YEAR BUILT:
1979
Additional Residential/Commercial Improvement Detail
Tax Information
Tax Year
Transaction Type
Amount
2007
Tax Payment: Whole
($1,017.40)
2007
Tax Amount
$1,017.40
2006
Tax Payment: Whole
($908.68)
2006
Tax Amount
$908.68
2005
Tax Payment: Whole
($909.34)
2005
Tax Amount
$909.34
2004
Tax Payment: Second Half
($449.66)
2004
Tax Payment: First Half ($449.66)
2004
Tax Amount
$899.32
2003
Tax Payment: Second Half
($396.65)
2003
Tax Payment: First Half
($396.65)
2003
Tax Amount
$793.30
2002
Tax Payment: Second Half
($281.24)
2002
Tax Payment: First Half ($281.24)
2002
Tax Amount
$562.48
2001
Tax Payment: Whole
($283.08)
2001
Tax Payment: Whole
($283.08)
2001
Tax Amount
$566.16
2000
Tax Payment: Second Half
($239.98)
2000
Tax Payment: First Half
($239.98)
2000
Tax Amount
$479.96
1999
Tax Payment: Second Half
($221.34)
1999
Tax Payment: First Half
($221.34)
1999
Tax Amount $442.68
Mill Levy Revenues Detail
Top of Page
Assessor Database Search Options Treasurer Database Search Options
Clerk & Recorder Database Search Options
http://www.garcoact.com/assessor/Parcel.asp?AccountNumber=R080795 6/24/2008