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HomeMy WebLinkAbout04424GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT Permit 4 4 2 4 Assessor's Parcel No. This does not constitute a building or use permit. PROPERTY VW0 V1,1/43 Owner's NameVICAVet Present Address Phone System Location Cg' "\G t i V.1v-t Legal Description of Assessor's Parcel No, 5AI.— )b 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 /54°.. Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface Absorption Area 141 -1e,t,ci r-r—i4114) 5) Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other0n 7r/� Date .6`' ~ " j Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE ©dlo i P i, -#19z46-- *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 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 8's Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212 / Fax: 970-384-34701 Inspection Line: 970-384-5003 www,_arfield-coun com 1 Perk Fee: t Parcel No: (this information is available at thg assessors office 974945-9134) -/1r7it,i0 2-- 2 Job Address: (if an address bullet been signed, please provide Cr, Hwy or Street Name & City) or and legal description �`'�t 3 Building & Planning Dept: k.-3 - or Lot No: Block No: Subd./ Exemption: Lot Size:Ma &c � 4 Owner: (property owner) 7,9111-21 ''''c -,• .- ''.-6,/`41,4P•9.5. Mailing Address ®S.Y T .7" e:•,.,,,,,,y- Ph: 5i 8 -'5',.2.. Alt Ph: Y'-iS - 4 0,12 5 Contractor: ,, i ,, ,, ,0 ed. j Mailing Address O S 3" , 71.a. .rS~1?.- 74 Ph: / Vg — 974e, Alt Ph: '. $ -' P252_ 6 Engineer: 06 c.r//r ,e),. e".,-„3 , .�J,sw Mailing Address AIcr�c;,A Feet -/e Ph: ,4.23 - 53"7/ Alt Ph: 6/P -- 57 7 PERMIT REQUEST FOR: (.,,5 New Installation ( ) Alteration ( ) Repair 8 WASTE TYPE: ( )Dwelling ( )Transient Use }Commercial or industrial ( )Non Domestic wastes ( )Other — Describe 9 BUILDING OR SERVICE TYPE: [ate �'e c pCS�..t drif Number of bedrooms ,S— re, F"7GG.5 Garbage Grinder ,e -)Yes ( )No 10 SOURCE & TYPE OF WATER SUPPLY: AWELL ( }SPRING ( )STREAM OR CREEK ( )CISTERN If supplied by COMMUNITY WATER, give name of supplier: 11 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to the Community System? /I — / / _lye) . YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN 12 GROUND CONDITIONS: Depth to 1Gt Ground Water Table Percent Ground Slope 3-27- 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: (JAbsorption 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 ANO 16 PERCOLATION TEST RESULT: no be completed by Registered Professlonat 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: y for design of the system: 'd 4 Zt .r'. _., fit, J.,: trr J -, 17 Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test 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. 1 further understand that an Ylsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application al ac�P:' perjury as provided b .. / y - GNATURE ___.,~ DATE STAFF USE ONLY e Per it Fee: l'3 Perk Fee: t Total fees: Building Permit #: E) ME) Septic Permit #: 1.460v)Issue Date: '5— )LI—CZ Building & Planning Dept: k.-3 - or APPROVA DATE Buiiseye Engineering, Inc. 2154 Acacia Ave Rifle, CO 81650 (970) 625-8371 fax:(970) 625-6120 May 13, 2008 Jimmy Sills 539 JB Court Glenwood Springs, CO 81601 RE: Mamm Creek Offices — JSDS Asbuilt Dear Jimmy, This letter is being prepared to serve as your asbuilt and approval letter for your submittal to Garfield County. On May 12, 2008, Bullseye Engineering, Inc. completed an inspection of the installation of the ISDS located at the Mamm Creek Offices building being constructed at the corner of Grass Mesa Road and on County Road 319. The design for this ISDS was completed by Bullseye Engineering, Inc. and signed and stamped dated May 2, 2008. At the time of the inspection, all appurtenances were visible for inspection. The septic tank was backfilled to within 1 foot of the top. The septic tank that was installed was a 1,500 gallon tank (design required 1,250 gallon) and included a heavy duty lid and traffic rated access lids. At the time of inspection, the effluent filter was installed. All sewer lines and effluent lines were installed at a minimum 2% grade. A concrete Distribution box was installed and inspected for level utilizing a level. The infiltration trenches were installed in the design configuration .of 3 rows of 16 ADS Biodiffusers. Based on the observations made, the ISDS meets or exceeds the State of Colorado and Garfield County regulations. Making the assumption that backfill, cleanup, grading and remaining small miscellaneous tasks will be completed properly, Bullseye Engineering, Inc. has completed their inspection and accepts the installation of the JSDS discussed here. If you have any questions regarding the recommendations in this report, please feel free to contact me at (970) 625-8371 at your convenience. Sincerely, ® p 0 1_ i�� @ O", k(<- 543 %9Sio Jeff Odor P.q.0 ,-..-;,,,-„q:,: #s 5 0 President ¢ -c+ ��� ,,�.%7tis :RECEIVE MAY 1 9 2008 GARFIELD COUNTY BUILDING & PLANNING