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Home My WebLink About03720• :wl)" VJ ,o . flt.~ .. GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT ' ", -I ) •1Y'°".,-~-\ . • N" Permit -37,20 • •. 1 I\ 1 V Gle!'!:o!:ih s!~~:~. eo~~:!~!0~eo1 ,, , • Phone (303) 945·8212 I -------t AaaeBBor'a Parcel No. \ll ,f··· This dQes not constllute I INDIVIDUAL SEWAQE DISPOSAL PERMIT a building or use permit. I l PROPERTY c::.· tv.. . \ I \ \_ . \\'\ G·~ i '\ } f pwner's Namulmf>~\ cMRt Present Address! Q8 ~ cdL Phone 9@8 ~ C:Jt '89 A Gli:::>() 0'15/ Vttn Dof(I RrP. · ~ l • I System Location l / • I I I ! l I I ! ' t Legal Description of Assessor's Parcel No.-------------------------------- 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) ' t I ' ! ;• l ' I ~ Call for Inspection (24 hours notice) Before Covering Installation f l , I I I l , I • i ! ; ~ ! System Installer _____________________________________ _ \ Septic Tank Capacity ________________________________ ~'---- Septic Tank Manuf~cturer or Trade Name ------------------------------ Septic Tank Access ~lthln 8" of surface ------------------------------ Absorption Area-------------------------------------- / Absorption Area Type and/or Manufacturer or Trade Name ------------------------ ~,./ Adequate compliance with County and State regulations/requirements __________________ -'-~ Other---,--------------------------------------- Date tJd 9-1() • o-z_. Inspector -'(?;d'AA;,~~ ..... ..:;<;;;:z'/~'1~·~r~/.ro-~~~~----------- RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE ' •CONDITIONS: 1. All lnstallatlon must comply with all requirements of the Colorado State Board of Heetlth Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1Q84. 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 th-..permlt. t· I ' I I { ' ~ i I I i I t I • I ) { 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 flne-6 ., months In jail or both). 1 ' ' ( < -------------------.~------- . . INDIVIDUAL SEWAGE DISPOS~ SYSTEM APPLICATION OWNER Mt~ ADDRESS I I 0 0 W5npp1£ Dl2. CONTRACTOR M \ te $1 oy,'\?$0~ ~t,..et.JetttuO <;p,c;, l.O PHONE "IZ.6-84'Z-"l e1c.i>1 ADDRESS 1109 W§n,ooll. l>t 41&.!W!>OQ Sfti.1aj c.o Su .• o 1 ' 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). WCATION OF PROPOSED FACILITY: Size ofLot 8. 3 A<.t2ES Legal Description or Address N w •14 Sw '14 ser:-,-1otJ ~ Tow w>H 1 e 1 $""™ ~c.f 8"1 W Ei?T o F WASTES TYPE: &') D\v'JrLLING ~ ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER-DESCRIBE. ______________ ~ BUILDING OR SER VICE TYPE:_S=-i.! :..o:..._,:..::c..::.:1::..0:1':........1FJ;..zA::u::M'""'"'L"'"y _ _,(?e;=.,_,_1 t?e=-...,t:J:..::q;;i'""------------ Number of Bedrooms -=i:_______________ Number of Persons _3"-------- 00 Garbage Grinder (')() Automatic Washer (X) Dishwasher SOUR.CE AND TypE OF WATER SUPPLY: (>() WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: ________________ _ DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:-'-'1.""g.:::....""'=•1: ... e..,.s'---------- Was an effort made to connect to the Community System?_~o~------------ A site plan ls required to be submitted that indicates the following MINIMUM distances: Leach Field to Well: 1 ~ u' 100 feet Septic Tank to Well: 1'2...S 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: (septic tank &leach field)lO feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS: Depth to first Ground Water Table.--'u"'-"'"""""'::..i"'~o""w"'-"'N'-------------------- Percent Ground Slope. ___________________________ _ 2 ------ TYPE 0F INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: . ' . • ()() SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POT ABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER -DESCRIBE FINAL DISPOSAL BY: ('X..) 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?----'-'t-l::.::O:__ ___ _ PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, ifthe Engineer does the Percolation Test) Minutes. __ 4.,o~ _ _,per inch in hole No. 1 Minutes ?,o per inch in hole No. 2 Minutes --~"'--0 ___ 1per inch in hole NO. 3 Minutes er inch in hole NO. _ Name, address and telephone ofRPE who made soil absorption tests:l2o15aT C2J;:>'bo, p ¢. l?lUn,rJeR. lyO. <'..LE:NWoe'D $'Pe1 ... c..'>.c D 811.01., ("116) c:i1;-1ooe,,. Name, address and telephone ofRPE responsible for design of the system: l2'.olr.01t.-i C1\?l>O 1?<' 1>~ 14~. &1 e)-)1,!)POI> PN-INC+'> Cc ~\C..O'"L ("!JO) 145-IDOy 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 fillsification 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. Signed M,~ -= Date (..,I Z.1 I oi PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 SIMPSON RESIDENCE ISDS DESIGN CRITERIA A B c REQUIRED ABSORPTION BEDROOMS AREA PER BEDROOM ISFI ABSORPTION AREA tA•BllSFI 4 453.7 1814.8 TANK CAPACITY 1250 GAL. B!Gl-[)RN EXCAVATING Fax : 970-328-6209 Jul 11 '02 08:52 P.02 JUL.•1111-2002 11:5~ FRO'l:El.~"O 5'71!3&4::1'1TZ T019?3&86e09 P:4'9 fr f ii j l r [ i ;;-\ ~ ;; .. 1 I:;; ........ • ~~'}.,, ..... __ f -' a-..'-~'O~)J ,. ....... ~. "'\ "'I f ~ ~ U\ ~ ~-.... ~ 1::1 ...,,_ .... \I'! [ a. • ...,, )< l ·"' ~ .... I.!! ~i' ~ .. ... . J.i·J -~p"i>.~ J ~ '?.. ~',1:1: ....._ .... ' ~ , .... ,,. ~· ' ~"' f ··!· " )~ ~ '() ('\ " I l \ ~ ~-}! ... "" ~ j~ l ~ ... "" b .. ' )\--::-.. -.1I1 ... ~ >l fl ~ ~-If tjll ~ 0 ... if. :i. l(jl ~ j. · f. f l . J f i ff . J r ' I ' I GAMBA 6 ASSOCIATE& CONSULTING ENGINEERS 6 LAND SURVEYORS WWW.CIAM•A•HGIN••RIMG..COM PHONE: 970/945-2550 FAX: 970/945-1410 113 NINTH STREET, SUITE 214 P.O. Box 1458 GLENWOOD SPRINGS, COLORADO 81602-1458 Tuesday, February 25, 2003 Andy Schwaller Garfield County Building & Planning 109 8th Street, Suite 303 Glenwood Springs, Colorado 81601 (970) 945-8212 Re: Simpson Individual Sewage Disposal System (ISDS) Dear Andy: Mike Simpson, the owner of the property, has asked us to write a letter regarding the installation of the septic system components for the residence at 0751 Van Dom Road, in Glenwood Springs. The septic system was sized by our office for a minimum septic tank capacity of 1,407 gallons, and a minimum of 43 infiltrator units arraigned in a trench layout. The actual septic tanks, (there were two) had a combined capacity of 2,500 gallons, and there were a total of 49 infiltrator units installed in seven parallel trenches of seven infiltrator units in length each. The system was inspected by Christopher W. Strouse of our office on October 9th and 101h of 2002, and to the best of our knowledge and information was constructed in accordance with the intended layout, and the site plan submitted by Mike Simpson with the application. If you have any questions, please call. Sincerely, Gamba & Associates, Inc. cc: Mike Simpson, MJG, File: 02362 H:\02362\Simpson-ISDS-GARCO.doc Michael Simpson JSDS letter to Garfield County Page I of I go· Bend 1 )2" PVC Pipe (5' MIN. Bury) FROM DOSING --CHAMBER go· Bend __J A I I I Distribu lion Manifold {See Detail) ST AND ARD INFILTRATOR UNITS. 49 TOTAL UNITS '-r rh ..4-. ..4-. r .a. u I-!- + .a. .a. I- -I-.! l---J-1 I- LJ L..LJ L -r:I 1--6.00' LI o---57.00' 7-: CAP ENDS OF 1 }2" DISTRIBUTION PIPE ·---· 43.50' ."-"· ' ' . • _, I I I I I F-+---t I I 1. I I I ' ' I I I I I I I I I -I I I I I I I I I I I I I I I I ' I ,. I I I ! .5 T,; '? ./ ,,.,.,/ ,',, '/,; ,,_,. ... ,: , ,,. 'f'! r,,.,._( ,,,~,,·-: ' \ I I I I I I I I I I I I I I I I I I I I i I I ' I I I I I I I I ' I I i I I I ' T i I I I I I i I I I L I L I i ' ! i I : i ' I I I l I i