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Home My WebLink About03830! ~.,: ;_~·::~~;i"'*1/J7~3'' -" ,, .. -T,~--·-•-- f . GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT J 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945-8212 ~ ... INDIVIDUAL SEWAGE DISPOSAL PERMIT Permit N: 3 8 3 0 Assessor's Parcel No. This does not constitute a building or use permit. :: PROPERTY \I ~C\Q~Q.A. : =·~g;~~ia ~s~CW> -· , ~ Legal Description of Assessor's Parcel No.a -I= =-Q t ! SYSTEM DESIGN ' ' i' I /:JSD. ·'''"·· Septic-rank Capacity (gallon) ______ O.ther • -~) 5"=---Percolation Rate (minutes/inch) Number of Bedf~oms (or ot)\er) ~-/,"' 'J/ ~Q~JJ ' 1111.. tti A-Oci/( ~...JI.. pell_ , ' t • ' ., i ' • I I Required Absorption Area-See Attached 53io J\:l ~'1.'\..~ = 3 / :. /] ~, :.fi ~-..._ 1o3 fft """ k-t:i =--31'i (3>{.:) ~(<-vs)~ Special Setback Requirements: Date It> :Ja. 03 ,,, ·1 lnspactor /!.JM. '1. ,J /u...,:. k FINAL SYSTEM INSPECTION AND APrjmvAL (as installed) Call for Inspection (24 hours notice) Before ,C·o:ering Installs'\ System Installer :J,A\, .'XJvl .( . .\ -Septic: Tan.k Manufacturer or Trade Name _ _,,(_..erp.Lf-..&_~~a~,,,,,__.,J,,,_ ______________________ _ Septic Tank Access within .8" of ~urface --f=+-"~.,k-~----------------------,,------ Absorption Area ~O 1_,.J,ttat,,.,.., LA' ~ ( l//> e1 '' '~ /O ) -"f1 Absorption Area Type and/or ~anufacturer or Trade Name _l.,.~_._a~' ._, '"· ~·~:e~f;~'~"~/"t~B'L-~ ____ €_~~,.._·=_%~------- Adequate compliance with County and State regulations/requirements-'+'<'-"'"-'------------------ Other-------------------~~---------~-------------Date~\i\~~ ~'q~""-~ ___ lnspactor_~)~;,r_~·A~h_..,./_1 _7_7{~-~~------ ' RETAIN WITH RECEIPT RECORDS AT CONSTfl'UCTION 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. 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 • • . \ • ' i . • INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER -~· ADDRESS l"V VL6 t?fovo $"""-' ~ CJ1 CONTRACTOR ~ s- ADDRESS ~ 8ox JP,P2 CAOJ>ittU (iO PHONE tf1.;Jt/l :?fzl PHONE 61J /t'f/ PERMITREQUESTFOR ti() NEWINST4J..LATION ( ) 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 PRoPosEo FAcILITY:ojl~c:S\ {_ NearwhatCityofTown l?:I:E/f CO SizeofLot .~~ ' Legal Description or Address bwL A of /(/IW!Ji+f(t:l'<N fu,.., o/.rm.1 &r,,,cf/El? /f/!'KP-1!, 111/7 At; ~p~ A/o. '56&,~Z..I ~ WASTES TYPE: ()() DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER-DESCRIBE _______________ _ BUILDING OR SERVICE TYPE:. _ _J,K~'f>!Ol!fil~l::E<!::!i-ic::!.f.u"11.eA!>!oL=---------------- Number of Bedrooms _ ___,t£"--_________ Number of Persons. _ _,I~--- QG) Garbage Grinder ~Automatic Washer SOURCE AND TYPE OF WATER SUPPLY: ()() WELL If supplied by Community Water, give name of supplier: ()<) Dishwasher ( ) SPRING ( ) STREAM OR CREEK DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:._~""'-'---==-'<------- Was an effort made to connect to the Community System? ------'-""----------- A site plan is required to be submitted that indicates the followin& MINIMUM distances: Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System (septic tank & disposal field) 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.u..oz..._.~.::e..-------------------- TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ~) SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ·) CHEMICAL TOILET( ) OTHER-DESCRIBE y // ,.,,.. 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? No PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes._-'--',___...,-· inch in hole No. I Minutes er inch in hole No. 2 Minutes -~Z~t.~ _ _,per inch in hole No. 3 Minutes er inch in hole No. -----~ Name, address and t ephone ofRPE who made so· absorption tests: I (' Tl. J?vo"YY'~ n c)..31.f C~ I DllV<.. or 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 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. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. Si_, 4 Doto .&,,,. z_tl/. t"8 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! ~ Designate North Arrow Your Neighbor's Name & Address Your Plot -Shape to Fit (No Scale) Locate well, all streams, irrigation ditchs, and any water courses. Draw in your house, septic tank & system, detached garages, and driveway. If a change oflocation is necessary, you must submit a corrected drawing, before a Certificate of Occupation will be issued. County Road (Note the Road Number and Name) Your Neighbor's Name & Address f.v~.J.&8 ~ SATURATION ANb PREPARATION DATE: 05/21103 TIME AT START OF SATURATION: 3:00 pm PERCOLATION TEST DATE: 05/22/03 WATER IN BORING AFTER 24 HOURS YES X NO PERCOLATION TEST RESULTS DEPTH TO WATER HOLE DEPTH TIME AT TIME CHANGE NUMBER (INCHES) START OF INTERVAL IN WATER INTERVAL (MINUTES) START OF ENO OF DEPTH INTERVAL INTERVAL (INCHES) (INCHES! llNCHES} P-3 50 12:00 15 6.0 7.25 1.25 12:15 15 7.25 8.25 1.0 12:30 15 8.25 8.75 0.5 12:45 15 6.25 7.0 0.75 1:00 15 7.0 7.75 0.75 1:15 15 7.75 8.25 0.5 1:30 15 8.25 8.75 0.5 1:45 15 8.75 9.25 0.5 2:00 15 9.25 9.75 0.5 2:15 15 9.75 10.25 0.5 2:30 15 7.5 8.0 0.5 2:45 15 8.0 8.5 0.5 3:00 15 8.5 9.0 0.5 ' Job No. GS-3935 PERCOLA- TION RATE (MIN/INCH) 12 15 30 20 20 30 30 30 30 30 30 30 30 ·. Fia 7 SATURATION P:ND PREPARATION DATE: 05121103 TIME AT START OF SATURATION: 3:00 pm PERCOLATION TEST DATE: 05122/03 WATER IN BORING AFTER 24 HOURS YES X NO PERCOLATION TEST RES UL TS DEPTH TO WATER HOLE DEPTH TIME AT TIME CHANGE NUMBER (INCHES) START OF INTERVAL IN WATER INTERVAL (MINUTES) START OF END OF DEPTH INTERVAL INTERVAL (INCHES) (INCHES\ llNCHES) P-2 52 12:00 15 5.75 9.25 3.5 12:15 15 9.25 11.25 2.0 12:30 15 5.5 7.75 2.25 12:45 15 7.75 9.5 1.75 1:00 15 9.5 11.25 1.75 1:15 15 6.25 8.5 2.25 1:30 15 8.5 10.0 1.5 1:45 15 6.75 8.75 2.0 2:00 15 8.75 10.0 1.25 2:15 15 10.0 11.0. 1.0 2:30 15 6.75 8.0 1.25 2:45 15 8.0 9.0 1.0 3:00 15 9.0 10.0 1.0 ' Job No. GS-3935 PERCOLA- TION RATE (MINllNCH) 4 8 7 9 9 7 10 8 12 15 12 15 15 ·• Fig 6 SATURATION AND PREPARATION DATE: 05/21 /03 TIME AT START OF SATURATION: 3:00 pm PERCOLATION TEST DA TE: 05/22/03 WATER IN BORING AFTER 24 HOURS YES X NO PERCOLATION TEST RESULTS DEPTH TO WATER HOLE DEPTH TIME AT TIME CHANGE NUMBER (INCHES) START OF INTERVAL IN WATER INTERVAL (MINUTES) START OF END OF DEPTH INTERVAL INTERVAL (INCHES) flNCHES) flNCHESl P-1 53 12:00 15 4.5 7.5 3.0 12:15 15 7.5 9.25 1.75 12:30 15 5.5 7.25 1.75 12:45 15 7.25 8.5 1.25 1:00 15 8.5 9.75 1.25 1:15 15 6.25 7.5 1.25 1;30 15 7.5 8.75 1.25 1:45 15 8.75 10.0 1.25 2:00 15 10.0 11.25 1.25 2:15 15 7.5 8.75_ 1.25 2:30 15 8.75 10.0 1.25 2:45 15 10.0 11.0 1.0 3:00 15 7.25 8.5 1.25 L Job No. GS-3935 ' " PERCOLA- TION RATE (MIN/INCH) 5 9 9 12 12 12 12 12 12 12 12 15 12 .. Fig 5 .. • t. .. ~ •• .!, -.. o I . - loO ' 11 l m 0 I § '! l I GEOTECHNICAL INVESTIGATION JASPER RESIDENCE COUNTY ROAD 215 GARFIELD COUNTY, COLORADO Prepared For: SHIRA CONSTRUCTION P.O. Box 1812 Carbondale, CO 81623 Attention: Mr. Dustin Shira Job No. GS-3935 June 6, 2003 CTL/THOMPSON, INC. CONSUL TING ENGINEERS 234 CENTER DRIVE • GLENWOOD SPRINGS, COLORADO 81601 • (970) 945-2809