HomeMy WebLinkAbout041674/1+10‘ rio(5b
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970} 945.8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
Permit
4167
Assessor's Parcel No.
This does not constitute
a building or use permit.
PROPERTY
C00,01011\ Grk
Owner's Name r f1 - V esent Address C(s 1 Cl'4411-7S Phone `(1 -( ( r
System Location C (,1 S b a
Legal Description of Assessor's Parcel No a 3oS / — 40
SYSTEM DESIGN gee--
r;}-eZer
a4" -4:/ S a 42-1
Septic Tank Capacity (gallon)
Percolation Rate (minutes/inch) Number of Bedrooms (or other)
Required Absorption Area - See Attached
Special Setback Requirements:
Dale Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation A;etA/1-0--?-s-tSystem Installer �e'
Septic Tank Manufacturer or Trade Name OCZ: ?� g O i .
Xe%14-e
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
Other
Date _ _ Inspector
Septic Tank Capacity
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION 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
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
r
6
Permit 4167
Assessor's Parcel No.
This does not constitute
a building or use permit.
Owner's NamelneV f1- nkPlesent Address 04.4 (5 I C ----g4444 Phone
C -iv" c.s. F'No /
System Location
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
c i /0 6O-�d.J
00/ t(— 61'1
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 �C '�� e(
Septic Tank CapacityAles—
Septic Tank Manufacturer or Trade Name �/ �J BOO -'
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
Other
Date Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION 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, afters, 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
INDIVIDUAL SEWAGE DISPOSAL SYS'TEM APPLICATION
OWNER Zi --Z •-...)4 ca.4) s
XDDRESS Jed. /1 PHONE 946-6//'e
CONTRACTOR°'. ►14 <;:;.-) r.
ADDRESS C-51,57 .
PERMIT REQUEST FOR
PHONE `%?a °`%r
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 ; Vis! F z� co„ac10 Size of Lot /04://i'. -
Legal Description or Address if 14�✓ 1 CR -717 ,S iJD2160%
WASTES TYPE: 0( DWELLING
( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: b•Je ( `j
'`cumber ofBedrooms 74 Number of Persons 4 7
(X/ Garbage Grinder . Y4 Automatic Washer. CA Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: l WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 2, t Mite -,c:
Was an effort made to connect to the Community System? y /Jo r ,4v r r ,
A site plan is required to be submitted that indicates the following MINIMUM distances:
Leach Field to Well: 100 feet v -
Septic Tank to Well: 50 feet ✓
Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet
Septic System to Property Lines: ( septic tank &leach field )10 feet
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT
A SITE PLAN.
GROUND CONDITIONS:
Depth to first Ground Water Table ilkikmo
Percent Ground Slope Z b51 - /r
2
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
{
(
SEPTIC TANK
VAULT PRIVY
) PIT PRIVY
CHEMICAL TOILET
FINAL DISPOSAL BY:
(
AERATION PLANT ( ) VAULT
COMPOSTING TOILET ( ) RECYCLING, POTABLE USE
( ) INCINERATION TOILET ( ) RECYCLING, OTHER. USE
( ) OTHER - DESCRIBE
M ABSORPTION TRENCH, BED OR PIT
(
(
UNDERGROUND DISPERSAL
ABOVE GROUND DISPERSAL
OTHER - DESCRIBE
( ) EVAPOTRANSPIRATION
( ) SAND FILTER
( ) WASTEWATER POND
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? A/0
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the
Percolation Test) /Jo T` cloy
e/p1v.a
Minutes per inch in hole No. 1
Minutes per inch in hole No. 2
,7 `'.
e_ts< -715
Minutes
/+ rcJ�/ reo . �lLL
I ,,re,
per inch in hole NO. 3
Minutes
per inch in hole NO.
Name, address and telephone of RPE who made soil absorption tests:
Name, address and telephone of RPE responsible for design of the system:
457 ..1 ezi .re . lc.J 5 Co b /44 / 9•56g - ‘,//-¢
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,
Signed L.�c
Date 6%/4
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
Designate North Arrow
\/(4. i•-)
Your Neighbor's
Name & Address
Your Plot - Shape to Fit
(No Scale)
LF �.-il,O.5r.Q
/p'
/IOTA; � f %f� r L0.4 /71, /Wig e /9' �J
Locate well, all streams, irrigation ditchs, 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, before a
Certificate of Occupation will be issued.
Your Neighbor's
Name & Address
County Road (Note the Road Number and Name)
(Jr rd Vc1 // (7-1Z,w/
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Oct 07 2008 11:44AIM URS GLENWOOD SPRINGS 9709422259 p.l
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Oct 07 2008 11:44AM URS GLENWOOD SPRINGS
9709422259
p.2
October 3, 2008
Mr. Don Berger
713 Cooper Avenue
Glenwood Springs, CO 81601
RE: As -Built On-site Wastewater System (OWS), Berger Residence at 4451 G.R. 117, Garfield County,
Colorado, ,
SE Job No. 27090.01
Dear Don:
Pursuant to County Regulations, this letter provides documentation that the new Onsite Wastewater System (OWS)
recently installed is in general compliance with the permitted design. Sopris Engineering has documented the aa
built conditions of the constructed system, We have coordinated our efforts with the property owner and system
installer. The system was inspected prior to backfilling and after component installations were complete. The as.
built conditions and installation of the new OWS components is in compliance with the permitted design
specifications for the system. The as -built size and performance specifications of the new OWS system aro In
compliance with the specifications on the design drawing.
The System was installed in accordance with State and County Regulations; the design presented in the Sopris
Engineering design drawing ,specifications and details, dated May 24, 2007. The septic tank was installed adjacent
to the north side of the house. A 2500 -gallon dual compartment concrete septic tank was installed with an effluent
filter installed in the outlet tee and risers with lids to the surface. A new gravity line from the house to the tank
was installed. A cleanout was installed adjacent to the side tank inlet port.
The absorption field was constructed with 1 bed containing 4 rows with a total of 42 Elgen In -Drain units was
placed in the bed over 12 inches of filter sand. A distribution box was installed next to the field to distribute
effluent, to the perforated laterals in each row, via individual 4" distribution lines connected at the head of each
each row. Flow regulators are installed on each outlet port to allow equal distribution &effluent to each row in the
bed. Inspection ports were installed at each corner end and each terminal end of the perforated distribution pipes.
The individual trenches were installed level with 12" of concrete sand overlying suitable native soils below the.In-
Drain units. Four -inch perforated distribution pipes run along the top center of the 1n -drain units in each trench:
The In -drain units are installed per manufacturer's requirements. The top and sidewalls of the treatment units, sand
layer and distribution pipe is installed in a filter fabric envelope. The trenches are backfilled over the In -Drain units
to a slightly mounded finish grade approximately 18"-36" above the distribution pipe. The construction was
completed utilizing specified materials installed according to design. The constructed field is being revegetated.
OWS Operation and Maintenance
All components of the engineered OWS shall be inspected on a regular basis and be properly maintained,
The re establishment of vegetative cover over the field and responsibility for operation, inspection and
maintenance of the system will remain with the Lot Owner or the owners representative. The owner shall
periodically inspect the OWS and perform all maintenance and repairs as necessary to ensure that the
system is in good operating condition and performing as designed.
The OWS should require minimal maintenance. Several factors influencing the need for maintenance
include: actual wastewater flows versus design flows, the volume of kitchen/domestic waste (excluding
502 Main Street • Suite A3 • Carbondale, CO 81623 • (970) 704-0311 • Fax (970) 704-0313
SOPNIS ENGINEERING • LLC
civil consultants
Oct 07 2008 11:44AM URS GLENWOOD SPRINGS 9709422259
p.3
Don Berger
SE Job No. 27090.01
October 3, 2008
Page 2
human waste and toilet paper), excessive household chemicals and other toxic liquids. The tank, sanitary
tees and effluent filter should be visually inspected bi-annually for clogging debris, damage, leaks, or other
potential problems. In general, for a properly utilized system, septic tanks should be pumped and inspected
every 2 - 4 years. The effluent filter should be cleaned every six months and at the time of pumping,
Absorption fields should be maintained with suitable vegetative cover and kept free of root invasive plants.
Positive surface drainage away from the absorption field should be maintained,
If you have any questions or need any additional information, please call.
Sincerely,
SOPRIS ENGINEERING, LLC
Paul E. Rutledge
Design Engineer