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Home My WebLink About04059.cf2f2A-0,t1J 5-'1713/0s_ r- 4,2 M 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 Permit 4 U 5 9 Assessor's Parcel No. kq 7,1p,.7.CO0VI This does not constitute a building or use permit. Owner's Name •(4LL X Atk.,. Present Address L[% l &kk �r - 44J1� Phoneqf>f i System Location i 1�10,411:A !V '8) PAW'. Legal Description of Assessor's Parcel No 1 r��- t'X- 12...ae,c ir, SYSTEM DESIGN Septic Tank Capacity (gallon) _ . _Other eQ Percolation Rate (minutes/inch) Number of Bedrooms (or other) �- L 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 4 4///,47:P //r/5 Z /G%� . r�(�. :1"-)05/641 / , Septic Tank Capacity /VC; A///41( /�/C,! o•L� SCSI--�%�%/ /7 Septic Tank Manufacturer or Trade Name Septic Tank Access within 6" 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. 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 -1SDS Application Page 3 of 15 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION tac OWNER ADDRESS 23 OZS DevexeulvJil 5 "✓'ts 0 2 PHONE 0 1-1-5-75:_;‘ CONTRACTOR ADDRESS 61, -)'‘AC) -"-- PHONE 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) LOCATION OF PROPOSED FACILITY: f � Near what City or Town I , r t ICA iV a r44 OL CA— Size of Lot 1 aet.e.4. Legal Description or Address WASTES TYPE: welling (} Transient Use (51,_W € Cc4t6ee c (} Non -Domestic Wastes (} Commercial Or Industrial () Other: Describe: BUILDING OR SERVICE TYPE: Number of Bedrooms 3 Number of Persons c_J hhttp://www.garficld-county. comlhotnc/index. asp?page=689 11/4/2004 Garfield County -,ISDS Application Page 4 of 15 () Garbage Grinder (Automatic Washer () Dishwasher SOURCE AND TYPE OE WATER SUPPLY: () SPRING () STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to the Community System? () Yes ( ) No ihttp://www.garfield-county.coinlhornefindex.asp?page=689 11/4/2004 • Garfield County -,TSDS Application Page 5 or 15 A site plan is required to be submitted that indicates the following MINIMUM distances: Leach Field to Well: G �. cam• "S4 r ay c k e u Septic Tank to Well: 100 feet 50 feet Leach Field to Irrigation Ditches, Stream or Water Course 50 feet Septic System 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: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOS D: (/Septic Tank () Aeration Plant () Vault ( ) Vault Privy () Composting Toilet ( )Recycling/ Potable Use () Pit Privy () Incineration Toilet () Recyclingl0ther Use http://www.garfield-county.comlhome/index.asp?page=689 11/4/2004 Garfield County - ISDN Application Page 6 of 15 () Chemical Toilet ( ) Other — describe: FINAL DISPOSAL BY: (;'Absorption Trench, Bed Or Pit () Evapotranspiration () Underground Dispersal () Sand Filter () Above Ground Dispersal () Wastewater Pond () Other — Describe: WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? Ai° PERCOLATION TEST RESULTS: (To he completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes_ 6. per inch in hole No. 1 Minutes 'j. 2 per inch in hole No. 3 Minutes I i per inch in hote No. 2 Minutes per inch in hole No. 4 http://www.garficld-county.cornlhorne/indcx.asp?page=689 11/4/2004 Garfield County -,[SDS Application Page 7 of 15 RPE__WHO MADE_SOIL ABSORPTION TESTS: 1 Name: jiAx.,0401 i cs n[ cvn.QM[p L Address: tUC� �� C,�,��•�.f� �,, [� 1n w�C� J��'r� Telephone: C70 — 9c6- s7 DCS RIDE RESPONSIBLE FOR DESIGN OF THE SYSTEM: Name: r t.itTTn v+cstj & Z k V'QL Address: C3� � 3•i[ ,�£�. + E ,3,-1,..AceN � 1 Telephone: q10 qv —5160 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 far 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: Date: II f 1$ ivH http://www,garfield-county.com/home/index.asp?page-689 11/4/2004 Zancanella and Associates 1005 Cooper Avenue Glenwood Springs, Co 81601 (970) 945-5700 Fax (970) 945-1253 Percolation Test Results Client: Gerald Burk 2303 Devereux Road Glenwood Springs, CO 81601 Joh No. 24229 Location: West Elk Ranch Parcel 15, Section 12 T4S, R92W of the 6th P.M. New Castle, CO 81647 Water Level Drop Time Percolation Rate Test Hole (inches) (minutes) (minutethnclr) 1 2 3 5 33 6.6 3 33 11 3.75 33 8.8 9 Average Soil Profile Hole: 8 -foot deep hole consisting of loam soil from a depth of to 20 inches and 3 -inch sandstone cobbles from a depth of 20 inches to a depth of 8 feet. Test Run: September 25, 2004. Zafcancila Associates S[)S, 11/3/2004 Z:124O(}U124229 Burk, Gerald\Pcrcolation Test Results P RI SED CA3IN AND ISDS GENERAL NOTES INSPECTION WELL (TYP,) PROD❑SED WELL >50' FROM SEPTIC TAN< >130' FRI,Y LEACH FIELD Tri RIDGEVIEV LN. NOR �yRI DGS DARCLL 1 5 SCALE: 1" = 300' 1. ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE GARFIELD COUNTY AND COLORADO DEPARTMENT OF HEALTH (CDOH) REGULATIONS OF INDIVIDUAL SEWAGE DISPOSAL SYSTEMS, EVEN THOUGH ALL SUCH REQUIREMENTS ARE NOT SPECIFICALLY NOTED ON THE DRAWINGS. THE CONTRACTOR SHALL BE RESPONSIBLE FOR SUCH SPECIFIC DETAILS AS ARE REFERRED TO IN THE ABOVE—MENTIONED REGULATIONS. 2 DESIGN FLOW = 2 PERSONS/BEDROOM*75 GAL*1.5*3 SEPTIC TANK: MINIMUM PRE—CAST CONCRETE TANK CDOH REGULATIONS IS 1,000 GALLONS. V = 30 HR* 675 GAL = 844 GAL 24 HR RECOMMEND ONE 1000 GAL TANK. FIELD SIZE: PER CDOH EQUATIONS: A= A = Q -r[ 5 67547 5 = 405 SQ. FT. BEDROOMS = 675 GPD SIZE ACCORDING TO Q = DESIGN FLOW t = PERCOLATION RATE = 9 MINUTES PER INCH PER CDOH MINIMUM REQUIREMENTS FOR USE OF "INFILTRATOR" SYSTEMS AREA REDUCTION = (0.5)*A AREA REQUIRED = 0.5*405 = 203 SQ.FT. ® 15.5 5Q. FT. PER UNIT = 14 UNITS RECOMMEND 16 INFILTRATOR UNITS. 3. TOPSOIL: SOIL EXCAVATED FROM SITE ACCEPTABLE IF NO CLAY 15 PRESENT. 4. VEHICULAR TRAFFIC 15 PROHIBITED ON THE FIELD. 5. CLEANOUTS ARE REQUIRED AT ALL BENDS AND AT LEAST EVERY 100 FEET ALONG THE HOUSE SEWER. 6. INSTALL RISERS AS NECESSARY TO BRING ALL ACCESS POINTS TO WITHIN 1/2—FOOT OF FINAL GRADE. 7. LOCATIONS OF ALL COMPONENTS MAY BE VARIED AS NECESSARY AS LONG AS ALL MINIMUM DISTANCES AND SLOPES MEET THOSE REQUIRED. 8. PROVIDE POSITIVE DRAINAGE OF SURFACE WATER AWAY FROM AREA USING DRAINAGE SWALES AS NECESSARY. 9 . Ptl-' CULA I I UN NAIL UA LL] UN PU ' ULA 1 I UN I t5 I FLKI- U rMED BY ZANCANELLA & ASSOCIATES, INC. ON SEPTEMBER 25, 2004. 10. THIS DRAWING DOES NOT CONSTITUTE AN ISDS PERMIT. PERMIT MUST BE OBTAINED FROM APPROPRIATE CITY OR COUNTY OFFICIALS. 11. THIS SYSTEM 15 SIZED FOR TYPICAL DOMESTIC WASTES ONLY. BACKWASH OR FLUSHING FLOWS FOR REVERSE OSMOSIS UNITS OR WATER SOFTENERS OR FILTERS SHOULD NOT BE INTRODUCED INTO THIS SYSTEM. GENERAL ABSORPTION TRENCH NOTES 1. TRENCH LENGTH SHALL NOT EXCEED 100 FEET. 2. THE BOTTOM OF EACH TRENCH SHALL BE LEVEL. 3. DRAINAGE DITCHES ARE TO BE PROVIDED ABOVE AND AROUND TRENCHES, AS NECESSARY, TO PREVENT SURFACE RUNOFF FROM ENTERING ABSORPTION AREA. 4. TRENCHES SHALL FOLLOW CONTOURS. 5. INSTALL €NFHLTRATOR UNITS IN ACCORDANCE WITH MANUFACTURES RECOMMENDATIONS. REMOVABLE PVC CAP MARK IF BURIED FINISH GRADE 4" COUPLING 4" SEWER LINE SEPTIC TANK 4" RISER U I PRECAST CONCRETE DISTRIBUTI❑N BOX CLEAN OUT 4" 45' SWEEP BEND 4" x 4" x 4" PVC WYE CLEAN OUT ASSEMBLY SLWECL -A\ OUT DETAIL N.T.S. ID 10' PE !'K I0' a 0 20' MIN. CABIN DECK DECK OPOSED I ;=ice ='LA NATURAL BACKFILL 12" MIN. COVER NATURAL GROUND TEEN 36" CH CROSS SECT /A ON N.T.S. \\/ INFILTRATOR INFILTRATOR UNIT (TYP) t 1t INFILTRATOR UNIT TRENCH BOTTOM LEVEL AND ROUGHENED (TY.) 4" 0 SOLID PIPE a VICINITY SCALE: 1" PARCEL 15, SECTION 12, T.4S., v An = 2000' R.92W. OF 6TH P.M. INSTALL SPRINKLER BOX COVER AT GRADE <//\ CUT HOLE IN TOP OF INFILTRATOR UNIT FOR INSTALLATION OF INSPECTION WELL PIPE COUPLING 4" 0 PERFORATED PIPE SOLID CAP FOR SUPPORT ON BOTTOM OF TRENCH OR BED INSPECTION WELL DETAIL N.T.S. EX1S11NG GROUND SURFACE 20" I --ER---- LOAM SOIL 0 0 0❑ ❑ 0 0 0 0 0 0 D 0 0 0 D (21.0-3" SANDSTONE COBBLES 0 o 0 ❑ 0 0 D 0 D D D ,p 0 0 0 0 0 0 0 0 0 NO GROUND WATER OBSERVED SOIL PROFILE DETAIL SCALE 1" = 4' Nd DATE REVISION MBADE CBYD APPO BY 3ur< Fam ily Cabin SDS Desran Pan Gerald 3ur< SHEET NO. SCALE: 1" = 10' DATE: November 4, 2004 SHEET: 1 OF 1 / ZANCANELLA AND ASSOC/A TES, INC. DRAWN BY: SDS CHKD BY: SDS APPD BY: TAZ DRAWING: ISDS Design Pion ENGINEERING CONSUL TANTS POST OFFICE BOX 1908 - 1005 COOPER AVENUE GLENWOOD SPRINGS. COLORADO 81602 (970) 945-5700 PROJECT: 24229