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Home My WebLink About040483 yip 3- 5F -c6 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 wood Springs, Coloradof 81601 Phone (970) 9454212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name ' ` �/�7,, (� G q System Location C�� 0_12_ 'k clai J/cL_ -t�t J I9 Legal Description of Assessor's Parcel No t`+-' 1 - Permit 4048 Assessor's Parcel No. This does not constitute a building or use permit. tcW9( �-q�t1`ier!i)Cki ��o Present Address-?31.C3A aCILT)7Gl�✓Phone CkS3 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 Septic Tank Manufacturer or Trade Name 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 — 0 Inspector tf TH RECEIPT RECORDS AT NSTRUarON 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). OWNER ADDRESS INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION �1�1 lr�J AO S ta 34ic r'Ca,i��Cce PHONE G%(--3 _c?/(/ CONTRACTOR (nk fj 11 Ca,.v5C ADDRESS Q,() 3ccoL >Fe 20 &L) S PHONE (it/ g-3 j -14 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 FACILLITY: C Near what City of Town a-SOribwb lkL % Size of Lot 2 Ac Legal Description or Address Loy 4 Peje.- Q & f f K F S'T'S}' ['n ,z 6a, WASTES TYPE: (DWELLING Cc/ Lk 3 C dt t 1 C da le( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER—DESCRIBE BUILDING OR SERVICE TYPE: S/ 1 W2,1I, t j Number of Bedrooms 4 Number of Persons 7 ( ) Garbage Grinder (/) Automatic Washer (Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (fr{WELL ( ) SPRING If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ( ) STREAM OR CREEK Was an effort made to connect to the Community System? Ai A site • lan is re s uired to be submitted that indicates the followin MINIMUM distances: Leach Field to Well: Septic Tank to Well: Leach Field to Irrigation Ditches, Stream or Water Course: Septic System (septic tank & disposal field) to Property Lines: 100 feet 50 feet 50 feet 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 PROPOSED: ( ) SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) 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? PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes per inch in hole No. 1 Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in hole No. _ Namgg, address and telephone of .�PrE who made soil absorption tests: A(1 ,%dice6ePfirro. LW (( G. S (m Y(bo&. Name, address and telephone of RPE responsible for design of the system: �( Secv;ct, Se ric P•o. . ) W G S g160 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. Signed1t S( Date * 3 / ( /p5 — PLEASE RAW AN ACCURATE MAP TO YOUR PROPERTY!! VN ca • o o 0 3 A›� N U 'C 0. 2 ..c0) p 0 O vOi U d U col H aS C) Ct ▪ bOC.9 • ? Q O d 0 0 'u U o U 9 T U 0 4-4 b y O • CA N cnO • Li) 0 0 o�;tg .Ni s .O U 2,Ui rioti 0 O .-y 0 4) CIO3 N U o County Road (Note the Road Number and Name) 3 ALL PO Box 2844 lipPh waadSpdns [081802 Ph 970-618-5033 Fax 303-216-2796 March 11, 2005 Michael Miemicki 950 Cowan Drive Carbondale, Colorado 81623 Project No. 1058 Subsurface Investigation and Onsite Wastewater System Design, Miemicki Residence Lot 4, Prince Creek Estates Garfield County, Colorado Mr. Miemicki, ALL SERVICE septic, LLC performed a percolation test and an onsite wastewater system (OWS) design for the subject residence. The property is located in Garfield County, in an area where OWS and wells are necessary. SITE CONDITIONS A 5 -bedroom residence is proposed at the subject property. There is an irrigation ditch located to the west of the residence, and the well is located to the east, as indicated on Figure 1. There are no other wells within 100' of proposed drain field. SUBSURFACE The subsurface was investigated by excavating an 8 -foot test pit near the proposed drain field location as shown on Figure 1. The test pit indicated the site has a 1 -foot sandy loam root zone, underlain by gravelly, clayey sand to the maximum depth explored of 8 feet. Groundwater or bedrock was not encountered. DESIGN SPECIFICATIONS The OWS design is based on 5 -bedrooms, and an average sewage load of 750 gallons per day (GPD). The installation must include a 1500 -gallon, two-compartment, precast concrete septic tank. An effluent filter is recommended. Gravelless trenches must be installed as indicated on Figures 1 and 2. Three rows of 11 chambers, for a total of 33 chambers, and 511.5 square feet (SF) of infiltrative area, are required. Construction must be according to the county ISDS regulations, the septic permit provided by Garfield County Environmental Health Department, and this design. Subsurface Investigation and OWS Design Project No. 1058 March 11, 2005 Page 2 OPERATION INFORMATION AND MAINTENANCE The surface of the drain field should be seeded upon completion. Vegetation is an important factor in drain field performance. Geo -fabrics or plastics should not be used over the drain field. Livestock should not graze on the drain field. The homeowner should pump the septic tank every two years and clean the effluent filter as needed. Garbage disposal use should be minimized, and non -biodegradable materials should not be placed into the OWS. Grease should not be placed in household drains. Loading from a water softener should not be discharged into the OWS. No hazardous wastes should be directed into the OWS. Mechanical room drains should not discharge into the OWS. The OWS is engineered for domestic waste only. INSTALLATION OBSERVATIONS ALL SERVICE septic, LLC, and the county must view the OWS during construction. The OWS observation should be performed before backfill, after placement of chambers and distribution pipes. Septic tanks, distribution devices, pumps, dosing siphons, and other plumbing, as applicable, must also be observed. ALL SERVICE septic, LLC should be notified 48 hours in advance to observe the installation LIMITS: The design is based on information submitted. If soil conditions encountered are different from conditions described in report, ALL SERVICE septic, LLC should be notified. All OWS construction must be according to the county regulations. Requirements not specified in this report must follow county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Please call with questions. ALL SERVICE septic, LLC Timothy R. Petz 3 copies SITE PLAN, LOCATION OF PERCOLATION HOLES, dk AND OWS DESIGN TRENCHES = 3 CHAMBERS PER TRENCH = II TOTAL NUMBER OF CHAMBERS = 33 (ELEV !PPROX 991') SCALE I"=50' NORTH OBSERVATION PIPES CUT TO GRADE AND PLACED IN 8" ROUND SPRIKLER BOX DISTRIBUTION_ BOX (ELEV APPR( 992')) 1500 -GALLON, TWO-COMPARTMENT PRECAST CONCRETE SEPTIC TANK. AN EFFLUENT FILTER IS RECOMMENDED. ELEVATION OF TOP OF TANK TO BE APPROXIMATELY •• ' AS SHOWN ON PLANS / NOTES: -SEPTIC TANK MAY BE RELOCATED TO ACCOMODATE STUB -OUT. PUMPING OF TANK SHOULD BE CONSIDERED TO ACCOMODATE PUMPING. -IF 'QUICK-A(TM) CHAMBERS ARE USED ALL SERVICE SEPTIC, LLC SHOULD BE CONTACTED TO PROVIDE DETAILS. THE LOCATION OF EXISTING AND PROPOSED IMPROVEMENTS SHOWN ARE NOT THE RESULT OF A PROPERTY SURVEY. THE LOCATIONS ARE APPROXIMATE. IT 18 THE HOMEOWNERS DUTY TO ENSURE ALL CONSTRUCTION AND IMPROVEMENTS LOCATIONS ARE ACCURATE. ALL SETBACK DISTANCES SHOULD BE CONFIRMED PRIOR TO EXCAVATION LOT 4, PRINCE CREEK ESTATES GARFIELD COUNTY, COLORADO PROJECT NO. 1058 ALL SERVICE SEPTIC, LLC 970-618-5033 FIGURE I DESIGN 5 -BEDROOM RESIDENCE LOADING • q - 750 GALLONS PER DAY PERCOLATION RATE -18 MINUTES PER INCH (MPI) CALCULATED AREA - ((1.5 X q) X egrt 18) / 5 - 955 SF AREA REQUIRED - 955 SF REDUCTION OF 50% USING CHAMBERS = 478 SF DRAIN FIELD CROSS SECTION - TVP. F 4,0' MAX LIMIT OF EXCAVATION ter— 4" PVC OBERVATION PIPE TRENCH SPECIFICATIONS WIDTH OF TRENCHES - 3 FEET -1 CHAMBERS LENGTH OF TRENCHES - 68.75 FEET - 11 CHAMBERS TOTAL NUMBER OF CHAMBERS - 33 TOTAL INFILTRATIVE AREA - 511.5 SF THREE TOTAL TRENCHES GRAVELLESS CHAMBER (0.25' x 3') 5' MIN �--6' MIN---►+,/ SCARIFY SURFACE PLAN VIEW - TYP. OBSERVATION PIPE 10 1 r1 TRENCHES INSTALLED LEVEL GRAVELLESS CHAMBER 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 6 FEET MIN PROJECT NO. 1058 0 1 1 1 68,75 FEET 1 FEET 4" PVC LINES FROM DISTRIBUTION BOX FIGURE 2 GARFIELD COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Percolation Test and Soils Data Form - TABLE 1 - PROJECT 1058 PROFILE PIT 0-1' 1'-8' Date of Test: 3-2-05 Sandy Loam, Root Zone Sand, Clayey, Slightly Gravelly, Dense, Moist, Red/Brown No Groundwater or Bedrock was Encountered Hob Hob Interval Measurement at Measurement at Change (in) Percolation Rate No. Depth (in.) (min.) Start of Interval End of Interval (min./in.) MPI (in.) (in.) 1 39 20 3.50 5.75 2.25 20 5.75 7.00 1.25 20 7.00 8.00 1.00 20 8.00 9.25 1.25 20 2.75 4.00 1.25 20 4.00 5.00 1.00 2 40 20 3.25 6.00 2.75 20 6.00 7.50 1.50 20 7.50 9.00 1.50 20 2.00 3.50 1.50 20 3.50 5.00 1.50 20 5.00 7.00 2.00 3 34 20 2.50 4.50 2.00 20 4.50 5.75 1.25 20 5.75 7.00 1.25 20 7.00 8.25 1.25 20 3.50 4.50 1.00 20 4.50 5.50 1.00 AVERAGE = 18 MPI 20 14 20 DLL SEBYII ApPillit 2005 PO Box 2844 Glenwood Springs, C0 81602 Ph 970-6111-5033 Fax 303-216.2796 Mickael Miernicki 950 Cowan Drive Carbondale, Colorado 81623 Installation Observation, Proposed Residence Lot 4, Prince Creek Estates Garfield County, Colorado Project No. 1058 Mike, ALL SERVICE septic, LLC performed an installation observation on April` 6th awl April 12`s 2005 for the subject property. The installation included one 1500 -gallon, two-compartment precast concrete septic tank, followed by three gravelless-chamber trenches, with 17 `Quick -4' chambers in each trench. A total of 51 chambers were installed for a total of 503.4 SF of infiltrative area. A plastic distribution box was installed to distribute effluent. The distribution box was buried and identified using a 4 -inch PVC pipe. Risers should be used to bring tank access to grade, and effluent filter handles should be extended if necessary. Field should be re -vegetated as soon as possible. The OWS was installed according to specifications. This observation is not a guarantee of workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes are made to the OWS. Please call with questions. Sincerely, ALL SERVICE septic, LLC ginothyR Petz 2 copies sent Reviewed B AC"a Richard H.