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HomeMy WebLinkAbout03879i- • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 Bth Street Sutte 303 Glenwood Springs, Colorado 81601 Phone (303) 945-6212 INDIVIDUAL SEWAGE DISPOSAL PERMIT N,., Permit ~ 3879 Assessor's Parcel No. ,.-- This does not constitute a building or use permit. ' PROPERTY ('~t_~')~ ' Owner's Namtoo~ .f"Zede r icK ¥.l-.:....'-""""""'-°'-""""".-h...L"-"·£>....!>.....K.L)PC:~ CJ Y 1·cool _J\ ' f\ n , C'\" '' ~ System Localion_--.1.,_.t..f-'-_j_-'--'c__--'-""--'CT""""--'-=""-"---'-=~'-~·~·~~~""'-.l.L_i.~--~'--"==::'...~~="---------- Legal Description of Assessor's Parcel No. __________ _,,_a,=-'-._\._"]_,__3_.__-___,0=-\'-\-'-------'()=-)$-'-"---_,,(_:)-'--'\--'CJ'=''--- , 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 (l _ _ ~ i l JL-/L ft;rr--;-;{c t/--f: U System Installer ________________________________________ _ Septic Tank Capacity ___ _,/-'p"--~--j..=ci~~-"--LI~·---------------------------- Septic Tank Manufacturer or Trade Name------------------------------- • Septic Tank Access within 8" of surface -------------------------------- Absorption Area -thr<-~ {'ov..l,S o-t-g Ui\ik + OV)~ ro\J-) o.f '] L\vt;is Absorption Area Type and/or Manufacturer or Trade Name -------------------------- Adequate compliance with County and State regulations/re~uirements _____________________ _ Other ____ --+--------------:t---l---.'~~---------------------- Date 9-2. 7· 0 J Inspector _,;_..,.'-'l'-'l./"--(-'--''='"'"'""'"c"'-'rl-<""'-_--'-h:i..,-'-=-'-''-'/''"'H°"'"·o.:"'r?,__.., _________ _ f. I 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, P.rlicle 10 C.R.S. 1973, Re•ised 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). Whtte -APPLICANT Yellow -DEPARTMENT ""'r ••. • ; I ' , ' ' ' ' • .- ' INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER frr A-er"\ ck fook.~ ADDRESS 315 Wes.+'w...k. Rd Glc.nW1?i\ic;iys, CO PHONE 9'{?-0001 CONTRACTOR (c.t~OJ ~S\fJc\;bA 1 ~ ADDRESS 3 1S W e-,f-bM.iL t~ G(~.,~()()\. ~,,,,,Co PHONE 9'f7 -ooo t 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: Near what City ofTown._---"s~·--· +\:\-+-4-l-'( ......... a.__ _______ Size of Lot 2.. I 4<::. .Legal Description or Address ______ D_']"""'1~o_C1_M~_r~fti_'/~b~R~J-~ ______ _ WAS TES TYPE: Cf) DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES BUILDING OR SERVICE TYPE:_S~/_F_~~~~---~-+--------------- NumberofBedrooms 4. 6. K NumberofPersons ____ _ l'f1 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: __ 4_!-w.+-'=-------- Was an effort made to connect to the Community System? -~fl~<Mt..~~----------- A site plan is required to be submitted that indicates the followin2 MINIMUM distances: Leach Field to Well: 100 feet Septic Tanlc 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_~Sz;;::i:z:....__._L/Q"'---'-' ... s_.0 1...._ _________________ _ 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: ri ABSORPTION TRENCH, BED OR PIT ( ) UNDERGROUND DISPERSAL ( ) ABOVE GROUND DISPERSAL ( ) EV APOTRANSPIRATION ( ) SAND FILTER ( ) WASTEWATERPOND ( ) OTHER-DESCRIBE _______________________ _ WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?t-iD. PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, ifthe Engineer does the Percolation Test) S ~;. ~ Minutes. ____ _,.er inch in hole No. I Minutes er inch in hole No. 3 -----~ Minutes. ____ _,..er inch in hole No. 2 Minutes er inch in hole No. Name, address and telephone ofRPE who made soil absorption tests:------------- Nam~ddress and telephone ofRPE responsible for design of the system: i/ 1 's"' (~~ Eif\91 f\~~vb G ._s l('lloo I 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. • JZI GLENWOOD SPRINGS, CO 1517 Blake Avenue Suite 101 Glenwood Spnngs, CO 81601 970.945.8676 phone 970.945.2555 lax An Employee-Owned Compilny D ENGLEWOOD, co 14 Inverness Drive East Suite F-120 Englewood, CO 80112 303.925.0544 phone 303.925.0547 fax TO Axv'J) Y .SI'/~ DATE 1/ Z""i' SUBJECT ~ot<e: l'.SZ>J ATIN tf WWi>JO J e FAX NO. _______ _ SHEET_OF We are sending the following: I 'Z.~ __ ., r.. ~ .. __ ,,,,.... ~ .... -- I 1J IL.. .. // ~~VIOJT I If material received is not listed above, kindly notify us at once. Transmitted by: 1u..~. .) D First Class Mail D UPS Next Day Air D Federal Express D U.S. Express Mail D UPS Standard Service OCourier OPickup DFAX 'If HCE Hand Deliver D-------- SEP 2 8 ZUu4 .... ·-· "f"OLJNTY • ' CIVIL ENGINEERING September 27, 2004 Andy Schaller Garfield County Building and Planning 108 8t1t Street, Suite 201 Glenwood Springs, CO 81601 LAND SURVEYING An Employee-Owned Company Re: Fred Cooke ISDS-Lot 10 Cedar Hills Subdivision -ISDS Permit #3879 HCE Project Number 2022032.00 Dear Andy: The following letter is to confirm the engineer's inspection of the revised septic system of the Cooke Residence at Lot 10-Cedar Hills Subdivision. High Country Engineering's field inspector performed the field inspections. The 1,250 gallon septic tank configuration has been rotated 90 degrees and relocated downhill approximately 70 feet. The infiltrator units have been changed from three rows of eleven units to four rows (three rows of eight units and one row of seven units), and the manifold piping was adjusted accordingly. We anticipate that these revisions will have no adverse impact to the functionality of the system. If you have any questions, or need additional information, please contact us. Sincerely, 1517 Blake Avenue, Suite 101 Glenwood Springs, CO 81601 970.945.8676 phone 970.945.2555 fax www.hceng.com 14 Inverness Dnve East, Suite F-120 Englewood, CO 80112 303.925.0544 phone 303.925.0547 fax GRAPHIC SCALE ( IN FEET ) inch .. 30 rt. 6' MINIMUM TO ADJACENT TR[NCH VICll'\UY MAP QEtER.t,1 NQIES 1. ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE GARFIELD COUNTY REGULATIONS Of" INDIVIDUAL SEWAGE DISPOSAL SYSTEMS, EVEN THOUGH ALL SUCH REQUIREMENTS ARE NOT SPEClrlCALLY NOTED ON THE DRAWINGS. THE CONTRACTOR SHALL BE RESPONSIBLE FOR SUCH SPECIFIC DETAILS AS ARE REFERRED TO IN THE ABOVE MENTIONED REGULATIONS. 2. FLOW FOR BED: 4 BEDR<XJ.fS • 2 PERSONS/BEOROCM • 75 GALLONS/PERSON/DAY IS: 600 GPO •AVERAGE DAILY FLOW. DESIGN • 1 .50• AVERAGE • 900 GPO (Q) SEPTIC TANK: MINll.l.IM TOTAL TANK SIZE: 900 GPO• 1 OAY/24 HRS• JO HRS• 1 ,125 GALLONS GARFIELD COUNTY REQUIRED MINlt.fJM 1,25()-{;ALLON INSTALL EFFLUENT FILTER. STANDARD ABSORPTION AREA: o-MAXIMl..M FLOW l•PERCOLATION RATE • 24 m!n./ln. !"" ~ .. ae2sr IJC:F" OF' C:TANnARn llJF'll TR4TOA llNITC: llJ TQF'l\ll"M rnJJF'l~IR.6.TlnlJ· w :!; ,_ I < !;; " I "' 0 z ~ .. "' R_ "' ~ "' .. ,,; "' 6 ~ w < " " " NA 'fURAL CROUNO SLOPE VARIES TRENCH CROSS SECTION (TY?.) \· ~ ·u 4• 45' SWEEP BEND ~~AN OUT ASSEMBLY -.N OUT DETAIL N.T.S. N.T.S. (i:sos ASBUILT 9-27-04) 3. 4. •• CLE.4.N OUTS ARE REQUIRED AT ALL BENDS AND AT LEAST EVERY 100 FEET ALONG THE HOUSE SEWER. THE CONTRACTOR SHALL BE RESPONSIBLE FOR INSTALLING ALL WATER TIGHT Cot.f'ONENTS, PRIOR TO THE ABSORPTION AREA, TO PREVENT INFILTRATION TOPSOIL COVER MAY BE VARIED (WITH I FOOT MINIMLM) TO ALLOW LANOSCAP I NG, 6. INSTALL RISERS AS NECESSARY TO BRING ALL ACCESS POINTS TO WITHIN ONE-HALF FOOT OF FINAL GRADE. 7, LOCATIONS OF ALL ca.FONENTS MAY BE VARIED AS NECESSARY AS LONG AS ALL MIN1Ml.M DISTANCES ANO SLOPES MEET THOSE REQUIRED. 8. PROVIDE POSITIVE DRAINAGE OF SURFACE WATER AWAY FROM ABSORPTION FIELD AREA USING DRAINAGE SWALES AS NECESSARY. 9. SOILS AND PERCOLATION INFORMATION FROM INFORMATION PROVIDED BY H.P GEOTECH, INC., JOB NO. 100 788, DATED OCTOBER 9, 2000. 10. THIS DRAWING DOES NOT CONSTITUTE AN ISDS PERMIT. PERMIT MUST SE OBTAINED FROM APPROPRIATE CITY OR COUNTY OFFICIALS. ENGINEER t.UST OBSERVE CONSTRUCTED SYSTEM BEFORE BACKFILL ANO PROVIDE REPORT TO COUNTY. 11. THIS SYSTEM IS SIZED FOR TYPICAL OQdESTIC WASTES ONLY. BACKWASH OR FLUSHING FLOWS FOR REVERSE Ost.«>SIS UNITS OR WATER SOFTENERS OR FILTERS SHOULD NOT BE INTRODUCED INTO THIS SYSTEM. 12. SITE PLAN ANO SURVEY INFORMATION FROM JERRY BAUER ANO ONNER. 13. INSTALL BLUEBOARO INSULATION OVER SEWER PIPE WHEREVER DEPTH IS LESS THAN ~.D FEET. 14. THE ENGINEER SHALL BE CONTACTED FOR SITE INSPECTION PRIOR TO BACKFILLING Of SYSTEM CCiif>ONENTS. 15. DESIGN OF TRENCH SYSTEM BASED ON SUBSURFACE SOIL STUOY INDICATING 1/2-FOOT OF TOPSOIL OVERLYING SLIGHTLY SANDY CLAY ANO SILT TO A DEPTH or 8 FEET. 16. SOILS REPORT t.IJST ACCQ.li>At(( THIS DESIGN WHEN APPLYING FOR PERMITS. 17. IF LESS THAN 4-F'EET TO AN l.,_,ERVIOUS SURFACE IS DISCOVERED, THE CONTRACTOR SHALL CONTACT Tl-£ CIVIL ENGINEER lt.MEDIATLY TO REVISE THE DESIGN TO ACCONCIOATE A MJUN> SYSTEM. GENERAL ABSQRPIIQN TBgNQt NpigS 1. ABSORPTION LATERALS SHALL NOT EXCEED 100 FEET IN LENGTH, 2. THE BOTTOM OF EACH ABSORPTION TRENCH SHALL BE LEVEL. J, DRAINAGE SWALES ARE TO BE PROVIDED ABOVE Af'l:I AROUND TRENCHES. AS NECESSARY, TO PREVENT SURFACE RUNOFF FROM ENTERING ABSORPTION AREA 4. TRENCH LATERALS SHALL FOLLON CONTOURS. 5. INSTALL INFILTRATOR IN ACCORDANCE WITH MANUfACTURER'S RECDllNENDATIONS. 6. TRENCH BOTTCJ.I AND S1DE:WALLS tAJST BE RAKED TO REMOVE SOIL St.EARS INCURRED DURING EXCAVATION. 7. NO EXCAVATION OF ABSORPTION FIELD IS TO BE DONE DURING WET WEATHER ANO USE OF RU8BER TIRE VEHICLES OVER ABSORPTION AREA IS PROHIBITED 8. UNSUITABLE MATERIAL EXISTING WITHIN THE TRENCH SHALL BE EXCAVATED A/'I> BACKFILL SHALL CONSIST OF ONSITE SELECT OR PIT-RUN MATERIAL. 9. IN All TRENCH CONFIGURATIONS, SERIAL DISTRIBUTION SHALL BE USED INSTEAD OF EQUILATERAL DISTRIBUTION TO INCREASE SETTLING TIME AN> PROTECT THE BACTERIAL Bio-MAT. 10. BEflDS IN TRENCH SHALL BE MADE WITH END PLATES ANO 4"tt PVC OR MANJtACTURER'S PREFABRICATED BENJS. SHEET RAKE BOTTOM AND SIDE WALLS TO REMOVE SOIL SMEARS INCURRED / NA TUR Al BACKflU 12~ MIN, CO\!ER / / PERCOLATION TEST~ 12" \NFll TRATOR UNlT TRENCH BOTTOM LEvEL ANO ROUGMENEO TRENCH CROSS SECTION (TYP.) N.T.S /_,) ,/ J) j REMOVABLE CAP INSPECTION WELL DETAIL N.T.S. REM( USE IS T< FINISH Ci .~ COUPLING 4~ SEWER UI , .. P'IC '