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GARFIELD COU14TY BUILDING AND SANITATION DEPARTMENT Permit - 3989
Assessor's Parcel No.
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name1 i 1Present /A�ddnres�
System Location D/ 2iC'` l ,Jid2) V r -e -w
Legal Description of Assessor's Parcel No . / a/ 66)3
SYSTEM DESIGN
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
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
This does not constitute
a building or use permit.
3D3 74"—
Phone
Other
Other /�•1 {//, �/'fJ {� C�/
Date AO—�'-�.S Inspector 4 L ( L �'VwJ "-' 3*'3" v 4 /
RETAIN WITH RECEIPT RECOR 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 ($500.00 fine — 6
months in jail or both)
White - APPLICANT Yellow - DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER Rip 05'PEit ?McCNV /4
ADDRESS aIQQ. Ottie0 ARApit £, "PA, La Co PHONE
SOiao.3cos
CONTRACTOR
ADDRESS PHONE
PERMIT REQUEST FOR
319$_ 1l£3. i j)ilO
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 tO'Ct) C Pe -611- Size of Lot ARES
Legal Description or Address (7 171 keid s U i evi L,cwc c -O f h2
WASTES TYPE: p< DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE:
Number of Bedrooms 3 Number of Persons e
XGarbage Grinder DAutomatic Washer 'Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier: F. ApDs +t1C-001-*R5 At'f�tu,
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: '1 -Wo Hite
Was an effort made to connect to the Community System? OD
A site plan is required to be submitted that indicates the following 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 NO Ear(ZO4t1YD L.)ika CUi D
Percent Ground Slope 1 °r
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
2
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:
X 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? PC
PERCOLATION TEST RESULTS: (To be completed by
Registered Professional Engineer, if the Engineer does the Percolation Test)
Minutes 13 per inch in hole No. 1 Minutes oi.5 per inch in hole NO. 3
Minutes jq per inch in hole No. 2 Minutes per inch in hole NO.
Name, address and telephone of RPE who made soil absorption tests: tits lsrA,ti CRO s CM ,& gCRi tkk„, our
Bt/. Ch1Rts i-IPtc. '?,tt, 026Xi GAAN9 Ad& r sewa) e)pRri1c5 Cct 3f(eol
PN <? .qqs. 5Si/N .F-*. (170 , q45 Ez56e
Name, address and telephone of RPE responsible for design of the system: 'j AMC * A&ui
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 applation and in legal action for perjury as provided by law.
Signed `�i�, L /..,
i
PLEASE DRAW AN ACCURATE
salt
(TO YOUR PROPERTY!!
Date
3
• PLANRLot'
1. $V$' and stockpJr tepee from
tiw-Alq f0o(wh4 driveway, SOS
and 8' side perimeter wound
Mang before consWctlm begins.
J The ground surface surroun&np
the exterior of Me building shod
be sloped from the foundation in
oil dkactbns with minimum
slop of s' in M. rind 10 het in
unpaved areae and J' in M. Rat
10 feet for pownent and walkway
ween.
Roof downspoutsp. and beyond
ilmRsns
• discharge well b°yo°d 1M
/venland of ng bh�scaping ich
ular
MeV mlaoUon shouldbrequires rco/d
at kart 5 feet from foundation
.ab.
4. Replace stoak:Md tepeaa 4,
landscaped °nos
5 .Sewer connection to be to
sewer system or blIS system pr
dee* depending Mof
sewer collenton system
SCALE
40 20 0
1 INCH = 40 FT
EDGE OF R/VER
UND&Ry
Rapids View Lone
07/07/54
OR thd•
Residence Grading Plan
& ISDS Site Plan
.. .� .1. n..d...aela
RICHARD L. 201 -RAN
Professional Land Surveyor
i rarer
ign MOUNTAIN CROSS
ENGINEERING, INC.
./744.@:e.
94'
4g9 4
3.
$°x1
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DS Design Plan
- Rapids on the Colorado
Rapids Development Corporation
SNOLLV1f101V0 NO
Rim" "art-
' r MOUNTAIN CROSS
Professional Lord Sun wr
LS ,Jfl,
ENGINEERING, INC.
4773 274 Rd. CMI and Envlronm.n,tl Consultlng .nd Design
£W CO/on do 6261/2 Gond Annus aSnwmtl spMgs. Co 61601
(e]OJ 876-2947 M .15645054 n m..455011 .....n.rne...n...�
Hk:Pu°9-1 I, c >o -
DS Design Plan
- Rapids on the Colorado
Rapids Development Corporation
SNOLLV1f101V0 NO
Rim" "art-
' r MOUNTAIN CROSS
Professional Lord Sun wr
LS ,Jfl,
ENGINEERING, INC.
4773 274 Rd. CMI and Envlronm.n,tl Consultlng .nd Design
£W CO/on do 6261/2 Gond Annus aSnwmtl spMgs. Co 61601
(e]OJ 876-2947 M .15645054 n m..455011 .....n.rne...n...�
GRADING PIAN REQUIREMENTS:
1. St* and stockpile topsoil from
building fostpnn4 dnleway. SAS
and 8' wide Genmetr around
bulling before construction begins.
2. Building finbMd Noor elevation
to be 5501.65 or above bused on
SE Lot 8 comer elevation.
J. The ground surface surrounding
the exterior of the building .Mall
be sloped from the foundation in
08
direction v,h a minimum
slope of 6' in the fast 10 feet in
unpaved areas and J' in the first
10 het for pavement and .array
anus.
Roof dewnspo and drains
should °embarpego well beyond the
limts of d hooka
Landscaping which makes regular
berry frrigatibIl ShOlild be located
at bast 5 het from foundation
4. Raba stockpiled taper'/ in
landscaped areas.
S Sewer connection to be to
se— system or SOS system per
design deprMmg on al.mlobiy of
sear collection system.
--------------
COLORADO RIVER
oo
J
EDGE OF RIVER
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soma 910( IML COMM
or nuns was
ID' 1101 SW WTI LOC
la tae PRORIXtt ISM
rima Mafia
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LOCH ,m 1a s0naa
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so' mini SOCti OR WM Cat
2V MN INN mem'
1a IROS PROPORY 11[
M'AIM MOS
t -On MIS OIS
SI OOSS JW3 nu3 0/9 0 /3 wo/Opoo//
SCALE
90 20 0
40
1 [NCH = 40 .F'
000 V
RL4/v sOUNOgRY
IenlaWnel aw1 Waal
COMM
4- at UNE
m MS MOON
1va-an weR O11
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sOOW tpOYM.e
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W Lit
Rapids View Lane
50
2m
p3
L__________________
van 07/07/04
1'-b'
Dileat
old. b.
WO RE latest,
as 423
Residence Grading -Plan
& ISDS Site Plan
Lot 8 - Rapids on the Colorado
Rapids Development Corporation
RICHARD Z. HOL£1N-7
Professional Land surveyor
LS UM
4773 214 Rd
Silt Colorado af
(970) 876-2947
®CMI and Environmental Consulting and Design
Eat 1n Grand ay.nu. nems,.° Springs. Ca 01601
,e as Osaaa n Oa IESUII ameunIa.p...ergown
MOUNTAIN CROSS
ENGINEERING, INC.
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1 Depth 1
October 20, 2005
Mr. Andy Schwaller
Garfield County Planning
108 8th Street, Suite 201
Glenwood Springs, CO 81601
MOUNTAIN CROSS
ENGINEERING, INC.
CIVIL AND ENVIRONMENTAL CONSULTING AND DESIGN
RE: Review of Lot 8 ISDS, Rapids on the Colorado Subdivision
Dear Andy:
The purpose of this memo is to confirm that on Thursday October 20, 2005, Mountain Cross
Engineering, Inc inspected the ISDS for Lot 8. In the professional opinion of Chris Hale, as a
professional engineer licensed in the State of Colorado, #35964, and a representative of
Mountain Cross Engineering, Inc, it appeared to be installed per the plans prepared by Mountain
Cross Engineering, Inc.
Feel free to call if any of the above needs clarification or if you have any questions or comments.
C: Mr. Gene Hilton
826 1/2 Grand Avenue • Glenwood Springs, CO 81601
PH• 970 945 SS44 • FAX• 970 945 55511 • www mountaincross-ene corn