HomeMy WebLinkAbout03867~~,,..,,, \ ! J ' '-?-
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. ()(() ,, l"'::i-. /?_} GARFIELD COUNTY BUILDING ANO SANITATION DEPARTMENT
Q . (,/ 109 8th Street Suite 303 · l \ ,Glenwood Springs, Colorado 81601
! Phone (303) 945-8212
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Permit ;. 3867
Assessor's Parcel No.
This does not constitute
a building or use permit.
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! INDIVIDUAL SEWAGE DIS,SAL PERMIT
,, PROPERTY . e::::,wS ,
l Owner's Na~Ch?sYj,SlMresent Address l l 0CC10 e K.l?H. Phone9Ys'-Y DD~
f System Location fum Q.
l Legal Description of Assessor's Parcel No. ______ .. a_-,.L.!_\_._,\~C)_.__-_,,d_,_~,__,_3_,_L_-__,ca"""',_.,_-_,_O-""'CJ\'-'lo"-''------
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SYSTEM DESIGN
-'-' ._(._\ o ... ~o~-Septic Tank Capacity (gallon) _____ ____cOther
-~/~Q~---Percolation Rate (minutes/inch} Number of Bedrooms (or other) ~3"'----
Required Absorption Area -See Attached
Special Se\f;>ack Requirements:
5 --1 i f( 0 ·' /,,, {<'!".; ..,!, ~le:t.0
2 'I'/ [ .,,,,,_.-t 1.)1,,.,.,tJµ lt!rnd, IL· 1~C'-.Jc
3)? l•~c.LdL,~ T11,,.,,cf,/qpe5 lx&-
3'J1 I •,:ufa {fl,~ tl-1 " 2 I prs 2x 11
Inspector &,:., .. ~
FINAL SYSTEM INSPt:CTION AND APPROVAL (as installed)
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Jo 'c. A~ Date · -/17 · < ' "
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Call for Inspection (24 hours notice) BefoW Covering lc:llation
System Installer ~'( ll /t'it.f7lll t?'.l:Z \ T
Septic Tank CapacitY---------------------------------------
Septic Tank Manufacturer or Trade Name -------------------------------'-"-
Septic Tank Access within B" of surface _---_J{4i~:t-i.l.C.e-t•1>•1.,ff.,fij!,4,;L<f~~L_ _ _:~,.._~i¢..Jl.t.d.,.)llU"'1.J(._ ____________ _
Absorption Area _______________________________________ _
Absorption Area Type and/or Manufacturer or Trade Name -----.----------------------
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Adequate compliance with County and State regulations/requirements _____________________ _
Other _______ ~------------~--------------------Date_,,,5,,__·~~,,f):_.__-_~()~J+ ____ lnspector 4 (. H (.., • . .,,-... -1-I
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l RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
•CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health Individual
25, Article 10 C.R.S. 1973, Revised 1984.
age Disposal Systef.:C. .~
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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 appl1catlon 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 \?~~~h I .'.":>k
ADDRESS !(.~I. Nci::l liceY., C.-,pz:\it,Ji:_. g-"C:J PHONE 'l.~ <.(oo~
CONTRACTOR (DW(\e..-{' Cj2...P-:uQ ...
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:
Near what City of Town Wos;-l ~
Legal Description or Address \(..'(;'" ~ ~JN§;; tt '1 o
WASTES TYPE: <A DWELLING c,lL( 3;}-
(-,4 COMMERCIAL OR INDUSTRIAL
SizeofLot -i,{ ~
i->· CZ.... g-('o I
( ) TRANSIENT USE
( ) NON-DOMESTIC WASTES
()OTHER-DESCRIBE _______________ _
Af'(Jt:
BUILDING OR SERVICE TYPE: ~1-'.Jl· Q {Iii( /O{~f/o.): ~1'1 5/P A~/J.
NumberofBedrooms ____ __,.__3"--_____ 1 __ N.umberofPersons 8-#i3 ~t.~··~ 5 (! IJ/J
()() Garbage Grinder (~Automatic Washer
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL
If supplied by Community Water, give name of supplier:
(-{) Dishwasher
<'1¢ SPRING ( ) STREAM OR CREEK
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:_---'/_,flt4,,_=·o..-.------
Was an effort made to connect to the Community System? --~N~o __________ _
A site plan is required to be submitted that indicates the followine 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 ______________________ _
Percent Ground Slope __________________________ _
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TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
<X1 SEPTIC TANK ( ) AERATION PLANT
( ) VAULT PRIVY ( ) COMPOSTING TOILET
( ) PIT PRIVY ( ) INCINERATION TOILET
( ) CHEMICAL TOILET( ) OTHER-DESCRIBE
FINAL DISPOSAL BY:
('!.:) ABSORPTION TRENCH, BED OR PIT
( ) UNDERGROUND DISPERSAL
( ) ABOVE GROUND DISPERSAL
( ) VAULT
( ) RECYCLING, POTABLE USE
( ) RECYCLING, OTHER USE
( ) EV APOTRANSPIRA TION
( ) SAND FILTER
( ) WASTEWATER POND
( ) OTHER-DESCRIBE _______ ~~~~~~~~~~~~~~~~~
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ~ 0
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, ifthe Engineer does the
Percolation Test)
Minutes er inch in hole No. I ----~ Minutes er inch in hole No. 3 -----~
Minutes per inch in hole No. 2 Minutes er inch in hole No. -----~
Name, address and telephone ofRPE who made soil absorption tests:-------------
Name, address and telephone ofRPE responsible for design of the system:----------
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 orrevocation of any permit granted based
upon said application and in legal action for perjury as provided by law.
Signed ~. Q, • ~ Date {;_ () c:1\ O")
PLEASE DRAW AN ACCURAT~ TO YOUR PROPERTY!!
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CIVIL ENGINEERING
May25,2004
Andy Schaller
Garfield County Building and Planning
108 8th Street, Suite 201
Glenwood Springs, CO 81601
An Employee-Owned Company
Re: Stan Rachesky ISDS -1686 Mitchell Creek
HCE Project Number 2031704.00 x 0218
Dear Andy:
LAND SURVEYING
The following letter is to confirm the engineer's inspection of the revised septic system of the
Rachesky Residence at 1686 Mitchell Creek. High Country Engineering's field inspector
performed the field inspections. The design included a 1,200 gallon septic tank and a 1,500-gallon
septic tank was installed. The septic tank configuration has been rotated 90 degrees, and the
manifold piping was adjusted accordingly. We anticipate that these revisions will have no adverse
impact to the functionality of the system. The S' diameter perforated drywell has been set on 12"+/-
rock and backfilled, and the radius of the rock and fabric is per plans. Per phone conversations with
Stan Rachesky and Larry Martin, the effluent filter was installed.
If you have any questions, or need additional information, please contact us.
Sincerely,
HIGHC.
r G. Shaner, P.E.
Senior Project Manager
1517 Blake Avenue, Suite 101
Glenwood Springs, CO 81601
970.945.8676 phone
970.945.2555 fax www.hceng.com
14 Inverness Drive East, Suite F-120
Englewood, CO 80112
303.925.0544 phone
303.925.0547 fax
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VICINITY MAP
SCALE: 1~•2000'
ceE!W-NOIB!
ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE GARFIELD COUNTY
REGULATIONS OF INDIVIDUAL SEWAGE DISPOSAL SYSTEMS, EV£N 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.
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2.
OENERAL N01EB
ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE GARFIELD COUNTY
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.
FL~ FOR BED:
3 BEDROOMS • 2 PERSONS/BEDROOM • 75 GALLONS/PERSON/DAY
450 GPO -AVERACE DAILY FLOW.
DESIGN FLOw = 1 .5 • AVERAGE = 575 GPO (Q)
SEPTIC TANK:
MINIMUM TOTAL TANK SIZE:
Q * 1 OAY/24 HRS ~ 30 HRS = 844 GPO
INSTALL ONE 1000-GALLON tAN;< WllH BA~FLE\)
•••INSTALL EFFLUENT FILTER IN SEPTIC TANK OUTLET•••
IS: ~ _,
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STANDARD ABSORPTION AREA; ~
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4.
5.
A= Q JI ---,---~AXl~M FLOW
t=PERCOLATION RATE= 10 min.fin.
S75p = 427 SF
USE OF ORYWELL:
INCREASE BY 2\ll< FOR GARBAGE GRINDER
A • 513 SF
DIAMETER OF PIT• 15': THEREFORE, BOTTOM AREA= 176 SF
DEPTH BEL~ INLET• a•, THEREFORE, SIOEWALl AREA• 377 SF
TOTAL ABSORPTION PROVJOEO • 553 SF.
CLEAN OUTS AR~ REQUIRED AT ALL BENDS AND AT LEAST EVERY· 100
FEET ALONG THE HOUSE SEWER.
THE CONTRACTOR SHALL BE RESPONSIBLE FOR INSTALLING A~L
WATER TIGHT COMPONENTS, PRIOR TO THE ABSORPTION AREA,
TO PREVENT INFILTRATION.
TOPSOIL COVER.MAY BE VARIED (WITH 1 FOOT MINI..:..) TO ALL~
LANDSCAPING ..
6. INSTALL RISERS AS NECESSARY TO BRING ALL ACCESS POINTS TO
WITHIN ONE-HALF FCXJT OF FINAL GRADE.
7. LOCATIONS OF ALL COMPONENTS MAY BE VARIED AS NECESSARY AS LONG
AS ALL MIN\MuM DISTANCES ANO SLOPES MEET THOSE REQUIRED.
8. PROVIDE POSITIVE DRAINAGE OF SURFACE WATER AWAY FROM ABSORPTION
FJELD AREA USING DRAINAGE SWALES AS NECESSARY.
9. PERCOLATION TESTING PERFORMED BY GARFIELD COUNTY, COLORADO
OCTOBER 27, 2003.
10. THIS DRAWING DOES NOT CONSTITUTE AN \SOS PERMIT. PERMIT MUST BE
OBTAINED FROM APPROPRIATE CITY OR COUNTY OFFICIALS.
ENGINEER MUST OBSERVE CONSTRUCTED SYSTEM BEFORE BACKFILL
ANO PROVIDE REPORT TO CITY.
11. THIS SYSTEM IS SIZED FOR TYPICAL Oa.ESTIC WASTES ONLY. BACKWASH
OR FLUSHING FLONS FOR REVERSE OSMOSIS UNITS OR WATER SOFTENERS
OR FILTERS SHOULD NOT BE INTRODUCED INTO THIS SYSTEM.
12. SITE PLAN INFORMATION FROM MUSE ARCHITECTS, INC.
13 INSTALL BLUEBOARO INSULATION OVER SEWER PIPE WHEREVER DEPTH IS
LESS THAN 5.0 FEET.
14. THE ENGINEER SHALL SE CONTACTED FOR SITE INSPECTION PRIOR TO
BACKFILLING OF SYSTEM CC».f'ONENTS.
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15, ORYWELL SYSTEM NEEDS TO BE A MINIMUM OF 10 FEET FROM THE PROPOSED
PROPERTY BOUNDARY ANO A MIN\"1M OF 50 FEET FROM THE HIGH WATER LINE.
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PARCEL 2
1,15 ACRES +/-
J:IARCEL 1
l,02 ACRES+/-
4• COUPLING
4. 45" SYltEP I •• SEYl[R LINE
'4" II .... II 4"
PVC Wl£ ~ CLEAN
ASSD'
" GRAPHIC SCALE
-~~-~~-ti.' ;;;;· " '----~ i ( IN FEET) ~~~~~~i SEWER CLEAN 0 N.T.S. UT DET A
11.n.ch•lO fL
-INSTALL 4•f PERFORATED PVC AIR VENT
INSPECTION WELL WITH REl#JVABLE CAP AT
EACH CORNER OF r1ELD TO THE rULL DEPTH
Of EXCAVATION. WRAP PIPE IN rlLTER
rABRIC. "'.
.Ill: r INST ALL FILTER FABRIC
OVER AGGREGATE . . .
I-----... ---1--1 •·
----22.0' (MIN.)---------------!
ANHOLE SECTIONS TO MEET ASTM C-478
CAVATION AROUND STRUCTURE WITH COMPACTED
SHED STONE, TO TOP Of PE RF ORA TEO SECTIONS.
'ONCRETE DRY WELL PROFILE
N.T.S.
3.
STANJARD ABSORPTION AREA:
~Xl~ F'LOW
t.PERCOLATION RATE • 10 mJn,/Jn.
ill.f!-. •_21 sr
VSE Of DRYWELL:
INCREASE BY 20X rOR CARBAC
A• !'>13 Sf
DIAMETER OF PIT• 15': THEREFORE, BOTTOM AREA• 176 SF
Df:PTH BELON lMLET• 8': THEREFORE, SIDEWALL AREA• 377
TOTAL ABSORPTION PROVIDED• 553 SF.
CLEAN OUTS AR~ REQUIRED AT ALL BENDS ANO AT LEAST EVER)
FEET ALONG THE HOUSE SEWER.
4. THE CONTRACTOR SHALL BE RESPONSIBLE FOR INSTALLING A~L
WATER TIGHT COMPONENTS, PRIOR TO THE ABSORPTION AREA,
TO PREVENT INFILTRATION.
5. TOPSOIL COVER MAY BE VARIED (WITH 1 FOOT MINIMUM) TO AL
LANOSCAP I NG.
6. INSTALL RISERS AS NECESSARY TO BRING ALL ACCESS POINTS
WITHIN ONE-HALF F'OOT OF FINAL GRADE.
7. LOCATICf\IS OF ALL CO!o.PONENTS MAY BE VARIED AS NECESSARY
AS ALL MINIMIJM DISTANCES ANO SLOPES MEET THOSE REQUIRE(
8. PROVIDE POSITIVE DRAINAGE OF SURFACE WATER AW~Y FROM AE
FJELD AREA USING DRAINAGE SWALES AS NECESSARY.
9. PERCOLATION TESTING PERFORMED BY GARFIELD COUNTY, COLQf
OCTOBER 27, 2003.
10. THIS DRAWING DOES NOT CONSTITUTE AN ISDS PERMIT. PERMI
OBTAINED F~ APPROPRIATE CITY OR COUNTY OFF'ICIALS.
ENGINEER t.IJST OBSERVE CONSTRUCTED SYSTEM BEFORE BACKFll
ANO PROVIDE REPORT TO CITY.
11. THIS SYSTEM IS SIZED FOR TYPICAL OCMESTIC WASTES ONLY.
OR FLUSHING FLONS FOR REVERSE OSMOSIS UNITS OR WATER SC
OR FILTERS SHOULD NOT BE INTROOUCED INTO THIS SYSTEM.
12. SITE PLAN INFORMATICtrl FROM MUSE ARCHITECTS, INC.
13 INSTALL BLUESOARD lNSULATICXIJ OVER SEWER PIPE 'NHEREVER [
LESS THAN 5.0 FEET.
14. THE ENGINEER SHALL BE CONTACTED FOR SITE INSPECTION PRI
BACKFILL I NG Of SYSTEM ca.FONENTS.
15. DRYWELL SYSTEM NEEDS TO BE A MINlt.tlM OF 10 F'EET fRCM T~
PROPERTY BOUNDARY AND A MINIWUM OF 50 F'EET FRCM THE HIC
1. DRAINAGE SWALES ARE TO BE PROVIDED ABOVE ANO AROUND DR~
NECESSARY, TO PREVENT 51..RFACE RUNOFF F'ROM ENTERING ASSC
2. AREA BOTTOM ANJ SIDEWALLS ~ST BE RAKED TO RE...:>YE SOIL
INCURRED DURING EXCAVATION.
3. NO EXCAVATION Of' ABSORPTION FJELD IS TO BE DONE DURING
AND USE OF RUBBER TIRE VEHICLES OVER ABSORPTION AREA I~
4. UNSUITABLE MATERIAL EXISTING WITHIN THE BED SHALL BE E>
BACKF'ILL SHALL CONSIST OF ONSITE SELECT OR PIT-RUN MATE