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Home My WebLink About0400551 2 e r-�kc GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name System Locatio Permit 4 0 0 5 A is Parcel No. This does not constitute a building or use permit. n nt Address ct---t CS C( hone f �m `ck4S 05q C IDD) g76, his g393- /a3 -cc -9W Legal Description of Assessor's Parcel No SYSTEM DESIGN it SO Septic Tank Capacity (gallon) Other 9-57 Percolation Rate (minutes/inch) Number of Bedrooms (or other) 3 3 Ben Required Absorption Area - See Attached jz, 7 {M1 L ec-811 & `/'w_bovt 30PO5 y� h3eM 126°—X40 ,,,...,b Baa Si /x1' /OW I -1)/J Date Inspector / Special Setback Requirements: s16 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 *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 1, Petty Offense ($500.00 fine — 6 months in jail or both). Inspector -} CC` 41- �� Cz/! -- — "*"—�-/j ` E f� RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITc� INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER E Pe...._ loins ADDRESS 3c) S `t C6' 42A 0 3 CcvkT.,o(.- (p PHONE 764 -044c CONTRACTORSr S .D e 64404 Zvi, ADDRESS x312. S 04, e -i DWtx. 6tiuS 8i-1 PHONE 616 - ro / 5' 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 Crnr 4 Size of Lot n t . S ✓ -" s Legal Description or Address 3 p S 9 Cen4 rU i WASTES TYPE: (X DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER -DESCRIBE BUILDING OR SERVICE TYPE: C Number of Bedrooms 3 Number of Persons 3 I< Garbage Grinder ( ) Automatic Washer (V Dishwasher SOURCE AND TYPE OF WATER SUPPLY: {WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 5 $, 6 „vats Was an effort made to connect to the Community System? /d/, 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 Percent Ground Slope • TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: 112213 ( ) 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: 1130 ( ) 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. Name, address and telephone of RPE who made soil absorption tests: Name, address and telephone of RPE responsible for design of the system: 5 02 ., �r k r�� (1) �' (6 Z 3 P,„ lit&i r 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. ii/V6 Signed �' 4 Date 9— Z13--04 PLEASE 13 - PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 02/03/2005 10:53 970-704-0313 SOPRIS ENGINEERING PAGE 01 FAX Transmittal T! Tim Holliday Garfield County Building Department Fad 384 3470 we. 2-3-05 Tele) Feces: SE Project M. 2 24171.01 Feet Paul Rutledge ICesUYt Attached is the M -Built OWS System letter for the bloom Residence at 3059 County Road 103 on the Cedar Ranch. The OWS construction was performed by Dorais Excavating. CC Bill Dorais . Dorais Excavating, 963_2670 CC Joh Site, 963 0862 0 Orxgmal not to follow 0 Original to follow by mail 0 Original to be delivered by messenger 0 Original to be picked up 502 main street • suite A3 0 carbondale, CO 81623 o (970) 704-0311 r. fax (970) 704-0313 WINS ENGINEERING • LLC CIVIL consultants 502 Main Street • Suite A3 Q Carbondale, CO 81623 ❑ (970) 704-0311 U Fax (970) 704-0313' 02/03/2005 10:53 970-704-0313 SOPRIS ENGINEERING PAGE 02 February 3, 2005 Pam & Randy Johnson CIO BM Dorais Dorais Excavating 670 Buggy Circle Carbondale, CO 81623 RE: As -Built OWS System, Johnson Residence, 3059 County Road 103, Cedar Ranch. Garfield County CO SE .lob No. 24171.01 Dear Bill: Pursuant to County Regulations, this letter provides documentation that the new OWS system recently installed is in general compliancewith the permitted design. Sopris Engineering has performed site visits to measure, inspect, and document the as built conditions of the constructed system. We have coordinated our efforts with the contractor that constructed the system. The system was inspected prior to backfillingand after all installations were completed. The as -built conditions and installation of the new ISDS components is in compliance with the permitted design specifications for the system. The septic tank, distribution pipe, and absorption field installations are in accordance with Garfield County Regulanons, the design presented in the Sopris Engineering design drawing, dated November 8, 2004. A 2000 gallon dual comparuncnt septic tank was installed with 4" tee baffles and an effluent filter. The absorption field was constructed with a total of 84 standard Teaching chambers in a trench bed configuration with (3) 88' long trench heds containing 2 rows of 14 chambers each. The chambers were backfilled with screened rock to the top of the chamber louvers. The gravel backfill was covered with filter fabric and backfill to the finished surface grade with native sail. Each trench bed was installed level. Inspection ports were installed on each comer end chamber. The chambers were installed in suitable soils consistent across the field. Each row of chambers was installed with a 4" perforated distribution pipe running the length of the trench. The Geld has individual distribution lines. from a concrete distribution box, connected to each chamber pair in each trench bed. The distribution box was installed level on compacted ground and is marked with a buried piece of rebar and sewer pipe. The minimum setback distances have been maintained. The 3 trench beds have a separation distance of 10 feet and installed approximately 3' deep relative to the existing slope grades. Additional observations of the soils within the field were performed during construction indicating that the soils are consistent with the description in the gentechnical report. No ground water was encountered m a depth of 10 feet OWS Operation and Maintenance The owner shall periodically inspect the OWS. perform any maintenance required and periodically pump the septic tank as necessary to ensure that the system is in good operating condition and performing as designed. The OWS should require minimal maintenance. Several factors influencing the need for maintenance include: actual wastewater flows versus design flows, the volume of kitchen/domestic waste (excluding human waste and toilet paper). excessive household chemicals and other toxic liquids. The tank, sanitary tees and effluent filter should be visually inspected bi-annually for clogging debris, damage or leaks. In general, for a properly utilized system, septic tanks should be pumped and inspected every 2.4 years. The effluent filter should bc cleaned every six months and at the time of pumping. Absorption fields should be maintained with suitable vegetative cover and kept free ofroot invasive plants. Positive surface drainage away from the absorption field should be maintained. 0 you have. any question or reed any additional information, please call. Sincerely, SOPRIS ENGINEERING, LLC Paul E. Rutledge Design Engineer Cc Tim Holliday SOPRIS ENGINEERING • LLC civil consultants transmittal RECEIVED To: Tim Holliday Company: Garfield County Building Department From: Paul Rutledge APR 2 9 2005 GAKFIELD COUNTY DUILDINC & PLANNING Date: 04/27/05 Subject: Johnson Residence SE Job No.: 24171.01 ILII COM W Isaaas 1 As -Built On -Site Wastewater System If materials received are not listed above, please notify us. Transmitted by: • First Class Mail 0 Express Mail 0 Messenger 0 Pickup 0 U.P.S. 0 Federal Express 502 main street • suite A3 carbondale, CO 81623 L (970) 704-0311 1 fax (970) 704- 0313 SOPRIS ENGINEERING LLC civil consultants