HomeMy WebLinkAboutOWTS Planst
195 W. 14th Street
Rifle, CO 8L650
(e70) 62s-s200
Public Healtle
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2014 Blake Avenue
Glenwood Springs, CO 81601
(97O)94s-66L4
OWTS PERM IT APPLICATION
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Email Address:
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Mailing Address:
Email Address:
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Mailing Address:
EmailAddress:
Was an effort made to connect to the Community Sewer System:
Block
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Assessor's Parcel Number:
Distance to Nearest Community Sewer System:
Building or Service
Job Address:
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Garfield County Public Health Department * working to promnte health and prevent disease
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 purpose of the evaluation of
the application; and the issuance of the permit is subject to such terms and conditions as deemed
necessaryto 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 legal action for perjury
as provided by law.
I hereby acknowledge that I have read and understand the Notice and Certification above as
well as have provided the required information which is correct and accurate to the best of
my
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roperty Owner Print and Sign Date
Special Conditions:T
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Building Permit
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OWTS Permit:
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lssue Date:Balance Due:.$6.*
Garfield County Public Health Department:
Signed Approval
a
Date
Garfieid County Public Heallh Department * working to promote health and prevent disease
SCOPE OF WORK TO BE DONE
RE: TANK REPLACEMENT @ 16613A HWY 82 CARBONDALE, CO 81623
JULY 1,2024
a wtLL BE DtGGtNG (2) ACCESS HOLES TO GET UNDERNEATH CABIN TO REPLACE
EXISTING 4'SEWER LINE THAT IS STRAPPED TO FLOOR JOISTS. NEED TO
RE-ROUTE THIS EXISTING LINE. ONE ACCESS HOLE WILL BE DUG ON WEST
SIDE OF CABIN WHERE EXISTING CLEAN-OUT IS LOCATED. SECOND HOLE WILL
BE DUG AT SOUTH EAST CORNER OF CABIN WHERE WE WLL LOCATE NEW
CLEAN-OUT.
WILL LOCATE SEWER LINE GOING FROM OLD TANK TO EXISTING LEITCH-FIELD
TO DETERMINE HOW DEEP TO BURY NEW SEPTIC TANK. NEW4'SEWER LINE
ABOVE AND BELOW GRADE WILL BE INSTALLED ACCORDING TO GARFIELD
COUNTY CODE.
NEW TANK LOCATION WILL BE EAST OF THE FRONT PORCH AND A LITTLE TO
THE SOUTH SO THAT WE KEEP THE TANK AWAY FROM THE PARKING AREA FOR
THE CABIN. TANK WILL BE SET ACCORDING TO ALL MANUFACTURES SPECS.
AND ANY GARFIELD COUNTY CODES.
WE WILL ABANDON THE EXISTING TANK. WE WILL PUMP IT, COLLAPSE AS BEST
WE CAN AND FILL THE INSIDE.
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Submittal Data Sheet R::lh
Part #Description
See below Roth RMT MultiTank
Project lnformation
Job Name: Location: LOU MOORE / 166134 HWY 82, CARBONDALE, CO 81623
Date Submitted: JULY 1,2024
Engineer:Submitted by: JOE ZAMORA & LOU MOORE
Contractor: JOE ZAMORA Approved by:
Man ufactu rer's Representative
Application
Wastewater treatment
Gravity septic, pump, dose, hotding, STER grinder systems
Fresh water storage
Cistern, rainwater harvesting, irrigation, fire protection systems
Product lnformation 07-01-2024
The
man
Roth RMT is a four layer coextrusion blowmolded tank
ufactured with high molecular weight HDPE.
Capacity 300 gal/1'l35liters to 1500 gal/5678liters
Buried installation only
Single and dual compartment configuration (750-1500 G)
24 inch manway openings compatible with Roth STAR-24
riser system
Available with plumbing kit to include inlet and outlet tees
Flexible watertight pipe seals furnished with tank
Minimum wall thickness 0.25 in/6.3mm
Design burial depth 4 ftl1.2 M, 6 fVl .8 M per deep burial
installation instructions
H20 traffic rated installation when installed per H20
installation instructions supplement
Suitable for installation in high ground water conditions per
installation instructions supplement
NOTE: TANK MOD.#RMT-1 060-2
Models, capacities, dimensions
Roth GlobalPlastics PO Box45 Syracuse, NY'13211
Telephone: 866-943-7256 Fax: 315-475-0200
www.roth-america.com
Technical lnformation
Manufactured and tested according to the following standards:
IAPMO 21000 Prefabricated Septic Tanks
IAPMO PS-52 Material and propertey standard for pump/dose,
sumps and sewage ejector tanks with or without a pump
CSA El66 Design, material and manufacturing requirements for
prefabricated septic tanks and sewage holding tanks
NSF Standard 61 Drinking Water System Components
ASTM D1248 Standard specification for polyethylene plastics
extrusion materials for wire and cable
ASTM D1693 Standard test method for environmental stress-
cracking of ethylene plastics
ASTM D638 Standard test method for tensile properties of
plastics
ASTM D790 Standard test methods for flexural properties of
unreinforced plastics and electrical insulating materials
ASTM D 3350 Standard specification for polyethylene
plastics pipe and fittings materials
Plumbing Kit inctuded
*{>F-'
X Pa:t Na.Crnp Besign Gap Tot*l Gsp length Weight
Gal {liers}Gal (liters)in (mm)lbs {kq)
RMT€OO I 3D0 {: 1 36)335 f126ol 5fi {1S7*}12C {54"43}
HMT-50*1 5e0 {18331 535 (30151 6* {t5e4}?85 {10t.06J
RMT-750-1 :75S {2S4$1000 {3785}1ffi F616)36S €163.?Sl
RM;.75F3 E 750 {sB4sJ lAOo {SrS5}103 {e616}35$ {1 63"29J
RMT-I00e1 t roo8 {8785}r r47 (4S41)1rs {ass?}459 {38'rr.I2l
HMT.J060-!2 1SoE tS785;1147 {4341}1 18 (2397)45e {e04.12J
HMI-I06tr1 I ro6c fiBrel r5rr7 {5061}rs3 {3378}5S0 {e35.87]
X RMT-r06el I ro6s {4012}13S7 {5*61}133 {337s1 520 {335.a:l
HMT-125e,1 'l rssc l473pl 1463 {5560}14& {375S 56s {354.811
RMT-I25,*r t 1350 {4730}1469(55tr)I 48 (375e)56S p54,or
RMT-1srls.l t r5o0 (56-/8)177 1 (6703)1r/ {44S6}s4r €e0.rc]
HMT-150C2 a 1500 i5€74]1rr1 i6703)1ff {,l49dl 640 (2$0"301
RMT Height width
in {mmi ifl {mm}
3osc s4 (1372\45 (1 1 43)
500-1 500G 51 {1295}62 {157s}
Gontact lnformation
Effective Date: April 2018