HomeMy WebLinkAbout01185 7.
/•/ /��,^ GARF COUNTY BUILDING A
AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945-8241
This does not cons
INDIVIDUAL SEWAGE DISPOSAL PERMIT ; ,;L 1185 a buildin9 or use per.
Owner Charles Cole Jr.
System Location 5 Miles northwest Basalt
Licensed Installer
* Conditional Construction approval is hereby granted for a 1.250 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in Z%) minutes requires a minimum of 3 sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms ,i 4 x '�Z- sq. ft. minimum requirement = a total of 12-1 2 -sq. ft. of absorption area.
May we suggest Z )( S`1 K 3 l
/
Date Li .. J Inspector / t ,T7 � . .`14.4 A p / /- +., 4-1
FINAL APPROV' OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover-
ing any part.
G>C // /- 12
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground •
surface.
ler Proper materials and assembly.
vine Trade na+re o septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area.
Cr* Adequate compliance with permit requirements.
era-A" Adequate compliance with County and State regulations /requirements.
Other
Date />0 Z.' .F -S Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
'CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au-
thority granted in 66-44-4, CRS 1963, amended 66-3-14, CRS 1963.
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements.
Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a viola-
tion of a requirement of the permit and cause for both legal action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in-
volves 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).
Applicant: Crean Copy Department: Pink Copy
-rid;
INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION PAGE TWO
OWNER CHARLES W. COLE JR.
ADDRESS 239 VENTNOR AVEN/F /ASPEN, CO.R7fi71 PHONE 925 -2822
APPLICANT SAME
ADDRESS PHONE
CONTRACTOR SAME
ADDRESS PHONE
IS PERMIT FOR: ( X) New Installation ( ) Alteration ( ) Repair
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
LOCATION OF PROPOSED FACILITY: County GARFIELD
Near .. what City or Town 5 MILES NORTHWEST BASALT Lot Size 5 ACRFS+
Legal Description SEE FNCLOSED FIAT
WASTES TYPE: ( x) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non - domestic Wastes
( ) Other - Describe:
BUILDING OR SERVICE TYPE: RESIDENCE (PRIMARY) Number of Persons
Number of Bedrooms 4
( X) Garbage grinder ( x) Automatic washer (x ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( X) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: NONE
If supplied by community water, give name of supplier:
GROUND CONDITIONS:
Depth to bedrock: HAVE NOT ENCOUNTERED BEDROCK TO DEPTH OF 8' -10" IN VICINITY
Depth to first Ground Water Table: APPROXLMSxECt 20
Percent ground slope: 10%
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 5 MILES
Was an effort made to connect to community system? NO
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( x) 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 ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe:
PAGE THREE
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? Nn
SYSTEM IS DESIGNED FOR 4 PERSONS X74 /GAI.24HR= min GALLONS PER DAY
If the system is to be designed by a Registered'Professional Engineer (RPE), state
rate of absorption in test holes shown on the location map, in minutes per inch
of drop in water level after holes have been soaked for 24 hours:
•
SOIL PERCOLATION TEST RESULTS:
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:
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 purposes 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 adopted under Article 10,
Title 25, C.R.S. 1973 as amended. The undersigned hereby certifies that all
statements 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 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 per as provided by law.
Date 6 Signed 416
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
T, 6Ltwwosa EL I£34
lAptcmcps
reterithVZ Fork R.
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4 E
Date r, __ /y, 9Z
Tester, - -J�1 JII _
dd PERCOLATIONN TEST DATA
Address 5 11 /,/Lt n
Profile hole teA Q. nn
TEST HOLE #1 N2 ll3
TIME (Min.) Level Drop Level Drop Level Drop
D s 7 s„ 6 . 4
5 Lj 4 7 r0" Y
10 44 �� ► ► 7 7 � �� n S % // 6
15 c1 ► b %flu 7 / %II . it 41461/ 20 t b % - 7 '7 44 /1 �i ,n A u
25
30
35
40
45
50
55
60
Percolation Rate 2_0 minutes per inch.
47 i'z y z- - c 2.4 > s4 x 3
2 silo/0