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HomeMy WebLinkAbout01572 ti • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT COMPne 109 8th Street Suite 303 Fe, GA / a lenwOod Phone (3 3) 45 82d2 81801 <S`CC 9nOoH�9 / a y This does not constitute T 1t ! a building or use permit. / 'o' fys - t.-i /nfitotirrt . C� S 'rz7floDef _ siziNf FO a , or for a / UU U r SEA RrtH�cD Fo/CT�N/'( gallon Rre:ovu ri47NTS• ient unit. /rr4Gp; g e !r X 1 Is: 4: /f2SxGa aGOrOwsig-oo ( p a rer R �rn. wAree S.r/ .11 x s- 9/6 = a, /Jo4 SL ��rLr: ' sq. ft. tot absorption area per bedroom.Par- — ninimum of '¢ - / ovr o/s #/'r-•jo 9e,�' r q. ft. minimum requirement = a total of y l..�, ft, of absorption area. S 401•4'' w / e 9r 9 , p XsS� /....x J 3 ye e a troeoo n) bit �.1. n A?� p for ( t.t C /'� 7 ..A.t -r9' FINAL APPROVAL O SYSTEM: 1 r/raNU../ r. /0e Qr r 62.E , il No system shall be c�e Al the assembl to be in compliance with the Sewage Disposal Laws u thbl d sysigm is approved prigr to cover• ' in a tt. F/t?r9QYfl'�S n.._�. -- / - Septic Ta n access or inspection am. . • • 6. e --( be-ground- surface. ‘3 E._ o L 8 _ /1 rL ,.J ft Proper materials and assembly. .• i i c—Xt Y / / �' 6/� Trade name of septic tank or aerated treatment ui 5— Jl, V V OK Adequate absorption (or dispersal) area. 24 /,,V x `'o/ " ✓( pic /et. Vti. -- Adequate compliance with permit requirements. / `' J 15 � / . / 0 4.2i-C, Adequate compliance with County and State regu ,J __ _ 0 her _ � p ca. 74.5/.7 0 fp Ze Dat O v _ __._. -_____ Insp T�w<r� ___ RETAIN WITH RECEIPT RECORD - -_� ? r 0 X32 630 io Boo 7S6tf drrT *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. Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation of 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 I n the application of permit commits a Class I, Petty Offense (5500.00 fine — 6 months In jail or both.). Applicant: Green Copy Department: Pink Copy ' ' ' •+ ? • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81801 Phone (303) 945 -8212 WE JJDT/rt aft.- g 1T9f%H�' This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT 112 1572 a building or use permit. Owner Keith Bllnkinsoph — fO/l yyrr/ r I �lle2al�i"n r,ij -. System Location 3402 Id. 103 Carl: male 6 9 - 93 Licensed Installer _fli.nnr Si WA' 5 FO A fairnoOn 6776tH OEo ro WN11 Conditional Construction approval is hereby granted for a SEA: ,t7 / 00 0 gallon Rico wee' /f RNT.S, ::l Septic Tank or _ Aerated treatment unit. F /K e0 ^ g r N x vL R_ //2,5 x Absorption area (or dispersal area) computed as follows: 119—°— 6e a so , ow ..7. /,�00' 1�^ /_ XS. 9 = adefO ? Perc rate of one inch in ?S7 minutes requires a minimum of 44 L CP sq. ft. bt absorption area per bedroom.D /JVOZret. Therefore the no. of bedrooms ,j x T 4 sq. ft. minimum requirement = a total of /27' . ft. of absorption area. May we suggest: /c7 7/ / X ? / C. -/e p 1- L /1 s '- J( / C.l.f' .l' i 1.. Date– ccl /7 Inspector .1 /// //. - _.._al _ FINAL APPROVAL Of SYSTEM: 77M/dc/.4 r /0( -i Qco r 42/ //J . i No system shall be de rued to be in compliance with the Sewage Disposal Laws until the assembldd syst m its approved prior to cover- ' ingar`ff rt. qL ?ri • (� Septic T an� acT cess r ms action am, 7 � � D/rb ✓t '/24t p surface. • 2 FO G 34 k l i n, Proper materials and assembly. • ., •-• , • / J n Trade name of septic tank or aerated treatment unit. / - pe! a c/ / c a 1 / t, i ?4/ / • <Jr� Adequate absorption (or dispersal) are `- J ' • /o �/' 1 ( 5 ! ✓IS �L1 P� t — v , C. Adequate compliance with permit requirements. e et, Adequate compliance with County and State regulations /requirements. J _ 0 her / (` , Date 47 _ -- --- - - ---- - Inspector ICE . _-/ RETAIN WITH RECEIPT RECORDSCNSTRUCTION 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. Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation of 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.). Applicant: Green Copy Department: Pink Copy \ 1 SEPTIC TANK SIZE BASED UPON NUMBER OF BEDROOMS /NFOgn9 Minimum Effective Liquid Number of Bedrooms Tank Capacity (gallons) 2 750 3 1000 4 1250 Each Additional 250 Jr /5 b. Septic tank design criteria: (1) Except for grey water systems the effective liquid capacity shall be no less than 750 gallons. (2) Inlet invert shall be at least 3 inches higher than the outlet invert. (3) Outlet tee or baffle shall extend above the surface of the liquid to within one inch of the underside of the tank top and shall extend at least 14 inches below the outlet invert. (4) The distance from the outlet invert to the underside of the tank top shall be at least 10 inches. (5) Liquid depth shall be a minimum of 30 inches and the maximum depth shall not exceed the tank length or 60 inches, whichever is less. (6) A septic tank shall have two or more compartments or more than one tank may be used in series to provide the following capacity arrangement. The first compartment of a septic tank shall hold no less than 1/2 of the required effective capacity. 7 (7) The transfer of liquid from the first 30 • v compartment to the second or successive compartment shall be made at a liquid depth of at least 14 inches below the outlet invert, but not in the sludge zone. (8) At least one access no less than 20 inches across shall be provided in each compartment of a tank. (9) The opening cover of a septic tank manhole, inspection port, or sampling access port shall be no deeper than 8 inches below the finished grade, and made of materials resistant to degradation from moisture or sewer gases. c. Pipe meeting or exceeding ASTM standard 3034 properly supported to prevent failure by settling shall extend from the septic tank for a distance of at least five (5) feet from the inlet and outlet ends. 2. Aerobic Sewage Treatment System: a. General Design: The shape and design of an aeration compartment, its inlet and outlet arrangements, baffling and air application shall: (1) Allow for intimate mixing of applied sewage, return solids, and applied air. (2) Prevent excessive short circuiting of flow. (3) Prevent the deposition and buildup of solids in the aeration compartment. b. Method of Aeration: The method of aeration shall be accomplished by mechanical aeration, diffused air, or a combination of these. The method of aeration shall at all times maintain aerobic conditions at the maximum organic loading in both the aeration and settling compartments. 31 INI)_IVIDUA_L SIL_LJAGL DISPUSA,L SYS]Ltl Al PLIC/1l IUN Appruvoi by • OWNER County Official: ADDRESS 3402. - R o in?) PHONE `7(0 * ') CONTRACTOR (�� ADDRESS = PHONE — PERMIT REQUEST FOR: ( V) 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: County 0 % �1�cD Near what City of Town `ag- f3o1-50f{L.L? Lot Size 12, AsTe Legal Description WASTES TYPE: ( d) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Number of bedrooms 3 Number of persons S (V) Garbage grinder (✓) Automatic washer (1) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( v") well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: NOkJLS, If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent ground slope: Slip DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: - Was an effort made to connect to community system? 1.10 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ✓) 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: (V) 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? Page 2 • PLOT PLAN AND DESIGN FEATURES: Include by measured distance location of wells, springs, potable water supply lines, cisterns, buildings, property lines, subsoil drains, lake, water course, stream, dry gulch and show location of proposed system by direction and distance from dwelling or other fixed reference object, and additional submissions in support of this application such as data, plans, specifications, statements and commitments. '..:> Now 20t 401 21 t oV k ZI 0 Page 4 4- SOIC PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) 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 of issuing the permit applied for herein. I further under- stand 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- jury as provided by law. Date Signed PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY I I t24- 41/21 Sot Rh 103 Rnr2x x - nia_45 Sip ft Page 3 .+ t .wi.a mut : CARBO r Rr ✓4 ..;,.;:.,g."•,, ; . 4 — w p 12 „' SOLD BY F J iii` ADDRESS { 4 f e a j , T _ l Awl-. /00 /.. a v f i f S it 111 1. 1419 yy , ` AN claims and nNrnoO 000de &1u5 R i. fi iv r` s • a '1. •ILS jo asp.c a„, 5i e 5 LO , ern 10 S - cal anio — I 310N AtlOSSIINONd arnyni,_ eetet r ( / y Doe int) ni - '•44 60 S ol 1 1.6;sn, 401 id03 ak.o .4* .no 1 144 te /6 3 t 17119 rIG 39 6 . 3 3 7/ immeer ,c SEPTIC CO. fox, OV PO Box 129 1- ?ALE, CC 81623 25--1470 963-3829 I NAME ADDRESS 72; ,./e_.40.- a C417 SK CASH COD I CHARGE I ON ACCT. % —76 ttt-e- or /00,1,14.6. —•• , .7 /0 0 7 -P-elt 1 e C RECEIVED aY ; ‘7, 141 thanlicibu ; ; All claims and returned goods MUST be accompanied by Ms bill. • /75-rj Qfi a 7 c- Ac. / g'a ' d441-11tc Cre-1 •